Record labour and delivery

Available to

Midwives and obstetricians.

The delivery record documents labour, the birth and the mother's outcome. It is finalised only when every newborn is recorded and finalised.

In labour  →  Delivered  →  Finalised (signed)
                     requires the newborn records to be linked and finalised first

Open Maternity → Labour and Delivery and select New. Choose the ongoing Pregnancy. A delivery needs an ongoing pregnancy.
Enter Labour Onset At, and tick Induced if it was induced. Choose the Lead Attendant.
While in labour, add rows on Labour Observations: cervical dilation (0 to 10 cm), station, contractions, fetal heart rate, liquor.
When the baby is born, enter Delivered At and Mode (Spontaneous vaginal, Assisted vaginal, Caesarean elective or Caesarean emergency).
Record third stage and outcome: Active management of third stage given, Placenta Complete, Perineal Tear, Episiotomy, Blood Loss Ml, Maternal Outcome (Well, Transferred to HDU/ICU, Maternal death) and any Complications.
Select Record Delivery. The state becomes Delivered.
Create the newborn record(s) and link them on the Newborns tab. See Record a newborn.
Finalise each newborn record, then select Finalise on the delivery. The pregnancy episode becomes Delivered.