ASSESSMENT PROTOCOL FOR HOME DELIVERY (Logic Tree No. 30)· DIRECTION: Determine/identify which of the following symptoms/s igns (S/S) or history data CHx D) are present and fo11ow the flowcb. art for the app·ropriate plan of managemenl. RED YELLOW GREEN S/S or Hx D S/S or Hx D S/S or Hx D Severe and persistent AOG Is less tham 38 weeks or AOG is 38 to 42 weeks head:>che, dizziness. more than ti2 weeks.. course of pregnancy has been .. 81LJrtinc: of vision.. Suspicion of mulliple uneventfu l (I. e., there has swelling of the face and pregnanc:y been no problem) finger~ or convul-s1on History of' previious. Previous precnancjcs were at any time durina the complicc1 ·ted delivery uncomplicated course of the pregnancy Hist·ory of al least one. Patient is 1n good health Vaginal bleeding, <peclally c;,c. sarlan section. Physlcal e><amln. ition finding lf painless, a1 any point Patient is givine bir-th for the within normal limits during the course or first time No ramily history of multiple pn~gnitncv eoby Is in a breed, posilion pregnancies Rupture of b~S or water. Fetal hean beat less than Baby In cephalic position before labor pains 120/min or more than. Fetal heart beat t20 160/mln started 160/min No problem during the first Either sys. tollc or diastolic. Patient's gene rel c:ondition. staee of h1hor blood pres<Ur G Is higher Is poor No core coll than pre-pregnant state Baby cded spontarieously or 1-r this not known, BP of. Placenta came out within 15 more than 140/90 rninute. s. Baby In a horl2on1al position. No l3cerat1on ob~erved Patient has heart problem Placen~ is complete Cord came out fir~t Womb ls well contracted Labor more t h. sn 24 houn Very minima l bleeding after without anvorogras s. the third st:igc of iabor Plac. enta not delivere d within 15 minutes. after birth of. the baby. Exccs!ii,. ;,c bleeding. :ifter birth of the baby. Laceration s·ecn on lnspec. tfon or the-perinea I nrea , Parts or the placenta still In the womb as suggested by profuse bleeding a her delivery of thee pt. acenta Of by incumplete plnccnla on ln~pectfon Sl,gn~ and s-vmpto,n s of shock Uler\JS doc~n·t 5-l JY c-ontr. ac. ted 260 