OBSTETRIC HISTORY

11.

Group according to Robson's classification

1. Group 1 (Nulliparous, ≥37 weeks, spontaneous labor)

2. Group 2 (Nulliparous, ≥37SA, induced labor)

3. Group 3 (Multiparous, ≥37 weeks, spontaneous labor)

4. Group4 (Multiparous, ≥37SA, induced labor)

5. Group 5 (Scarred uterus, ≥37 weeks)

6. Group6 (Nulliparous, breech presentation)

7. Group 7 (Multiparous, breech presentation)

8. Group 8 (Multiple pregnancies)

9. Group9 (abnormal presentation except breech)

10. Group10 (term ≤ 36SA)

12.

Number of pregnancies

13.

Number of living children

14.

Previous pregnancies

1. Normal 2. Abortions 3. Stillbirth

4. Premature 5. Macrosomia 6. IUGR

15.

Previous cesarean section

1. yes 2. no

16.

Number of ANCs carried out:

1.1 2. 2 3.3 4.4 5. More than 4

17.

Place of pregnancy follow up

1. Health center

2. Public hospital

3. Private clinic

18.

Agent who gave birth

1. Traditional birth attendant

2. Midwife

3. Nurse

4. General Practitioner

5. Obstetrician Gynecologist

19.

Pelviscan

1. Done 2. Notdone

HISTOIRE DE LA DERNIERE GROSSESSE

20.

Number of fetuses

1. one 2. two 3. More than two

21.

Presentation of the fetus(es)

1. Cephalic

2. Breech

3. Transverse

22.

Induction of labor

1. Spontaneous 2. Artificial

23.

Labor stimulation

1. Yes 2. No

24.

State of the membranes on admission

1. Intact 2. Ruptured

25.

Appearance of amniotic fluid

1. clear

2. Tinted with meconium

3. Blood-tinted

26.

Birth weight

1. less than 2500g

2. Between 2500g and 4000g

3. Greater than 4000g

27.

Fetal heart rate during labor

1. Normal

2. Bradycard

3. Tachycard

4. Absent

CESAREAN SECTION

28.

Operative indication

1. Scarred uterus

2. Fetal distress

3. Feto-pelvic disproportion

4. Retroplacental hematoma

5. Placenta previa

6. Severe preeclampsia

7. Gestational diabetes

8. Multiple pregnancy

9. Dynamic dystocia

10. Previa obstacle

11. Twin pregnancy with abnormal presentation of the 1st twin

12. Obstructed labor

13. Uterine rupture

14. Genital malformation

15. Convenience of the mother

16. Maternal distress

17. IVF

18. Cord prolapse

19. Others

29.

Management speed

1. Extreme emergency (≤15min)

2. True emergency (≤30min)

3. Relative urgency (≤60min)

4. Scheduled cesarean section

30.

Type of anesthesia

1. General anesthesia

2. Epidural anesthesia

3. Spinal anesthesia

31.

Type of surgery

1. Abdominal

2. Vaginal

32.

Type of laparotomy

1. Pfannenstiel incision

2. Mochel incision

3. Bastien incision

4. Rapin-küstner incision

5. Joel Cohen’s incision

6. Midline incision

7. Paramedian incision

33.

Type of hysterotomy

1. Low transverse segmental incision (Kerr)

2. Low vertical incision (Krönig)

3.Classic or corporal incision

MATERNAL OUTCOME

34.

Complication occurrence

1. Yes 2. No

35.

Morbidity

a. Postpartum hemorrhage

1. yes 2. No

b. Gestational Hypertension

1. yes 2. No

c. Infections 1. yes 2. No

1a. Urinary Infection

1b. Endometritis

1c. Pelvic Phlebitis

1d. Infection of the surgical .wound

d. Reintervention 1. yes 2. No

e. Digestive wound 1. yes 2. No

f. Urinary wound 1. yes 2. No

g. Thromboembolic disease

1. yes 2. No

h. Anemia 1. yes 2. No

36.

Maternal death

1. yes 2. No

FETAL OUTCOME

37.

Complication occurrence

1. yes 2. No

38.

Morbidity

a. Neonatal asphyxia (poor APGAR)

1. yes 2. No

b. Reanimation 1. yes 2. No

c. Transfer to neonatology 1. yes 2. No

d. Humerus fracture 1. yes 2. No

e. Brachial plexus palsy

1. yes 2. No

f. Anemia 1. yes 2. No

39.

Neonatal death

1. yes 2. No