LABOUR CASE RECORD Noninst Rete aN waka: Register No. O4O|FS6 B42 ents Name. Sau. tslo.. Lavan, Kumys.... 25 4" -Retion SoA. rdian's Name..FACV40n KWMar: address wee fon Gecunetige Atounatt Lob9n... ADM... Bed No... ta Marital status... Maenidl ‘Labor Apo and time of Admission |? al, 22. vnDate and time of Discharge:..)5,(4 jotovarm’ 4330 pm ip Cabon Froud Fy/ 25 Mov + Ne cae Chia o Complaints Ammonia, ¥ {months 2. History of Present Illness : cr \ beak fal Une. obdoran. x | day he oh bg A Sh ia : Nb Mo unhymd| a Sclale ORI mguie ae ci aes thrahn. Past History 4. exci story "ae EAR hn lol Pony )iey In serge Family History ba 6. me History Ass witeke, ty mnths Pak . Menstrual History Bava rcln Last Mensturé an 12x [21 Nn XS YS in, of Delivery 18 [4/22 ie _ sees ee RN NF Period of Pregnancy “ape —sWY Adoquatl ras GeneratConaiion Fait, Hylan MPAA Teeth and Gums ny Anaemia dbserst ee Nes Oedema = qbsent Pulse Ga mM, Temperfture Deformity NAD 40-4 2 veoh 1S3ian Breasts and Nippiog ® Weight 65 Kas Blood Pressure |24) 49 Cardiovascular System SI-S2. ©) Respiratory System RR. no Murmurs heal ofA- BL Ves © , NAS tl Alimentary System Nervous System apa, ] Sowa, habits | © ao) Height ofFundus MOU ~ P04 Pelvic Measurements ¢ Condition of Uterus_Initable, ue Cups Interspinous fs Presentation Cobhatie ai (lsh) Intercristal Position Ventiy ak -2 Ext. Conjugate ib Relative position of Transverse diameter af Out Presenting part to pelvis oA ely pete (IPS ap) Diagonal Conjugate fostalheart (4) tn ult sf hifed. ae ett “he Hated) , 30-4or)- al Blood gel” Wa 34.64 uit-@® THRE ‘ Xray WRC - 3-l0 On bs ie hast wiv | ey 4 usas done vba - WIL — ve\2ty}2> pins started on Membranes ruptured on... lular \aginal Examination done outside on Duration of Labour : (4m. 5 Moy First stage la hrs second stage ys Moby Third stage | Module Amount ~ ROO CC eglcae a Babes os de PRR CA Le res sinter Seo, PIM. .ieSpontaneously/Artficially Wn[ylor ot 6245 pn Pe J te Baby delivered on...) AIMI2%....a Nature of delivery {nt tan NUD Zo ‘Ailey Placenta and Membranes expelled on. tatu 2.2 abou d.22, AtRSpontaneously! Manually/By Expression by eo! col “weds Source Uterus/Lacerations Lacerations :_ Cervix e ; RULE Gus Vagina rit NAD Labia Perineum Slight/To sphincter/Through spihincter aa a ‘ General Condition fair, APuA Re i ut lame Premature = — Ifasphyxiated — Method of resuscitation MaturePlacenta IntactRetained Tot: Length snore, Weignt 400 qm, ireerton, Gutta Membranes : ex apy Date of separation ‘% Jylra NA Cord IntacvRetained Abnormalities if yA IV Date and Time en i 2 fr oe - Gl far, hydréhete ae nd Report _ obpble Treatment t Jo3t An” BP 1281 +4 mm i PR = 86 bpm RR= ne chu, (Vs- wd B Hue fut ~ Pog z cphalie. PAS Moy 36 ws ques dais Ss wWoulable & FUSH)IS2 bpm PIV 3- Sees Gb a mee 4o-sor- oud Eby acca” af - 3 can biguyht ae 4 Io-20u al, duan lave. drat. No wd prolapse jwo ely hand brlopse Fus +) 2 bom » MaulanSe ee gg eT MOTHER'S CHART Progress Notes on Mother and Baby Syma Who Pawan Kwrrar - CONDITION OF MOTHER Aa IMMEDIATE (2 am) aoe: a amy) emperature ise : 86 a ay bpm ood Pressure: \24| 48 MM A 120 | So nm leedingPV =: WNL : ANL ladder adusse bo aS $ uartnes I? Iw Un. ee reasls Bt cabt, NAC BL Soh Nc " ave. heathy alte, health Baron Tym+ “WO WDOKXO PEPE ELE EEE iid al TT=Py , i t F SNUNO1 43d £ swowovainoo NoLLIsod ANIW3OVSSI 10 y anv v ONIgTNOW i xondr1 me eeleleiutalstslnlalalilolelslals ' oun on es xd g 8 rhe hd SE Oh DHaVaDO.LUvaDischarge Report : ig old Pak ow Prop a Frvp c eptsiotomy Bp. rater: General sermon att, ea Baby : General Condition fait R lwuS. faa NAD tobe, Weight 20S, Local “an Umbilicus NAN MARS sol wo ritheded eeding brant. Ve tae aera RMLE - & Pls & PIV Exam - Ape > whe & motions hassel = BIL bmast, soft \ wT Bb Vuwlusal Pad are Fees, X 6 nns ara lat = a uty oo, {lula ~ to afd le ® nuyt Surg — Sinmunfisabsty ot - postbartuen- us - # Gn ef breast [ bob(Capsule Arm Calls omg = Sb Kad able Sbubrre Ao "4 Ts x 4 ‘tab Rantt dine. > ‘Jab. \FA ae ee hy Smnihs ab Bomb. - dab. Bilodine UA,LABOUR CASE RECORD ise No. sett SUTGOON an OMe HATH sonnRRogbator NO. O4D2IN e642 ents Name. S049, lo. Arun. Kunage Zhu Religion...) ardan’s Name... AUD, ohn ia ...Date and time of Discharge..... on Sa For.g.o, fot dlwk = hoo = halts J % Fust) , stor sent Iliness : Pt a Sif cons fee at Freier aap sk ey purty in 8 on (gwen abdernwn xy" i ar ots te bate Ieighs Nrljo Bev / SPV No wa, Om TN! ATT a 3. Past History [ ce ake Fr Nin ( vel oe aed . Family me 1% Obstetric Hist No ines oi Wei. eats 9, Fauna abort 7. aM hlela lafats ! nat wt cient Hn X 4 ne [8 [ou Cet > gue eo Ie of Delivery ¥14[22 Period of Pregnancy Po4= 41 wh 2d.os condition Fait, hydra fy dayuae Teeth and Gums Anaemia Pallea [ovate Tongue 4 NL can Obsest. Pug Sthpn, lag eformity NAD Temperatura Height 153 un Breasts re oes © Weight (an A Blood Pressure (21h af Cardiovascuta stem S) 1S, Respiratory pel | tho Nuns had 2 © malt) a Nervous nea Height of Fundus oka Pog Pelvic Measurement Condition Of Uterus Unable, baum. obeys Interspinous eid Presentation Cobbali th Intercristal cl adhe. Position Lo Ext. Conjugate a Relative position of Vurhy ok - eS Transverse diameter Outlet Presenting part to pelvis V' Rate and position of << > 1 pil, Diagonal Conjugate art 9 inal Examinati ae ates) m if Spirounb)tal Wain a 2 SHt, ot......12% 3.9. .A0M.....Spontaneously/Artiically 2: 30.4 py...b9. AGES amination done outside on.!$/4)2>. nt ct tebour: F216 15 Mibabiygty dotvored onal S12 tnd? 23.01 Nature of delivery FINVD © egistotore, Placenta and Membranes expelled hd on... 1!4] 22... at..12:. 08 PMM'spontaneousy! by vnbiotad ford Qadir Fist stage second stage. sree stage] § 12 bes Joni ° Manually/By Expression aarerge: MOLL ‘Soc Source: _Uterus/Lacerations i RHE Uber yen fot, HAD Labia Perineum Slight/To sphincter/Through spihincter Deen ETE Md General Condition fat Mature = — Premature — Kesphyxiated Method of resuscitation”Placenta Corg Intscy Vhtok Lenoth Mowel, MCURetaineg ' ; Weg 442, Insertion (i740. Membranes odes col, t Date of separation SiyJy, Siitad. then MMaclRetaineg Abnormalities if any were i and Time Special Is [ 4] 27 a Ge fi pap Rena “4 ia {air hydrahet a lua, ate, alebip, mn 12 30 am “aM al lige GPUS - 152 by, fl 40-So'). PY tf iy b Wit, setts hers “a sore oe ye KM done; |o-20 ex ‘ ey eae ade bate th fus ® , Ls en 1G froma. y 2 i Xylootre et 3) Ma lom Ww sta lp Anja im Bue PO4 % abhle 1Pee oe, MS ‘volution of Ulerous Treatment Progress Notes on Mother and Baby CONDITION OF MOTHER iMMEDIATEC? ONAN) Sarprei(L' CONN) Ne. : &4 bem 2 bern : 128] 98 mm Belen > WNL Any - dated to bass Urite Ihe fontoud ihe » @, Me sott nk ® YL soft ACD Ale & Malt fies healthy ‘WMPARTOGRAPH om Es 8ho_ounKwnar. Sorta, Name. wre HO2NISS YL OL EFFACEMENT POSITION Pp CONTRACTIONS PER 10 MINSay (westeig 7) a >< asind Sang “AT ONY NSAID soma—— FINVD & RN Discharge Report : Uy ul, G Poi l¢ 8P St ee 3 Mother : General Conaton al yduaticl Baby : General Condition fue [28]. ht Zo RR- 1u[ Nir Weight 30 | PR- Subp Umbilicus. co NAD PA 8 + NRG thee oul sithadl ee Sai Bpv- wl RN. @ iain gis, wv Exam _ WNL Swine, \ motiins = BL bust, sot) iT Advice Giver Rx ° o- Pall ; ese x 6 months 3 Mic haere A) an s) Jmmnunk 6) Pest 4) Gu a baby k omiB ab. Th yerr 4ooma ms XL = (afoul. Amplatltiy Gooma, OKLA ~ Tab. Rarharhe, = aby, RerviCalidm J 8> x SmecThe ~ Job. & ampoy ob} 2 webs - Kotadite UALABOUR CASE RECORD ot Dr: Pooja popleter No. O.LONLSE 04 '3 Winds Surgeon Muna..wlo Riushage 20.4 1....Religion HAL’, shite lMoccupation Macnfed. ec ke ort Marital Status...10 000) S22 onsen ep ab 8}4[22 18]4[22 ot. pate and time of Discharge... io:ooasP = Piuh Kuen nan's Name.!.\ HUNT. KUCNAY address, Labon...Rown...ee0d No... pate and sme of Admission. PGR.Ot 24 why c Labon bots peaur EI... RO €/ Feb | 2-8 ka | ot |scopm| + Complaints Ammenorha X4meutthd 2. History of Present liiness : tala(2- th & kee C wos wel (dou, ain un loon abdornay Kl opt aii: a eee ee lgwoenw eae ae © No Yjo ATU] Sn/ ATT oe d\ = 3, Past History ey | igor supe ee. arth lod ed ae Trensfustay pth us| nenvea|non non ee | Family History Ny ylo NM |LATNL [ 6. Obstetric History ken. muffle beats | mae PGR .o& Pog. 3% ibs 7. Menstrual History : — Angrnalws Last Menstyral Period Un x 1S 4r af 8 hs a Estimated Date of Delivery on ky if q/4[2r a Period of Pregnancy 3t wks.> a RB ee i? id Gums, d “eneral Condon Fait hydaated oath an I, $ Tongue NL i Anaemia ‘110 falta 4 edema Puse &6 bpm ' J NAD : Deformity Temperature 3 % Height ~ IS8 ony Breasts and Nipples ® Weignt - 66 Blood Pressure i @// Cardio C Respiratory Systenf vascular System 6, ¢, Fe po Nuun es ne System Alimentary System Nervous Sy: oho Bagman ex lm Height ofFundus lay =, 36 wks = Pog Condition of Uterug FriStable, Interspinous Presentation Gbhal& vi Intercristal Position ~ Vuliy ak ~ 2 Pelvic Measurement: Ext. Conjugate Relative position of Lot Transverse diameterlof 0 Presenting part to pelvis Rate and position of 152. bom, Atguloc Dia ; foetal heart Sa) (agonal Conjugate inal Roonluga én Lis i 9 ginal Examination lood Mb- I1Gm*[o a Blood eB. ee rine Ag X-ray Gy Others, 5 USG done . “hy Von GpFist $1008 ‘second stage med stage neomorhage Modurati. amort 300 rnb How arrested 3:00 prr 8 pt spontaneousty/Artificially BY, , me tela Fe B88 PP aby aia] at...2:..98.e Baby delivered on z RMLE Nature of delvery “ETNVES Placenta and Membranes expelled 1414 [22 at..1 25. Ar....spontaneousty! on. at Manuayy Expression ay tornados Uterus/Lacerations , NA Source Lacerations : Cervix Vagina ® Labia Perineum SlightTo sphincter/Through spihincter sex Fov Birth Weight 2-8 Length <5 un uw Bom alive/dead/macerated Cause of death — Malformations ° General Condition Far oe Mature Premature Ifasphyxiated Method of resuscitationCord Length 2 Vy, iniactRetaines Sate fe mal. Weight Insertion oo Cary Membranes; Date of separation “adhd, mba IntactRetaineg © G Abnormalities if any NAn Date and Time ‘Special Labour Report Tame i aa ra 83 4 2 a! ke R- Peg gts ree [rol vats aj Ks ae Wortterble, ye hank ie negulen. uae lout, soft bral 3em — Sol. hard. Nombranes 2 ab Waiting otMOTHER'S CHART mL Progress Notes on Mother and Baby Treatment CONDITION OF MOTHER is . IMMEDIATE oie : 88 bpm al bem WBvot pressure; 128/96 120/40 mm edingPV «=: NNL : WNL me “4 Breasts : Soft, NAC & soht NA WH : alwe ‘ualhy ale Maoustyy Pui Inuitayn OHO ' =] z £ ‘SNIW 01 83d ” ‘SNOLLOVYLNOD NOLUSOd anawaovasa 1 ¥ HavuoOLava|pei ee OR, PINE ee Ai 2oyn ot PE Oty | Discharge Report : A Nedgobatinel eptsio ey sold by : General Condit Mother : General Condition Fait; Hysol” Baby ion Faye BP 128] qo erm by Weight 203 Pe 86 bpm 6} A AG Umbilicus At Local Condition 1 Pia Soft % cibnuy wrall rihadlids sding hl Bpy- NNt eae : RALE - © Pls, py. el WNL Ute. moti * BIL beast =F oem aero Advice Given : © toi, Vuloal. Pad. on 2 Exdunfie buaithdide fpr Gmouctha 3) Snitake a) 4) {AA Fast ili conablucny ‘ Gon | baby « brea ayy tmoy full’. % Qn xu ‘ it ‘buf Aoamy” @Id x Ud ) Job. iene. ti , e ae ant erate[ LABOUR CASE RECORD } ————— aniisewnss Register No- OH - Dre att ANd. «NP KR. tol. ARABI age. 33.445--Realon Tape anon tcl AtPsheK .\Verrmiagdress. Narre hon, Anwenaned neta anal sons 19/4 22 att pate and time of Discharge avlylr of Bran Foo pm gt at towks abba recur Fue | Webel 3? ve od ~ 96 usks on 1qla)e2 at 1° 7 complaints /mmanonhes Iness hafo «hp (ower abdemen athan she S) aA cy Fen bo 8 8 mo Mo Amv! rash rat £5 fo back \ HF 3. Past History Es 8 cae oe] os sh non aleshali [nor snoka 6. we Medal f Admission. and sre oF X AManins2. ae of Present Ill & pri “any (aye a par at Ao wks. 7. Menstrual Histoly : be&ths. Last Menstural Period Hy - A tes. 12/4/20 34d Estimated Date of Delivery xd. Af J4]oo Period of Pregnancy Ay wksPaton NAD Deformity J Height 15/01 Woon 63 k, Cardiovascular fds o, 1.@ vo Niymus olf i apelit, Boul. inst | @ Heomotrunaus Mou = S60KS Condon of Uterus Trrtable. Presentaion (ibtil® L Postion Yudiy ak -3 Relative Position of Presenting part to pelvis L0-A- Rate and position of mee EO ay Teeth and Gums. NE Tongue pulse 88 bem Temperature Pog °p Breasts and Nipples Blood Pressure !20/ Respiratory Syster si vgs@ Nervous System Pelvic Measurements Interspinous {am Intercristal Ext. Conjugate fon Transverse diameter of Diagonal Conjugate Vaginal Examination 1 30-Uo 1}. qt iMsmbranus UnitedModusal 4ooml Birth Weight 3-2 Length <6 Gm (eee Bom alive/dead/macerated We a os on..2.0.4-4 Baby deliver Nature of delivery f conta and Membranes expelled on PANN [2 tte A 2p. Spontaneously! Pie anuaityBy Expression fy COT) woud 3 tabion Source Uterus/Lacerations Lacerations : Cervix Vagina (>) Labia Perineum Slight/To sphincter/Through spihincter _ Se ee 5 3 General Condition J 41 v Mature Premature ~ Ifasphyxiated Method of resuscitatione oa as e ae o ‘ cord nv axel enon - normal, ae, tuttral, pate of separation 0/4 fa abnormalities ifany NA\fy, jal Labour ee ‘2atmenp spec! ame at fat , hye daa aed aa pre 33 bm tel al oa Masha fu PIV 8- iat aaa “geek 20" : ARM done, lo- =e fus® 148 bpm Ry: Ph frame. a Loyiii 3) VStun IV on Ampilbi [gm WW stab S) wsMOTHER'S CH A avolution cof Ulerous ART e 4 Lochia Progress Notes on Mother and Baby CONDITION OF MOTHER Ee. ole IMMEDIATE 0° rr) 2 brs, (A: ccmn) § ae bpm < 8 bpm hood Pressure: 120/40 mm ta. a) keding PV wn : NINE. , sina] +o pur wad BM ee f Al softs WAS © Breasts ‘ @) BIL solr alfue healthy fed » fliu,“aD SN 01 43d ‘SNOLLOVULNOD TH TELE ol ae inawaovasa 7O Tlalalulolo|s|c}ols|ote} sgt {| | | st | v1 “oN dd ao 59 STta) 7 —ntnsmmsiminnnti ramones . erie neapoan AREAS TORE_~ Discharge Report: 23 ye rar | [ Prevo/ Neo/ 3. a at Ito0am Mother Pare Rairyh dahion Baby : General Condition Sa.9 - 13040 mm ado : $t bom Weight 3> 2 x PJ, 3 nell Umbiticus (H) Re aN tack!) BPV- ONL Feeding Buostee Rule - © PIS. PIV Exam@ - WNL suthe & malig ~ BIL beast | golt at Advice & F Dd slow l,Vulw al. Pos 2) Exclusfve isthe {pn Emons 4 4fop brute Gt SS of meh pou 6) Pastbailiam corte} » ah Ba Xv ce ==nasi » Capsule AAmoxfetls Soo m™* Ane rae Peubrgder Addis) SIDE ee ‘ab. akon, i gp x 3 manths Tob. Glau ab. Ranfitdihe, a> a = Tab. Bumplop, eP etme Bhool UA.[LABOUR CASE RECORD) rf oiroeone De. Kane... pooh opal nents Name... IKONKSHA. Vyas. age..24 YF Retin ind. araia's Name. AK Shay. Vyas address..ANNAAAe...... occupation Honesty ¥ Shfinio a bd. LAROA...MOOM...u Bled No...AAREY EL Martal statue... MOTEL, se and time of Admission, 23/422 pate and time of Dscharge...25/4J22. ob at €oopm loam. 2 oP th PO 34 hs ID peau. £WE/, Fob posi. Mou = 36 wks , abhal& J: on 24)4)22 ot 43 1 Complaints Ammen, hea ¥ mnths 2. History of Present Illness Keach Fuh abdomen x PL wor a ° C Stasda ex Your < Nolo Hm/on/ Amr! prognuaive- fe i Mi 3. PastHistory thyroPd | epr / as Personal History { meri Sugvaby ilo | Bivos fnsfyatds — Mee] Gey I en smoker. 5. Family nt oe an, a goes History abertic® ot i oble beAthS. aes seen 7. Menstga ph Mall: | Muutep Last Menstural Period Me - lures 22/4 fry 3 4d Estimated Date of Delivery PMc- aos 24/4 [22 8 Period of Pregnanc 34 sk Va= Se a ° General Condition Fair, Anaemia absent Ocdema ah cont Deformity Ad Height 154 om Weight a4 Cardiovascular System Si, S2(7) To Nuwmus hrarsk O14- Alimentary Sytem abet “4 jo Bows habs bs Height of Fundus “Mou © db Condition of Uterus (uutiteble, Presentation Giphalie aD Position Vedtuy al -2 Relative position of Presenting part to pelvis LoT Rate and Position of foetal heart 146 bpm, yee? adlqualle Teeth and = Kany Tongue Pulse §6 pry Temperature Op, veoinat Breasts and Nipple, puration < Blood Pressure ) 30] 4, First 800 Respiratory System —> BL Bs &, ye ORE cs Nervous System ~ 4S Amt “tage no] Pelvic Measurements Haemor ‘amount How ar Interspinous Intercristal poh, Ext. Conjugate Transverse diameter of Out Diagonal Conjugate i Vaginal Examination ° soft, 30-Yoy, ead43.00, PID ov S spontaneousl/Anitcially Ese, Bt Aslitoc DUAL 22 ate 22? irst Sta } eR Nature of aeivery. TOU age Qe oh. second stage ° Placenta and Membranes expelled . uly [22 at... At 2S pIM..Spontaneously! on... 2. ria stage ) ° Hud Manually/By Expression by uaa. fork Uterus/Lacerations 23 yaa x 2314 (22. at... 6is39.-PD- wpa Examination done ouside an... 28 $2... at vue \obrs S**°° Baby delivered on ins started O7. lemoranes ruptured On uration of Labour Source How arrested Lacerations : Cervix Vagina Labia &) Perineum Slight/To sphincter/Through spihin« Infant ° tx foe General Condition Fawr Birth Weight ~ 3 Mature Length ~ Som remature ea : Born alive/dead/macerated Ifasphyxiated = — Cause ofdeath — Method of resuscitation Malformationsmo & : ol Cord aid wecsha — Length - No Scresned’ fntode ot we jeet iirc Rin vmoranes: Galak Oe icaclieeaeee ' ‘Abnormalities if any = — Date and Time Special Labour Report ee 2afal2a” "Ge fa ,hydralion adil “ 62 opm Ge - nor $2.5; RR- 14] ud - ates Pid 8 “ee tat fin, toe og fo wks , Fus 138 pm, Agila, soft, 30-40). bhaad. Veullup at, Arm easy me di oe fins (38 bpm, Nigialan y 2 e ge Creme. uae Onalfot Gian W Lhe, 4 Bf Arn} \gm Wu stot 5) lv oxytoath VeI te 24l4]a2 Progress Notes on Mother and Baby Treatment CONDITION OF MOTHER (4 ’ n \s COaUT dhe immeDiaTe oom) 2 a. : 8 ubpo §6 bpm nee oe ca \20[40 an jing PV bul oS hook 2} to fass Urs 40 annd. ue er » ciel pa Hee: b ast : ®), BL sot te hay awe heat “og oaVabesas: Haveaoonava ayHayaoounvaanv] Foul 352 Discharge Report : kyr GPto li | ok A‘ oayrn on 24] 4b Mother: General Condition (Ul? , by bese ae - 1281490 mmm Weight \r i 2 bom 22 iki, Umbilicus Recht deuRon Pid 2- Hf faa han Feeding p Bey- WNL ib aNLe- A) PIS, PV - WNL = whew malishy ™ Bik buorts sobt, oT Advice Given : Ry 3-1) Stofl. Vuboal Pod. : Ex dunfoe bwwa fa le 6 menths ac LE = a aa 9% Postadiomy enuf os 6) \mmuntsaluan 4 bor 3 Gu al baby & batty > Cobstle Armb2uu So ™ Qin xb Vols *buprelen Joo my TSK td Hob - Rantdndiae ~ Jab. ie dae. GlaSm) BOF Smecths Jab. B cammplopx BB x Aamanths Released LIA[LABOUR CA\ O2UANSBS> Ks surgeon... 92, labitk, ...negiater No Seghle NAP tale, cbf hehage..24.\4t-.Retigion Vhdutsen. 9 AdHshek Vea gress... SOME ..n.n Occupation: Moumste 0.0 AQOM:. Bed No... UO Narrred- wed Marita Status \imission. Date and time of Discharge..2 [4|a2o% at 5:00 prn. js! oo arn rG& at Sgusks 6a, abrse L resut,,. FIND. &, ene [dy 8 Ky on 26 (4|2 at ge and tre of nosis! + Complaints Ammanonhas ¥ A Montes History of Present Pad uh Lown abdomen y + usa of \ wo “0 ae aw/ ae oh | en lapsy |G et Soyees (ees 4. Personal na: 3, Past History },\ oo dy aqesecke Srnbken Costu | manveg| aiishsl mo Alo om thm! STE/ opstetrc History 5. Family History El, 3 Bia 5 Par, ok 38 7. Menstrual History: nusisple Bains ” Last Menstural Period Mu X lyr '0/Q /2s 3-40 Estimated Date of Delivery Pcs = kf 3| $ (22 84, Period of Pregnancy S3uwk6aGeneral Condition FIT, Anaemia 10 paller edema abseuk Deformity NAD Height 1540p Weight 64 Cardiovascular System 5i1 52 (0) No Nuamus olf, Alimentary System Bousth habF}s aber, | Height of Fundus #04 souks Condition of Uterus Uritutalli, Presentation Gbh ali, dy Position Ueuby ab -3 Relative position of l Presenting part to pelvis LOT Rate and position of leliiseat ee Bre 6n Wt spihourny ui Une eee 8 SGsdone. 6 ve Teeth and Gums. Tongue Sup a Pulse 82bpiy pin ie, ye Temperature 124 ie ae Breasts and Nippieg uration Blood Pressure 33% irst st 3 Respiratory System secon Ble RR 1a tne shird 8 VBS © nag Nervous Syst n f by Hae “Heed em © & mou! ‘ Pelvic Measu How Interspinous Pdouak Intercristal hen ° Ext. Conjugat a Transverse dianeter of Out Diagonal Conjugate m Vaginal Examination Cunt cab, vutiy of 3, 2o4oy. Uh he, onpins ; an 28. pm Mera ee oA at 22D un Spontaneously vaginal Examination done outside on,..25.,(\t| 822 PD aby. DLA Sone uration of Labour: I hrs Symi Baby delivered on.238.14.| 2% nnnudteBestsPP.. First stage | Nature of delivery FINVG second stage} Placenta and Membranes expelled mid stage J Srvc 07 26M I22 at ns. 28, inspontaneousty! sorernage: Meodval Manually/By Expression by onal tod amount = 480 mL Source: ~_Uterus/Lacerations How arrested — Lacerations : Cervix Vagina ® Labia Perineum Slight/To sphincter/Through spihincter Infant Meh, fav Sex General Condition om Birth Weight 8 x Mature Length 6c) Premature ea Born alive/dead/macerated If asphyxiated ~ Cause of death _ Method of resuscitation Malformations eeImtaclRetained Insertion Weight ASO a pate of separation 26 |}, Membranes: Stack ‘Abnormalities if any IntacRetained We Date and Time ‘Special Labour Report Vecainap Sslifa Ge fut, hydralsd aday 6: 30pm. ce ti a. RR Latinta: : Pla- hus Ulable , pauls fu, Luger Sums adgual © FAs ing bpny : we Unk colt, 2odo1 ella. veluy at -3 . Muubreny pir! Am dome, \o-owal, dren quer vale mo wrd Prolopse, No hand brlapse. YS- 143 bpm, malo, Ry 8 1) PG Gume Xylocasre slunstio® eCune Wy UF 4) \ 3 Une.MOTHER'S CHART Lt Ul TY Sree in|. T i 26/4 | 2 Progress Notes on Mother and Baby Treatment CONDITION OF MOTHER arn) IMMEDIATE 2 ne, oor) ature 8s le f Geb ° 62 bpm &u bpm Pressure: 122/96 mm Mg {20145 mi ing PV NBL : wl je; duel to fam wth oo whine L | 1 ta \ : alwe \ alive \ hadthy ieNOLsOd unangovass TO ¥ alulalal|alnltalalutole|s|el|o}sirjetzasing —><— Sain “AT NV NSAID. sonua Havaoonivawa Z “ry Fie *@ 4,2 es al 0 00 BE aT 6 A mabe p | My 12.8 by ob Du yr PR Nes ischarge Report : 2% Discharge 5:dlpm ov [ule thu dsatiny Baby : General Condition fp Mother : General Condition ada uals Weight 2.9 ‘ BP- 13d/Ilo mm PR- 84 bpm 3 RR NLS) conattion ci PIA - colt tian \ strated) oe @PV- NIL RNle-@& ~ Pls, Pv ~ Ne Turthe mala’ famed) ~ Ble beat 1 Soft, oT Umbilicus ® Advice Given : 2G Vulu al Pod Rg a eae fu 6 menthy 2) Thine of w 4) Fostboitium- ae 5) Trnmun®sactae 4 ae M ee aE iSule. AMbf dA Soo QS x Ud > ‘Tob ibupraer foo my Ss. Kuh ~ Tab. Ranrtfdihe ‘° BSX Smmirs = lab B -csmblarp xX BY X 2mnths > Bstodhe L/A