Documenting Pregnancy Details
On the Pregnancy Outcomes template, you can document the pregnancy details of a patient.
The following table describes the fields in the Detailed Entry/Edit panel on the Pregnancy Outcomes template.
| Field | Description |
|---|---|
| Pregnancy Entry Type | You can select the entry type of pregnancy. |
| Pregnancy # | You can select the order of birth from the list. |
| Multiple gestation birth order | If multiple gestation is applicable, you can select the order of birth. |
| Sex | You can select the option for gender of the child. |
| Status | To indicate the status of the child at birth and present. |
| Provider name | You can select the provider on the Physician window. |
| Place of delivery | You can select the hospital from the list. |
| Month, Day, and Year | In the corresponding fields, you can enter the month, day, and year. You can also click the calendar icon, and select the date on the Calendar window. |
| Time | You can select the time format, and enter the time in the selected format. |
| Labor (hrs) | You can enter the total labor hours for delivery, and enter the time separately for first, second, and third stages. |
| Baby name | To enter the name of the baby. |
| Supporting person(s) | You can enter the name of one or more of the supporting persons. |
| Gestational age | To indicate the type of the delivery. You can enter the gestational age in weeks and days. |
| Birth weight | You can enter the weight of the baby in pounds and ounces. The equivalent weight in grams is automatically filled in the Gm field. |
| APGAR | In the 1 min, 5 min, and 10 min fields, you can enter the corresponding APGAR scores. |
| Lacerations | To indicate the degree of laceration. |
| Episiotomy | To indicate the type of episiotomy. |
| Other | You can select the type of laceration in the list. You can also add another type of laceration in the subsequent blank field. |
| Delivery Type | You can enter the details in one of the following sections, as needed.
|
| ≥ 20 weeks | In this section, you can select the type of delivery, and add the following details.
|
| Postpartum Tubal Ligation | If tubal ligation is performed after the delivery, you can select this check box. |
| Labor induction | You can select the appropriate options for labor induction from the list. |
| Analgesia/anesthesia | You can select the options for anesthesia from the list. |
| < 20 weeks | In this section, you can select the type of miscarriage, and add management type. |
| Management | You can select the type of termination management from the list. |
| Details | You can select the appropriate options for the history of pregnancy, and type any additional comments in the blank field. |