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https://www.gwumc.edu/edu/obgyn/notes/delivery.html
Delivery Note Template Normal spontaneous vaginal delivery (or forceps or vacuum assisted vaginal delivery), of live male or female infact, position (i.e., LOA, ROA, ROP, etc.) over intact perineum (or if episiotomy done) with or without epidural anesthesia.
http://www.jasoncartermd.com/resources/patient/files/OB%5EDictations.pdf
Sample Vacuum Note: _____ y/o now P _____ experienced vacuum/forceps assisted delivery) over 2° MLE on (date) @ (time). Due to (non reassuring heart rate/prolonged second stage/maternal exhaustion, etc.), the vacuum was placed at (+2) station, (ROA) position after bladder emptied and anesthesia found to be adequate. Infant was delivered within
https://www.d.umn.edu/medweb/Modules/OB-Long/DeliveryNote.pdf
Labor and Delivery Note (by Dr. Jen Pearson – to be used to complete the Delivery Summary) Stage I: Duration Description of labor Onset Progression Membrane status Fetal well being Type of monitoring Analgesics used Position of infant presentation Any other pertinent information from this stage
https://fpnotebook.com/OB/Ld/DlvryNt.htm
FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6760 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters.
https://med.dartmouth-hitchcock.org/obstetrics_safety/sample_delivery_note_shoulder_dystocia_.html
A fill-in-the-blank sample shoulder dystocia delivery note.
http://netscut.templaro.com/ob/obgynote.html
Obstetrics and Gynecology Example Notes and Orders L&D admission note L&D admission orders OB progress note OB post-op orders Delivery note Post-delivery orders GYN admission order GYN progress note GYN pre-op note GYN op note
http://www.stritch.luc.edu/lumen/MedEd/obgyne/tools.pdf
The Ob-Gyn Clerkship: Your Guide to Success Tools for the Clerkship, contained in this document: 1. Sample obstetrics admission note 2. Sample delivery note 3. Sample operative note 4. Sample postpartum note a. Vaginal delivery b. Cesarean section orders/note 5. Sample gynecologic history & physical (H&P) 6. Admission orders 7. Commonly-used ...
https://healthproadvice.com/profession/Healthcare-Provider-SOAP-Note
Example OB Birth or Delivery Note The patient was found to be completely dilated at 2119 and spontaneously bearing down at the peak of each contraction. After effectively pushing, the patient delivered a viable female infant over intact perineum at 2123.
https://medschool.creighton.edu/fileadmin/user/medicine/Departments/ob-gyn/docs/Sample_Dictation_-_SVD.pdf
NORMAL’SPONTANEOUS’VAGINAL’DELIVERY’! Dateof’Procedure:’ Preop’Dx:!38weekIUP!inactivelabor(with6listanyotherdiagnosis).! Postop’DX:!Same!withdelivery ...
http://www.stritch.luc.edu/lumen/MedEd/obgyne/Clerkship_Guide.pdf
responsible for having notes written on your patients‐ we will not remind you. Once your note is written, please let your residents know and one will review it with you if time permits. Deliveries You may only attend a delivery if you have met the patient prior to the beginning of …
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