Start
sws_3_clinic

MRC Number

Generic text

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 data

Date of delivery

Generic date

Time of delivery

Generic time

Neonatal hypoglycaemia

1
Yes
2
No

Abnormalities

1
Yes
2
No
If YES,
qc_11 == 1
enter code if on coding guide or description if not
- -
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
Details 1
Details 2
Details 3

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

1
Yes
2
No
If YES,
qc_12 == 1

on what date did you last work

Generic 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

Since we saw you at 34 weeks have you been taking any pills, tonics or tablets to supplement your diet

1
Yes
2
No
_supplements < 6

Supplement name

Generic text

Suppl code

Generic text

Amount (over last 6 weeks (42 days)) *

Generic text
* irrespective of gest age at birth

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

1
Yes
2
No

Have you ever had treatment for vaginal candidiasis or thrush

1
Yes
2
No

Was the baby delivered directly onto your abdomen

1
Yes
2
No
3
Don'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

Generic 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
Generic text

How has the baby been fed since delivery

1
Farley'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

Generic date

Time of measurement 24 hour clock

Generic time

Occipto-frontal

Generic text
Generic text
Generic text 2

Left mid-upper arm

Generic text
Generic text
Generic text 2

Upper abdominal

Generic text
Generic text
Generic text 2

Lower abdominal

Generic text
Generic text
Generic text 2

Triceps skinfold

Generic text
Generic text
Generic text 2

Subscapular skinfold

Generic text
Generic text
Generic text 2

Thigh skinfold

Generic text
Generic text
Generic text 2
HIP STABILITY

Crown - rump

Generic text
Generic text
Generic text 2

Crown - heel

Generic text
Generic text
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

Date

Generic date

Place

Generic text

Dur.

Weeks Days

Onset

1
Normal
2
Induced
3
Emerg CS

S.D.

1
S.D.
2
Inst
3
C.S.

Bld loss

Generic text

Sex

M
Male
F
Female

BWt

Fractions of oz

I/M

I
Imp (lb. oz)
M
Met (Grams)

Status

1
LB
2
SB
3
PND
5
Ectopic
6
Mole
7
Miscarriage
8
TOP

Previous history UTI/cystitis

1
No
2
Yes

Previous infertility investigations

1
No
2
Yes

Family history of hypertension

1
No
2
Yes
3
Adopted

Family history of diabetes

1
No
2
Yes
3
Adopted
_ultrasound < 6

Date

Generic date

CRL

Generic text

BPD

Generic text

FL

Generic text

AC

Generic text

HC

Generic text

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

Date

Generic date

Weight

Generic text

Imp/Metric

Generic text

Urine alb.

0
Nil
1
Trace
2
+
3
++
4
+++
5
++++
9
No specimin

Urine Sug.

0
Nil
1
Trace
2
+
3
++
4
+++
5
++++
9
No specimin

B.P.

Generic text

Oedema

0
Nil
1
Minimal/slight
2
Present
3
Marked
A/N complications from patient held white notes/green hosp notes

Threatened abortion (vag. bleeding <28 weeks)

1
No
2
Yes
3
Loss of co-twin

Antepartum haemorrage

1
No
2
Yes

Amniocentesis performed

1
No
2
Yes

Chorconic villus sampling

1
No
2
Yes

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

1
No
2
Yes
MSU
_MSU < 9

Date

Generic date

Pus Cells

0
10
1
10-20
2
20

Bacteria

0
10,000/skin flora
1
10,000-100,000
2
100,000

Serum AFP ... date

Generic text
Generic date

2nd AFP ... 2nd date

Generic text
Generic 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
qc_59 == 2 || qc_59 == 3

Reason

Generic text

Mode of delivery

1
Normal/spont
2
Forceps
3
LSCS
4
Ventouse

Reasons

Generic text
Generic text

Presentation

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

Fetal distress

1
No
2
Yes

Evidence

1
CTG only
2
CTG + FBS
3
CTG + CBpH

Meconium

1
No
2
Yes

Other Complications of labour - see coding guide

Generic text
Generic text

Retroplacental clot

1
No
2
Yes

Calcification

Generic text

Infarction

1
No
2
Yes

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)

ml
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
Yes

Reason(s)

Generic text
Generic text

Reason(s)

Generic text
Generic text

Reason(s)

Generic text
Generic text

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
Yes

Date placental samples taken ... Time

Generic date
Generic time

Date cord blood separated ... Time

Generic date
Generic time

Umbilical cord

1
No
2
Yes

Comment 1

Generic text
Generic text

Comment 2

Generic text
Generic text

Comment 3

Generic text
Generic text

Admitted before labour

1
No
2
Yes
_admissions < 6

Date

Generic date

Main indication

Generic text

2nd indication

Generic text

3rd indication

Generic text

Clinical evidence of hypertension

1
No
2
Yes
(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

Generic date

Date of onset Proteinuria

Generic date

Maximum 24 hour proteinuria

Generic text

Eclamptic fit

1
No
2
Yes

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
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 data

Date of delivery
Generic date
Time of delivery
Generic time
Neonatal hypoglycaemia
1
Yes
2
No
Abnormalities
1
Yes
2
No

enter code if on coding guide or description if not

- -
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
Details 1
Details 2
Details 3
Were you in paid employment when we saw you at 34 weeks
1
Yes
2
No
on what date did you last work
Generic 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
Since we saw you at 34 weeks have you been taking any pills, tonics or tablets to supplement your diet
1
Yes
2
No

_supplements < 6

Supplement name
Generic text
Suppl code
Generic text
Amount (over last 6 weeks (42 days)) *
Generic text
* irrespective of gest age at birth
Did you have any antibiotic tablets for a kidney, bladder or urine infection at any stage in the pregnancy
1
Yes
2
No
Have you ever had treatment for vaginal candidiasis or thrush
1
Yes
2
No
Was the baby delivered directly onto your abdomen
1
Yes
2
No
3
Don'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
Generic 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
Generic text
How has the baby been fed since delivery
1
Farley'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
Generic date
Time of measurement 24 hour clock
Generic time
Occipto-frontal
Generic text
Generic text
Generic text 2
Left mid-upper arm
Generic text
Generic text
Generic text 2
Upper abdominal
Generic text
Generic text
Generic text 2
Lower abdominal
Generic text
Generic text
Generic text 2
Triceps skinfold
Generic text
Generic text
Generic text 2
Subscapular skinfold
Generic text
Generic text
Generic text 2
Thigh skinfold
Generic text
Generic text
Generic text 2
HIP STABILITY
Crown - rump
Generic text
Generic text
Generic text 2
Crown - heel
Generic text
Generic text
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

Date
Generic date
Place
Generic text
Dur.
Weeks Days
Onset
1
Normal
2
Induced
3
Emerg CS
S.D.
1
S.D.
2
Inst
3
C.S.
Bld loss
Generic text
Sex
M
Male
F
Female
BWt
Fractions of oz
I/M
I
Imp (lb. oz)
M
Met (Grams)
Status
1
LB
2
SB
3
PND
5
Ectopic
6
Mole
7
Miscarriage
8
TOP
Previous history UTI/cystitis
1
No
2
Yes
Previous infertility investigations
1
No
2
Yes
Family history of hypertension
1
No
2
Yes
3
Adopted
Family history of diabetes
1
No
2
Yes
3
Adopted

_ultrasound < 6

Date
Generic date
CRL
Generic text
BPD
Generic text
FL
Generic text
AC
Generic text
HC
Generic text
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

Date
Generic date
Weight
Generic text
Imp/Metric
Generic text
Urine alb.
0
Nil
1
Trace
2
+
3
++
4
+++
5
++++
9
No specimin
Urine Sug.
0
Nil
1
Trace
2
+
3
++
4
+++
5
++++
9
No specimin
B.P.
Generic text
Oedema
0
Nil
1
Minimal/slight
2
Present
3
Marked

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

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

MSU

_MSU < 9

Date
Generic date
Pus Cells
0
10
1
10-20
2
20
Bacteria
0
10,000/skin flora
1
10,000-100,000
2
100,000
Serum AFP ... date
Generic text
Generic date
2nd AFP ... 2nd date
Generic text
Generic 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
Generic text
Presentation
1
Vx/cephalic
2
Breech
3
Other

Duration of labour - length

hrs mins
HoursMinutesHoursMinutes HoursMinutesHoursMinutes
1st
2nd
3rd
Fetal distress
1
No
2
Yes
Evidence
1
CTG only
2
CTG + FBS
3
CTG + CBpH
Meconium
1
No
2
Yes
Other Complications of labour - see coding guide
Generic text
Generic text
Retroplacental clot
1
No
2
Yes
Calcification
Generic text
Infarction
1
No
2
Yes
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)
ml
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
Yes
Reason(s)
Generic text
Generic text
Reason(s)
Generic text
Generic text
Reason(s)
Generic text
Generic text
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
Yes
Date placental samples taken ... Time
Generic date
Generic time
Date cord blood separated ... Time
Generic date
Generic time
Umbilical cord
1
No
2
Yes
Comment 1
Generic text
Generic text
Comment 2
Generic text
Generic text
Comment 3
Generic text
Generic text
Admitted before labour
1
No
2
Yes

_admissions < 6

Date
Generic date
Main indication
Generic text
2nd indication
Generic text
3rd indication
Generic text
Clinical evidence of hypertension
1
No
2
Yes
(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
Generic date
Date of onset Proteinuria
Generic date
Maximum 24 hour proteinuria
Generic text
Eclamptic fit
1
No
2
Yes
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