Contractions Contractions Contractions Contractions FHR _____ FHR _____ FHR _____ FHR _____ Other _____________ Other _____________ Other _____________ Other _____________ EDC ______ Genitourinary Dysuria Dysuria Dysuria Dysuria Other _________ Other _________ Other _________ Other _________ Gastrointestinal Nausea Nausea Nausea Nausea Vomiting Vomiting Vomiting Vomiting Anal/rectal Anal/rectal Anal/rectal Anal/rectal bleeding bleeding bleeding bleeding Abdominal Abdominal Abdominal Abdominal pain _____ pain _____ pain _____ pain _____ (scale 0-10) (scale 0-10) (scale 0-10) (scale 0-10) Please indicate all injuries checked above on the body maps below. Please indicate all injuries checked above on the body maps below.
Contractions FHR _____ Other _____________ Contractions FHR _____ Other _____________ Contractions FHR _____ Other _____________ Contractions FHR _____ Other _____________ EDC ______ Genitourinary Dysuria Other _________ Dysuria Other _________ Dysuria Other _________ Dysuria Other _________ Gastrointestinal Nausea Vomiting Anal/rectal bleeding Abdominal pain _____ (scale 0-10) Nausea Vomiting Anal/rectal bleeding Abdominal pain _____ (scale 0-10) Nausea Vomiting Anal/rectal bleeding Abdominal pain _____ (scale 0-10) Nausea Vomiting Anal/rectal bleeding Abdominal pain _____ (scale 0-10) Please indicate all injuries checked above on the body maps below. Please indicate all injuries checked above on the body maps below.
NON-FATAL_STRANGULATION_DOC.docx