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The Department of Obstetrics and Gynecology Residency Program Online Experience Forms The George Washington University Medical Center
Clinical Responsibilities                                                                                     Printable PDF

Delivery Note Template

Normal spontaneous vaginal delivery (or forceps or vacuum assisted vaginal delivery), of live male or female infact, position (i.e., LOA, ROA, ROP, etc.) over intact perineum (or if episiotomy done) with or without epidural anesthesia. Comment if meconium (and if so, Delee suction at perineum) or nuchal cord. Spontaneous delivery of placenta (or manual) with 3-vessel cord (or in rare cases 2-vessel). Comment of type of laceration, if any (i.e., 1st, 2nd, 3rd, or 4th) and where laceration is and what used to repair (i.e., 2-chromic). Comment on blood loss (normal for vaginal delivery is 300cc).

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Last Modified: October 3, 2007
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