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Facility Code Chart Number Date of Admission PQ CNC Supporting Intended Vaginal Birth (IVB) Data Collection Worksheet Final Is the gestational age at admission at least 37 0/7 Is this patient multiparous?
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How to fill out is form gestational age:

01
Begin by entering the date of the woman's last menstrual period (LMP).
02
Calculate the number of weeks since the LMP and enter it in the designated field.
03
Determine the estimated due date by adding 280 days (40 weeks) to the LMP and enter it in the appropriate space.
04
If an ultrasound has been performed, enter the results of the gestational age (in weeks) as determined by the ultrasound.
05
If the woman has irregular periods or is unsure about the date of her LMP, consult with a healthcare provider to accurately determine the gestational age.
06
Review all the entered information to ensure accuracy and completeness before submitting the form.

Who needs is form gestational age:

01
Obstetricians and gynecologists require this form to monitor and track the progress of pregnancy for their patients.
02
Midwives and doulas utilize this form to provide comprehensive prenatal care and support.
03
Researchers and statisticians may use the data from this form for population studies and analysis related to pregnancy outcomes.
04
Health departments and government agencies may require this form to gather data for public health purposes.
05
Individuals seeking medical or social services related to pregnancy may be asked to fill out this form to determine eligibility or appropriate interventions.
06
Pregnant individuals themselves may fill out this form to keep track of their gestational age and estimated due date throughout their pregnancy journey.
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The form gestational age is a document that records the length of time a fetus has been developing in the womb.
Health care providers, obstetricians, or midwives are required to file the gestational age form.
The form must be filled out with the number of weeks and days since the first day of the woman's last menstrual period.
The purpose of the form is to track the progress of the fetus and ensure proper prenatal care.
The information reported should include the number of weeks and days of gestation.
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