Prenatal Record - National Archives and Records Administration

PRENATAL RECORD (Can't)
SUMMATION (Can't)
PAGE 4
evaluated and described as either "Adequate" or "Contracted." If you
feel that any of these planes may not be adequate, but are not sure,
check the box marked "Contracted" and explain in the space at the
bottom of the page (Item #27) that this item, although checked
"Contr:.acted" is suspect only. Any item checked "Contracted" must
be explained.
Item #26. "X-Ray Pelvimetry"
Item #27
GENERAL EXAMINATION
This item must be filled in whenever this type of pelvimetry is
obtained. Morphology refers to the Caldwell-Malloy classification.
The OB conjugate refers to the anterior-posterior diameter of the
inlet. ·The transverse of the inlet is self-explanatory. The interspinous
refers to the transverse diameter of the midpelvis.
In this space list by item number and describe any fi~1ing which has
been che-..:ked as abnormal, either in the pelvic examination or in the
evaluation of the pelvis.
As on page two of this form, record the full name of the patient, the
hospital history number, the NINDB number and record your name under
"Examined By."
Normal findings need not be described. A single check in the box
marked "Normal" will suffice for each item if it has been evaluated
and found normal. Any abnormality checked "Positive 11 must be listed
by item number in Item #14, and adequately described. If an abnormal
ity is present which is not specifically listed, check the box marked
"Other" and descr:i:be the abnormality below. If, uhder unusual circumstances,
an item cannot be evaluated, there is a box marked "Not
Evaluated" which may be checked.
Item #13. "Other System Not Evaluated Above"
Item #14
Any abnormality found on general physical examination not covered in
one of the above categories should be noted by checking this box and
describing the system and abnormality in Item #14.
Any abnormal finding must be listed by item number and described here.
Reproduced at the National Archives
II.A.l92
February
(For Forms in Use April 1
OB-9