Antenatal Care in the Digital Age: What an OB/GYN EMR Should Do
Clinical Workflow

Antenatal Care in the Digital Age: What an OB/GYN EMR Should Do

Antenatal care involves structured visits, sequential lab panels, ultrasound dating, and risk stratification. Here's how Clinit's OB/GYN module brings all of it into one coherent workflow.

The Complexity of Antenatal Documentation

A standard antenatal record captures: LMP, EDD (by dates and scan), blood group, antibody screen, full blood count at booking, GDM screen at 24–28 weeks, GBS culture at 36 weeks, anomaly scan at 18–20 weeks, growth scans, and risk factor tracking across 10+ visits. Doing this well in a generic EMR requires improvisation; the data exists but is scattered.

Clinit's OB/GYN Antenatal Module

Booking Visit:
  • LMP, EDD calculation (Naegele's rule)
  • BMI, booking bloods (FBC, blood group/antibody screen, rubella, VDRL, HIV, HBsAg, HCV)
  • Medical/obstetric/family history
  • Risk stratification: pre-eclampsia risk (combined first-trimester screen, NICE criteria)
Each Subsequent Visit:
  • Gestational age (by dates/scan)
  • Fundal height, fetal lie, presentation
  • Fetal heart rate
  • BP, urine dip, oedema
  • Symptom check (PV loss, contractions, fetal movement)
Scan Integration: Dating scan, NT, anomaly, and growth scan reports can be uploaded or entered structured in the antenatal record. EDD is updated based on confirmed dating scan CRL. Labour and Delivery Summary: Mode of delivery, complications, neonatal outcomes, and cord blood are recorded at delivery and linked to the antenatal record for audit purposes.

GDM Management

When a GDM diagnosis is entered, the module activates a GDM sub-record: fasting and 2-hour glucose logs, insulin regimen, kick chart, and growth scan scheduling. AI flags values outside acceptable ranges and suggests dietitian referral.

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