This form is essential for labor and delivery admissions. It captures presenting complaints such as labor pains, bleeding, fluid leakage, or reduced fetal movement, along with cervical dilation, fetal heart rate, membrane status, and initial management.
Labor & delivery presenting complaints
Cervical dilation and fetal heart rate
Membrane & liquor assessment
Maternal vitals and obstetric history
Initial management and admission plan
Maternity wards, delivery suites, obstetric emergency units, midwives, and OB/GYN teams.
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Maternity Admission Form Template