Labor and Delivery Nursing Documentation Log Form
Document labor and delivery nursing observations and care details accurately and efficiently in this log.
Patient Initials
*
Date and Time of Entry
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Stage of Labor
*
Please Select
Latent Phase
Active Phase
Transition Phase
Second Stage
Third Stage
Cervical Dilation (cm)
*
Fetal Heart Rate (bpm)
*
Maternal Blood Pressure (mmHg)
*
Maternal Pulse (bpm)
*
Interventions Performed
*
Medications Administered
*
Observations and Notes
*
Nurse Name
*
Submit Log
Should be Empty: