HISTORY

1. IDENTIFICATION

• Name
• Husband’s name
• Age
• Address
• Education
• Occupation
• Parity index: G _ P _ L _ A _
• Delivered ___ days back

h/o presenting complaint

2. DELIVERY DETAILS

• Period of gestation
• Mode of delivery: Spontaneous / Induced / LSCS

Stages of Labour:

• 1st Stage
• 2nd Stage
• 3rd Stage