What is here today
The module covers a pregnancy from booking, through labour, to each baby born and registered, and on to the six-week postnatal check.
The postnatal side is built from the delivery
Postnatal takes its list from the delivery record, not from a birth outcome — so a woman has a row whatever happened, and a stillborn baby is still listed beside her with a line saying where her mother’s care is recorded instead. The WHO schedule is four contacts: within 24 hours, day 3, day 7–14 and week 6, counted from the birth, over a board that looks back 90 days and says so on screen. Two consequences are worth knowing before anybody works it:- A baby is identified by her birth record, so postnatal care never waits on registration. The first contact is due within 24 hours and nobody has done the paperwork by then. Not registered yet is context on the row, never a block.
- The Edinburgh score is recorded as scored and is not interpreted. No band, no threshold, no colour and no referral is derived from it, here or anywhere downstream. If the score means she needs to be seen, Refer to a clinician on the contact is what carries that forward.
Nothing deletes; a wrong record is retracted
A pregnancy record, a programme dose, an antenatal contact, a delivery record, a birth record and a postnatal contact can each be marked entered in error, with a reason. The row stays on file, read-only, and stops counting — which is also what frees its position for the corrected one. Retraction is refused, never cascaded, while anything is filed underneath: a delivery with live birth records against it will not retract until each is, and a birth with postnatal contacts against it will not either. And a registered baby keeps their patient record — retracting a birth never touches the child’s chart or the mother’s guardian link. See Retract a delivery or birth record.Gestation is worked out, never typed
Nobody records a gestational age anywhere in ClinikEHR. A pregnancy record carries a due date, and every 28+3 you read — on the worklist, on the antenatal card, on the chart header, in the storyboard, on the Pregnancy tab — is worked out from that due date at the moment you look at it. That has two consequences worth knowing:- Every screen agrees. There is no second copy of the number to drift out of date, and a screen left open overnight recalculates rather than showing yesterday’s week.
- Correcting the due date corrects the history with it. If a dating scan moves the due date, the record then reads as though she had always been dated that way — including the gestation shown against contacts recorded weeks earlier. What the previous date was, and why it changed, is kept and shown on both the antenatal card and the chart.
When a contact falls due
Contacts are scheduled against gestation, not against the calendar, so a re-dating moves them all together. Which schedule your hospital runs is an owner’s decision under Settings → Facility → Antenatal contact schedule, and there are three answers — see Set up antenatal care. WHO 2016 — eight contacts is where every hospital starts:
Focused ANC — four visits is the older model, still in use at many sites: booking by 12 weeks, then 24–26, 30–32 and 36–38. This hospital’s own schedule is a list you author yourself, one window at a time.
A pregnancy is Due once the next window has opened, Overdue once it has closed with nothing recorded, and Schedule complete once the schedule’s last contact is on the record.
Contacts are counted, not matched to slots. A woman who attends twice in the second trimester has had two contacts, whatever the schedule intended them to be. That is deliberate: matching each visit to a numbered slot would invent a precision the record does not have.
Which labour chart you run
The labour chart is the other owner’s decision, under Settings → Facility → Partograph. Two systems ship, and they judge differently on purpose:
Every hospital starts on the WHO Labour Care Guide (2020). Like the contact schedule, the choice is applied when a chart is read rather than when an observation is written — so changing it changes what the chart says about a labour already in progress, without altering a single observation. See Choose your labour chart.
Who can do what
Role decides whether the Maternity group opens at all. Permission decides what may be done inside it.
Two behaviours surprise people. Enforcement is opt-in per person — a colleague who has never been saved in the permissions sheet is unrestricted and can do all of these, and the sheet warns “Saving starts enforcing”. Once they have been saved, the maternity switches start off, so grant them deliberately. And a denied action is recorded in the audit log while an allowed one is not, so an owner can tell “nobody tried” from “somebody was blocked”. See Permissions.
The Maternity permission group only appears in the sheet while the Maternity care area is on. Switch the area on first — Set up antenatal care.