Student / Midwife Birth Log
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Student / Midwife Birth Log
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Key
Ex) Gest Thrombocytopenia, HELLP, Pre-Eclampsia, IUFD
Ex) Hydrotherapy, SWP, IV, Epi
Y/N
N, Spont, AOL, IOL
N/A, Foley, Cervidil, Miso
CEFM, IA, FSE
Toco, IUPC
Y/N
Date/Time, En Caul, PPROM, PROM
Y/NY/N
SVD, VBAC, TOLAC RCS, VAVD, FAVD
Semi-sit, Hands Knees, Side-lying, Squat, Water, Toilet
LOA, ROA, LOP, ROP, OP, OA
Y/N
<500, >500
1st per-rep, 1st per-no rep, labial-rep, labial-no rep, 1st vag - rep, 1st vag-no rep
M, F, I
Ex) Shoulder dystocia, broken clavicle, hematoma
Ex) Ritgen, Traction of Shoulders
Ex) Manual Removal, Uterine Sweep
Ex) Delayed PPH
Ex) Chorio, Eclampsia
Ex) Battledore, Velamentous, True Knot, Calcifications
Ex) Hematoma
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Birth #DatePlace of BirthPt Name/ InitialsAgeGTPALAntepartumDeliveryInfantLabor Stage Duration / InterventionsMaternal ComplicationsPlacental FindingsPP findingsBreast- feeding?MD Collaboration / Transfer?Attending/ PreceptorSNM / Med Stud / ResidentOther notes
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AP HxAdmit DateEGAGBSComfort MeasuresDoulaLabor TypeIOL/AOL Method(s)Method(s) initiated by meBSFetal MonitoringUterine MonitoringInternal placed by meROM date/ timeAROM by meMECBirth TypeMaternal PositionFetal PositionDate/ TimeDelayed Clamping EBLLacerationInfant SexBirth Weight/ LengthAPGARInfant Complications
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