| 
               Antepartum Flow Sheet 
  
  
  
  
 | 
          
            
               date 1 
  
  
  
  
 | 
          
          
| 
               weeks 
  
  
  
  
 | 
          
            
               days 
  
  
  
  
 | 
          
          
| 
               weight 
  
  
  
  
 | 
          
            
               bp 
  
  
   / 
  
 | 
          
          
| 
               albumin 
  
  
  
  
 | 
          
            
               glucose 
  
  
  
  
 | 
          
          
| 
               fetal heart tones 
  
  
  
  
 | 
          
            
               fundal height  
  
  
  
  
 | 
          
          
| 
               presentation 
  
  
  
  
 | 
          
            
               return to clinic 
  
  
  
  
 | 
          
          
| 
               comments 
  
  
  
  
 | 
          
            
               | 
          
          
| 
               date 2 
  
  
  
  
 | 
          
            
               weeks 
  
  
  
  
 | 
          
          
| 
               days 
  
  
  
  
 | 
          
            
               weight 
  
  
  
  
 | 
          
          
| 
               bp 
  
  
   / 
  
 | 
          
            
               albumin 
  
  
  
  
 | 
          
          
| 
               glucose 
  
  
  
  
 | 
          
            
               fetal heart tones 
  
  
  
  
 | 
          
          
| 
               fundal height 
  
  
  
  
 | 
          
            
               presentation 
  
  
  
  
 | 
          
          
| 
               return to clinic 
  
  
  
  
 | 
          
            
               comments 
  
  
  
  
 | 
          
          
| 
               date 3 
  
  
  
  
 | 
          
            
               weeks 
  
  
  
  
 | 
          
          
| 
               days 
  
  
  
  
 | 
          
            
               weight 
  
  
  
  
 | 
          
          
| 
               bp 
  
  
   / 
  
 | 
          
            
               albumin 
  
  
  
  
 | 
          
          
| 
               glucose 
  
  
  
  
 | 
          
            
               fetal heart tones 
  
  
  
  
 | 
          
          
| 
               fundal height 
  
  
  
  
 | 
          
            
               presentation 
  
  
  
  
 | 
          
          
| 
               return to clinic 
  
  
  
  
 | 
          
            
               comments 
  
  
  
  
 | 
          
          
| 
               date 4 
  
  
  
  
 | 
          
            
               weeks 
  
  
  
  
 | 
          
          
| 
               days 
  
  
  
  
 | 
          
            
               weight 
  
  
  
  
 | 
          
          
| 
               bp 
  
  
   / 
  
 | 
          
            
               albumin 
  
  
  
  
 | 
          
          
| 
               glucose 
  
  
  
  
 | 
          
            
               fetal heart tones 
  
  
  
  
 | 
          
          
| 
               fundal height 
  
  
  
  
 | 
          
            
               presentation 
  
  
  
  
 | 
          
          
| 
               return to clinic 
  
  
  
  
 | 
          
            
               comments 
  
  
  
  
 | 
          
          
| 
               date 5 
  
  
  
  
 | 
          
            
               weeks 
  
  
  
  
 | 
          
          
| 
               days 
  
  
  
  
 | 
          
            
               weight 
  
  
  
  
 | 
          
          
| 
               blood pressure 
  
  
   / 
  
 | 
          
            
               albumin 
  
  
  
  
 | 
          
          
| 
               glucose 
  
  
  
  
 | 
          
            
               fetal heart tones 
  
  
  
  
 | 
          
          
| 
               fundal height 
  
  
  
  
 | 
          
            
               presentation 
  
  
  
  
 | 
          
          
| 
               return to clinic 
  
  
  
  
 | 
          
            
               comments 
  
  
  
  
 | 
          
          
| 
               date 6 
  
  
  
  
 | 
          
            
               weeks 
  
  
  
  
 | 
          
          
| 
               days 
  
  
  
  
 | 
          
            
               weight 
  
  
  
  
 | 
          
          
| 
               blood pressure 
  
  
   / 
  
 | 
          
            
               albumin 
  
  
  
  
 | 
          
          
| 
               glucose 
  
  
  
  
 | 
          
            
               fetal heart tones 
  
  
  
  
 | 
          
          
| 
               fundal height 
  
  
  
  
 | 
          
            
               presentation 
  
  
  
  
 | 
          
          
| 
               return to clinic 
  
  
  
  
 | 
          
            
               comments 
  
  
  
  
 | 
          
          
| 
               date 7 
  
  
  
  
 | 
          
            
               weeks 
  
  
  
  
 | 
          
          
| 
               days 
  
  
  
  
 | 
          
            
               weight 
  
  
  
  
 | 
          
          
| 
               blood pressure 
  
  
   / 
  
 | 
          
            
               albumin 
  
  
  
  
 | 
          
          
| 
               glucose 
  
  
  
  
 | 
          
            
               fetal heart tones 
  
  
  
  
 | 
          
          
| 
               fundal height 
  
  
  
  
 | 
          
            
               presentation 
  
  
  
  
 | 
          
          
| 
               return to clinic 
  
  
  
  
 | 
          
            
               comments 
  
  
  
  
 | 
          
          
| 
               date 8 
  
  
  
  
 | 
          
            
               weeks 
  
  
  
  
 | 
          
          
| 
               days 
  
  
  
  
 | 
          
            
               weight 
  
  
  
  
 | 
          
          
| 
               blood pressure 
  
  
   / 
  
 | 
          
            
               albumin 
  
  
  
  
 | 
          
          
| 
               glucose 
  
  
  
  
 | 
          
            
               fetal heart tones 
  
  
  
  
 | 
          
          
| 
               fundal height 
  
  
  
  
 | 
          
            
               presentation 
  
  
  
  
 | 
          
          
| 
               return to clinic 
  
  
  
  
 | 
          
            
               comments 
  
  
  
  
 | 
          
          
| 
               date 9 
  
  
  
  
 | 
          
            
               weeks 
  
  
  
  
 | 
          
          
| 
               days 
  
  
  
  
 | 
          
            
               weight 
  
  
  
  
 | 
          
          
| 
               blood pressure 
  
  
   / 
  
 | 
          
            
               albumin 
  
  
  
  
 | 
          
          
| 
               glucose 
  
  
  
  
 | 
          
            
               fetal heart tones 
  
  
  
  
 | 
          
          
| 
               fundal height 
  
  
  
  
 | 
          
            
               presentation 
  
  
  
  
 | 
          
          
| 
               return to clinic 
  
  
  
  
 | 
          
            
               comments 
  
  
  
  
 | 
          
          
| 
               Date 10 
  
  
  
  
 | 
          
            
               weeks 
  
  
  
  
 | 
          
          
| 
               days 
  
  
  
  
 | 
          
            
               weight 
  
  
  
  
 | 
          
          
| 
               blood pressure 
  
  
   / 
  
 | 
          
            
               albumin 
  
  
  
  
 | 
          
          
| 
               glucose 
  
  
  
  
 | 
          
            
               fetal heart tones 
  
  
  
  
 | 
          
          
| 
               fundal height 
  
  
  
  
 | 
          
            
               presentation 
  
  
  
  
 | 
          
          
| 
               return to clinic 
  
  
  
  
 | 
          
            
               comments 
  
  
  
  
 | 
          
          
| 
               Date 11 
  
  
  
  
 | 
          
            
               Weeks 
  
  
  
  
 | 
          
          
| 
               Days 
  
  
  
  
 | 
          
            
               weight 
  
  
  
  
 | 
          
          
| 
               blood pressure 
  
  
   / 
  
 | 
          
            
               albumin 
  
  
  
  
 | 
          
          
| 
               glucose 
  
  
  
  
 | 
          
            
               fetal heart tones 
  
  
  
  
 | 
          
          
| 
               fundal height 
  
  
  
  
 | 
          
            
               presentation 
  
  
  
  
 | 
          
          
| 
               return to clinic 
  
  
  
  
 | 
          
            
               comments 
  
  
  
  
 | 
          
          
| 
               Date 12 
  
  
  
  
 | 
          
            
               weeks 
  
  
  
  
 | 
          
          
| 
               days 
  
  
  
  
 | 
          
            
               weight 
  
  
  
  
 | 
          
          
| 
               bp 
  
  
   / 
  
 | 
          
            
               albumin 
  
  
  
  
 | 
          
          
| 
               glucose 
  
  
  
  
 | 
          
            
               fetal heart tones 
  
  
  
  
 | 
          
          
| 
               fundal height 
  
  
  
  
 | 
          
            
               presentation 
  
  
  
  
 | 
          
          
| 
               return to clinic 
  
  
  
  
 | 
          
            
               comments 
  
  
  
  
 | 
          
          
| 
               Date 13 
  
  
  
  
 | 
          
            
               weeks 
  
  
  
  
 | 
          
          
| 
               days 
  
  
  
  
 | 
          
            
               weight 
  
  
  
  
 | 
          
          
| 
               bp 
  
  
   / 
  
 | 
          
            
               albumin 
  
  
  
  
 | 
          
          
| 
               glucose 
  
  
  
  
 | 
          
            
               fetal heart tones 
  
  
  
  
 | 
          
          
| 
               fundal height 
  
  
  
  
 | 
          
            
               presentation 
  
  
  
  
 | 
          
          
| 
               rtc 
  
  
  
  
 | 
          
            
               comments 
  
  
  
  
 | 
          
          
| 
               date 14 
  
  
  
  
 | 
          
            
               weeks 
  
  
  
  
 | 
          
          
| 
               days 
  
  
  
  
 | 
          
            
               weight 
  
  
  
  
 | 
          
          
| 
               blood pressure 
  
  
   / 
  
 | 
          
            
               albumin 
  
  
  
  
 | 
          
          
| 
               glucose 
  
  
  
  
 | 
          
            
               fetal heart tones 
  
  
  
  
 | 
          
          
| 
               fundal height 
  
  
  
  
 | 
          
            
               presentation 
  
  
  
  
 | 
          
          
| 
               rtc 
  
  
  
  
 | 
          
            
               comments 
  
  
  
  
 | 
          
          
| 
               date 15 
  
  
  
  
 | 
          
            
               weeks 
  
  
  
  
 | 
          
          
| 
               days 
  
  
  
  
 | 
          
            
               weight 
  
  
  
  
 | 
          
          
| 
               bp 
  
  
   / 
  
 | 
          
            
               albumin 
  
  
  
  
 | 
          
          
| 
               glucose 
  
  
  
  
 | 
          
            
               fetal heart tones 
  
  
  
  
 | 
          
          
| 
               fundal height 
  
  
  
  
 | 
          
            
               presentation 
  
  
  
  
 | 
          
          
| 
               rtc 
  
  
  
  
 | 
          
            
               comments 
  
  
  
  
 | 
          
          
