Standards › Standard 12 › Forms
Form · OBS-FRM-005 · Version 1.0 · Approved by the ASF Expert Committee
Supports: Standard 12 (Obstetrics and Gynaecology), criterion 12.6
Purpose
Records postnatal checks for mother and baby, and the follow-up booked.
How to complete
- Check on the schedule.
- Record each finding and action.
- Book the follow-up.
Checks
| Check | Entry |
|---|---|
| Bleeding checked | Yes |
| Infection checked (temperature, wound, uterus) | Yes |
| Feeding checked | Yes |
| Mental health screen and answer | Yes |
| Baby checked (weight, feeding, jaundice) | Yes |
| Follow-up booked (date) | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO recommendations on antenatal care for a positive pregnancy experience (2016) and the WHO Standards for improving quality of maternal and newborn care in health facilities (2016). |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
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References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)