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Normal Delivery Note Template

The delivery notes detail the successful birth of a baby at Care and Cure Hospital, Changodar, including maternal efforts, episiotomy status, and immediate post-delivery care. The patient received oxytocin and misoprostol, and the placenta was delivered intact. Post-delivery advice includes monitoring, medications, and encouragement for breastfeeding and perineal care.

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0% found this document useful (0 votes)
48 views2 pages

Normal Delivery Note Template

The delivery notes detail the successful birth of a baby at Care and Cure Hospital, Changodar, including maternal efforts, episiotomy status, and immediate post-delivery care. The patient received oxytocin and misoprostol, and the placenta was delivered intact. Post-delivery advice includes monitoring, medications, and encouragement for breastfeeding and perineal care.

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rutik.m21
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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

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