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Prenatal and Postpartum Checklist

The document is a master list for prenatal and postpartum records, capturing essential details about mothers and their newborns. It includes information such as registration dates, personal details, delivery methods, and health checkups. The format is structured for easy data entry and tracking of maternal and infant health metrics.

Uploaded by

JEMF JACO ERPELO
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© © All Rights Reserved
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26 views1 page

Prenatal and Postpartum Checklist

The document is a master list for prenatal and postpartum records, capturing essential details about mothers and their newborns. It includes information such as registration dates, personal details, delivery methods, and health checkups. The format is structured for easy data entry and tracking of maternal and infant health metrics.

Uploaded by

JEMF JACO ERPELO
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

PRENATAL AND POSTPARTUM MASTERLIST (BUNTIS)

DATE OF REGISTRATION LAST NAME FIRST NAME MIDDLE NAME AGE BIRTHDAY ADDRESS CONTACT #

LAST MENSTRUAL EXPECTED DATE GRAVIDA- HEIGHT (CM) WEIGHT (KG) NUTRITIONAL STATUS FESO4 & FA (√) LABORATORY (√) ANTI TETANU (√)
PERIOD (LMP) COMPLETION (EDC) PARA (G-P) CALCIUM (√)

DATE OF PLACE OF DELIVERY TYPE OF DELIVERY BIRTH GENDER OF BABY WEIGHT OF BABY POSTPARTUM CHECK UP (√) FESO4 & FA (√) VITAMIN A (√)
DELIVERY (NORMAL OR CS) ATTENDANT

DATE OF REGISTRATION LAST NAME FIRST NAME MIDDLE NAME AGE BIRTHDAY ADDRESS CONTACT #

LAST MENSTRUAL EXPECTED DATE G-P HEIGHT (CM) WEIGHT (KG) NUTRITIONAL STATUS FESO4 & FA (√) LABORATORY (√) ANTI TETANU (√)
PERIOD (LMP) COMPLETION (EDC) CALCIUM (√)

DATE OF PLACE OF DELIVERY TYPE OF DELIVERY BIRTH GENDER OF BABY WEIGHT OF BABY POSTPARTUM CHECK UP (√) FESO4 & FA (√) VITAMIN A (√)
DELIVERY (NORMAL OR CS) ATTENDANT

DATE OF REGISTRATION LAST NAME FIRST NAME MIDDLE NAME AGE BIRTHDAY ADDRESS CONTACT #

LAST MENSTRUAL EXPECTED DATE G-P HEIGHT (CM) WEIGHT (KG) NUTRITIONAL STATUS FESO4 & FA (√) LABORATORY (√) ANTI TETANU (√)
PERIOD (LMP) COMPLETION (EDC) CALCIUM (√)

DATE OF PLACE OF DELIVERY TYPE OF DELIVERY BIRTH GENDER OF BABY WEIGHT OF BABY POSTPARTUM CHECK UP (√) FESO4 & FA (√) VITAMIN A (√)
DELIVERY (NORMAL OR CS) ATTENDANT

DATE OF REGISTRATION LAST NAME FIRST NAME MIDDLE NAME AGE BIRTHDAY ADDRESS CONTACT #

LAST MENSTRUAL EXPECTED DATE G-P HEIGHT (CM) WEIGHT (KG) NUTRITIONAL STATUS FESO4 & FA (√) LABORATORY (√) ANTI TETANU (√)
PERIOD (LMP) COMPLETION (EDC) CALCIUM (√)

DATE OF PLACE OF DELIVERY TYPE OF DELIVERY BIRTH GENDER OF BABY WEIGHT OF BABY POSTPARTUM CHECK UP (√) FESO4 & FA (√) VITAMIN A (√)
DELIVERY (NORMAL OR CS) ATTENDANT

DATE OF REGISTRATION LAST NAME FIRST NAME MIDDLE NAME AGE BIRTHDAY ADDRESS CONTACT #

LAST MENSTRUAL EXPECTED DATE G-P HEIGHT (CM) WEIGHT (KG) NUTRITIONAL STATUS FESO4 & FA (√) LABORATORY (√) ANTI TETANU (√)
PERIOD (LMP) COMPLETION (EDC) CALCIUM (√)

DATE OF PLACE OF DELIVERY TYPE OF DELIVERY BIRTH GENDER OF BABY WEIGHT OF BABY POSTPARTUM CHECK UP (√) FESO4 & FA (√) VITAMIN A (√)
DELIVERY (NORMAL OR CS) ATTENDANT

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