Maternity: Antenatal care, labour and delivery, postnatal and newborn records

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Maternity in the Bridge HMS Suite: Antenatal care, labour and delivery, postnatal and newborn records

What's inside

Everything in Maternity

47 items in 8 areas, every one shipping with the app today.

Pregnancy Episode (OB Case)
- One record per pregnancyA central Obstetric Case ties every ANC visit, partograph, delivery, baby, postnatal visit and PMTCT record to a single pregnancy episode.
- Auto-numbered case referenceEach pregnancy gets a unique sequence-generated reference (OB/...) on creation for easy tracking and reporting.
- Female-only patient linkagePatient selection is domain-restricted to female/other/unknown gender records to prevent mis-registration.
- Automatic EDD from LMPExpected Date of Delivery is computed by Naegele's rule (LMP + 280 days) and remains editable after a dating scan.
- Live gestational age & trimesterGestational age in weeks+days and current trimester (first/second/third/post-dates) are computed continuously from LMP versus today.
- G/P/A/L parity trackingGravida, Para, Abortions and Living children are captured and shown as the standard GPAL parity summary.
Antenatal Care (ANC)
- Focused ANC visit recordsEach antenatal contact is a tracked record attached to the pregnancy with auto-numbered reference and visit date.
- Auto-counted visit numberThe 1st/2nd/3rd ANC visit sequence is computed automatically from preceding visits on the same pregnancy.
- Per-visit gestational ageGestational age at the visit date is auto-computed from the pregnancy's LMP.
- Maternal vitals captureWeight, systolic/diastolic BP, temperature and pulse are recorded and tracked each visit.
- Fetal assessmentFundal height, fetal heart rate, presentation, engagement and fetal movement are documented per visit.
- Urinalysis & hemoglobinUrine protein and glucose dipstick grades plus hemoglobin (g/dL) are captured for pre-eclampsia and anemia screening.
Labor Monitoring (Partograph)
- Electronic WHO partographA labor partograph header captures onset, admission, parity, gestational age and presentation for active-phase monitoring.
- Timestamped observation rowsEach partograph carries multiple time-offset observation lines computed to real clock times from labor onset.
- Cervimetry & descent plottingEvery row records cervical dilation, fetal descent station, contraction frequency and duration.
- Maternal & fetal parameters per rowFetal heart rate, maternal pulse, BP, temperature, urine output/protein, oxytocin rate and drugs are logged over time.
- Automatic alert-line detectionThe system computes whether plotted dilation crosses the WHO alert line (1 cm/hr expectation) and flags it.
- Automatic action-line detectionA greater lag triggers an action-line-crossed flag signaling the need for intervention.
Delivery & Labor Outcome
- Delivery event recordsEach birth is captured as a tracked, auto-numbered delivery linked to the pregnancy, supporting twins/multiples.
- Mode of deliveryRecords SVD, vacuum, forceps, elective/emergency C-section or breech vaginal delivery.
- C-section indication enforcementAn indication is mandatory whenever the mode is a caesarean, enforced by constraint.
- Perineal trauma gradingEpisiotomy type and perineal tear degree (1st through 4th) are documented.
- Third-stage & placenta managementAMTSL/expectant/manual placenta delivery, placenta completeness and prophylactic oxytocin are recorded.
- Blood loss & PPH auto-detectionEstimated blood loss auto-flags postpartum hemorrhage against mode-specific thresholds (500ml SVD / 1000ml CS).
Newborn (Baby) Registry
- Newborn baby recordsEach live or stillborn baby is registered with sex, birth date/time and twin/multiple birth order.
- Anthropometry & APGARBirth weight, length, head circumference and APGAR at 1/5/10 minutes are captured per baby.
- Resuscitation recordLevel of resuscitation from none through stimulation, bag-mask, intubation, compressions and drugs is documented.
- Birth-dose immunizationBCG, OPV-0, Vitamin K and eye prophylaxis administration are tracked for each newborn.
- Early breastfeeding indicatorRecords whether breastfeeding was initiated within the first hour of life.
- HIV-exposed / EID flagAn HIV-exposed flag marks infants requiring early infant diagnosis follow-up.
Postnatal Care (PNC)
- Postnatal visit recordsPNC contacts are auto-numbered records tracking maternal recovery after delivery.
- Automatic PNC milestone classificationDays postpartum is computed from the delivery date and mapped to a 6h/6d/6w/6m postnatal schedule, Kenya MoH's by default.
- Maternal recovery assessmentBP, temperature, pulse, lochia type, uterine involution and perineal/wound healing are documented.
- Breast & feeding evaluationBreast problems (engorgement, mastitis, abscess) and feeding method (exclusive/mixed/formula/weaning) are recorded.
- Postpartum family planningContraception method chosen from a full menu (implant, IUD, injectable, BTL, LAM and more) is captured.
- EPDS depression screeningEdinburgh Postnatal Depression Scale score is recorded with a 0-30 validity constraint.
PMTCT Cascade
- Structured PMTCT recordA dedicated cascade record tracks prevention of mother-to-child HIV transmission per pregnancy.
- Maternal HIV testingHIV testing and results in both ANC and Labor & Delivery are captured to catch seroconversion.
- Maternal ART trackingART initiation, start date and regimen (TDF+3TC+DTG and alternatives) are documented.
- Infant ARV prophylaxisInfant prophylaxis regimen (NVP 6/12 weeks, AZT+NVP high-risk) and start date are recorded.
- Early Infant Diagnosis milestonesEID testing at 6 weeks, 9 months and 18 months with dates and results is tracked through the cascade.
- Infant feeding choiceExclusive breastfeeding, replacement or mixed feeding choice is recorded per PMTCT guidelines.
Configuration Catalogs
- Obstetric risk factor catalogA configurable, translatable master list of risk factors with severity, code and description, seeded with WHO-aligned entries.
- Rich seeded risk libraryShips pre-loaded conditions such as previous caesarean, multiple gestation, pre-eclampsia, placenta praevia, IUGR and grand multiparity.
- Complication catalogA configurable complications master list categorized by phase (antenatal/intrapartum/postpartum/neonatal) and severity.
- ICD-10 coding on complicationsComplications carry optional ICD-10 and internal codes with unique-code enforcement for standardized reporting.
- Manager-gated configuration menuRisk factor and complication maintenance sit under a Configuration menu restricted to Obstetrics Managers.

Works with

What Maternity works with

Maternity shares one database with the rest of the Bridge HMS Suite and BridgeERP: these are the apps it already talks to, with nothing to buy in between.