Postpartum Monitoring Sheet

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DOONG MATERNITY CLINIC

Purok 29, Poblacion, Makilala, Cotabato


cjdoongbiochemistrysolutions@yahoo.com
639500951286

POST-PARTUM MONITORING SHEET

Name of patient:__________________________________________Date:_____________

BP:_____________ HR:_______________RR:_______________ Temp:_______________

Amount of lochia after delivery:___________________ Pads consumed: _____________

Amount of lochia 4hrs after delivery:_______________ Pads consumed: ______________

Amount of lochia before discharge:________________ Pads consumed: ______________

Breastfeeding:_____ Exclusive ______ With Formula _______ Not breastfeeding

Uterine status: ________Contracted:_________ With episodes of atony _______Atony

Management:_____________________________________________________________

Bladder status: ______Full bladder______ Empty bladder:Time Urinated: _________

Internal examination: Before discharge

_________ Hematoma __________ Foul Smelling Discharge ___________ Foreign Body

__________________________

Staff on Duty

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