O Min

Pre OP Test dose 1Min 2 Min 3 Min

Cx dilatation
pre-epidural
OBS h/o
Sr. No.

IP.no

Age

Wt
Ht P SBP FHR Time P SBP FHR P SBP FHR P SBP FHR P SBP FHR
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
 O Min
Pre OP Test dose 1Min 2 Min 3 Min

Cx dilatation
pre-epidural
OBS h/o
Sr. No.

IP.no

Age

Wt
Ht
P SBP FHR Time P SBP FHR P SBP FHR P SBP FHR P SBP FHR
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
 10 Min
5 Min
4 Min bolus dose 6 Min 7Min 8 Min 9 Min Infusion started 11Min

Sens.
P SBP FHR P SBP FHR P SBP FHR P SBP FHR P SBP FHR P SBP FHR P SBP FHR level P SBP FHR
 10 Min
5 Min
4 Min bolus dose 6 Min 7Min 8 Min 9 Min Infusion started 11Min

Sens.
P SBP FHR P SBP FHR P SBP FHR P SBP FHR P SBP FHR P SBP FHR P SBP FHR level P SBP FHR
 12 Min 13Min 14 Min 15Min 16Min 17Min 18Min 19Min

Sens.
P SBP FHR P SBP FHR P SBP FHR P SBP FHR level P SBP FHR P SBP FHR P SBP FHR P SBP FHR
 12 Min 13Min 14 Min 15Min 16Min 17Min 18Min 19Min

Sens.
P SBP FHR P SBP FHR P SBP FHR P SBP FHR level P SBP FHR P SBP FHR P SBP FHR P SBP FHR
 1 hr 1 hr 45 Min
20Min 30 Min 45 Min Infusion started 1 hr 15 Min 1 hr 30 Min

Sens. Sens.
P SBP FHR level P SBP FHR P SBP FHR P SBP FHR level P SBP FHR P SBP FHR P SBP FHR
 1 hr 1 hr 45 Min
20Min 30 Min 45 Min Infusion started 1 hr 15 Min 1 hr 30 Min

Sens. Sens.
P SBP FHR level P SBP FHR P SBP FHR P SBP FHR level P SBP FHR P SBP FHR P SBP FHR
 2 hr 2hr 15 Min 2hr 30 Min 2hr 45 Min 3 hr 3 hr 30 Min 4 hr 4 hr 30 min

Sens.
P SBP FHR P SBP FHR P SBP FHR P SBP FHR level P SBP FHR P SBP FHR P SBP FHR P SBP FHR
 2 hr 2hr 15 Min 2hr 30 Min 2hr 45 Min 3 hr 3 hr 30 Min 4 hr 4 hr 30 min

Sens.
P SBP FHR P SBP FHR P SBP FHR P SBP FHR level P SBP FHR P SBP FHR P SBP FHR P SBP FHR
 5 hr 5hr 30 min 6 hr VAS Pain Relief Labour time

II nd stage
Ist stage

III stage
II stage
Epidural

15 min

30 min

60 min

90 min

I stage
stopped
P SBP FHR P SBP FHR P SBP FHR @ time
 5 hr 5hr 30 min 6 hr VAS Pain Relief Labour time

II nd stage
Ist stage

III stage
II stage
Epidural

15 min

30 min

60 min

90 min

I stage
stopped
P SBP FHR P SBP FHR P SBP FHR @ time
 Epidural time
(min)

Dose of Bupi (mg)

Dose of Fent (µg)

Bromage Scale

Mode of delivery
0 Min
1 Min
APGAR

5 Min

Neonate HR

Acceptance

Unsatisfactory
reason

Complication
 Epidural time
(min)

Dose of Bupi (mg)

Dose of Fent (µg)

Bromage Scale

Mode of delivery
0 Min
1 Min
APGAR

5 Min

Neonate HR

Acceptance

Unsatisfactory
reason

Complication