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Outcome, Maternity Care

After the baby is born:

  • Either from the Maternity Caresummary form, click on the tab marked Outcome.
  • Or on the Management Plan, click on Pregnancy Outcome - Mother.

Click on Skip To if you have no entry to make in a screen; this will then present the next screen.

Outcome / Confinement: Make sure the date of confinement is correct. Default READ term is 63... 00 Birth details. In Status, select from Live Birth, Still birth, Miscarriage, Unknown.

Select the consultant and hospital staff (consultant) which should already be entered in Control Panel - File Maintenance – Organisations - Persons.

Enter the Discharged Date. Complete In charge by selecting the consultation / person concerned.

Delivery Details - Mother: Make sure the date of confinement is correct. Add any free text notes. Codes include 63 Birth details, 631 Place of birth - 63B Apgar at 10 minutes, 63C1 Risk factor - been on SCBU - 63CD High risk infant, 63CZ Baby "at-risk" factors NOS, 63D Placental details - 63Z Birth details NOS

Gestation: The default READ term is 635..00 Maturity of Baby. Enter a number in Weeks.

Stages of Labour: This has three stages - enter a number in Duration, and a unit of measure for each stage (eg hours, minutes).

Placenta: Similarly, select a suitable READ term - the default is 63D.. 00 Placental details.

Perineum: The default READ term is L34.. 00 Trauma to perineum and vulva during delivery. Click to select Episiotomy, Sutures to remove, if relevant. Enter a Tear Stage, and Sutures to Remove.

On the Maternity Management Plan, there are three data entry rows: Episiotomy, Perineal Tear, and Sutures.

Feeding (Maternity): In Type of Feeding, the default is <None>but you may choose: Breast, Bottle, Breast and Bottle. The choice of READ codes is:

  • 615H Breast feeding problem
  • 62P Infant feeding method (READ code default)
  • 62P1 Breast fed
  • 62P2 Bottle fed
  • 62P3 Breast feeding with supplement
  • 62P4 Breast changed to bottle feed
  • 62P5 Breast feeding started
  • 62P6 Breast feeding stopped
  • 62P7 Bottle feeding started
  • 62P8 Bottle feeding stopped
  • 62P9 Infant weaned
  • 62PA Mother currently breast feeding
  • 62PB Bottle changed to breast
  • 62PC Breast feeding problem
  • 62Z Infant feeding method NOS