14. Risk factors in this pregnancy Definitions Instructions Sources Key words/Abbreviations l. Cardiac disease 1st Prenatal Care Record under Look for : (added to Ohio Problem list or—initial Maternal history of: BC) risk assessment CHF (Congestive Heart Failure) Complications Does not include hypertension Cardiomyopathy Repaired Tetrology of Fallot alone. 2nd Labor and Delivery Nursing (TOF) Include any heart disease present Admission Triage Form ASD (Atrial Septal Defect) VSD (Ventricular Septal before pregnancy or identified under Admission chief Defect) during pregnancy, including: complaint congenital heart defects, coronary Previous MI (Myocardial Comments Infarction) heart disease, congestive heart Medications failure Heart attack Cardiac ischemia 3rd Admission H&P under Angina Admission chief Congenital heart disease complaint Current pregnancy history Problem list/findings 4th Delivery Record under Maternal OB/labor summary Labor and delivery admission history Labor summary record
14. Risk factors in this pregnancy Definitions Instructions Sources Key words/Abbreviations l. Cardiac disease (added to Ohio BC) Does not include hypertension alone. Include any heart disease present before pregnancy or identified during pregnancy, including: congenital heart defects, coronary heart disease, congestive heart failure 1st Prenatal Care Record under Problem list or—initial risk assessment Complications 2nd Labor and Delivery Nursing Admission Triage Form under Admission chief complaint Comments Medications 3rd Admission H&P under Admission chief complaint Current pregnancy history Problem list/findings 4th Delivery Record under Maternal OB/labor summary Labor and delivery admission history Labor summary record Look for : Maternal history of: CHF (Congestive Heart Failure) Cardiomyopathy Repaired Tetrology of Fallot (TOF) ASD (Atrial Septal Defect) VSD (Ventricular Septal Defect) Previous MI (Myocardial Infarction) Heart attack Cardiac ischemia Angina Congenital heart disease
Guide_MPM_BC_Facility_Worksheet_Guidelines.10.14.docx