Twin Vaginal Delivery Record Form
Please fill out the details of the delivery event.
Patient Name
*
First Name
Last Name
Partner Name
*
First Name
Last Name
Number of Fetuses
*
Delivery Method
*
Please Select
Vaginal
Assisted Vaginal
Other
Time of Delivery (First Baby)
*
Time of Delivery (Second Baby)
*
Details of Delivery Process
Complications During Delivery
None
Perineal Tear
Uterine Rupture
Other
Notes and Observations
Weight of First Baby (kg)
Weight of Second Baby (kg)
Apgar Score (First Baby)
Apgar Score (Second Baby)
Mother's Condition Post-Delivery
*
Stable
Complicated
Critical
Submit
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