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Form · OBS-FRM-008 · Version 1.0 · Approved by the ASF Expert Committee
Supports: Standard 12 (Obstetrics and Gynaecology), criterion 12.10
Purpose
Records the observations and score for each mother after birth, and each trigger and response.
How to complete
- Record at the set frequency.
- Record the score and whether a trigger was reached.
- Record the response.
Checks
| Check | Entry |
|---|---|
| Time and observations (pulse, blood pressure, breathing, temperature, consciousness) | Yes |
| Blood loss measured | Yes |
| Score and trigger reached (yes or no) | Yes |
| Clinician called and time | Yes or N/A |
| Response and time reviewed | Yes or N/A |
| Recorded by and time | 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)