Sample of what could be included on a prenatal care chart. If you wish to use one.

 

 

RECORD OF PRENATAL CARE

Name __________________________ Birth Date ________________ Age ____

Height ______ Pre-Pregnant weight ___________ Last period _______________

Previous Pregnancies: Number _______ Live births _________ Stillbirths ______

Miscarriges __________ Induced abortions __________ 

Date Weeks Weight Urine (protein, sugar,ketones) Blood pressure Height of fundus Position of baby    Fetal heart tones  Edema  Other