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Patient label here OBSTETRICAL READMISSION ASSESSMENT To be completed by Readmission Nurse/ MW Date: Time: Height: cm Weight (prep regnant): kg BMI (prep regnant): Weight (current): kg BMI (current):
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How to fill out obstetrical pre-admission assessment

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How to fill out obstetrical pre-admission assessment:

01
Obtain the form: The obstetrical pre-admission assessment form can usually be obtained from your healthcare provider or hospital. You can request it during your regular prenatal visits or ask for it in advance through email or phone.
02
Read the instructions carefully: Before starting to fill out the form, make sure to read the accompanying instructions thoroughly. This will help you understand the purpose of each section and what information is required.
03
Provide personal information: Begin by filling out your personal information such as your full name, date of birth, address, contact number, and emergency contact details. It is important to provide accurate and up-to-date information.
04
Medical history: The form will have a section dedicated to your medical history. Provide details about any past surgeries, pregnancies, or medical conditions. It is crucial to disclose any relevant information that could affect your pregnancy or delivery.
05
Current medications: List all the medications you are currently taking, including prescription drugs, over-the-counter medicines, and supplements. Mention the name, dosage, and frequency of each medication.
06
Allergies: In this section, mention any allergies or sensitivities you have, especially to medications or substances commonly used in healthcare settings. This information is vital to ensure a safe and appropriate care plan is established for you and your baby.
07
Obstetric history: Provide details about your previous pregnancies, if applicable. Include the number of pregnancies, the outcome of each, any complications or interventions involved, and the gestational age at delivery.
08
Partner information: If you have a partner, there may be a section to provide their personal and contact information. This helps the hospital staff communicate with your partner and involve them in decisions regarding your care if desired.
09
Insurance details: If you have insurance coverage, fill out the necessary information, such as the name of your insurance provider, policy number, and any specific requirements or limitations.
10
Submitting the form: Once you have completed filling out the form, review it to ensure all sections are filled accurately and honestly. Then, follow the instructions provided to submit the form to your healthcare provider or hospital. This may involve dropping it off in person, faxing it, or submitting it electronically.

Who needs obstetrical pre-admission assessment?

01
Pregnant women: Obstetrical pre-admission assessments are typically required for all women planning to give birth in a hospital or healthcare facility. It is a standard procedure to gather important medical information and ensure appropriate care during labor and delivery.
02
High-risk pregnancies: Women with high-risk pregnancies, such as those with pre-existing medical conditions or a history of complications, are more likely to undergo an obstetrical pre-admission assessment. This helps healthcare providers assess potential risks and plan for the necessary interventions.
03
Planned hospital births: Even for low-risk pregnancies, hospitals often require obstetrical pre-admission assessments to facilitate a smooth admission process. It allows the hospital staff to gather essential information in advance, ensuring a more efficient and personalized care experience for all expectant mothers.
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Obstetrical pre-admission assessment is a process where a pregnant woman's medical history, risk factors, and overall health status are evaluated before she is admitted to the hospital for childbirth.
Pregnant women who are planning to give birth at a hospital are required to undergo obstetrical pre-admission assessment.
Obstetrical pre-admission assessment can be filled out by the pregnant woman herself or with the assistance of her healthcare provider. The form typically includes questions about medical history, current health status, and any potential risk factors.
The purpose of obstetrical pre-admission assessment is to ensure that pregnant women receive appropriate care and interventions during childbirth based on their individual health status and risk factors.
Information such as medical history, current health status, allergies, medications being taken, previous pregnancies, and any specific risk factors must be reported on obstetrical pre-admission assessment.
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