CARE AND CURE HOSPITAL, CHANGODAR
DELIVERY NOTES
NAME OF PATIENT: AGE:
IP NO.
DATE AND TIME:
DIAGNOSIS :
With adequate maternal bearing down efforts baby delivered with presentation
Episiotomy: given / Not given.
Cord doubly clamped and cut. Baby handed over to paediatrician. Baby cried immediately after birth.
Injection oxytocin 10 IU i.m. given.
Placenta and membranes delivered complete and intact by controlled cord traction.
Episiotomy sutured in three layers using
Haemostasis checked. No active bleeding.
Tab misoprostol 600 micrograms per rectal . : given/not given
Patient shifted to recovery room.
Advice
Post delivery notes Full diet
GC Tpr/bp monitoring
Temp Tab cefixime 200 my bd
P Tab metronidazole 400 my bd
Bp Tab pantoprazole 40mg od
P/a Tab aceclopara stat and sos
Encourage breast feeding
L/e Perineal care as advised
Site bath tds
Betadine ointment for local application