19.04.2014

Pregnancy medical history

This chapter describes how to manage pregnancy outcomes and prepare pregnancy outcome data for reporting agencies. It assumes that the software has already been configured by trained Mellowood Medical representatives. In this area you can define which test will establish whether the patient has a biochemical pregnancy or not.
The pregnancy test will often be a blood test done around luteal day 16 or a qualitative urine test. Furthermore, a clinical or ongoing pregnancy is usually confirmed after gestational ultrasound scan around gestational week seven.
Your reporting agency has defined what a clinical pregnancy is (whether the presence of an intrauterine sac(s) or fetal heart(s)). In IDEAS the convention is that a patient is biochemically pregnant until proven to be either clinically pregnant or not by gestational ultrasound.
Once you have determined which test confirms biochemical evidence of pregnancy, the interpretation needs to be set up. The threshold for a positive pregnancy test needs to be established by your clinic and its interpretation set accordingly. Once your pregnancy test and its associated interpretations have been set up, IDEAS 5.2 will automatically mark treatment cycles as a positive or negative treatment cycle. Treatment completed check box should be ticked when a) the pregnancy test is negative or, b) when there is ultrasound evidence of clinical pregnancy (sac and fetal heart) or pregnancy failure . Once all your drop down field lists have been set up, you can fill in a pregnancy outcome record.


To assist the clinic in obtaining pregnancy outcome data from its pregnant patients, a Task list has been developed which groups patients together by gestational stage.
This arrangement provides a convenient method for the clinic to keep track of ongoing pregnancies without the need to keep paper lists.
Note that if the outcome of the pregnancy is only recorded as unknown, the treatment cycle will be ignored in the pregnancy outcome statistics analysis. IDEAS 5.2 is able to update a patient's obstetric history in the patient's Demographic slice .
The date of outcome should be entered next, followed by the details of the pregnancy record. The second method to update a patient's previous pregnancy record uses a specially designed Medical record.
You can now repeat this process for other obstetric history questions that contribute to the GPTAL status . Once you have added and updated a medical record linked to the GPTAL status, the status will be updated on the demographic slice. Gravidity is defined as the number of times that a woman has been pregnant and parity is defined as the number of times that she has given birth regardless of whether the child was born alive or was stillborn.
It is customary for nursing, administration and laboratory staff to complete pregnancy outcome data but this may vary from clinic to clinic. Be sure you understand these differences when interpreting pregnancy outcome data in IDEAS and your reporting agency requirements. In the example below, a biochemical pregnancy is determined by the blood Beta HCG test and the interpretation is set to Positive .


When there is evidence of a clinical (and ongoing) pregnancy, the Cycle completed check box is left un-ticked until the outcome of the pregnancy is known. Furthermore, it provides a means to assist pregnancy follow up for agency reporting and statistical analysis. If a termination, miscarriage or spontaneous pregnancy is recorded, a broken heart icon will be displayed next to the cycle identification code next to the patient's treatment cycle ID code on her Home page .
The history is obtained from her pretreatment obstetric record and updated from pregnancies result from infertility treatment or otherwise. The medical record is able to update a patient's pregnancy outcome (GPTAL) status directly to the GPTAL status in the Demographic slice. Now any pregnancies added after the medical record completion date, via previous pregnancies or treatment cycles, will now add to the status. Basically, the most recent medical record linked to the GPTAL status is considered to be the most up-to-date record and any future pregnancies from a subsequent treatment (from an IDEAS treatment cycle record) will be added to that value until another medical record is added. Select the medical record which contains the linked obstetric history questions you have created in the medical record template section of the System configuration area of IDEAS 5.2.
For a positive pregnancy test (blood or urine), this will usually be confirmed later by gestational ultrasound scan.



I been trying to get pregnant for 2 years
Peggy mangan cnn
40 and pregnant with fourth child


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