Obstetrics

Progression

• Trimester:
  • First < 14 weeks 0 days
    
  • Second = 14 weeks 0 days to 28 weeks 0 days
    
  • Third = 28 weeks 0 days to delivery
    

Location

• N/A (unless there is a complication such as ectopic pregnancy)
  
• For multiple gestations, identify each fetus-fetus #1, fetus #2, etc.
  

Acuity

• Preterm or postterm delivery
  

Name

• Ongoing prepregnancy conditions-HTN, diabetes, or morbid obesity (include prepregnancy BMI)
  

Necessary Procedures

• Delivery-specify all procedures, including perineal laceration repair
• Abortion-specify if spontaneous or induced, complete or incomplete, successful or failed termination
  
• Associated conditions-sepsis, fetal death, etc.
  

Other

• Hyperemesis gravidarium-onset prior to end of 20th week of gestation
  • Early pregnancy = before 20 weeks; late pregnancy = after 20 weeks
    

Why

• All associated complications-gestational diabetes, low weight gain, herpes gestationis, etc.
  
• Trimester of onset, trimester of resolution, and any postpartum complication time frame (delivery to 6 weeks)
  
• Current or history of tobacco, alcohol, drug use, abuse or dependence