Midwife Template

Midwife Postnatal Notes

A professional Midwife template for healthcare professionals.

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Specialty

Midwife

Used

101 times

Type

Note

Last edited

8/28/2025

Created by

Jackie Harte

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About this template

Need a comprehensive record of a mother's postnatal health? This Midwife Postnatal Notes template is designed for midwives to document essential information following childbirth. It covers key areas like the mother's physical and emotional well-being, breastfeeding, bonding with the baby, and any necessary referrals. This template ensures all aspects of postnatal care are addressed, from physical assessments to emotional support. With Heidi, this template can be quickly populated from your visit transcript, saving you time and ensuring accurate, detailed records. This template is ideal for midwives seeking to streamline their documentation process and provide the best possible care for new mothers.

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Postnatal Check for Mother: Mother: Sarah Initial Assessment: Sarah reports feeling well since her last appointment. She is managing well at home with the baby and is enjoying motherhood. Present at appointment: Sarah, baby, and midwife. Recent activities: Sarah has been resting at home and has not been on any outings. Gestation: Postnatal, 6 weeks. Physical Assessment of Mother: - BP: 120/70, Temp: 37.0°C, Resp Rate: 16, Oxygen Sats: 98%, HR: 72 - Breast and nipple condition: No pain, nipples intact. - PV loss: Lochia rubra, moderate flow. - Sleep: Sleeping 6-7 hours per night, quality good. - Diet: Eating a balanced diet, 3 meals a day, drinking plenty of water. - Perineum: Perineum healing well, no pain, no stitches, taking ibuprofen as needed. - C-section wound: Not applicable. - Bowels and bladder: Regular bowel movements, no bladder problems. Breastfeeding: - Latching well, feeding every 2-3 hours, no interventions needed. Bonding with Baby: - Bonding is good, Sarah is enjoying time with the baby, no concerns raised. Emotional and Social: - Mood is good, no signs of PND or anxiety, has support from partner and family, EPDS score 4, community engagement is good. Education (Mother): - Topics covered: Postpartum care, breastfeeding, baby care. - Contraception discussed: Combined oral contraceptive pill discussed, to be started 6 weeks postpartum, effectiveness 99% with perfect use, personal factors considered. Referrals: - No referrals made. Plan: - Follow-up appointment in 6 weeks, continue with current medications. Maternal Concerns: - No concerns raised. Baby Postnatal Assessment: Initial Assessment: Baby’s name: Emily Stories shared by parents: Emily has been sleeping well and is starting to smile more. She is enjoying time with her parents and is starting to recognise faces. Baby’s temperament: Settled. Pet reaction: Not applicable.