Page 57 - OB Risks - Delivering the Goods (Part One)
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SVMIC Obstetrics Risks: Delivering the Goods
The Ideal Medical Record
Patient’s history of previous pregnancies, illnesses,
injuries and treatments, prior operations/hospitalization,
current medications, age appropriate, and
immunization/dietary status
Health status or cause of death of the patient’s family
members, including speci c/hereditary diseases that may
place the patient at risk
Signi cant information about the patient’s activities and
other relevant social factors (e.g. marital status, living
arrangements, employment, use of drugs, alcohol, tobacco,
level of education, etc.)
With past and present medication regimens (including
over-the-counter)
Including drug allergies, sensitivities, or adverse reactions
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