1
Identification
- Age, parity, LMP, gestation
2
Obstetric History
- Each pregnancy: outcome, mode, complications
3
Gynae History
- Cycle, contraception, sexual, smear, fertility
4
Current Pregnancy
- Booking, scans, screening, antenatal events
5
PMH / Drug / Allergy / Social
- Folic acid, anti-D, vaccinations
6
Examination
- BP, urine dip
- Abdomen: SFH, lie, presentation, FH
- PV exam (if indicated)
7
Summary + Plan
- Risk stratification, investigations, plan for delivery
Tip: Copy to paste into EMR, or Print to save as PDF.
