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Click ‘Get Form’ to open the prenatal history form in the editor.
Begin by entering today's date and your personal information, including your name and date of birth. Ensure accuracy as this information is crucial for your medical records.
Fill in details about the father of the baby or partner, indicating their involvement in the pregnancy. This section helps healthcare providers understand family dynamics.
Complete the menstrual history section by providing the first day of your last menstrual period, its regularity, and any relevant details regarding your menstrual cycle.
In the previous pregnancy history section, document all past pregnancies, including outcomes such as full-term births, miscarriages, or complications. This information is vital for assessing potential risks.
Address any current medications and allergies to ensure safe care during your pregnancy. Include significant medical history and any issues related to domestic violence if applicable.
Finally, review all sections for completeness before saving or sharing your filled-out form. Our platform allows you to easily export or share it with your healthcare provider.

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What is included in the prenatal record form and why?

Prenatal records typically include a comprehensive baseline prenatal health history form, risk assessment tools, and additional forms or flow sheets for on-going documentation of care during prenatal visits and childbirth [4].

How to write a history of present pregnancy?

In the history of current pregnancy, ask about: Has there been use of folate prior to conception and currently. Agreed estimated date of delivery (EDD): this date is when the woman will be 40+0. Singleton or multiple gestation. Uptake and results of Downs syndrome screening (if scanned between 11+0 and 13+6).

What is a prenatal history?

The components of a prenatal record include all the initial demographics, family, and personal medical and genetic history, complete physical examination and laboratory testing, and provides room for additional records and serial examinations to be recorded in a fashion to allow trending.

How do you document pregnancy history?

The basic obstetric history is documented in a specific format, noting gravidity and parity. Gravidity (G) is the number of confirmed pregnancies; a gravida is a term for a person who has had at least one pregnancy. Parity (P) is the number of deliveries at 20 weeks of gestation.

What does G2P1001 mean in pregnancy?

Taking an obstetric history usually begins with asking about previous pregnancies, including dates, outcomes, and complications. For pregnant patients, a more detailed obstetric history is taken regarding prior pregnancies and the current pregnancy.

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