li1 - Philippine Health Insurance Corporation
li1 - Philippine Health Insurance Corporation
li1 - Philippine Health Insurance Corporation
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theictusonthefirstminute-andfive(5)<br />
minutesthereafterasroAppealand.-.Pulse,<br />
Gnmace,ActivityandRespiration.<br />
11<br />
ScheduledPostpartumfollow-upcoiisultarion<br />
1weeknfterdelivery<br />
Writetliescheduledpostp.imimandnewborncare<br />
follow-upconsultationfollowingdieprescribed<br />
formatfordate.<br />
12<br />
Writethedateandtime,whenpauenrwnsdischarged<br />
followingtheprescribedformatsfor.dateandtime.<br />
POSTPARTUMCARE<br />
13<br />
14<br />
15<br />
15a,15b<br />
Perinealwoundcare<br />
Checktheboxprovidedifperinea!woundeaiewas<br />
done.Writesignificantfindings,ifany,indiemnai'ks.<br />
Checktheboxforanvsignofmaternalpostpartum<br />
complicationsWutesignificantEndings,ifany.iji<br />
tlieicm.irks.<br />
BreastfeedingandNutrition;FamilyPlanning<br />
Checktheboxitcounsellingandeducationwas<br />
piovidedtotliepatientonBreastfeedingand<br />
NutritionandFamilyPlanningUseremarksportion,<br />
ifany-<br />
16<br />
17<br />
Checktheboxiffamilyplanningservicewas<br />
providedtothepatientasrequested.Useremarks<br />
portion,ifany.<br />
ReferredtopartnerphysicianforVoluntary<br />
SurgicalSterilization(asrequestedbypatient)<br />
Checkdieboxifpatientwasreterredtopartner<br />
physicianforvoluntarysurgicalsterilizationas<br />
requested.Useremarksportion,ifany.<br />
IS<br />
Checktheboxifpatientwasscheduledforthenext<br />
postpartumfollow-upUseremarksportion,ifany.<br />
19<br />
Writethedateofsigningfollowingtheprescribed<br />
foimatfordate.