LABOUR SUMMARY Type Of Labour Mode Of Delivery : : Spontaneous / Induced Vaginal / Instrumental

Date Onset of labour ervi! fully dilated "irt# of ne$ born %!pulsion of placenta Lengt# of labour : : : : : &st stage mins. 'nd stage mins. (rd stage mins. Total mins. #rs. #rs. #rs. #rs. . . . .

Time . . . .

delivered by : .

Supervised "y:

CONDITION ONE HOUR AFTER DELIVERY

Mother:

pulse ".).

: :

/min /mm of *g

+terus "leeding "ladder Neonate:

: : :

contracted / soft Mild / Moderate / Severe %mpty / ,ull -ood / ,air / )oor gms. )assed / /ot passed )assed / /ot passed -iven / /ot given 2es / /o 3 If yes

condition : .eig#t :

Meconium : +rine Vit 0 : :

1ny congenital anomalies : specify . "reast feeding initiated :

2es / /o3

#rs. after delivery

TRANSFER NOTE

Mot#er 4 baby transferred to postnatal .ard on "aby transferred to /I + : 2es / /o

at

#rs.

%!plain t#e reason of transfer :

Date Supervisor

Signature of

LABOUR NOTES

b5

'nd stage #rs. spontaneous / 1rtificial #rs. '5 Vacumm (5 ,orceps : : : : : yes / no 7igid / La!ed -iven / /ot given lateral / median

Membranes ruptured at olour of li6uor : ervi! fully dilated at Types of delivery : &5 ,T/D )erineum %pisiotomy Type 1naest#esia used %pisiotomy suturing done 8describe t#e steps in brief5 .

-eneral condition of mot#er :

"aby 8/%O/1T%5 "aby born Se! 1pgar *ead : : : on Male / female & min. Lengt# 9 min. cms. cms. yes / no If yes describe in brief. at #rs.

cms #est

1ny resuscitation measures carried out :

c5 (rd stage : placenta and membranes delivered at placenta $it# membrane : complete / incomplete insertion of cord : marginal / central / velamentous $eig#t of placenta 1ppro!imate blood loss : gms. ml. 1ny abnormality of placenta observed : ondition of uterus after e!pulsion of placenta $ell contracted / flaccid #rs.