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Prenatal care is often the primary way young women access basic health care. With that in mind, one must look at prenatal care in the context of risk assessment, health promotion, and risk-directed intervention in general and not just from an obstetrical perspective. This means that a large range of issues must be systematically and consistently addressed and documented during prenatal care.
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If one were to attempt to make an analogy between prenatal care and building a house, the prenatal record might be seen as the blueprint and checklist for construction, and the initial prenatal visit as the foundation and framework on which the rest of the structure is built. Good prenatal care depends on many factors but clearly is facilitated by a good prenatal record. Sure Cuts Alot 2 Serial Number Crack Mac. Additionally, the prenatal record both guides and documents the delivery of good prenatal care. Prenatal records have evolved considerably in the past three decades and may be better developed than any other specific medical record-keeping system. The prenatal record and the initial prenatal evaluation are so closely linked that they must be discussed together. During the initial prenatal visit, the practitioner collects most of the information that will be used to evaluate obstetrical risks and determine what special interventions, if any, are needed. This visit establishes the foundation for the physician–patient relationship, particularly when the patient is new to the physician.
This chapter incorporates the elements of the first visit into the discussion of relevant portions of the prenatal record. The term initial prenatal visit is used here to identify the process of initiating prenatal care. This process actually may require two visits: a first visit for the history and physical examination, at which time laboratory studies or other tests may be ordered, and a second visit to review results, complete the initial database, determine risk status, plan a course for prenatal care, and begin the patient education process. Johnny Cash American Iv Rar Extractor. This approach is considerably facilitated by a record system that clearly documents each step of the process and provides guidance for the practitioner so that omissions are avoided and problems are not overlooked.