✘

ASK, CHECK RECORD LOOK, LISTEN, INDICATIONS PLACE OF ADVISE

FEEL DELIVERY

 Do you  Prior REFERRAL  Explain why

ALL VISITS have delivery by LEVEL delivery needs to be
any caesarean. at referral level C14.
concern  Age less  Develop the birth
 Check duration s? than 14 and emergency
of pregnancy.  Feel for years. plan C14.
 Where do you trimeste  Transverse
plan to deliver? r of lie or other
 Any vaginal pregnan obvious
bleeding since cy. malpresenta
last visit?  Do you tion within
 Is the baby use one month
moving? (after 4 tobacco of expected
months) , delivery.
 Check record for alcohol,  Obvious
previous or any multiple
complications drugs? pregnancy.
and treatments  Are you  Tubal
received during exposed ligation or
this pregnancy. to other IUD desired
people's immediatel
tobacco y after
smoke delivery.
at  Documente
home? d third
degree tear.
 History of
or current
vaginal
bleeding or
other
complicatio
n during
this
pregnancy.
VISIT →

 How many Are you

 First birth. PRIMARY  Explain why
months pregnant exposed
 Last baby HEALTH delivery needs to be
are you? to other
born dead CARE at primary health
 When was your people's
or died in care level C14.
last period? tobacco LEVEL
first day.  Develop the birth
 When do you smoke
 Age less and emergency
expect to deliver? at
than 16 plan C14.
ASK, CHECK RECORD LOOK, LISTEN, INDICATIONS PLACE OF ADVISE
FEEL DELIVERY

 are you? home? years.  If yes to

 Have you had a  More than alcohol/tobacco/subs
baby before? If → six previous tance use; advise
yes: births. cessation of
 Check record for HIV  Prior substance
prior pregnancies status delivery use. C10 - C13
or if there is no and with heavy
record ask about: ARV bleeding.
treatmen  Prior
→
t. delivery
Number of prior
pregnancies/deliv with
 Look for
eries convulsions
caesarea
.
n scar.
→  Prior
Pre-eclampsia or delivery by
eclampsia in forceps or
previous vacuum.
pregnancies  HIV-
infected
→ woman.
Prior caesarean
section, forceps,
or vacuum
 None of the ACCORDIN  Explain why
→ above. G TO delivery needs to be
Prior third degree WOMAN'S with a skilled birth
tear attendant, preferably
PREFEREN
at a facility.
→ CE  Develop the birth
Heavy bleeding and emergency
during or after plan C14.
delivery

→
Convulsions

→
Stillbirth or death
within first 24
hours of life.

→
Other diseases
such as diabetes,
chronic
hypertension,
kidney,
autoimmune
ASK, CHECK RECORD LOOK, LISTEN, INDICATIONS PLACE OF ADVISE
FEEL DELIVERY

disease

→
Do you use
THIRD TRIMESTER  Feel for
obvious
 Has she been multipl
counselled on e
family pregnan
 planning? If yes, cy.
does she want  Feel for
 tubal ligation or transver
IUD A15. se lie.
 Listen
to fetal
heart.