Definitions Instructions Sources Key words/Abbreviations Look for designation in maternal t. Prior Nonpregnant Uterine 1st Prenatal Care Record under Check box yes or no record of: Surgery Problem list or—initial risk assessment Does not include uncomplicated Prior Myomectomy A previous surgery performed Complications D & C or surgical abortion, Prior perforation of uterus outside pregnancy that hysteroscopy or laparoscopy during surgery increases the risk of uterine 2nd Labor and Delivery Nursing Prior uterine reconstruction rupture in current pregnancy Admission Triage Form Only includes this listed under Uterine window noted under keywords during prior uterine surgery Admission chief Prior surgical repair of complaint Prior Cesarean section listed in uterine rupture outside of Comments section termed mother had a pregnancy Medications previous cesarean delivery 3rd Admission H&P under Admission chief complaint Current pregnancy history Problem list/findings Past medical history 4th Delivery Record under Maternal OB/labor summary Labor and delivery admission history Labor summary record Delivery Operative note 15. Infections present and/or treated during this pregnancy
Definitions Instructions Sources Key words/Abbreviations t. Prior Nonpregnant Uterine Surgery A previous surgery performed outside pregnancy that increases the risk of uterine rupture in current pregnancy Check box yes or no Does not include uncomplicated D & C or surgical abortion, hysteroscopy or laparoscopy Only includes this listed under keywords Prior Cesarean section listed in section termed mother had a previous cesarean delivery 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 Past medical history 4th Delivery Record under Maternal OB/labor summary Labor and delivery admission history Labor summary record Delivery Operative note Look for designation in maternal record of: Prior Myomectomy Prior perforation of uterus during surgery Prior uterine reconstruction Uterine window noted during prior uterine surgery Prior surgical repair of uterine rupture outside of pregnancy 15. Infections present and/or treated during this pregnancy
Guide_MPM_BC_Facility_Worksheet_Guidelines.10.14.docx