Maternity and pregnancy

 

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Step Action Notes
Pregnancy test .645 Urine pregnancy test Positive added as free text on receipt.
Patient sees doctor or nurse. Enter new current problem .62 Pregnancy care. Patient should sign maternity form and read code added (use sophie). Remember folic acid. Patient to reception.
Antenatal examinations
  • 26 weeks:
  • 36 weeks:
  • Other antenatal examinations as required
  • Postnatal:
  • Use antenatal and postnatal sophie wcs pregnancy.gdl.
  • Details of delivery added on receipt ie: spontaneous vertex delivery, forceps delivery or caeserian section (use birth sophie).
  • Current problem becomes dormant at postnatal check unless ongoing problems.
Results Results added to Pregnancy care. current problem
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