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  • Antenatal Record

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    code4sale
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    This document contains a patient's antenatal record from the Alcala Municipal Hospital in Cagayan Province, Philippines. It includes the patient's personal information like name, age, address, as well as obstetric history including last menstrual period, estimated due date, and details of previous pregnancies. The record also notes any obstetric, medical, or other risk factors and documents the results of prenatal consultations including vital signs, fetal heart rate, and fundal height measurements. Space is provided to note the patient's birth and emergency plan as well as confirm they received counseling on benefits, newborn screening, and family planning options.

    Original Description:

    Antenatal Record, PRENATAL RECORD

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    This document contains a patient's antenatal record from the Alcala Municipal Hospital in Cagayan Province, Philippines. It includes the patient's personal information like name, age, address, as well as obstetric history including last menstrual period, estimated due date, and details of previous pregnancies. The record also notes any obstetric, medical, or other risk factors and documents the results of prenatal consultations including vital signs, fetal heart rate, and fundal height measurements. Space is provided to note the patient's birth and emergency plan as well as confirm they received counseling on benefits, newborn screening, and family planning options.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    225 views2 pages

    Antenatal Record

    Uploaded by

    code4sale
    This document contains a patient's antenatal record from the Alcala Municipal Hospital in Cagayan Province, Philippines. It includes the patient's personal information like name, age, address, as well as obstetric history including last menstrual period, estimated due date, and details of previous pregnancies. The record also notes any obstetric, medical, or other risk factors and documents the results of prenatal consultations including vital signs, fetal heart rate, and fundal height measurements. Space is provided to note the patient's birth and emergency plan as well as confirm they received counseling on benefits, newborn screening, and family planning options.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    PROVINCE OF CAGAYAN

    ALCALA MUNICIPAL HOSPITAL


    Centro Norte, Alcala, Cagayan

    PHILHEALTH INFORMATION

    NAME: _______________________________________________________

    PIN:
    ________________________
    AGE: _______ MARITAL STATUS: ____________ BLOOD TYPE: _______ Category:
    ADDRESS: ____________________________________________________ ___________________
    Member
    PARTNERS NAME: _____________________________________________ AGE OF MENARCHE: __________
    Last Name

    First Name

    Middle Name

    ANTENATAL RECORD
    OBSTETRICAL HISTORY

    G____ P____ (____, ____, ____, ____)


    No
    .

    Year

    Sex

    LMP:

    Type/Outco
    me

    EDD:
    Place

    Comments regarding pregnancy and birth

    PRENATAL CONSULTATION HISTORY


    1ST

    2ND

    3RD

    4TH

    5TH

    6TH

    7TH

    8TH

    Date (mm/dd/yy)
    Age of Gestation
    Weight
    Cardiac Rate
    Respiratory rate
    Blood Pressure
    Temperature
    FHR
    FH
    Presentation

    OBSTETRIC RISK
    FACTORS

    MEDICAL RISK
    FACTORS

    OTHER RISK FACTORS

    Ovarian Cyst
    Myoma Uteri
    Placenta Previa
    3 miscarriage

    Hypertension
    Heart Disease
    Diabetes
    Thyroid Disorder

    History of Stillbirth
    History of Pre/Eclampsia
    Premature Contraction
    History of Cesarean Section
    Hx of Uterine Myomectomy

    Obesity
    Asthma
    Epilepsy
    Renal Disease
    Bleeding Disorder

    Smoking
    Alcohol Drinking
    Taking Medication
    (specify)
    _________________________
    Confinement w/in Pregnancy
    (dx/cc) ________________________

    BIRTH AND EMERGENCY PLAN


    ORIENTED TO BENEFITS/MCP

    ORIENTED TO NEWBORN SCREENING

    ANTENATAL RECORD
    ALCALA MUNICIPAL HOSPITAL

    PROVINCE OF CAGAYAN
    ALCALA MUNICIPAL HOSPITAL
    Centro Norte, Alcala, Cagayan
    ORIENTED TO BASIC THINGS NEEDED ON DELIVERY
    ORIENTED TO FAMILY PLANNING (if necessary)

    OPTED TO DELIVER AT _____________________

    ANTENATAL RECORD
    ALCALA MUNICIPAL HOSPITAL

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