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Delivery

Age:  years old female

G P A

Gestational Age  weeks /7



Particularities of pregnancy:  



Group B streptococcus status: , Antibiotics received: 

Rubella status: 

Rhesus factor: , Winrho received 



HISTORY:

Admission reason:  

Description of labor progression: 

Fetal well-being:  

Rupture of membranes: 

Amniotic fluid: 

Induction of labor: 

Maternal fever:  °C

Analgesia: 



Stage 1: :

Stage 2: :

Stage 3: :

Total duration: :



Delivery type:  at : 

Baby gender: 

Birth weight:  

APGAR score: --

Nuchal cord: 

Neonatal resuscitation: 

Placental expulsion: 

Placental examination: , 

Uterine/vaginal examination:   degree on the  , repaired with 

Estimated blood loss:  ml

Procedure:  

HISTORY:

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