Standards › Standard 12 › Forms
Form · GYN-FRM-003 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 12.14
Purpose
Records the care after a pregnancy loss, the support offered and the follow-up booked.
How to complete
- Record the care given.
- Record the support offer and the answer.
- Record the follow-up.
Checks
| Check | Entry |
|---|---|
| Care given in private (yes) | Yes |
| Clinical care explained | Yes |
| Emotional support offered and answer | Yes |
| Family involved (if wished) | Yes or N/A |
| Follow-up booked (date) | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO Managing complications in pregnancy and childbirth (2017) and ASF Expert Committee consensus. |
| 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 |
E-learning for this document
- Patient Identification, Informed Consent and Patient Rights (T-07)
- Healthcare Ethics for ASF Accreditation (A-07)
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)