Best Start Pregnancy

Previous Births (> 20 weeks gestation)


Over the last two weeks, have you been bothered by:

Over the last two weeks, have you been bothered by:

BP from PMS for last 12 months displayed here
  • Complete blood count
  • Blood group, Rhesus factor and antibodies
  • Rubella antibody status
  • Hepatitis B serology
  • Syphilis serology; for more information, see: BPAC information on syphilis
  • HIV (the Ministry of Health recommends that all pregnant women be routinely offered HIV testing)
  • HbA1c
  • Ferritin
List of long term medications and anything prescribed in the last 6 months to go here and user can select which medications are relevant.








Find Your Midwife:
Please record DHB in which mother resides on the "Mother's Details" tab to show midwifery services.
"Vaccination" tab
"Vaccination" tab
"Care Planning" tab
"Care Planning" tab
"Actions" tab
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Decision support elements where no actual decision support is to be displayed to the user (i.e. appears in Actions tab only)

Information about this woman's pregnancy has been submitted previously by .

Recall date:

Best-Start Pregnancy Assessment

Prepared by: Dr Fred Smith on

Name: DOB:
NHI: Address:
DHB:
Enrolled Practice:

This pregnancy:

   
   
   
   
   

Previous obstetric history:

G:    P:
Previous births

Medical history:

Previous/Ongoing Problems Personal or Family Genetic Conditions
Mental health history

Wrap Around Support Assessment

SFV+
Alcohol AUDIT-C:
Other Drugs

Examination and Screening




STI Symptoms suggestive of STI:

Routine Screening

Medications

Current Medications:

Vaccinations

Care Planning

This practice is not yet authorised to access the Best Start Pregnancy application.

To authorise this practice, please enter the authorisation key provided:

If you do not know the authorisation key, please contact the NHC Help Desk.


Select the reporting group for this practice:
NHI Number:

Referral from Best Start Pregnancy Assessment

Referral from Best Start Pregnancy Assessment

Email pregnancy summary to:


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