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    HBMR 2

    Uploaded by

    Borbe Clau
    This document appears to be a prenatal care form documenting a patient's pregnancy. It includes sections to record information at each prenatal visit such as bleeding, infections, weight, blood pressure, fetal heartbeat, and lab results. It also includes a section to record delivery information such as type of delivery, birth weight, and breastfeeding. The form provides a way to track the progression of a pregnancy and delivery and ensure important health indicators and test results are monitored at each visit.

    Copyright:

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

    HBMR 2

    Uploaded by

    Borbe Clau
    527 views1 page
    This document appears to be a prenatal care form documenting a patient's pregnancy. It includes sections to record information at each prenatal visit such as bleeding, infections, weight, blood pressure, fetal heartbeat, and lab results. It also includes a section to record delivery information such as type of delivery, birth weight, and breastfeeding. The form provides a way to track the progression of a pregnancy and delivery and ensure important health indicators and test results are monitored at each visit.

    Original Description:

    Log For Pregnant Women

    Copyright

    © © All Rights Reserved

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    This document appears to be a prenatal care form documenting a patient's pregnancy. It includes sections to record information at each prenatal visit such as bleeding, infections, weight, blood pressure, fetal heartbeat, and lab results. It also includes a section to record delivery information such as type of delivery, birth weight, and breastfeeding. The form provides a way to track the progression of a pregnancy and delivery and ensure important health indicators and test results are monitored at each visit.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    527 views1 page

    HBMR 2

    Uploaded by

    Borbe Clau
    This document appears to be a prenatal care form documenting a patient's pregnancy. It includes sections to record information at each prenatal visit such as bleeding, infections, weight, blood pressure, fetal heartbeat, and lab results. It also includes a section to record delivery information such as type of delivery, birth weight, and breastfeeding. The form provides a way to track the progression of a pregnancy and delivery and ensure important health indicators and test results are monitored at each visit.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    LMP MONTH: DAY: YEAR:

    IMMEDIATE REFER TO Y = YES


    EDC MONTH: DAY: YEAR: REFERRAL PHYSICIAN
    TO HOSPITAL /RHU N = NO

    TRIMESTER 1ST 2ND 3RD

    AOG IN MONTHS 2 OR 3 4 5 6 7 8 9
    DATE OF VISIT
    VAGUNAL BLEEDING (Y/N)
    URINARY TRACT INFECTION (Y/N)
    WEIGHT IN KG.
    BLOOD PRESSURE
    BP 140/90 ABOVE (Y/N)
    FEVER 39C AND ABOVE (Y/N)
    PALLOR
    ABNORMAL FUNDAL HEIGHT (Y/N)
    ABNORMAL PRESENTATION (Y/N)
    MISSING FETAL HEARTBEAT (Y/N)
    EDEMA (Y/N)
    VAGINAL INFECTION (Y/N)
    LAB RESULTS 9e.g. HGB, URINE,
    VDRL)
    ACTION

    IRON/FOLATE #/ RX
    IODINE SUPPLEMENTATION IN
    HIGH RISK AREAS
    MALARIA PROPHYLAXIS (Y/N)
    MOTHER INTENDS TO BREASTFEED
    (Y/N)
    ADVICE ON 4 DANGER SIGNS (Y/N)
    DENTAL CHECK UP? (Y/N)
    EMERGENCY PLANS AND PLACE OF
    DELIVERY (Y/N)
    RISK? (Y/N)
    DATE OF NEXT VISIT

    LABOR AND DELIVERY

    IMMEDIATE BREASTFEEDING (Y/N) BIRTH WEIGHT IN GRAMS

    TYPE OF DELIVERY POST PARTUM HEMORRHAGE 500 CC+ (Y/N)

    DATE OF DELIVERY BABY ALIVE (Y/N)

    PLACE OF DELIVERY BABY HEALTHY (Y/N)

    4 DANGER SIGNS DURING PREGNANCY


     ANY TYPE OF VAGINAL BLEEDING MALARIA PROPHYLAXIS IRON FOLATE
     HEADACHE, DIZZINESS, BLURRED CHLOROQUINE
    VISION 60 mg tablet
     PUFFINESS OF THE FACE AND 150 mg base per tablet 2 tablets daily for 25
    HANDS 2 tablets per week days
     BEING PALE OR ANEMIC

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