16. Obstetric procedures Definitions Instructions Sources Key words/Abbreviations d - Cervical cerclage 1st Prenatal Record under suture McDonald’s Medical history Shirodkar procedure Problem list or— initial Circumferential banding or suture Abdominal cerclage via risk assessment of the cervix to prevent or treat laparotomy Historical risk summary passive dilation caused by Complications this cervical insufficiency or weakness Look for: pregnancy Incompetent cervix Factors this pregnancy Includes: Incompetent os suture McDonald’s Cervical insufficiency 2nd Labor and Delivery Nursing Shirodkar procedure Weakness of the cervix Admission Triage Form abdominal cerclage via under laparotomy Complications Comments Note: May also / see “ACD ACE” 3rd Admission H&P under which is Advanced Cervical Current pregnancy history Dilation or Advanced Medical history Cervical Effacement and is Problem list/findings NOT the same as cervical insufficiency 4th Delivery Record under Maternal OB (ACD/ ACE is the Labor and delivery beginning of preterm labor, admission history days or weeks before the contractions start)
16. Obstetric procedures Definitions Instructions Sources Key words/Abbreviations d - Cervical cerclage Circumferential banding or suture of the cervix to prevent or treat passive dilation caused by cervical insufficiency or weakness Includes: McDonald’s suture Shirodkar procedure abdominal cerclage via laparotomy Note: May also see “ACD / ACE” which is Advanced Cervical Dilation or Advanced Cervical Effacement and is NOT the same as cervical insufficiency (ACD/ ACE is the beginning of preterm labor, days or weeks before the contractions start) 1st Prenatal Record under Medical history Problem list or— initial risk assessment Historical risk summary Complications this pregnancy Factors this pregnancy 2nd Labor and Delivery Nursing Admission Triage Form under Complications Comments 3rd Admission H&P under Current pregnancy history Medical history Problem list/findings 4th Delivery Record under Maternal OB Labor and delivery admission history McDonald’s suture Shirodkar procedure Abdominal cerclage via laparotomy Look for: Incompetent cervix Incompetent os Cervical insufficiency Weakness of the cervix
Guide_MPM_BC_Facility_Worksheet_Guidelines.10.14.docx