> ## Documentation Index
> Fetch the complete documentation index at: https://help.clinikehr.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Record an antenatal contact

> Record one antenatal visit — vitals, obstetric findings and a referral — in a single sheet, straight onto the woman's chart.

export const AuditNote = ({action = 'This action'}) => <div className="ck-callout ck-callout--info" role="note">
    <p className="ck-callout__body">
      {action} is written to your workspace's audit log with your name, the
      record touched and the time — a HIPAA requirement, and one you can review
      yourself under <strong>Audit Log</strong>. See{' '}
      <a href="/platform/security/audit-log">Audit log</a>.
    </p>
  </div>;

export const StillStuck = ({topic}) => <div className="ck-callout ck-callout--note" role="note">
    <p className="ck-callout__body">
      <strong>Still stuck{topic ? ` with ${topic}` : ''}?</strong>{' '}
      Check <a href="/platform/help/troubleshooting">Troubleshooting</a> first —
      it covers the failures we see most often. If that does not resolve it,{' '}
      <a href="/platform/help/contact-support">contact support</a> and include
      your workspace name and the time the problem happened, so we can find the
      matching entry in your audit log.
    </p>
  </div>;

export const TaskHeader = ({before, time, after}) => <div className="ck-task">
    {before ? <div className="ck-task__cell">
        <div className="ck-task__title">Before you start</div>
        <p className="ck-task__body">{before}</p>
      </div> : null}

    {time ? <div className="ck-task__cell">
        <div className="ck-task__title">Takes about</div>
        <p className="ck-task__body">{time}</p>
      </div> : null}

    {after ? <div className="ck-task__cell">
        <div className="ck-task__title">When you're done</div>
        <p className="ck-task__body">{after}</p>
      </div> : null}
  </div>;

export const Path = ({steps = []}) => <span className="ck-path">
    {steps.map((s, i) => <span key={i} className="ck-path__step">
        {i > 0 ? <span className="ck-path__sep" aria-hidden="true">
            ›
          </span> : null}
        {s}
      </span>)}
  </span>;

export const Availability = ({editions = ['all'], plans, roles, note}) => {
  const list = editions.includes('all') ? ['clinic', 'pharmacy', 'lims'] : editions;
  return <div className="ck-avail" role="note" aria-label="Feature availability">
      <span className="ck-avail__label">Available in</span>

      {list.map(e => <span key={e} className={`ck-pill ck-pill--${e}`}>
          {EDITION_LABELS[e] || e}
        </span>)}

      {plans ? <span className="ck-avail__label">Plan</span> : null}
      {plans ? <span className="ck-pill ck-pill--plan">{plans}</span> : null}

      {roles ? <span className="ck-avail__label">Who</span> : null}
      {roles ? <span className="ck-pill ck-pill--role">{roles}</span> : null}

      {note ? <span className="ck-avail__note">{note}</span> : null}
    </div>;
};

<Availability editions={['clinic']} plans="Enterprise" roles="Anyone with Record an antenatal contact" note="Needs the Maternity care area" />

One sheet records the whole visit. You do not queue her through triage first and you do not write the findings twice — the vitals and the obstetric findings go onto her chart together, and the contact is counted against her schedule in the same action.

<Path steps={['Sidebar', 'Maternity', 'Antenatal', "Today's Clinic", 'Record contact']} />

<TaskHeader before="An open pregnancy record for her, and the Record an antenatal contact permission" time="Two minutes" after="A contact counted against her schedule, and her findings readable on the chart" />

## Open the sheet

Select **Record contact** on her row in [Today's Clinic](/hospital/maternity/todays-clinic). The sheet is headed **Antenatal contact** and names her underneath, with her gestation beside it — check that line before you type anything.

## Fill it in

<Steps>
  <Step title="Set the Contact date">
    It starts on today. You can back-date a visit that was written on paper, but not forward-date one: a date in the future is refused, because it would advance her schedule off a visit that has not happened.
  </Step>

  <Step title="Enter the vitals you took">
    **Blood pressure** · **Pulse** · **Temperature** · **Respiratory rate** · **SpO₂** · **Weight** · **Height**.

    Blood pressure is entered as two numbers with a slash — the field shows **120/80** and rejects anything else with **Use the form 120/80**.
  </Step>

  <Step title="Enter the obstetric findings">
    **Fundal height** · **Fetal heart rate** · **Presentation** · **Lie** · **Fetal movements** · **Urine protein** · **Urine glucose** · **Oedema** · **Pallor**.

    The pickers all start on **Not recorded**, and that is a real answer — leave one there and nothing is claimed about it. The urine fields read as they do at the bench: **Negative**, **Trace**, **1+** through **4+**. **Fundal height** carries its own note: "Read for dates on the chart, where the gestation is known."
  </Step>

  <Step title="List any danger signs">
    **Danger signs** is a free-text line, and the field says how to use it: "Separate with commas. Shown on the chart; never acted on automatically." Write what she reported — headache, blurred vision, reduced movements — as you would say it.
  </Step>

  <Step title="Say whether she needs a clinician today">
    **Refer to a clinician today** is a switch: "Puts her on a department's consultation list to be seen today. Without this the findings go to her chart only." Switch it on and two things appear — a **Reason for referral** box, which is required, and **Send her to**.
  </Step>

  <Step title="Choose where she is going">
    **Send her to** lists your departments, and the sub-units inside whichever you pick. **This is what puts her in front of a doctor**: a referral with no department appears on no consultation list at all, so the sheet refuses to record one — "Choose a department. Without one this referral reaches no consultation list."

    On a clinic that charges for consultations, only departments she has **paid for** can be chosen; the rest are marked **Not paid**, and a consultation fee that has expired is not a valid route. A free clinic fills in its general outpatient department for you.
  </Step>

  <Step title="Select Record contact">
    The button reads **Recording…** while it saves, then the sheet closes and confirms **Contact 4 recorded** — with "The findings are on her chart", or the department she is now on the consultation list for.
  </Step>
</Steps>

<Note>
  **Everything except the date is optional, on purpose.** A midwife who did not measure the fundal height must still be able to record the contact she did have. An empty box stays empty on the record — it never becomes a zero, and a zero here would look exactly like a real measurement.
</Note>

<AuditNote action="Recording an antenatal contact" />

## Check it worked

* The confirmation names the contact's number — **Contact 4 recorded**.
* Her row on **Today's Clinic** moves from **3 of 8** to **4 of 8**, and **Next contact** jumps to the following window.
* Her **Status** badge leaves **Due** or **Overdue**.
* On her chart, the visit is on the **Vitals** tab under **Over time**, with the obstetric findings alongside the vitals — see [The pregnancy on the chart](/hospital/maternity/pregnancy-on-the-chart).
* On her [antenatal card](/hospital/maternity/antenatal-card) it is the last row of the series, badged **Latest**.

## Order the booking investigations

At the booking visit the same permission lets you order the antenatal profile in one action instead of six. Open her [antenatal card](/hospital/maternity/antenatal-card) and select **Order antenatal profile**.

The sheet is headed **Antenatal profile** and names her underneath. It lists what your clinic's laboratory catalogue can supply, each with the name it will be ordered under, all ticked:

| Investigation               | Why it is in the profile                                 |
| --------------------------- | -------------------------------------------------------- |
| **HIV test**                | A positive result opens the PMTCT pathway                |
| **Hepatitis B (HBsAg)**     | Decides the newborn birth-dose plan                      |
| **Syphilis (VDRL/RPR)**     | Treatable in pregnancy; untreated it is congenital       |
| **Complete blood count**    | The anaemia baseline the iron-folate plan is set against |
| **Urinalysis**              | Asymptomatic bacteriuria, protein and glucose            |
| **Malaria parasite screen** | Read alongside the IPTp-SP schedule                      |

Untick anything you do not want, then select **Order 6 investigations**. They arrive on the laboratory worklist as **pending**, exactly as they would if you had ordered them one at a time.

<Warning>
  **It tells you what it cannot order, before and after.** Anything in the profile that your clinic has no matching test for is listed under **Not in your laboratory catalogue**, by name, on the sheet — and again on the confirmation under **Not ordered**. The confirmation never says "profile ordered"; it says how many were ordered and which were not, because a profile that quietly ordered four of six would leave you believing the booking bloods were done. Add the missing tests under **Laboratory → Tests** and order the profile again, or arrange them outside the clinic.
</Warning>

<Note>
  **Blood group, rhesus and genotype are recorded, not ordered.** They are fields on her record, not laboratory orders — blood group and rhesus on the pregnancy record when it is opened, genotype on her patient record. The sheet says so under **Recorded, not ordered** so nothing looks forgotten.
</Note>

Anything already ordered for this pregnancy shows **Already ordered** with the date and starts unticked, so pressing this twice does not draw a second specimen. You can tick it back on — a repeat blood count later in the pregnancy is a real order.

## If something goes wrong

<AccordionGroup>
  <Accordion title="A contact can't be dated in the future.">
    Set **Contact date** to today or earlier. Recording a visit before it happens would move her schedule on for a contact nobody made.
  </Accordion>

  <Accordion title="Use the form 120/80">
    **Blood pressure** takes systolic, a slash, then diastolic — two or three digits each. If you did not take it, leave the field empty.
  </Accordion>

  <Accordion title="Say why she is being referred">
    **Refer to a clinician today** is on and **Reason for referral** is blank. Write the reason, or switch the referral off.
  </Accordion>

  <Accordion title="This pregnancy record is closed, so no further antenatal contacts can be recorded against it.">
    Somebody closed the record — as delivered, or otherwise ended — while the sheet was open. Close the sheet and reload the board; if the record was closed in error, a new one has to be opened for her.
  </Accordion>

  <Accordion title="You don't have permission to record antenatal contacts in this clinic.">
    An owner grants **Record an antenatal contact** in the permissions sheet, under **Maternity**. See [Permissions](/platform/team/permissions). The same permission covers **Order antenatal profile**.
  </Accordion>

  <Accordion title="None of these investigations are in this clinic's laboratory catalogue, so nothing was ordered.">
    Your clinic has no test matching any of the ones you ticked, so nothing was created — you have not half-ordered the profile. Add them under **Laboratory → Tests**, then select **Order antenatal profile** again.
  </Accordion>

  <Accordion title="This pregnancy record is closed, so investigations can no longer be ordered against it.">
    The record was closed — as delivered, or otherwise ended. **Order antenatal profile** does not appear on a closed record; if you see this, somebody closed it while your sheet was open. Close the sheet and reload her card.
  </Accordion>

  <Accordion title="That pregnancy record could not be found, or you don't have access to it.">
    One message covers both, deliberately. Reload **Today's Clinic** and try from a fresh row; if the row is still there and this repeats, [contact support](/platform/help/contact-support).
  </Accordion>
</AccordionGroup>

## FAQ

<AccordionGroup>
  <Accordion title="Do I need to send her through triage as well?">
    No. The contact records the encounter itself — the vitals you take here are the vitals on her chart. Recording it twice would put the same visit on her record twice.
  </Accordion>

  <Accordion title="Can I edit a contact after saving it?">
    Not from this sheet. Record the correction as what it is and tell the clinician who will see her; the visit already saved stays on the record.
  </Accordion>

  <Accordion title="Where can I see this visit next to the previous ones?">
    On her [antenatal card](/hospital/maternity/antenatal-card) — select her name on **Today's Clinic**. It lists every contact oldest first, with the gestation she was at each.
  </Accordion>

  <Accordion title="What happens when I switch the referral on?">
    It records that she needs to be seen and why, and it puts the visit on the consultation list of the department you chose under **Send her to** — which is how a doctor finds her. It does not book an appointment or send a message.

    Without a department she would reach no list, so the sheet will not record the referral until you pick one.

    The referral stays **open** on her [antenatal card](/hospital/maternity/antenatal-card), marked **Not yet seen**, until somebody records that a clinician saw her. See [Close a referral](/hospital/maternity/close-a-referral).
  </Accordion>

  <Accordion title="Does anything warn me if a finding looks abnormal?">
    Not on this sheet. It records what you found without colouring or ranking it. Her [antenatal card](/hospital/maternity/antenatal-card) does name flags where the latest findings meet a threshold, and states beside them that they are shown for information and do not replace your assessment. Nothing is acted on automatically anywhere.
  </Accordion>

  <Accordion title="Can I change what is in the antenatal profile?">
    Not per clinic. The profile is the booking set — HIV, hepatitis B, syphilis, a blood count, urinalysis and a malaria parasite screen — and the sheet lets you untick anything you do not want before ordering. What it will not do is claim to have ordered a test your catalogue does not hold.
  </Accordion>

  <Accordion title="Why is there no pregnancy test in the profile?">
    Because you are ordering it from an open pregnancy record, so the pregnancy is already established. Ordering a confirmatory test at that point would have you waiting on a result you do not need.
  </Accordion>

  <Accordion title="Can I record a contact for a woman who is not on the board?">
    Only from a row on **Today's Clinic**, so she needs an open pregnancy record first — see [Open, re-date and close a pregnancy record](/hospital/maternity/pregnancy-records). That is what makes the contact countable against a schedule.
  </Accordion>
</AccordionGroup>

<StillStuck topic="recording an antenatal contact" />