Vigilancia Obstetrica Arma Semana 24

1/22/2011 MES PASADO Ya debió haberse realizado la actividad

1/23/2011 SEMANA SIGUIENTE Tener en cuenta para programar actividades MONITOREO DE GESTANTES EN LA JURISDICCION DE LA RED DE SALUD CHURCAMPA1/24/2011 SEMANA PASADA Urgente programar visita (qué pasó?

MICRORRED 1/25/2011 ESTA SEMANA Realizar seguimiento Fecha Hoy: 4/21/2023

Nº APELLIDOS Y NOMBRES DE LA GESTANTE

1er CPN 2do CPN 3er CPN 4to CPN 5to CPN

EDAD GEST CITA EDAD GEST CITA EDAD GEST CITA EDAD GEST CITA EDAD GEST

1 PS SM ARMA 723 ESCOBAR MACHUCA CIRILA 28 QUIQLLO G5P4004 7/25/2011 4/30/2012 12.0 10/17/2011 11/16/2011 16.4 11/17/2011 12/17/2011 20.9 12/18/2011 1/17/2012 25.3 1/18/2012 2/17/2012 27.7 2/4/20122 PS SM ARMA 1894 HUARCAYA PACHECO SONIA 19 QUIQLLO G1P0000 7/13/2011 4/18/2012 19.4 11/26/2011 12/26/2011 23.9 12/27/2011 1/26/2012 28.0 1/25/2012 2/24/2012 30.6 2/12/2012 2/27/20123 PS SM ARMA 1129 ARRIGUELA MONTES MARTHA 23 LAMBRASNIYOCC G2P1001 8/28/2011 6/3/2012 8.3 10/25/2011 11/24/2011 16.1 12/19/2011 1/18/2012 20.7 1/20/2012 2/19/2012 22.4 2/1/2012 3/2/2012 27.1 3/5/20124 PS SM ARMA 584 ESCOBAR SOLLER DOROTEA 33 QUIQLLO G7P6006 8/1/2011 5/7/2012 10.9 10/16/2011 11/15/2011 15.4 11/17/2011 12/17/2011 71.9 12/16/2012 12/30/1899 23.9 1/15/2012 2/14/2012 28.6 2/17/20125 PS SM ARMA 905 TAIPE MENDEZ HILDA 19 QUIQLLO G3P2002 12/2/2011 9/7/2012 5.0 1/6/2012 2/5/2012 9.1 2/4/2012 3/5/2012 13.7 3/7/2012 4/6/2012 18.9 4/12/2012 5/12/2012 22.4 5/7/20126 PS SM ARMA 77 ESCOBAR QUISPE HILDA NORMA 21 QUIQLLO G1P0000 8/15/2011 5/21/2012 21.6 1/13/2012 2/12/2012 21.6 1/13/2012 2/12/2012 25.9 2/12/2012 3/13/2012 31.7 3/24/2012 4/8/20127 PS SM ARMA 1313 ERAZO PACHECO ROSA 21 BUENOS AIRES G2P1001 10/20/2011 7/26/2012 13.4 1/22/2012 2/21/2012 17.7 2/21/2012 3/22/20128 PS SM ARMA 892 DE LA CRUZ MENDEZ ALICIA 20 ARMA G0P0000 7/1/2011 4/6/2012 23.6 12/13/2011 1/12/2012 28.0 1/13/2012 2/12/2012 2/1/2012 34.0 2/24/2012 3/10/2012 35.6 3/6/20129 PS SM ARMA 910 QUISPE CHABARREA ANTONIA 24 LAMBRASNIYOCC G4P3003 8/8/2011 5/14/2012 26.7 2/11/2012 3/12/2012 30.9 3/11/2012 3/26/2012 30.9 3/11/2012 3/26/2012 36.9 4/22/2012 5/7/2012

10 PS SM ARMA 1246 MALLQUI TAIPE ROZABET 19 QUIQLLO G3P2002 11/19/2011 8/25/2012 12.3 2/13/2012 3/14/201211 PS SM ARMA 381 FUNDIA MENDEZ CRISTINA 35 QUIQLLO G5P4004 12/15/2011 9/20/2012 9.4 2/19/2012 3/20/2012 13.3 3/17/2012 4/16/2012 17.0 4/12/2012 5/12/2012 20.9 5/9/2012 6/8/2012 26.0 6/14/201212 PS SM ARMA 789 HUARCAYA ARRIGUELA VICTORIA 35 LAMBRASNIYOCC G5P4004 10/25/2011 7/31/2012 18.7 3/4/2012 4/3/2012 23.3 4/5/2012 5/5/2012 28.0 5/8/2012 6/7/2012 32.3 6/7/2012 6/22/2012 32.3 6/7/201213 PS SM ARMA 486 FUNDIA ARRIGUELA VILMA JUANA 35 LAMBRASNIYOCC G3P2002 11/15/2011 8/21/2012 16.6 3/10/2012 4/9/2012 21.3 4/12/2012 5/12/2012 26.4 5/18/2012 6/17/201214 PS SM ARMA 408 HUMANI DE GARCIA LUCILA 35 ARMA G5P4004 8/1/2011 5/7/2012 34.9 4/1/2012 4/16/2012 35.0 4/2/2012 4/17/2012 36.9 4/15/2012 4/30/2012 38.3 4/25/2012 5/2/2012 39.9 5/6/201215 PS SM ARMA 115 SOTO DE QUISPE MODESTA 38 ARMA G9P8008 1/10/2012 10/16/2012 13.6 4/14/2012 5/14/2012 18.6 5/19/2012 6/18/201216 PS SM ARMA 48 GARCIA GAVILAN ISABEL 38 BUENOS AIRES G6P5005 1/24/2012 10/30/2012 15.9 5/14/2012 6/13/2012 20.4 6/15/2012 7/15/201217 PS SM ARMA 554 SILVESTRE MUÑOZ ROSA 26 BUENOS AIRES G2P1001 3/30/2012 1/4/2013 7.7 5/23/2012 6/22/201218 PS SM ARMA 710 DE LA CRUZ ABREGU EUDOCIA 24 ARMA G3P2002 4/11/2012 1/16/2013 9.3 6/15/2012 7/15/2012192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475

ESTABLECIMIENTOEjm:

PS XXXXXXXXXCS YYYYYYYYY

N° H.C. o FF

EDAD (años)

RESIDENCIA HABITUAL

(Comunidad, -centro poblado,etc)

OTRO LUGAR DE RESIDENCIA (esporádica)

(estancias,etc)

N° TELEFONO/CEL. MOVISTAR o CLARO

Ejm M988765422 C967443322

FORMULA OBST G: P:

FUR (dd/mm/aa)

FPP (dd/mm/aa)

FECHA CONTROL

FECHA CONTROL

FECHA CONTROL

FECHA CONTROL

FECHA CONTROL

'IMPORTANTE!VER LA LEYENDA'IMPORTANTE!

VER LA LEYENDA

767778798081828384858687888990919293949596979899

100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163

164165166167168169170171172173174175176177178179180181182183184185186187188189194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250251252253254255

256257258259260261262263264265266267268269270271272273274275276277278279280281282283284285286287288289290291292293294295296297298299300301302303304305306307308309310311312313314315316317318319320321322323324325326327328329330331332333334335336337338339340341342343

344345346347348349350351352353354355356357358359360361362363364365366367368369370371372373374375376377378379380381382383384385386387388389390391392393394395396397398399400401402403404405406407408409410411412413414415416417418419420421422423424425426427428429430431

432433434435436437438439440441442443444445446447448449450451452453454455456457458459460461462463464465466467468469470471472473474475476477478479480481482483484485486487488489490491492493494495496497498499500501502503504505506507508509510511512513514515516517518519

520521522523524525526527528529530531532533534535536537538539540541542543544545546547548549550551552553554555556557558559560561562563564565566567568569570571572573574575576577578579580581582583584585586587588589590591592593594595596597598599600601602603604605606607

608609610611612613614615616617618619620621622623624625626627628629630631632633634635636637638639640641642643644645646647648649650651652653654655656657658659660661662663664665666667668669670671672673674675676677678679680681682683684685686687688689690691692693694695

696697698699700701702703704705706707708709710711712713714715716717718719720721722723724725726727728729730731732733734735736737738739740741742743744745746747748749750751752753754755756757758759760761762763764765766767768769770771772773774775776777778779780

MONITOREO DE GESTANTES EN LA JURISDICCION DE LA RED DE SALUD CHURCAMPA MONITOREO DE GESTANTES EN LA JURISDICCION DE LA RED DE SALUD CHURCAMPA

COMPLICACIONES

5to CPN 6to CPN 7mo CPN 8vo CPN 9no CPN 10mo CPN

CAUSA

CITA EDAD GEST CITA EDAD GEST CITA EDAD GEST CITA EDAD GEST CITA EDAD GEST CITA

3/5/2012 34.0 3/19/2012 4/3/2012 36.3 4/4/2012 4/19/2012 37.3 4/11/2012 4/18/2012 12/17/2011 12/17/2011 NO 12/17/2011 12/17/2011 10/17/2011 1/17/201212/17/2011 2/5/2012 12/17/2011 2/5/2012 NO 12/17/2011 12/17/2011 11/26/2011 2/8/2012

4/4/2012 32.1 4/9/2012 4/24/2012 34.0 4/22/2012 5/7/2012 35.9 5/5/2012 5/20/2012 11/13/2011 1/31/2012 11/13/2011 1/31/2012 SI 11/13/2011 11/13/2011 10/25/2011 10/9/20123/18/2012 32.7 3/17/2012 4/1/2012 34.9 4/1/2012 4/16/2012 36.0 4/9/2012 4/24/2012 37.1 4/17/2012 4/24/2012 38.1 4/24/2012 5/1/2012 12/17/2011 12/17/2011 NO 12/17/2011 12/17/2011 16/10/21011 1/16/20126/6/2012 26.9 6/7/2012 7/7/2012 2/5/2012 2/5/2012 NO 2/5/2012 2/5/2012 1/6/2011

NO 1/13/2012 1/13/2012 1/13/2012NO 1/22/2012 1/22/2012 1/22/2012

3/21/2012 38.0 3/23/2012 3/30/2012 39.0 3/30/2012 4/6/2012 12/12/2011 12/26/2011 12/12/2011 SI 12/12/2011 12/12/2011 12/13/2011 12/5/20122/26/2012 NO 2/11/2012 2/11/2012 2/11/2012

NO 2/13/2012 2/13/2012 2/13/20127/14/2012 4/16/2012 NO 2/19/2012 2/19/2012 2/19/20126/22/2012 33.4 6/15/2012 6/30/2012 3/4/2012 3/4/2012 3/4/2012 3/4/2012 3/4/2012

4/22/2012 4/22/2012 4/22/2012 4/22/2012 3/10/2012 5/16/20125/13/2012 4/22/2012 4/22/2012 NO 4/22/2012 4/22/2012 4/1/2012

4/22/2012 4/22/2012 NO 4/22/2012 4/22/2012 4/14/20125/13/2012 5/14/2012 NO 5/14/2012 5/14/2012 5/14/2012

5/23/2012

1°ECOG. (dd/mm/aa)

2° ECOG. (dd/mm/aa)

1° BATERIA LAB

(dd/mm/aa)

2° BATERIA LAB

(dd/mm/aa)

3° BATERIA LAB

(dd/mm/aa)

PROTEGIDA CON DT (si) ô

(No)

TAMIZAJE PRUEBA

RAPIDA VIH (dd/mm/aa)

TAMIZAJE PRUEBA

RAPIDA SIFILIS (dd/mm/aa)

TAMIZAJE VIF (dd/mm/aa)

4° VISITA DOMICILIARIA

(dd/mm/aa)FECHA CONTROL

FECHA CONTROL

FECHA CONTROL

FECHA CONTROL

FECHA CONTROL

MONITOREO DE GESTANTES EN LA JURISDICCION DE LA RED DE SALUD CHURCAMPA

COMPLICACIONES

LUGAR REFERENCIA OBSERVACIONES

PARTO

CONDICION ACTUAL (con seguimiento o cambió residencia)

MONITOREO DE PARTOS EN LA JURISDICCION DE LA RED DE SALUD CHURCAMPA

MICRORRED

Nº ESTABLECIMIENTO N° H.C. o FF APELLIDOS Y NOMBRES DE LA GESTANTE

1 PS SM ARMA 723 ESCOBAR MACHUCA CIRILA 28 QUIQLLO 02 PS SM ARMA 1894 HUARCAYA PACHECO SONIA 19 QUIQLLO 03 PS SM ARMA 1129 ARRIGUELA MONTES MARTHA 23 LAMBRASNIYOCC 04 PS SM ARMA 584 ESCOBAR SOLLER DOROTEA 33 QUIQLLO 05 PS SM ARMA 905 TAIPE MENDEZ HILDA 19 QUIQLLO 06 PS SM ARMA 77 ESCOBAR QUISPE HILDA NORMA 21 QUIQLLO 07 PS SM ARMA 1313 ERAZO PACHECO ROSA 21 BUENOS AIRES 08 PS SM ARMA 892 DE LA CRUZ MENDEZ ALICIA 20 ARMA 09 PS SM ARMA 910 QUISPE CHABARREA ANTONIA 24 LAMBRASNIYOCC 0

10 PS SM ARMA 1246 MALLQUI TAIPE ROZABET 19 QUIQLLO 011 PS SM ARMA 381 FUNDIA MENDEZ CRISTINA 35 QUIQLLO 012 PS SM ARMA 789 HUARCAYA ARRIGUELA VICTORIA 35 LAMBRASNIYOCC 013 PS SM ARMA 486 FUNDIA ARRIGUELA VILMA JUANA 35 LAMBRASNIYOCC 014 PS SM ARMA 408 HUMANI DE GARCIA LUCILA 35 ARMA 015 PS SM ARMA 115 SOTO DE QUISPE MODESTA 38 ARMA 016 PS SM ARMA 48 GARCIA GAVILAN ISABEL 38 BUENOS AIRES 017 PS SM ARMA 554 SILVESTRE MUÑOZ ROSA 26 BUENOS AIRES 018 PS SM ARMA 710 DE LA CRUZ ABREGU EUDOCIA 24 ARMA 019 0 0 0 0 0 020 0 0 0 0 0 021 0 0 0 0 0 022 0 0 0 0 0 0

EDAD

(años)

RESIDENCIA HABITUAL (Comunidad, -centro

poblado,etc)

OTRO LUGAR DE RESIDENCIA (esporádica)(estancias,etc)

'IMPORTANTE!VER LA LEYENDA'IMPORTANTE!

VER LA LEYENDA

23 0 0 0 0 0 024 0 0 0 0 0 025 0 0 0 0 0 026 0 0 0 0 0 027 0 0 0 0 0 028 0 0 0 0 0 029 0 0 0 0 0 030 0 0 0 0 0 031 0 0 0 0 0 032 0 0 0 0 0 033 0 0 0 0 0 034 0 0 0 0 0 035 0 0 0 0 0 036 0 0 0 0 0 037 0 0 0 0 0 038 0 0 0 0 0 039 0 0 0 0 0 040 0 0 0 0 0 041 0 0 0 0 0 042 0 0 0 0 0 043 0 0 0 0 0 044 0 0 0 0 0 045 0 0 0 0 0 046 0 0 0 0 0 047 0 0 0 0 0 048 0 0 0 0 0 049 0 0 0 0 0 050 0 0 0 0 0 051 0 0 0 0 0 052 0 0 0 0 0 053 0 0 0 0 0 054 0 0 0 0 0 055 0 0 0 0 0 056 0 0 0 0 0 057 0 0 0 0 0 0

58 0 0 0 0 0 059 0 0 0 0 0 060 0 0 0 0 0 061 0 0 0 0 0 062 0 0 0 0 0 063 0 0 0 0 0 064 0 0 0 0 0 065 0 0 0 0 0 066 0 0 0 0 0 067 0 0 0 0 0 068 0 0 0 0 0 069 0 0 0 0 0 070 0 0 0 0 0 071 0 0 0 0 0 072 0 0 0 0 0 073 0 0 0 0 0 074 0 0 0 0 0 075 0 0 0 0 0 076 0 0 0 0 0 077 0 0 0 0 0 078 0 0 0 0 0 079 0 0 0 0 0 080 0 0 0 0 0 081 0 0 0 0 0 082 0 0 0 0 0 083 0 0 0 0 0 084 0 0 0 0 0 085 0 0 0 0 0 086 0 0 0 0 0 087 0 0 0 0 0 088 0 0 0 0 0 089 0 0 0 0 0 090 0 0 0 0 0 091 0 0 0 0 0 092 0 0 0 0 0 0

93 0 0 0 0 0 094 0 0 0 0 0 095 0 0 0 0 0 096 0 0 0 0 0 097 0 0 0 0 0 098 0 0 0 0 0 099 0 0 0 0 0 0

100 0 0 0 0 0 0101 0 0 0 0 0 0102 0 0 0 0 0 0103 0 0 0 0 0 0104 0 0 0 0 0 0105 0 0 0 0 0 0106 0 0 0 0 0 0107 0 0 0 0 0 0108 0 0 0 0 0 0109 0 0 0 0 0 0110 0 0 0 0 0 0111 0 0 0 0 0 0112 0 0 0 0 0 0113 0 0 0 0 0 0114 0 0 0 0 0 0115 0 0 0 0 0 0116 0 0 0 0 0 0117 0 0 0 0 0 0118 0 0 0 0 0 0119 0 0 0 0 0 0120 0 0 0 0 0 0121 0 0 0 0 0 0122 0 0 0 0 0 0123 0 0 0 0 0 0124 0 0 0 0 0 0125 0 0 0 0 0 0126 0 0 0 0 0 0127 0 0 0 0 0 0

128 0 0 0 0 0 0129 0 0 0 0 0 0130 0 0 0 0 0 0131 0 0 0 0 0 0132 0 0 0 0 0 0133 0 0 0 0 0 0134 0 0 0 0 0 0135 0 0 0 0 0 0136 0 0 0 0 0 0137 0 0 0 0 0 0138 0 0 0 0 0 0139 0 0 0 0 0 0140 0 0 0 0 0 0141 0 0 0 0 0 0142 0 0 0 0 0 0143 0 0 0 0 0 0144 0 0 0 0 0 0145 0 0 0 0 0 0146 0 0 0 0 0 0147 0 0 0 0 0 0148 0 0 0 0 0 0149 0 0 0 0 0 0150 0 0 0 0 0 0151 0 0 0 0 0 0152 0 0 0 0 0 0153 0 0 0 0 0 0154 0 0 0 0 0 0155 0 0 0 0 0 0156 0 0 0 0 0 0157 0 0 0 0 0 0158 0 0 0 0 0 0159 0 0 0 0 0 0160 0 0 0 0 0 0161 0 0 0 0 0 0162 0 0 0 0 0 0

163 0 0 0 0 0 0164 0 0 0 0 0 0165 0 0 0 0 0 0166 0 0 0 0 0 0167 0 0 0 0 0 0168 0 0 0 0 0 0169 0 0 0 0 0 0170 0 0 0 0 0 0171 0 0 0 0 0 0172 0 0 0 0 0 0173 0 0 0 0 0 0174 0 0 0 0 0 0175 0 0 0 0 0 0176 0 0 0 0 0 0177 0 0 0 0 0 0178 0 0 0 0 0 0179 0 0 0 0 0 0180 0 0 0 0 0 0181 0 0 0 0 0 0182 0 0 0 0 0 0183 0 0 0 0 0 0184 0 0 0 0 0 0185 0 0 0 0 0 0186 0 0 0 0 0 0187 0 0 0 0 0 0188 0 0 0 0 0 0189 0 0 0 0 0 0194 0 0 0 0 0 0195 0 0 0 0 0 0196 0 0 0 0 0 0197 0 0 0 0 0 0198 0 0 0 0 0 0199 0 0 0 0 0 0200 0 0 0 0 0 0201 0 0 0 0 0 0

202 0 0 0 0 0 0203 0 0 0 0 0 0204 0 0 0 0 0 0205 0 0 0 0 0 0206 0 0 0 0 0 0207 0 0 0 0 0 0208 0 0 0 0 0 0209 0 0 0 0 0 0210 0 0 0 0 0 0211 0 0 0 0 0 0212 0 0 0 0 0 0213 0 0 0 0 0 0214 0 0 0 0 0 0215 0 0 0 0 0 0216 0 0 0 0 0 0217 0 0 0 0 0 0218 0 0 0 0 0 0219 0 0 0 0 0 0220 0 0 0 0 0 0221 0 0 0 0 0 0222 0 0 0 0 0 0223 0 0 0 0 0 0224 0 0 0 0 0 0225 0 0 0 0 0 0226 0 0 0 0 0 0227 0 0 0 0 0 0228 0 0 0 0 0 0229 0 0 0 0 0 0230 0 0 0 0 0 0231 0 0 0 0 0 0232 0 0 0 0 0 0233 0 0 0 0 0 0234 0 0 0 0 0 0235 0 0 0 0 0 0236 0 0 0 0 0 0

237 0 0 0 0 0 0238 0 0 0 0 0 0239 0 0 0 0 0 0240 0 0 0 0 0 0241 0 0 0 0 0 0242 0 0 0 0 0 0243 0 0 0 0 0 0244 0 0 0 0 0 0245 0 0 0 0 0 0246 0 0 0 0 0 0247 0 0 0 0 0 0248 0 0 0 0 0 0249 0 0 0 0 0 0250 0 0 0 0 0 0251 0 0 0 0 0 0252 0 0 0 0 0 0253 0 0 0 0 0 0254 0 0 0 0 0 0255 0 0 0 0 0 0256 0 0 0 0 0 0257 0 0 0 0 0 0258 0 0 0 0 0 0259 0 0 0 0 0 0260 0 0 0 0 0 0261 0 0 0 0 0 0262 0 0 0 0 0 0263 0 0 0 0 0 0264 0 0 0 0 0 0265 0 0 0 0 0 0266 0 0 0 0 0 0267 0 0 0 0 0 0268 0 0 0 0 0 0269 0 0 0 0 0 0270 0 0 0 0 0 0271 0 0 0 0 0 0

272 0 0 0 0 0 0273 0 0 0 0 0 0274 0 0 0 0 0 0275 0 0 0 0 0 0276 0 0 0 0 0 0277 0 0 0 0 0 0278 0 0 0 0 0 0279 0 0 0 0 0 0280 0 0 0 0 0 0281 0 0 0 0 0 0282 0 0 0 0 0 0283 0 0 0 0 0 0284 0 0 0 0 0 0285 0 0 0 0 0 0286 0 0 0 0 0 0287 0 0 0 0 0 0288 0 0 0 0 0 0289 0 0 0 0 0 0290 0 0 0 0 0 0291 0 0 0 0 0 0292 0 0 0 0 0 0293 0 0 0 0 0 0294 0 0 0 0 0 0295 0 0 0 0 0 0296 0 0 0 0 0 0297 0 0 0 0 0 0298 0 0 0 0 0 0299 0 0 0 0 0 0300 0 0 0 0 0 0301 0 0 0 0 0 0302 0 0 0 0 0 0303 0 0 0 0 0 0304 0 0 0 0 0 0305 0 0 0 0 0 0306 0 0 0 0 0 0

307 0 0 0 0 0 0308 0 0 0 0 0 0309 0 0 0 0 0 0310 0 0 0 0 0 0311 0 0 0 0 0 0312 0 0 0 0 0 0313 0 0 0 0 0 0314 0 0 0 0 0 0315 0 0 0 0 0 0316 0 0 0 0 0 0317 0 0 0 0 0 0318 0 0 0 0 0 0319 0 0 0 0 0 0320 0 0 0 0 0 0321 0 0 0 0 0 0322 0 0 0 0 0 0323 0 0 0 0 0 0324 0 0 0 0 0 0325 0 0 0 0 0 0326 0 0 0 0 0 0327 0 0 0 0 0 0328 0 0 0 0 0 0329 0 0 0 0 0 0330 0 0 0 0 0 0331 0 0 0 0 0 0332 0 0 0 0 0 0333 0 0 0 0 0 0334 0 0 0 0 0 0335 0 0 0 0 0 0336 0 0 0 0 0 0337 0 0 0 0 0 0338 0 0 0 0 0 0339 0 0 0 0 0 0340 0 0 0 0 0 0341 0 0 0 0 0 0

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727 0 0 0 0 0 0728 0 0 0 0 0 0729 0 0 0 0 0 0730 0 0 0 0 0 0731 0 0 0 0 0 0732 0 0 0 0 0 0733 0 0 0 0 0 0

MONITOREO DE PARTOS EN LA JURISDICCION DE LA RED DE SALUD CHURCAMPA2011 POST PARTO

PARTO POST PARTO

0 G5P4004 40749 4/30/2012 5/5/2012 I P.S.ARMA OBST ISELA 5/12/2012 5/19/20120 G1P0000 40737 4/18/2012 3/27/2012 i MEC OLGA 3/4/2012 3/11/20120 G2P1001 40783 6/3/2012 5/11/2012 I HOS HUANTA HOS HUANTA 5/18/2012 5/25/20120 G7P6006 40756 5/7/2012 5/3/2012 i P.S ARMA OBST ISELA 5/10/2012 5/17/20120 G3P2002 40879 9/7/20120 G1P0000 40770 5/21/2012 REF PAUCARBA,BA0 G2P1001 40836 7/26/2012 REF HYO.0 G0P0000 40725 4/6/2012 4/1/2012 (I) PS.SMA MEC OLGA 4/1/2012 4/9/20120 G4P3003 40763 5/14/2012 4/28/2012 I PS.SMA OBST ISELA 4/5/2012 4/12/20120 G3P2002 40866 8/25/2012 3/8/2012 (I) PS.SMA MEC OLGA 3/8/2012 3/15/20120 G5P4004 40892 9/20/20120 G5P4004 40841 7/31/20120 G3P2002 40862 8/21/20120 G5P4004 40756 5/7/2012 5/7/2012 I OBST ISELA 5/14/2012 5/21/20120 G9P8008 40918 10/16/20120 G6P5005 40932 10/30/20120 G2P1001 40998 1/4/20130 G3P2002 41010 1/16/20130 0 00 0 00 0 00 0 0

N° TELEFONO/CEL.

MOVISTAR o CLARO Ejm

M988765422 C967443322

FORMULA OBST G:

P:

FUR (dd/mm/aa)

FPP (dd/mm/aa)

FECHA (dd/mm/aa)

INSTITUCIONAL ó DOMICILIARI (I)

ó (D)

LUGAR CS XXXXXX PS

YYYYYY Comunidad

ATENDIDO POR: MED-OBST-ENF-TEC-FAM-OTRO

1 °Control (fecha)

2 °Control (fecha)

0 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 0

0 0 00 0 00 0 00 0 00 0 00 0 00 0 0

MONITOREO DE PARTOS EN LA JURISDICCION DE LA RED DE SALUD CHURCAMPAPOST PARTO

PUERPERIORECIEN NACIDO

COMPLICACIONES RECIEN NACIDO COMPLICACIONES

LUGAR REFERENCIA

5/5/2012 5/22/2012 5/12/2012 5/23/20123/27/2012 3/15/2012 4/4/2012 4/11/20125/11/2012 5/28/2012

5/3/2012 5/19/2012 5/10/2012 5/17/2012

4/1/2012 4/12/2012 4/1/2012 4/9/20124/5/2012 4/15/2012 5/5/2012 4/12/20123/8/2012 3/18/2012 3/8/2012 3/15/2012

5/7/2012 5/23/2012 5/14/2012 5/21/2012

REFERIDA POR (Indicar causa)

LUGAR REFERENCIA

SITUACION ACTUAL Curada HospitalizFallecida

VIT "A" FECHA

(dd/mm/aa)

2° VISITA DOM (dd/mm/aa)

1ER CONTROL 7º dia (fecha) (dd/mm/aa)

2do control RN 15 dia (fecha) (dd/mm/aa)

REFERIDA POR (Indicar causa)

SITUACION ACTUAL

Curada HospitalizFallecida

OBSERVACIONES

1/22/2011 MES PASADO1/23/2011 SEMANA SIGUIENTE1/24/2011 SEMANA PASADA1/25/2011 ESTA SEMANA

Vigilancia Obstetrica Arma Semana 24

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