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Discharge Instructions-Preterm Labor-English Mobile App

The Discharge Instructions for Preterm Labor mobile app allows hospitals and physicians to complete a medical discharge form using an iPhone, iPad, or Android device. This app is especially beneficial for pregnant women who have the possibility of having a high-risk pregnancy or has other health problems.

The app covers: preterm labor treatment instructions, special instructions, findings, and recommendations to prevent risk factors. Specifically, it details the steps pregnant women should take during the final weeks of pregnancy, such as the need for bed rest, contacting the doctor if the patient has labor contractions, and the use of only certain medications.

All discharge instructions are saved in the GoCanvas Cloud and can be emailed or printed to the patient as a PDF.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Discharge Instructions-Preterm Labor-English Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    PRE-TERM LABOR INSTRUCTIONS

  • Ico textbox

    PATIENT IDENTIFICATION

  • Ico date

    DATE

  • Ico statictext

    After checking you, your doctor thinks that you do not need to stay in the hospital for now.

  • Ico statictext

    You may eat your regular diet; however, drink more fluids - 6 to 8 glasses of water each day.

  • Ico statictext

    Stay on bedrest.

  • Ico statictext

    Avoid all sexual contact.

  • Ico checkbox

    4. Medications:

  • Ico multiline

    Your medication is:

  • Ico textbox

    Dose:

  • Ico time

    Time:

  • Ico statictext

    You have been given this prescription for medicine to stop your premature labor pains.

  • Ico statictext

    The medicine may give you a pounding pulse rate.

  • Ico statictext

    5. Call your doctor or the clinic if any of the following things happen to you

  • Ico statictext

    a) A gush of water or leaking of fluid on the underwear

  • Ico statictext

    b) Hard to urinate or a burning sensation when urinating

  • Ico statictext

    c) Contractions or cramping

  • Ico statictext

    d) Vaginal bleeding similar to a period

  • Ico checkbox

    Your doctor has decided that you have round ligament pain.

  • Ico multiline

    SPECIAL INSTRUCTIONS

  • Ico multiline

    FINDINGS/ RECOMMENDATIONS

  • Ico statictext

    I have read these instructions, and understand them as they have been explained to me.

  • Ico signature

    PATIENT'S SIGNATURE

  • Ico date

    DATE

  • Ico time

    TIME

  • Ico signature

    PHYSICIAN'S SIGNATURE

  • Ico date

    DATE

  • Ico time

    TIME

  • ...and More!

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