Labour and delivery register Page 1
Identification |
Mode of delivery |
Obstetrics complications |
Maternal outcome |
Newborn |
HIV status at admission (Check appropriate) |
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Name |
Age |
ANC No. |
Date of Delivery dd/mm/yy |
1. SVD 2. Assisted vaginal 3. C/S |
Y/N |
1. Stable 2. Referred 3. Died |
Sex |
Weight in grams 1.<2,500 2. ≥2,500
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1. Term 2. Preterm 3. Stillbirth |
P |
N |
U |
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Labour and delivery register Page 2
Previous HIV test date (dd/mm/yy) |
HIV test result (check appropriate) |
ARV women took during pregnancy |
Weeks woman took ARV during pregnancy |
ARV women took in labour (Check appropriate) |
Infant receive Sd-NVP (Check if received if none write ''None'') |
ARV infant discharged with (check appropriate column or if none write None) |
Infant feeding (check appropriate or if mixed feeding, write MF) |
Intended family planning method chosen (Write method) |
Referred to HIV care/ART (refer, already in care) |
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|
P |
N |
U |
AZT ART None |
≤4, |
>4 |
Sd-NVP |
AZT+ NVP+ 3TC |
AZT+ 3TC |
AZT |
ART |
None |
AZT+1 |
AZT+4 |
EBF |
RF |
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24 “MAKING TRANSITIONS PAY” THE “TRANSITIONAL LABOUR MARKETS”
24HOUR LABOUR LINE PILOT IN PARTNERSHIP WITH SOUTH CENTRAL
3 CARE OF THE WOMAN IN LABOUR STUDY SESSION
Tags: delivery register, and delivery, delivery, labour, register, identification