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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.

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Included Fields

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PRE-TERM LABOR INSTRUCTIONS
PATIENT IDENTIFICATION
DATE
After checking you, your doctor thinks that you do not need to stay in the hospital for now.
You may eat your regular diet; however, drink more fluids - 6 to 8 glasses of water each day.
Stay on bedrest.
Avoid all sexual contact.
4. Medications:
Your medication is:
Dose:
Time:
You have been given this prescription for medicine to stop your premature labor pains.
The medicine may give you a pounding pulse rate.
5. Call your doctor or the clinic if any of the following things happen to you
a) A gush of water or leaking of fluid on the underwear
b) Hard to urinate or a burning sensation when urinating
c) Contractions or cramping
d) Vaginal bleeding similar to a period
Your doctor has decided that you have round ligament pain.
SPECIAL INSTRUCTIONS
FINDINGS/ RECOMMENDATIONS
I have read these instructions, and understand them as they have been explained to me.
PATIENT'S SIGNATURE
DATE
TIME
PHYSICIAN'S SIGNATURE
DATE
TIME
...and More!