Does it calculate gestational age or the due date?

No. Both are recorded only when stated, never worked out from an LMP.

What happens to the pregnancy sections for a gynaecology patient?

They are left off the note. You only see what applies.

Can I use the Obstetrics and Gynaecology template for ward notes?

Yes. Specialty templates work for outpatient clinic notes and inpatient ward notes.

What if I also have my own template?

Both are used together: your own sections first, then the specialty sections.

Obs and Gynae template

Obstetrics and Gynaecology notes, written while you talk

Obstetric and gynaecology notes follow a familiar order. The template records menstrual and contraceptive history, gravida and para, the current pregnancy and antenatal results.

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Built for a Obstetrics and Gynaecology clinic

The consultations this template is laid out for, among others:

Heavy menstrual bleeding
Antenatal visits
Polycystic ovary syndrome
Pelvic pain
Subfertility
Menopause

See a Obstetrics and Gynaecology note

A short consultation in Urdu, and the note Hikayat Scribe writes from it.

The consultation (Urdu)

Patient: Periods bahut zyada aur lambe ho gaye hain, saat din tak. Chhe mahine se.

Doctor: Aakhri period kab aaya tha?

Patient: Do hafte pehle.

Doctor: Bachay kitne hain?

Patient: Teen, teeno normal delivery.

Doctor: Ultrasound aur CBC karwate hain.

The note

Presenting complaint: Heavy, prolonged menstrual bleeding (7 days) x6/12.
Menstrual history: LMP 2 weeks ago.
Obstetric history: Three previous vaginal deliveries.
Investigations: Pelvic ultrasound. Full blood count.

Fictional patient. Sections that were not discussed are left off.

What the Obstetrics and Gynaecology template records

Alongside the usual history and examination, every Obstetrics and Gynaecology note has these sections:

Menstrual and contraceptive historyObstetric historyCurrent pregnancyAntenatal and scan resultsPain assessmentPatient education

Only what was discussed

Gestational age and due dates are recorded only when stated, never calculated from an LMP, and pregnancy sections stay off the note for patients who are not pregnant. Any section that was not covered is simply left off the note, so it never fills up with "not discussed".

Set it once

Choose Obstetrics and Gynaecology when you start a clinic or ward note, or tick "Always start my notes with this specialty" and it stays selected until you change it. Specialty templates are part of Pro and Enterprise, and included in the 7-day free trial.

The rest of the note

Ranked differentials with the reasoning shown, for you to choose from
Investigations and medicines you tick yourself; nothing is prescribed until you do
ICD-10 and SNOMED codes for your review
Your name, qualifications, registration number and the date and time on the printed note

How it works

Record. Press the button and talk with your patient in any of nine languages, or dictate on your own.
Review. The note is ready in seconds. Tick the diagnosis, investigations and medicines you are keeping, and edit anything.
Use it. Copy, print or email the note, with your name, qualifications and registration number on it.

Common questions

Does it calculate gestational age or the due date?: No. Both are recorded only when stated, never worked out from an LMP.
What happens to the pregnancy sections for a gynaecology patient?: They are left off the note. You only see what applies.
Can I use the Obstetrics and Gynaecology template for ward notes?: Yes. Specialty templates work for outpatient clinic notes and inpatient ward notes.
What if I also have my own template?: Both are used together: your own sections first, then the specialty sections.

Better notes start today.

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