The order born in the delivery, If this is a single birth, leave this 1st Delivery Record under— Baby A, B, C, D, etc live born or fetal death (1st, 2nd, Birth Order item blank. Baby 1, 2 , 3, 4 etc. 3rd, 4th, 5th, 6th, 7th, etc.). Twin A, B Include all live births and fetal 2nd Infant data Twin 1, 2 deaths from this pregnancy. Triplet A, B, C Triplet 1, 2, 3 Look for: Birth order/Set order 34. If not a single birth, number of infants in the delivery born alive (or fetal deaths) Definitions Instructions Sources Key words/Abbreviations The number of infants in this If this is a single birth, leave this 1st Delivery record Look for: delivery born alive or fetal deaths item blank. Condition at any point in the pregnancy. 2nd Admission H&P If this is not a single birth, specify the number of infants in this delivery born alive or a fetal death at any point in the pregnancy. Include this birth. 35. Metabolic Kit Number Definitions Instructions Sources Key words/Abbreviations The number in the card used to Enter the number as listed in the 1st Delivery record take blood sample from the child card. to submit for metabolic screening 2nd Admission H&P 36. Name of Prophylactic used in eyes of child Definitions Instructions Sources Key words/Abbreviations
The order born in the delivery, live born or fetal death (1st, 2nd, 3rd, 4th, 5th, 6th, 7th, etc.). If this is a single birth, leave this item blank. Include all live births and fetal deaths from this pregnancy. 1st Delivery Record under— Birth Order 2nd Infant data Baby A, B, C, D, etc Baby 1, 2 , 3, 4 etc. Twin A, B Twin 1, 2 Triplet A, B, C Triplet 1, 2, 3 Look for: Birth order/Set order 34. If not a single birth, number of infants in the delivery born alive (or fetal deaths) Definitions Instructions Sources Key words/Abbreviations The number of infants in this delivery born alive or fetal deaths at any point in the pregnancy. If this is a single birth, leave this item blank. If this is not a single birth, specify the number of infants in this delivery born alive or a fetal death at any point in the pregnancy. Include this birth. 1st Delivery record 2nd Admission H&P Look for: Condition 35. Metabolic Kit Number Definitions Instructions Sources Key words/Abbreviations The number in the card used to take blood sample from the child to submit for metabolic screening Enter the number as listed in the card. 1st Delivery record 2nd Admission H&P 36. Name of Prophylactic used in eyes of child Definitions Instructions Sources Key words/Abbreviations
Guide_MPM_BC_Facility_Worksheet_Guidelines.10.14.docx