Section 325.1058. Mothers' records.

(1) Mothers' records shall contain:

(a)   Past history, including:

(i)   Number, complications, and outcome of all previous pregnancies.

(ii)   Number of now living children.

(iii)   Type of previous deliveries.

(iv)   Birth weights of infants.

(v)   Date of delivery of last viable fetus.

(vi)   Significant past medical and family history.

(vii)   Weight before present pregnancy.

(viii)   Weight gain during this pregnancy.

(b)   The following information about the present pregnancy and labor:

(i)   Prenatal complications.

(ii)      History  of  recent   exposure  to  communicable  disease   or  diarrhea  or  other communicable disease in the mother or family.

(iii)   Time of onset of labor.

(iv)   Frequency and intensity of contractions.

(v)   Condition of the membranes.

(vi)   Any symptoms of toxemia.

(vii)   Amount and character of any bleeding.

(viii)   Time and amount of last meal.

(2)   Except in emergencies, the  patient's   admission  examination   shall record the following information:

(a)   Temperature, pulse, respiration and blood pressure.

(b)   Weight.

(c)   Skin lesions, degree of edema, condition of the throat, lungs, and heart.

(d)  Presentation and position of the fetus.

(e)   The rate and character of the fetal heart.

(f)  A urine analysis.

(g)   An estimation of the degree of engagement of the presenting part and the amount of cervical effacement dilation.

(h)   A determination of the pelvic measurements, if not already done.

(3)   A delivery room record book shall be maintained  with   chronological entries of all deliveries including items pertinent to the history of each delivery.

(4)   Each maternity record shall contain a physician's signed  report  of the physical condition of the mother immediately before she is  discharged from the hospital.

History: 1954 AC; 1979 AC.