PREGNANCY TRACKING FORM

Year: 2022 Date Updated: DECEMBER

Barangay/Catchment: SEIRAN Name of Midwife:NORA PANTON

Municipality: TAAL Name of NDP/RHMPMICHELLE ANGELA M. BANAAG
Province: BATANGAS Duty Station: SEIRAN BHS
Name of Facility with Basic Emergency Obstetric and Newborn Care (BEmONC) Address:
Taal Rural Health Unit Taal,Batangas
Referal Unit:
Name of Facility with Comprehensive Emergency Obstetric and Newborn Care (CEmONC) Address:
Batangas Provincial Hospital Lemery, Batangas

Birth Ferrous/ Follic Acid Pregnant Outcome (If the outcome is death,
Ferrous Sulfate
Plan Antenatal Care Done (indicate the date) TT STATUS
(please check) Post Partum Visit (indicate the date) (please check) accomplish MMR WHT Report Submit to MHO Remarks
FP immediately
Name of Pregnant Woman Age Address LMP EDC GP Method
(Yes/No) 1st 2nd 3rd 1 2 3
1 2 3 4 1 2 3 4 5 6

03/04/2021, ALIVE MOTHER, ALIVE

JOYCE ANN PANGANIBAN ATIENZA 30 SEIRAN 5/26/2020 3/5/2021 G1P0 YES 6/15/2020 8/17/2020 11/5/2020 2/4/2021 TT2 / / / / / / 03/05/2021 03/07/2021 03/11/2021 LAM / / / BABY GIRL, DELIVERED VIA C-SECTION,
ATTENDED BY MD AT HOSPITAL

04/01/2021, ALIVE MOTHER, ALIVE

JODELYN CARANZO FERNANDO 23 SEIRAN 5/20/20 2/27/21 G2P1 YES 8/17/2020 10/1/2020 11/5/2020 02/18/2021 TT2 / / / / / / 04/02/2021 04/04/2021 04/08/2021 DMPA / / / BABY BOY, DELIVERED VIA NSD,
ATTENDED BY HILOT AT HOME

03/25/2021, ALIVE MOTHER, ALIVE

JONALYN SALAZAR PASCUAL 25 SEIRAN 6/18/2020 3/25/2021 G2P1 YES 7/20/2020 10/1/2020 01/21/2021 4/3/2021 TT2 / / / / / / 03/26/2021 03/28/2021 04/01/2021 LAM / / / BABY BOY VIA NSD, ATTENDED BY
MIDWIFE AT HOME

5/1/2021, ALIVE MOTHER, ALIVE BABY

MARIZ ASINAS LAZO 18 SEIRAN 8/7/2021 5/14/2021 G1P0 YES 10/15/2020 11/17/2020 03/04/2021 4/15/2021 TT2 / / / / / / 5/2/2021 5/4/2021 5/8/2021 IUD / / / BOY VIA C-SECTION, ATTENDED BY MD
AT HOSPITAL

5/12/2021, ALIVE MOTHER, ALIVE BABY

LYNVIE CATAPANG SENDON 28 SEIRAN 8/16/2020 5/23/2021 G2P1 YES 5/11/2020 11/17/2020 03/18/2021 5/6/2021 TT3 / / / / / / 5/13/2021 5/15/2021 5/19/2021 LAM / / / GIRL VIA C-SECTION, ATTENDED BY MD
AT HOSPITAL

6/8/2021, ALIVE MOTHER, ALIVE BABY

KRISTINA BERNADETTE MENDOZA 33 SEIRAN 9/15/2020 6/22/2021 G2P1 YES 10/15/2020 4/3/2021 4/15/2021 6/4/2021 TT2 / / / / / / 6/9/2021 6/11/2021 6/15/2021 LAM / / /
DAIT BOY VIA C-SECTION, ATTENDED BY MD
AT HOSPITAL

6/20/2021, ALIVE MOTHER, ALIVE BABY

EVELYN V. PALMA 35 SEIRAN 10/30/2020 6/8/2021 G1P0 YES 7/1/2021 03/04/2021 5/6/2021 6/4/2021 TT2 / / / / / / 6/21/2021 6/23/2021 6/27/2021 LAM / / / GIRL, VIA NSD ATTENDED BY MIDWIFE
AT HOME

6/18/2021, ALIVE MOTHER, ALIVE BABY

JULIET MAALA BUÑO 23 SEIRAN 9/3/2002 6/10/2021 G1P0 YES 1/18/2021 3/18/2021 5/6/2021 6/4/2021 TT2 / / / / / / 6/19/2021 6/21/2021 6/25/2021 LAM / / / BOY, VIA NSD ATTENDED BY MD AT
HOSPITAL

9/10/2021, ALIVE MOTHER, ALIVE BABY

ROSE ANN RAÑA MONTES 26 SEIRAN 12/10/2020 09/17/2021 G1P0 YES 03/04/2021 5/6/2021 7/19/2021 9/2/2021 TT2 / / / / / / 9/11/2021 9/13/2021 9/17/2021 LAM / / / BOY, VIA NSD ATTENDED BY HILOT AT
HOME

9/4/2021, ALIVE MOTHER, ALIVE BABY

DONNABELL ARELA SONIO 23 SEIRAN 12/16/2020 09/23/2021 G3P2 YES 03/18/2021 5/6/2021 7/19/2021 9/2/2021 TT4 / / / / / / 9/5/2021 9/7/2021 9/11/2021 LAM / / / BOY, VIA NSD ATTENDED BY MIDWIFE
AT HOME

9/7/2021, ALIVE MOTHER, ALIVE BABY

JONABEL DE LEO FERNANDO 29 SEIRAN 12/04/202 9/11/2021 G1P0 YES 2/25/2021 3/4/2021 7/19/2021 8/19/2021 G1PO / / / / / / 9/8/2021 9/11/2021 9/15/2021 LAM / / / BOY, VIA NSD ATTENDED BY HILOT AT
HOME

09/17/2021, ALIVE MOTHER, ALIVE

RIA NICOLE ATIENZA MORETO 22 SEIRAN 12/26/2021 10/3/2021 G2P1 YES 2/25/2021 5/6/2021 7/19/2021 9/2/2021 TT3 / / / / / / 9/18/2021 9/21/2021 9/25/2021 LAM / / / BABY BOY, VIA NSD ATTENDED BY
MIDWIFE AT HOME

11/10/2021, ALIVE MOTHER, ALIVE

PRINCESS ARTEZA TOLOSA 26 SEIRAN 2/20/2021 11/27/2021 G3P2 YES 4/15/2021 5/6/2021 9/2/2021 10/18/2021 TT4 / / / / / / 11/11/2021 11/14/2021 11/18/2021 LAM / / / BABY GIRL, VIA NSD ATTENDED BY
MIDWIFE AT HOME

12/30/2021, ALIVE MOTHER, ALIVE

LOVELY MAY LANDICHO GENIL 19 SEIRAN 3/16/2021 12/23/2021 G1P0 YES 5/6/2021 6/4/2021 8/19/2021 12/3/2021 TT2 / / / / / / 12/31/2021 01/03/2022 01/07/2022 LAM / / / BABY GIRL, VIA NSD ATTENDED BY MD
AT HOSPITAL

9/10/2021, ALIVE MOTHER, ALIVE BABY

CHARMAIGNE ILAGAN PIOL 30 SEIRAN 12/20/2021 9/27/2021 G1P0 YES 3/18/2021 6/3/2021 8/5/2021 9/3/2021 TT2 / / / / / / 9/11/2021 9/14/2021 9/18/2021 LAM / / / BOY, VIA NSD ATTENDED BY MIDWIFE
AT HOME
 11/25/2021, ALIVE MOTHER, ALIVE
NENETTE ELIPANIO DE LEON 27 SEIRAN 3/22/2021 12/29/2021 G5P4 YES 4/15/2021 5/6/2021 9/2/2021 11/18/2021 TT5 / / / / / / 11/26/2021 11/29/2021 12/3/2021 LAM / / / BABY GIRL, VIA NSD ATTENDED BY
MIDWIFE AT HOME

12/17/2021, ALIVE MOTHER, ALIVE

JOVELYN ESPIÑA DE CASTRO 31 SEIRAN 3/6/2021 12/13/2021 G3P2 YES 4/15/2021 9/16/2021 11/18/2021 12/2/2021 TT5 / / / / / / 12/18/2021 12/21/2021 12/25/2021 LAM / / / BABY BOY, VIA NSD ATTENDED BY
MIDWIFE AT HOME

01/26/2022, ALIVE BABY BOY, ALIVE

JOCELYN BANAAG PELAGIO 28 SEIRAN 4/21/2021 1/28/2021 G2P1 YES 5/6/2021 10/21/2021 12/23/2021 1/20/2022 TT2 / / / / / / 1/27/2022 1/30/2022 2/3/2022 LAM / / / MOTHER, VIA NSD ATTENDED BY
MIDWIFE AT HOME

02/25/2022, ALIVE BABY GIRL, ALIVW

ARLEEN ILAGAN HERNANDEZ 24 SEIRAN 5/18/2021 2/25/2022 G2P1 YES 8/5/2021 12/16/2021 1/20/2022 2/17/2022 TT3 / / / / / / 2/26/2022 3/1/2022 3/5/2022 PILLS / / / MOTHER, VIA C-SECTION, ATTENDED BY
MD AT HOSPITAL

03/03/2022, ALIVE BABY GIL, ALIVE

MA. LYKA ATIENZA 26 SEIRAN 7/10/2021 4/17/2022 G2P1 YES 8/5/2021 11/18/2021 2/17/2022 3/1/2022 TT3 / / / / / / 3/4/2022 3/7/2022 3/11/2022 LAM / / / MOTHER, VIA NSD, ATTENDED BY MD
AT HOSPITAL

03/05/2022, ALIVE BABY GIRL, ALIVE

LEA BONSOL 26 SEIRAN 5/21/2021 2/28/2022 G1P0 YES 6/3/2021 11/18/2021 1/20/2022 2/18/2022 TT2 / / / / / / 3/6/2022 3/9/2022 3/13/2022 LAM / / / MOTHER, VIA NSD, ATTENDED BY
MIDWIFE AT HOME

04/14/2022, ALIVE BABY GIRL, ALIVE

IRISH CATHERINE NARAG 17 SEIRAN 7/13/2021 5/7/2022 G1P1 YES 9/16/2021 11/18/2021 3/3/2022 4/7/2022 TT2 / / / / / / 4/15/2022 4/18/2022 4/22/2022 DMPA / / / MOTHER VIA NSD ATTENDED BY HILOT
AT HOME

04/02/2022, ALIVE BABY BOY, ALIVE

AIZALYN VILLALOBOS STA CRUZ 36 SEIRAN 7/15/2021 4/22/2021 G3P4 YES 8/25/2021 12/16/2021 2/17/2022 4/1/2022 TT5 / / / / / / 4/3/2022 4/7/2022 4/11/2022 LAM / / / MOTHER VIA NSD ATTENDED BY HILOT
AT HOME

05/13/2022, ALIVE BABY GIRL, ALIVE

CHRISTINE MAE PALMENCO 19 SEIRAN 8/9/2021 5/16/2022 G1P1 YES 11/18/2021 1/20/2022 2/17/2022 5/5/2022 TT2 / / / / / / 5/14/2022 5/17/2022 5/20/2022 LAM / / / MOTHER VIA NSD ATTENDED BY MD AT
LYING IN

06/10/2022, ALIVE BABY GIRL, ALIVE

MARICEL DE LEON AUSTRIA 31 SEIRAN 8/16/2021 5/23/2022 G2P1 YES 9/16/2021 2/17/2022 3/3/2022 5/19/2022 TT3 / / / / / / 6/11/2022 6/14/2022 6/17/2022 LAM / / / MOTHER VIA NSD ATTENDED BY MD
ATLYING IN

PRINCESS BRUCE VILLANUEVA 28 SEIRAN 9/26/2021 7/3/2022 G1P0 YES 10/18/2021 4/1/2022 5/5/2022 6/2/2022 TT2 / / / / / / 6/28/2022 7/1/2022 7/4/2022 LAM / / / 06/27/2022, ALIVE BABY BOY, ALIVE
MOTHER VIA NSD ATTENDED BY RM

07/09/2022, ALIVE BABY BOY, ALIVE

AILA MARIE PADUA BELARDO 21 SEIRAN 9/28/2021 7/5/2022 G1P0 YES 10/18/2021 3/11/2022 5/5/2022 7/7/2022 TT2 / / / / / / 7/10/2022 7/13/2022 7/16/2022 LAM / / / MOTHER VIA C-SECTION ATTENDED BY
MD AT HOSPITAL

08/26/2022, ALIVE BABY GIRL, ALIVE

MARILYN BENAVIDEZ VILLALOBOS 29 SEIRAN 12/6/2022 9/16/2022 G2P1 YES 3/11/2022 6/1/2022 7/7/2022 8/18/2022 TT3 / / / / / / 8/27/2022 8/30/2022 9/2/2022 LAM / / / MOTHER VIA NSD ATTENDED BY MD AT
HOSPITAL

08/28/2022, ALIVE BABY GIRL, ALIVE

MARIEL ATIENZA FRANCISCO 23 SEIRAN 11/19/2022 8/16/2022 G1P0 YES 12/16/2022 3/11/2022 6/2/2022 8/18/2022 TT2 / / / / / / 8/29/2022 9/1/2022 9/3/2022 LAM / / / MOTHER VIA NSD ATTENDED BY
MIDWIFE AT HOME

09/26/2022, ALIVE BABY BOY, ALIVE

JOANA MARIE JAQUECA DE ROXAS 29 SEIRAN 12/25/2021 10/1/2022 G1P0 YES 1/20/2022 4/1/2022 7/21/2022 9/15/2022 TT2 / / / / / / 9/27/2022 9/29/2022 10/2/2022 LAM / / / MOTHER VIA C-SECTION ATTENDED BY
MD AT HOSPITAL

10/09/2022, ALIVE BABY BOY, ALIVE

BABY ARLYN MAGSINO RODEO 25 SEIRAN 1/8/2022 10/15/2022 G2P1 YES 2/17/2022 6/19/2022 9/15/2022 10/6/2022 TT3 / / / / / / 10/10/2022 10/12/2022 10/15/2022 LAM / / MOTHER VIA NSD ATTENDED BY
MIDWIFE AT HOME

09/27/2022, ALIVE BABY GIRL, ALIVE

CASIELYN DRAPEZA CATAPANG 19 SEIRAN 12/25/2021 10/2/2022 G1P0 YES 3/11/2022 5/19/2022 7/21/2022 9/15/2022 TT2 / / / / / / 9/28/2022 9/30/2022 10/3/2022 LAM / / / MOTHER VIA NSD ATTENDED BY HILOT
AT HOME

11/17/2022, ALIVE BABY GIRL, ALIVE

MARICEL TUMACAS CATAPANG 27 SEIRAN 2/2/2022 11/9/2022 G4P3 YES 4/7/2021 7/21/2022 9/15/2022 10/20/2022 TT5 / / / / / / 11/18/2022 11/20/2022 11/23/2022 LAM / MOTHER VIA NSD ATTENDED BY
MIDWIFE AT HOME

10/18/2022, ALIVE BABY BOY, ALIVE

ARLENE VILLALOBOS MANTUANO 25 SEIRAN 2/20/2022 11/27/2022 G1P0 YES 4/7/2021 6/2/2022 7/7/2022 11/13/2022 TT1 / / / / / / 10/19/2022 10/21/2022 10/24/2022 LAM / / MOTHER VIA NSD ATTENDED BY MD AT
HOSPITAL
 10/06/2022, ALIVE BABY BOY, ALIVE
RIA NICOLE ATIENZA MORETO 23 SEIRAN 1/22/2022 10/29/2022 G3P2 YES 2/17/2022 6/19/2022 9/15/2022 10/3/2022 TT4 / / / / / / 10/7/2022 10/9/2022 10/12/2022 LAM / / MOTHER VIA NSD ATTENDED BY
MIDWIFE AT HOME

10/31/2022, ALIVE BABY BOY, ALIVE

ELLEN ESGUERRA 22 SEIRAN 2/4/2022 11/11/2022 G4P2 YES 4/7/2022 7/21/2022 9/15/2022 10/6/2022 TT5 / / / / / / 11/1/2022 11/3/2022 11/6/2022 LAM / / MOTHER VIA NSD ATTENDED BY
MIDWIFE AT HOME

11/12/2022, ALIVE BABY GIRL, ALIVE

LEAH NOREEN DRAPEZA MACALALAD 25 SEIRAN 2/14/2022 11/21/2022 G1P0 YES 3/3/2022 8/19/2022 10/6/2022 11/3/2022 TT2 / / / / / / 11/13/2022 11/15/2022 11/18/2022 LAM / MOTHER VIA NSD ATTENDED BY MD AT
LYING IN

11/26/2022, ALIVE BABY BOY, ALIVE

ANNALYN ANDAL RAYMUNDO 28 SEIRAN 3/14/2022 12/21/2022 G3P2 YES 5/19/2022 9/15/2022 10/20/2022 11/17/2022 TT4 / / / / / / 11/27/2022 11/29/2022 12/2/2022 LAM / MOTHER VIA NSD ATTENDED BY
MIDWIFE AT LYING IN

MERLITA REYES CATAPANG 38 SEIRAN 3/24/2022 12/31/2022 G3P2 YES 5/19/2022 8/23/2022 9/15/2022 12/1/2022 TT4 / / / / / / NOT YET DELIVERED

LEAH PANGANIBAN LIGUE 39 SEIRAN 3/29/2022 12/4/2022 G2P0 YES 5/19/2022 9/15/2022 11/13/2022 12/15/2022 TT2 / / / / / / NOT YET DELIVERED

CHRISTINE BALITAAN LASCANO 33 SEIRAN 4/12/2022 1/19/2023 G2P1 YES 5/19/2022 9/15/2022 12/1/2022 TT3 / / / / /

RACHILLE MAJESTRADO RAYMUNDO 31 SEIRAN 5/30/2022 3/9/2023 G4P3 YES 8/23/2022 12/15/2022 TT5 / / /