Prenatal Record - National Archives and Records Administration

Instruction Manual for Obstetric Forms
OB-47 SUMMARY OF ANTEPARTUM
HOSPITALIZATION (Continued)
Item Number
14. Non'-obstetric diagnoses. Record all, such
as "Rheumatic heart disease, Class II,"
etc.
15. Comments. Use space provided here as
appropriate.
EDITING. Report completion of the edit­
ing procedure by completing items #16­
18.
16. Medical edit. Record whether editing is
accomplished with or without the original
hospitalization record.
17,18. Medical edit by. Provides for the signature
and position of the medical editor.
19. Anesthesia given. Indicate whether or not
any anesthetic agent was administered
during the hospitalization. If ''yes," complete
and attach form OB-57.
20. Radiation. Mark to indicate if there were
any diagnostic x-rays or radiation therapy
during the hospitalization. If "yes," report
results or summarize therapy administered
on form OB-45 and attach.
Alternatively, attach photocopy of hospital
record.
Item Number
21. Drug therapy. Indicate whether or not
drug therapy was administered during the
hospitalization. If "yes," record details
(including dosage, route of administration
and dates of· commencement and discontinuance)
on form CP-5, unless previously
recorded on OB-32 during observation
for labor. Alternatively, attach
photocopy of hospital record.
"Drug therapy" includes all medications
prescribed for the treatment of the
patient, other than aspirin, routine vitamins,
and laxatives. Of especial importance
are those drugs which mayhave
an effect upon the fetus. Specifically to
be reported would be: all antibiotics,
chemotherapeutic agents, hormones, narcotics,
sedatives, trltnquilizers, oxytocics,
or other medic_ations given to inhibit
or initiate labor.
22. Laboratory work. Indicate whether or
not laboratory studies were done during
the hospitalization. If "yes," record results
on OB-45 and attach.
Reproduced at the National Archives
II.A.345
OB-47