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) |
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12. | Number of pregnancies |
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13. | Number of living children |
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14. | Previous pregnancies | 1. Normal 2. Abortions 3. Stillbirth 4. Premature 5. Macrosomia 6. IUGR |
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15. | Previous cesarean section | 1. yes 2. no |
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16. | Number of ANCs carried out: | 1.1 2. 2 3.3 4.4 5. More than 4 |
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17. | Place of pregnancy follow up | 1. Health center 2. Public hospital 3. Private clinic |
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18. | Agent who gave birth | 1. Traditional birth attendant 2. Midwife 3. Nurse 4. General Practitioner 5. Obstetrician Gynecologist |
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19. | Pelviscan | 1. Done 2. Notdone |
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HISTOIRE DE LA DERNIERE GROSSESSE | ||||
20. | Number of fetuses | 1. one 2. two 3. More than two |
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21. | Presentation of the fetus(es) | 1. Cephalic 2. Breech 3. Transverse |
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22. | Induction of labor | 1. Spontaneous 2. Artificial |
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23. | Labor stimulation | 1. Yes 2. No |
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24. | State of the membranes on admission | 1. Intact 2. Ruptured |
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25. | Appearance of amniotic fluid | 1. clear 2. Tinted with meconium 3. Blood-tinted |
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26. | Birth weight | 1. less than 2500g 2. Between 2500g and 4000g 3. Greater than 4000g |
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27. | Fetal heart rate during labor | 1. Normal 2. Bradycard 3. Tachycard 4. Absent |
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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 |
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29. | Management speed | 1. Extreme emergency (≤15min) 2. True emergency (≤30min) 3. Relative urgency (≤60min) 4. Scheduled cesarean section |
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30. | Type of anesthesia | 1. General anesthesia 2. Epidural anesthesia 3. Spinal anesthesia |
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31. | Type of surgery | 1. Abdominal 2. Vaginal |
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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 |
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33. | Type of hysterotomy | 1. Low transverse segmental incision (Kerr) 2. Low vertical incision (Krönig) 3.Classic or corporal incision |
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MATERNAL OUTCOME | ||||
34. | Complication occurrence | 1. Yes 2. No |
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35. | Morbidity | a. Postpartum hemorrhage 1. yes 2. No |
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b. Gestational Hypertension 1. yes 2. No |
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c. Infections 1. yes 2. No 1a. Urinary Infection 1b. Endometritis 1c. Pelvic Phlebitis 1d. Infection of the surgical .wound |
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d. Reintervention 1. yes 2. No |
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e. Digestive wound 1. yes 2. No |
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f. Urinary wound 1. yes 2. No |
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g. Thromboembolic disease 1. yes 2. No |
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h. Anemia 1. yes 2. No |
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36. | Maternal death | 1. yes 2. No |
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FETAL OUTCOME | ||||
37. | Complication occurrence | 1. yes 2. No |
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38. | Morbidity | a. Neonatal asphyxia (poor APGAR) 1. yes 2. No |
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b. Reanimation 1. yes 2. No |
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c. Transfer to neonatology 1. yes 2. No |
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d. Humerus fracture 1. yes 2. No |
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e. Brachial plexus palsy 1. yes 2. No |
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| f. Anemia 1. yes 2. No |
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39. | Neonatal death | 1. yes 2. No |
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