|
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 |
| |
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|