In this article:
- Enable Obstetrics
- Add a pregnancy record
- Antenatal Record
- Antenatal Visits
- Birth Postnatal
- Filter, edit, or delete pregnancy
- Other details
Before being able to add obstetric or antenatal records, you must enable the Obstetrics module for your practice.
- Navigate to Settings > Practice Details.
- Locate the Speciality field at the bottom of the page.
- You can type into this field to search for and select your speciality.
- Search for, and select, Obstetrician and Gynaecologist.
- Press Save to save the updated Practice Details.
Note that you can select as many specialities as you'd like within Practice Details.
However, the Obstetrics module will only be available if you have selected the Obstetrician and Gynaecologist speciality.
Once you have enabled the Obstetrics module, you can add a pregnancy record within a patient's file.
- Open the patient's file.
- Select Add > Pregnancy Record.
- A new pregnancy record will open at the top of the clinical screen.
There are three tabs in the pregnancy record - Antenatal Record, Antenatal Visits, and Birth Postnatal. Each tab has been detailed further below.
The Antenatal Record tab lets you record basic and essential details of the patient's pregnancy, including the estimated delivery date (EDD).
To save the pregnancy record, you must at minimum record an Agreed EDD and the Provider.
When you add a new pregnancy record, Gentu will default to the LMP dating method. You can also select Dating Scan, or Other.
When you enter the LMP date, Gentu will automatically calculate the EDD for you.
Alternatively, you can enter the Agreed EDD manually without recording the LMP.
The Antenatal Record summary also lets you record details of the pregnancy such as the conception type, delivery hospital, and optionally, the patient's partner.
Save the pregnancy record using the Save button in the Pregnancy Record heading. After making any changes to the pregnancy record, you should always return here and click Save again to ensure your changes are retained.
Underneath the details summary in the Antenatal Record tab, you can record the diagnostic investigations undertaken by the patient.
Select the patient's Blood Group from the drop down menu just under the Investigation heading.
Selecting a negative-type blood group will populate two further checkboxes so you can track the administration of Anti-D at 28 and then 34 weeks.
If the patient has passed 28 weeks gestation without Anti-D being administered, Gentu will prompt you with a reminder shown at the top of the pregnancy record.
Underneath the Blood Group you will find a list of pre-populated investigations.
Click the arrow to the left of the investigation name to expand the record and enter details.
You can change the name of the investigation as needed to match your specific needs - simply delete the original exam name and type in your own.
Alternatively you can add additional investigations by clicking the + icon next to the Investigation heading.
This will add a new blank row to the list, allowing you to manually enter the details of the test.
Delete an investigation by selecting the Delete icon to the far right of the row.
At the very bottom row of the Investigation table you will find a pre-made infectionlist.
Click the drop down arrow to the left of this row to expand the record out, letting you fill in the details.
You can select the status of each option from the drop down menu, or manually type in your own.
The Ultrasound table lets you record details of the patient's antenatal ultrasounds.
Similar to the Investigations section, Gentu has pre-filled certain tests into the Ultrasound table.
Click the drop down arrow on the left to expand out a row and enter details. It is possible to future-date an ultrasound.
You can add additional ultrasound records by clicking the + icon next to the Ultrasound heading.
Rows can be deleted via the Delete icon to the far right of each row.
The Prenatal Screening section operates in the same way as the Investigation and Ultrasound tables.
Click the drop down arrow on the left to expand out a row and enter details.
Add additional records by clicking the + icon next to the Prenatal Screening heading.
Rows can be deleted via the Delete icon to the far right of each row.
This section lets you record the patient's previous obstetric history.
Click the + icon next to the Obstetrics History heading to add a new record.
Here you will be prompted to enter details such as the date of birth (or date of result), gestation, birthing method, problems with the pregnancy or birth, and general notes.
You can also add the result of birth details such as the child's name, weight, and sex.
If there were multiple birth results, as in the case of twins, you can click Add Child to record details about each result.
The Obstetrics History section also allows you to record details of a past obstetric history where no live birth occurred.
After you have added an Obstetric History record in this section, click the confirm button at the top right to save the changes.
If you wish to edit a previously saved obstetric history record, you can do so by clicking the edit icon to amend the record.
This section lets you record general details of the patient's past medical history, such as their smoking & alcohol consumption, any current or past diagnoses, and their surgical, gynaecological, psychiatric, and family & social history.
Click the drop down arrow to the left of each heading to expand out the row and add details.
Under Physical Examination you can record details of each physical exam undertaken by the patient during their pregnancy.
Click the + icon next to the heading to add a new record. You will be prompted to enter the date, and the result of each examination.
The Considerations section lets you record any details pertinent to the patient's pregnancy.
Simply click on the Enter note here text to open the text field where you can record notes.
The Note/Plan section works in much the same way as the Considerations section.
Simply click into Enter note here and record any details on the patient's pregnancy plan.
The Antenatal Visits tab lets you comprehensively record details of an encounter each time the patient attends for an antenatal appointment.
On the right-hand side of the Antenatal Visits tab, you will find a summary of the patient's antenatal & obstetric details.
You can click the drop down arrows to the left of each heading to view a summary of the details in that section.
Under the Antenatal Visits tab, click on New Visit to record a new encounter.
Gentu will prompt you to enter details of the examination, such as the patient's weight and blood pressure, and details such as the fundal height, foetal heart rate, and presentation.
After filling in the details, click the tick icon to save the record.
Antenatal visits can be edited as needed by clicking the edit icon. Make the required changes, then click the tick icon to save.
To delete an antenatal record, simply select the delete button to the far right of the row.
Please note: after adding a new antenatal visit, you should scroll back up to the top of the page and click Save. Otherwise, the antenatal visit will not be permanently saved.
If you accidentally delete an antenatal visit, but you have not yet clicked Save at the top of the screen, you can reload the page to restore the antenatal visit.
You can show or hide columns in the Antenatal Visit overview.
Click the cog icon to the far right of the column headers.
From the drop down menu, select or deselect the options to customise which columns show in this tab.
The Birth Postnatal tab lets you record the outcome of the pregnancy including the birth method, analgesia, birth problems, as well as the details of the child(ren) and Apgar scores.
Gentu lets you record multiple birth results, as in the case of a multiple pregnancy - simply click the Add Child button as many times as needed to capture these details.
Within the Birth Postnatal tab, you will be presented with the option to close the current pregnancy.
To close a pregnancy record, you must at minimum enter:
- Date of birth
- Result of birth
Once you have entered the date of birth and at least one result of birth, you can then select Close Pregnancy in the top right of the pregnancy record, next to the Save button.
If you attempt to close a pregnancy without entering a date of birth and result of birth, Gentu will prompt you to enter these details and not allow you to proceed until the details are recorded.
Pregnancy records can be viewed in the patient's Clinical tab. They will appear in the list of all clinical encounters, or you can select the Pregnancies filter to view only pregnancy-related records for the patient.
If the patient has a current open pregnancy, then Gentu will automatically open it when you access the patient's Clinical tab.
Or, you can Edit a past pregnancy record by clicking on it within the Clinical list and selecting Open.
Pregnancy records can be deleted - select the record from the Clinical list and click the Delete button in the top right.
To view and/or restore deleted pregnancy records:
- Select the Pregnancies filter at the top of the Clinical list.
- Click the ellipses icon.
- Select Show Deleted.
This will display any past pregnancy record which have been deleted.
Highlight a deleted record and click Restore to turn the record active again.
You can upload additional supporting documents as pregnancy records.
- Select Add > Attachment.
- Browse to the file on your computer and select it.
- In the Upload window, select the Pregnancy Record category, and then click Upload.
The uploaded attachment will then be visible in the Clinical list, and will be shown under the Pregnancies filter.
It is possible to print a summary of the patient's current pregnancy record.
- Open the patient's file.
- Select Print > PDF.
- Tick the Antenatal Record and/or Antenatal Visits checkboxes.
- Select Print.
The Antenatal Record option will print a summary of all details within the Antenatal Record tab.
The Antenatal Visits option will print an overview of the patient's antenatal visits from the Antenatal Visits tab - similar to what is shown in preview when selecting a pregnancy record from the Clinical list.
Please note: it is not currently possible to print a past (closed) pregnancy record.
It is possible to create letter templates using references to the patient's obstetric history.
Currently Gentu offers the Agreed EDD, Gestation Age, and Partner Name as letter references.
If you would like to request additional letter references, please email your feedback to firstname.lastname@example.org.
If you click a pregnant patient's appointment to view its details, you will see the gestation displayed in brackets alongside the patient's name.
The gestation will appear until a pregnancy has a result recorded, or when the pregnancy has passed 53 weeks.
If the patient's pregnancy management fee (PMF) is due, there will also be a small pregnancy icon displayed on their appointment.
When viewing the appointment details, the PMF reminder will be displayed, as shown below.
This will be shown on all appointments in which the current, active pregnancy is beyond 22 weeks, with the fee generally due at 28 weeks.
This reminder is not linked to invoicing, and as such will display even if the PMF has been invoiced and receipted.
After settling the PMF, you may choose to remove the reminder by selecting the Dismiss option.
Selecting the Dismiss option will remove this reminder against all future appointments for the patient, and cannot be restored.
This reminder will also cease when a result has been recorded against the pregnancy.
> How do I record foetal examination results for a multiple pregnancy?
At present we recommend that you type freehand into the relevant text field to record results.
> I accidentally deleted a row - can I undo this?
If you have accidentally deleted a record from the Antenatal Record or Antenatal Visits tab, but have not yet Saved the pregnancy record, you can reload the page to reinstate the deleted row.
Please note that you will lose any unsaved data when you reload the page without Saving.
> I edited a pregnancy record but the changes weren't saved. Why not?
Each time you edit a pregnancy record, it is very important to press Save in the top right of the screen. This will ensure your work is saved.
If you exit or reload the page without Saving, any unsaved changes will be lost.
> Can I have multiple pregnancy records open at once?
Yes - in the sense that it is possible to have a patient's past pregnancy record open in the Clinical screen, as well as their current pregnancy record, for example to compare the two.
It is not possible to have two or more currently open pregnancy records. Instead, it is recommended that you record all details under the one pregnancy record, even in the case of a multiple pregnancy.
> I am trying to open a current pregnancy record but I can't see any details. Why not?
You may have collapsed the pregnancy record, hiding the details.
Scroll to the top of the screen and see if you can find the Pregnancy Record heading.
Click the drop down arrow to the left of the heading to expand the record out and view details.
> Can I record the placental position within the pregnancy record?
At present there is no dedicated field to record the placental position, however we hope to introduce this in the future.
> Can I print a past pregnancy?
It is not currently possible to print a past pregnancy record.
> Can I view a list of all pending births?
At present this information is not recorded in a report, however, this is something we hope to introduce in the future.