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Maternity and Paediatrics

Open and manage a pregnancy episode

Available to

Midwives, obstetricians, nurses.

A pregnancy episode follows one pregnancy from the first visit to delivery or loss. Antenatal visits, the delivery and postnatal visits all attach to it.

Open an episode

  1. Open Maternity → Pregnancies and select New.
  2. Choose the Mother and the Facility.
  3. Enter the Last Menstrual Period. It cannot be in the future. The Expected Delivery Date and the gestation in weeks and days are calculated. If a dating scan gives a different date, enter it in EDD (dating scan); it must be plausible for the LMP.
  4. Enter Gravida (this pregnancy counts), Para, Miscarriages / terminations and Living Children. Para plus miscarriages cannot exceed gravida.
  5. Tick any Risk Factors that apply: previous caesarean, previous stillbirth or neonatal death, previous pre-eclampsia, previous postpartum haemorrhage, chronic hypertension, diabetes, multiple pregnancy, Rh negative, and any other risk.
  6. Save. The episode is Ongoing and shows the risk level.
A high-risk pregnancy. The banner lists the reasons: here, a previous caesarean.
A high-risk pregnancy. The banner lists the reasons: here, a previous caesarean.
Pregnancy list: high-risk episodes are red, with gestation and next recommended contact.
Pregnancy list: high-risk episodes are red, with gestation and next recommended contact.

What makes a pregnancy high risk

Risk reasonWhen it applies
Previous caesarean, stillbirth or neonatal death, pre-eclampsia, postpartum haemorrhageTicked as a risk factor.
Chronic hypertension, diabetes, multiple pregnancyTicked as a risk factor.
Age under 18, age 35 or overCalculated from the mother's date of birth and the LMP.
Grand multiparityPara of 5 or more.
OtherText entered in Other Risk.

Episode states

Episode stateMeaning
OngoingThe pregnancy is current.
DeliveredSet when the delivery record is finalised.
Miscarriage / terminationSet with Record Miscarriage / Termination; an outcome note is required.
ClosedA delivered or terminated episode can be closed with Close Episode.

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