Start
sws_3_clinic

MRC Number

Generic text 12345

Hospital Number

Generic text

Mother's Surname

Generic text

Address

Long text

Postcode

Generic text

Telephone number

Generic text

Data abstracted by

4
Julia
7
Lyn
8
Valerie
9
Jane
Postnatal assessment sheet data34

Time of delivery

Time

Date of delivery

Date

Neonatal hypoglycaemia

1
Yesss
2
No

Abnormalities

1
Yesss
2
No
If YES,
qc_11abc == 1
enter code if on coding guide or description if not will
- -
Details 1
Details 2
Details 3

Were you in paid employment when we saw you at 34 weeks

1
Yesss
2
No
If YES,
qc_12 == 1

on what date did you last work

Date

(if stopped more than 1 working day previously) & was this planned, or was it because of a health problem

1
Planned
2
Health problem

(if stopped more than 1 working day previously) & was this planned, or was it because of a health problem

1
Planned
2
Health problem
_supplements < 6

Did you have any antibiotic tablets for a kidney, bladder or urine infection at any stage in the pregnancy

1
Yesss
2
No

Have you ever had treatment for vaginal candidiasis or thrush

1
Yesss
2
No

Was the baby delivered directly onto your abdomen

1
Yesss
2
No
3
Don&#39;t know

Have you decided on the baby's name Forenames

Generic text

Have you decided on the baby's name Surname

Generic text

What time did the baby's last feed finish

Time

How has the baby been fed since delivery

1
Breast
2
Bottle
3
Both
4
NGT - br milk
5
NGT formula
6
NG formula + IVI
7
IVI
8
Oral formulation
0
NGT+Breast+IVI
9
Not Known

Bottle type

Generic text willtwo
Generic text 1

How has the baby been fed since delivery

1
Farley&#39;s First
2
Wyeth SMA Gold
3
C Premium
4
Other
Other

How do you intend to feed the baby when you go home

1
Breast
2
Bottle
if bottle
qc_22 == 2

Brand

Generic text

Date of measurement

Date

Time of measurement 24 hour clock

Time

Occipto-frontal

Generic text
Generic text 1
Generic text 2

Left mid-upper arm

Generic text
Generic text 1
Generic text 2

Upper abdominal

Generic text
Generic text 1
Generic text 2

Lower abdominal

Generic text
Generic text 1
Generic text 2

Triceps skinfold

Generic text
Generic text 1
Generic text 2

Subscapular skinfold

Generic text
Generic text 1
Generic text 2

Thigh skinfold

Generic text
Generic text 1
Generic text 2
HIP STABILITY

Crown - rump

Generic text
Generic text 1
Generic text 2

Crown - heel

Generic text
Generic text 1
Generic text 2

Measurer

1
Parent
2
KG
3
Midwife
4
Julia
5
Sue Beare
6
Auxillary
7
Lyn
8
Valerie
9
Student Midwife

Helper

1
Parent
2
KG
3
Midwife
4
Julia
5
Sue Beare
6
Auxillary
7
Lyn
8
Valerie
9
Student Midwife

Hair colour

1
Blond
2
Pale brown/blond
3
Medium brown
4
Dark brown
5
Black
6
Redhead

hair extent

Generic text

Anthropometer used

Generic text

Min carriage reading

Generic text
Link card data
_pregnancy < 11

Previous history UTI/cystitis

1
No
2
Yesss

Previous infertility investigations

1
No
2
Yesss

Family history of hypertension

1
No
2
Yesss
3
Adopted

Family history of diabetes

1
No
2
Yesss
3
Adopted
_ultrasound < 6

Placental Position

0
Not low
1
Low

Anterior/Posterior

0
Anterior
1
Posterior
2
Fundal
3
Lateral
4
posterior + fundal
5
Posterior + lateral
Data from patient held white notes/ green hospital notes
_notes < 26
A/N complications from patient held white notes/green hosp notes

Threatened abortion (vag. bleeding <28 weeks)

1
No
2
Yesss
3
Loss of co-twin

Antepartum haemorrage

1
No
2
Yesss

Amniocentesis performed

1
No
2
Yesss

Chorconic villus sampling

1
No
2
Yesss

Clinical suspicion of growth retardation (SFD / light for dates / placental deficiency)

1
No
2
Yesss
MSU
_MSU < 9

Serum AFP ... date

Generic text
Date

2nd AFP ... 2nd date

Generic text
Date

Mum's blood group

1
A
2
B
3
AB
4
O

Rhesus Pos/Neg

Generic text

Pregnancy outcome

1
Loss 28 wks
2
SB
3
NN Death
4
LB
5
Delivered elsewhere ? outcome
6
Delivered elsewhere liveborn
if 2/3 will
qc_59 == 2 || qc_59 == 3 || will

Reason

Generic text

Mode of delivery

1
Normal/spont
2
Forceps
3
LSCS
4
Ventouse

Reasons

Generic text 1
Generic text

Presentation

1
Vx/cephalic
2
Breech
3
Other
Duration of labour - length
- -
1st
2nd
3rd

Fetal distress

1
No
2
Yesss

Evidence

1
CTG only
2
CTG + FBS
3
CTG + CBpH

Meconium

1
No
2
Yesss

Other Complications of labour - see coding guide

Generic text
Generic text 1

Retroplacental clot

1
No
2
Yesss

Calcification

Generic text

Infarction

1
No
2
Yesss

Other 1

1
Gritty
2
Succ lobe
3
Clot between membranes
4
Pale
5
Thin
6
Grey
7
looked unhealthy

Other 2

1
Gritty
2
Succ lobe
3
Clot between membranes
4
Pale
5
Thin
6
Grey
7
looked unhealthy

Placenta weight

Generic text

Membranes

0
Complete
1
Doubtful
2
Incomplete
9
Not charted

No of vessels

Generic text

Insertion type

0
Central
1
Lateral
2
Battledore
3
Velamentous
8
Not recorded

Blood loss (ml) will

ml will
INFANT

Infant sex

1
Male
2
Female

Birthweight

Generic text

Head circumference

Generic text

Apgar 1

Generic text

Apgar 5

Generic text

Admitted to SCBU

1
No
2
Yesss

Reason(s)

Generic text
Generic text 1

Reason(s)

Generic text
Generic text 1

Reason(s)

Generic text
Generic text 1

Temperature

Generic text

Labour onset

0
Spont / Normal
1
Elective CS
2
ARM / Other surgical
3
IV oxytoin
4
Im / Nasal / buccal oxytocin
5
Other oxytocin agent
6
ARM and oxytocin
7
Other induction
8
Prostin
9
ARM, prostin oxytocin
A
Emergency CS

Tear

0
Nil
1
1st degree
2
2nd degree
3
3rd degree
4
Episiotomy
8
CSection

Placental delivery

1
Simple
2
CCT
3
Manual

Placenta

1
Complete
2
Incomplete
3
Uncertain

Amniotic fluid samples taken

1
No
2
Yesss

Date placental samples taken ... Time

Date will
Time

Date cord blood separated ... Time

Date
Time

Umbilical cord

1
No
2
Yesss

Comment 1

Generic text
Generic text 1

Comment 2

Generic text
Generic text 1

Comment 3

Generic text
Generic text 1

Admitted before labour

1
No
2
Yesss
_admissions < 6

Clinical evidence of hypertension

1
No
2
Yesss
(diastolic BP>90 x 2 >4 hrs apart +/- proteinuria)

Max severity BP

1
91-99
2
100-109
3
110

Max proteinuria

0
None
1
Trace
2
+
3
++
4
+++
5
++++

Date of onset Raised BP

Date

Date of onset Proteinuria

Time

Maximum 24 hour proteinuria

Generic text

Eclamptic fit

1
No
2
Yesss

Fetal distress

0
CTG normal
1
CTG suspicious
2
CTG abnormal
3
2nd stage abnormality only

Lowest scalp Ph

Generic text

Cord pH if taken

Generic text
End

sws_3_clinic

MRC Number
Generic text 12345
Hospital Number
Generic text
Mother's Surname
Generic text
Address
Long text
Postcode
Generic text
Telephone number
Generic text
Data abstracted by
4
Julia
7
Lyn
8
Valerie
9
Jane

Postnatal assessment sheet data34

Time of delivery
Time
Date of delivery
Date
Neonatal hypoglycaemia
1
Yesss
2
No
Abnormalities
1
Yesss
2
No

enter code if on coding guide or description if not will

- -
Details 1
Details 2
Details 3
Were you in paid employment when we saw you at 34 weeks
1
Yesss
2
No
on what date did you last work
Date
(if stopped more than 1 working day previously) & was this planned, or was it because of a health problem
1
Planned
2
Health problem
(if stopped more than 1 working day previously) & was this planned, or was it because of a health problem
1
Planned
2
Health problem
Did you have any antibiotic tablets for a kidney, bladder or urine infection at any stage in the pregnancy
1
Yesss
2
No
Have you ever had treatment for vaginal candidiasis or thrush
1
Yesss
2
No
Was the baby delivered directly onto your abdomen
1
Yesss
2
No
3
Don&#39;t know
Have you decided on the baby's name Forenames
Generic text
Have you decided on the baby's name Surname
Generic text
What time did the baby's last feed finish
Time
How has the baby been fed since delivery
1
Breast
2
Bottle
3
Both
4
NGT - br milk
5
NGT formula
6
NG formula + IVI
7
IVI
8
Oral formulation
0
NGT+Breast+IVI
9
Not Known
Bottle type
Generic text willtwo
Generic text 1
How has the baby been fed since delivery
1
Farley&#39;s First
2
Wyeth SMA Gold
3
C Premium
4
Other
Other
How do you intend to feed the baby when you go home
1
Breast
2
Bottle
Brand
Generic text
Date of measurement
Date
Time of measurement 24 hour clock
Time
Occipto-frontal
Generic text
Generic text 1
Generic text 2
Left mid-upper arm
Generic text
Generic text 1
Generic text 2
Upper abdominal
Generic text
Generic text 1
Generic text 2
Lower abdominal
Generic text
Generic text 1
Generic text 2
Triceps skinfold
Generic text
Generic text 1
Generic text 2
Subscapular skinfold
Generic text
Generic text 1
Generic text 2
Thigh skinfold
Generic text
Generic text 1
Generic text 2
HIP STABILITY
Crown - rump
Generic text
Generic text 1
Generic text 2
Crown - heel
Generic text
Generic text 1
Generic text 2
Measurer
1
Parent
2
KG
3
Midwife
4
Julia
5
Sue Beare
6
Auxillary
7
Lyn
8
Valerie
9
Student Midwife
Helper
1
Parent
2
KG
3
Midwife
4
Julia
5
Sue Beare
6
Auxillary
7
Lyn
8
Valerie
9
Student Midwife
Hair colour
1
Blond
2
Pale brown/blond
3
Medium brown
4
Dark brown
5
Black
6
Redhead
hair extent
Generic text
Anthropometer used
Generic text
Min carriage reading
Generic text

Link card data

Previous history UTI/cystitis
1
No
2
Yesss
Previous infertility investigations
1
No
2
Yesss
Family history of hypertension
1
No
2
Yesss
3
Adopted
Family history of diabetes
1
No
2
Yesss
3
Adopted
Placental Position
0
Not low
1
Low
Anterior/Posterior
0
Anterior
1
Posterior
2
Fundal
3
Lateral
4
posterior + fundal
5
Posterior + lateral

A/N complications from patient held white notes/green hosp notes

Threatened abortion (vag. bleeding <28 weeks)
1
No
2
Yesss
3
Loss of co-twin
Antepartum haemorrage
1
No
2
Yesss
Amniocentesis performed
1
No
2
Yesss
Chorconic villus sampling
1
No
2
Yesss
Clinical suspicion of growth retardation (SFD / light for dates / placental deficiency)
1
No
2
Yesss

MSU

Serum AFP ... date
Generic text
Date
2nd AFP ... 2nd date
Generic text
Date
Mum's blood group
1
A
2
B
3
AB
4
O
Rhesus Pos/Neg
Generic text
Pregnancy outcome
1
Loss 28 wks
2
SB
3
NN Death
4
LB
5
Delivered elsewhere ? outcome
6
Delivered elsewhere liveborn
Reason
Generic text
Mode of delivery
1
Normal/spont
2
Forceps
3
LSCS
4
Ventouse
Reasons
Generic text 1
Generic text
Presentation
1
Vx/cephalic
2
Breech
3
Other

Duration of labour - length

- -
1st
2nd
3rd
Fetal distress
1
No
2
Yesss
Evidence
1
CTG only
2
CTG + FBS
3
CTG + CBpH
Meconium
1
No
2
Yesss
Other Complications of labour - see coding guide
Generic text
Generic text 1
Retroplacental clot
1
No
2
Yesss
Calcification
Generic text
Infarction
1
No
2
Yesss
Other 1
1
Gritty
2
Succ lobe
3
Clot between membranes
4
Pale
5
Thin
6
Grey
7
looked unhealthy
Other 2
1
Gritty
2
Succ lobe
3
Clot between membranes
4
Pale
5
Thin
6
Grey
7
looked unhealthy
Placenta weight
Generic text
Membranes
0
Complete
1
Doubtful
2
Incomplete
9
Not charted
No of vessels
Generic text
Insertion type
0
Central
1
Lateral
2
Battledore
3
Velamentous
8
Not recorded
Blood loss (ml) will
ml will
INFANT
Infant sex
1
Male
2
Female
Birthweight
Generic text
Head circumference
Generic text
Apgar 1
Generic text
Apgar 5
Generic text
Admitted to SCBU
1
No
2
Yesss
Reason(s)
Generic text
Generic text 1
Reason(s)
Generic text
Generic text 1
Reason(s)
Generic text
Generic text 1
Temperature
Generic text
Labour onset
0
Spont / Normal
1
Elective CS
2
ARM / Other surgical
3
IV oxytoin
4
Im / Nasal / buccal oxytocin
5
Other oxytocin agent
6
ARM and oxytocin
7
Other induction
8
Prostin
9
ARM, prostin oxytocin
A
Emergency CS
Tear
0
Nil
1
1st degree
2
2nd degree
3
3rd degree
4
Episiotomy
8
CSection
Placental delivery
1
Simple
2
CCT
3
Manual
Placenta
1
Complete
2
Incomplete
3
Uncertain
Amniotic fluid samples taken
1
No
2
Yesss
Date placental samples taken ... Time
Date will
Time
Date cord blood separated ... Time
Date
Time
Umbilical cord
1
No
2
Yesss
Comment 1
Generic text
Generic text 1
Comment 2
Generic text
Generic text 1
Comment 3
Generic text
Generic text 1
Admitted before labour
1
No
2
Yesss
Clinical evidence of hypertension
1
No
2
Yesss
(diastolic BP>90 x 2 >4 hrs apart +/- proteinuria)
Max severity BP
1
91-99
2
100-109
3
110
Max proteinuria
0
None
1
Trace
2
+
3
++
4
+++
5
++++
Date of onset Raised BP
Date
Date of onset Proteinuria
Time
Maximum 24 hour proteinuria
Generic text
Eclamptic fit
1
No
2
Yesss
Fetal distress
0
CTG normal
1
CTG suspicious
2
CTG abnormal
3
2nd stage abnormality only
Lowest scalp Ph
Generic text
Cord pH if taken
Generic text
Name

Obstetric form