Maternity: Antenatal care, labour and delivery, postnatal and newborn records

Mother and child from the first antenatal visit to the child welfare clinic: the pregnancy episode, ANC with risk factors, the partograph in labour, delivery and newborn registers, postnatal care for both, PMTCT, family planning, CWC growth on WHO standards with milestones and IMCI — plus the fertility clinic, with MoH 711 reporting.

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Wards & Inpatient

Maternity in the Bridge HMS Suite: Antenatal care, labour and delivery, postnatal and newborn records

Every pregnancy, followed from the first visit

The pregnancy episode with EDD, gravida and parity and risk factors; ANC visits with weight, BP, fundal height and tests; the PMTCT cascade so no HIV-exposed baby is lost.

The partograph, live on the screen

The partograph plots dilatation, descent, contractions and the foetal heart against the alert and action lines; deliveries record mode, blood loss and complications; every baby is registered with APGAR and weight.

Mother and baby after the birth

Postnatal visits for both, and postnatal follow-up of the mother at the intervals the guidelines set.

Family planning, method by method

FP clients with their chosen method and encounters for every refill, switch or removal.

Risk factors and complications

The obstetric risk factors and complications lists behind the pregnancy record.

The child welfare clinic, by appointment

Children in the CWC, the visits due today and all CWC visits with weight, length and the next date.

Growth on WHO standards, IMCI for the sick child

Today's CWC clinic, growth records plotted as WHO z-scores, and IMCI classification with danger signs and treatment.

MoH 711 returns, compiled

The MoH 711 returns, and children, CWC visits, growth and IMCI in pivot and graph.

Milestones, danger signs and growth tables

CWC milestones, IMCI danger signs and the WHO growth standards (LMS).

The fertility clinic, cycle by cycle

Fertility cases, donors, stimulation cycles, oocyte retrieval and embryo transfer on one couple's file.

The embryology lab

Semen analysis against WHO references, embryos graded day by day and PGT results.

What's inside

Everything in Maternity

49 items in 9 areas, every one shipping with the app today.

Pregnancy Episode (OB Case)
- One record per pregnancyA central Obstetric Case ties every ANC visit, partograph, delivery, baby, postnatal visit and PMTCT record to a single pregnancy episode.
- Auto-numbered case referenceEach pregnancy gets a unique sequence-generated reference (OB/...) on creation for easy tracking and reporting.
- Female-only patient linkagePatient selection is domain-restricted to female/other/unknown gender records to prevent mis-registration.
- Automatic EDD from LMPExpected Date of Delivery is computed by Naegele's rule (LMP + 280 days) and remains editable after a dating scan.
- Live gestational age & trimesterGestational age in weeks+days and current trimester (first/second/third/post-dates) are computed continuously from LMP versus today.
- G/P/A/L parity trackingGravida, Para, Abortions and Living children are captured and shown as the standard GPAL parity summary.
Antenatal Care (ANC)
- Focused ANC visit recordsEach antenatal contact is a tracked record attached to the pregnancy with auto-numbered reference and visit date.
- Auto-counted visit numberThe 1st/2nd/3rd ANC visit sequence is computed automatically from preceding visits on the same pregnancy.
- Per-visit gestational ageGestational age at the visit date is auto-computed from the pregnancy's LMP.
- Maternal vitals captureWeight, systolic/diastolic BP, temperature and pulse are recorded and tracked each visit.
- Fetal assessmentFundal height, fetal heart rate, presentation, engagement and fetal movement are documented per visit.
- Urinalysis & hemoglobinUrine protein and glucose dipstick grades plus hemoglobin (g/dL) are captured for pre-eclampsia and anemia screening.
Labor Monitoring (Partograph)
- Electronic WHO partographA labor partograph header captures onset, admission, parity, gestational age and presentation for active-phase monitoring.
- Timestamped observation rowsEach partograph carries multiple time-offset observation lines computed to real clock times from labor onset.
- Cervimetry & descent plottingEvery row records cervical dilation, fetal descent station, contraction frequency and duration.
- Maternal & fetal parameters per rowFetal heart rate, maternal pulse, BP, temperature, urine output/protein, oxytocin rate and drugs are logged over time.
- Automatic alert-line detectionThe system computes whether plotted dilation crosses the WHO alert line (1 cm/hr expectation) and flags it.
- Automatic action-line detectionA greater lag triggers an action-line-crossed flag signaling the need for intervention.
Delivery & Labor Outcome
- Delivery event recordsEach birth is captured as a tracked, auto-numbered delivery linked to the pregnancy, supporting twins/multiples.
- Mode of deliveryRecords SVD, vacuum, forceps, elective/emergency C-section or breech vaginal delivery.
- C-section indication enforcementAn indication is mandatory whenever the mode is a caesarean, enforced by the app.
- Perineal trauma gradingEpisiotomy type and perineal tear degree (1st through 4th) are documented.
- Third-stage & placenta managementAMTSL/expectant/manual placenta delivery, placenta completeness and prophylactic oxytocin are recorded.
- Blood loss & PPH auto-detectionEstimated blood loss auto-flags postpartum hemorrhage against mode-specific thresholds (500ml SVD / 1000ml CS).
Newborn (Baby) Registry
- Newborn baby recordsEach live or stillborn baby is registered with sex, birth date/time and twin/multiple birth order.
- Anthropometry & APGARBirth weight, length, head circumference and APGAR at 1/5/10 minutes are captured per baby.
- Resuscitation recordLevel of resuscitation from none through stimulation, bag-mask, intubation, compressions and drugs is documented.
- Birth-dose immunizationBCG, OPV-0, Vitamin K and eye prophylaxis administration are tracked for each newborn.
- Early breastfeeding indicatorRecords whether breastfeeding was initiated within the first hour of life.
- HIV-exposed / EID flagAn HIV-exposed flag marks infants requiring early infant diagnosis follow-up.
Postnatal Care (PNC)
- Postnatal visit recordsPNC contacts are auto-numbered records tracking maternal recovery after delivery.
- Automatic PNC milestone classificationDays postpartum is computed from the delivery date and mapped to a 6h/6d/6w/6m postnatal schedule, Kenya MoH's by default.
- Maternal recovery assessmentBP, temperature, pulse, lochia type, uterine involution and perineal/wound healing are documented.
- Breast & feeding evaluationBreast problems (engorgement, mastitis, abscess) and feeding method (exclusive/mixed/formula/weaning) are recorded.
- Postpartum family planningContraception method chosen from a full menu (implant, IUD, injectable, BTL, LAM and more) is captured.
- EPDS depression screeningEdinburgh Postnatal Depression Scale score is recorded with a 0-30 validity check.
PMTCT Cascade
- Structured PMTCT recordA dedicated cascade record tracks prevention of mother-to-child HIV transmission per pregnancy.
- Maternal HIV testingHIV testing and results in both ANC and Labor & Delivery are captured to catch seroconversion.
- Maternal ART trackingART initiation, start date and regimen (TDF+3TC+DTG and alternatives) are documented.
- Infant ARV prophylaxisInfant prophylaxis regimen (NVP 6/12 weeks, AZT+NVP high-risk) and start date are recorded.
- Early Infant Diagnosis milestonesEID testing at 6 weeks, 9 months and 18 months with dates and results is tracked through the cascade.
- Infant feeding choiceExclusive breastfeeding, replacement or mixed feeding choice is recorded per PMTCT guidelines.
Configuration Catalogs
- Obstetric risk factor catalogA configurable, translatable master list of risk factors with severity, code and description, seeded with WHO-aligned entries.
- Rich seeded risk libraryShips pre-loaded conditions such as previous caesarean, multiple gestation, pre-eclampsia, placenta praevia, IUGR and grand multiparity.
- Complication catalogA configurable complications master list categorized by phase (antenatal/intrapartum/postpartum/neonatal) and severity.
- ICD-10 coding on complicationsComplications carry optional ICD-10 and internal codes with unique-code enforcement for standardized reporting.
- Manager-gated configuration menuRisk factor and complication maintenance sit under a Configuration menu restricted to Obstetrics Managers.
More in this app
- Maternity numbers for the MoH 711FP, pregnancies, ANC, partographs, deliveries and postnatal care in pivot and graph.
- Success rates you can publishCycles, embryos, PGT, cases, semen analyses, retrievals, transfers and donors in pivot and graph.

Works with

What Maternity works with

Maternity shares one database with the rest of the Bridge HMS Suite and BridgeERP: these are the apps it already talks to, with nothing to buy in between.