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  • Labour Record: Time Active Labour Stared Time Membranes Ruptured Time Record Stage Starts

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    mayflor navarro
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    This document is a sample labour record form used to monitor a patient during labour, delivery, and postpartum. It collects information such as the patient's name, age, parity, address, admission date and time, time active labour started, time membranes ruptured, fetal heart rate, maternal vital signs, cervical dilation, any problems and their treatments, birth details for both mother and newborn, and planned post-delivery care. The form is adapted as needed for each patient and collects essential medical information over the course of labour and delivery.

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    labor record

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    Labour Record

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    This document is a sample labour record form used to monitor a patient during labour, delivery, and postpartum. It collects information such as the patient's name, age, parity, address, admission date and time, time active labour started, time membranes ruptured, fetal heart rate, maternal vital signs, cervical dilation, any problems and their treatments, birth details for both mother and newborn, and planned post-delivery care. The form is adapted as needed for each patient and collects essential medical information over the course of labour and delivery.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    16 views1 page

    Labour Record: Time Active Labour Stared Time Membranes Ruptured Time Record Stage Starts

    Uploaded by

    mayflor navarro
    This document is a sample labour record form used to monitor a patient during labour, delivery, and postpartum. It collects information such as the patient's name, age, parity, address, admission date and time, time active labour started, time membranes ruptured, fetal heart rate, maternal vital signs, cervical dilation, any problems and their treatments, birth details for both mother and newborn, and planned post-delivery care. The form is adapted as needed for each patient and collects essential medical information over the course of labour and delivery.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    LABOUR RECORD

    USE THIS RECORD FOR MONITORING DURING LABOUR, DELIVERY AND POSTPARTUM RECORD NUMBER:

    NAME: AGE: PARITY

    ADDRESS:
    DURING LABOUR AT OR AFTER BIRTH - MOTHER AT OR AFTER BIRTH - NEWBORN PLANNED NEWBORN TREATMENT
    ADMISSION DATE BIRTH TIME LIVEBIRTH STILLBIRTH: FRESH MACERATED
    ADMISSION TIME OXY – TIME GIVEN RESCITATION NO YES
    TIME ACTIVE LABOUR STARED PLACENTA COMPLETE NO YES BIRTH WEIGHT
    TIME MEMBRANES RUPTURED TIME DELIVERED GEST. AGE OR PRETERM NO YES
    TIME RECORD STAGE STARTS ESTIMATED BLOOD LOSS SECOND BABY

    ENTRY EXAMINATION
    STAGE OF LABOUR NOT IN ACTIVE LABOUR YES
    NOT IN ACTIVE LABOUR PLANNED MATERNAL TREATMENT

    HOUR SINCE ARRIVAL 1 2 3 4 5 6 7 8 9 10 11 12


    HOUR SINCE RUPTURED MEMBRANES
    VAGINAL BLEEDING (0+ ++)
    STRONG CONTRACTIONS IN 10 MINUTES
    FETAL HEART RATE (BEATS PER MINUTES
    T (AUXILLARY)
    PULSE (BEATS/MINUTES)
    BLOOD PREASURE (SYSTOLIC/DIASTOLIC)
    URINE VOIDED
    CERVICAL DILATATION (CM)

    PROBLEM TIME ONSET TREATMENTS OTHER THAN NORMAL SUPPORTIVE CARE

    IF MOTHER REFERRED DURING LABOUR OR DELIVERY, RECORD TIME AND EXPLAIN


    Sample form to be adapted. Revised on 13 June 2003

    11

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