Sample Form

This sample form contains sections for you to record notes concerning:

• Indications for the OVD

• Patient counseling

• Maternal-fetal assessment prior to operative delivery

• Details of the procedure

• Birthing person and newborn status


View the PDF
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More CRICO Guidelines or Algorithms

CRICO decision support tools.
    discussion in office

    General Informed Consent Guidelines

    Guideline
    A document to assist institutions in reviewing policies, procedures and forms relative to obtaining and documenting informed consent.
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    Obstetrics Guidelines Introduction

    Guideline
    The Clinical Guidelines for Obstetrical Services at CRICO-insured Institutions are intended to provide guidance for clinicians and to support the safest maternal and fetal outcomes for patients receiving care in CRICO-insured medical institutions.

    OB Guidelines Appendix F: Delivery Following a Previous Cesarean Delivery

    Guideline
    If you have had one baby by cesarean section, you may have some questions about what happens in the next pregnancy. Each woman who has previously delivered by cesarean section must discuss the situation with her clinicians and decide to either A) plan a repeat cesarean, or B) plan a trial of labor with the goal of vaginal delivery. Both options have risks and benefits.
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