Get Birth Summary

Filling out the Birth Summary online is an essential task for capturing important details related to childbirth and maternal care. This guide will support you in accurately completing each section of the form to ensure all relevant information is documented.

Follow the steps to complete the Birth Summary form effectively.

1. Click the ‘Get Form’ button to obtain the Birth Summary and open it in your preferred editing tool.
2. Begin by entering your contact information at the top of the form, including your full name, address, city, state, zip code, phone number, email, signature, and date.
3. In the 'Mother’s Information' section, provide the mother's race and age. Indicate her marital status and sexual orientation by selecting the appropriate choices from the provided options.
4. For the Pregnancy section, fill in the number of pregnancies and children. Indicate if the mother had a birth plan, attended prenatal visits, and whether she took childbirth classes. Specify the number of prenatal visits if applicable. Record the birthplace from the list of options.
5. In the Labor Aids section, mark all aids the mother used during labor, such as walking, massage, or the use of a birth ball. Specify the positions during pushing and how long she spent in each position.
6. Complete the 'Health Care Provider' and 'Intervention' sections by selecting the type of provider and any interventions that were performed, noting the specifics for induction or medications if applicable.
7. For the Birth section, indicate the type of birth (e.g., vaginal, cesarean) and fill in details regarding any complications, such as perineum care, lacerations, or blood loss. Include information on delayed cord clamping if applicable.
8. Document details about breastfeeding, rooming-in with the baby, and any emotional responses post-birth, such as experiencing baby blues.
9. Finally, summarize the number of home visits made, whether referrals were offered, and if any advocacy for the mother occurred. Provide relevant details for advocacy if applicable.
10. Once all sections are filled out, review the information for accuracy. You can then save your changes, download the document, print it, or share it as required.

Complete your Birth Summary online to ensure thorough documentation of this important event.