C-Section Post-Operative Follow-up Form
Patient Name
Date of Birth
Date of Follow-up
Hospital/Patient ID
Contact Number
Operative Details
Date of Surgery
Indication for C-Section
Intra/Perioperative Complications
Presenting Complaints
Complaints since discharge
General Examination
Vital Signs
General Observation
Abdominal/Wound Examination
Wound Status
Infection/Discharge
Involution of Uterus
Other Assessments
Breastfeeding Status
Exclusive
Partial
Not Breastfeeding
Lochia
Bladder/Bowel Function
Psychological Status
Infant Review
Infant General Health
Plan & Advice
Further Management/Advice
Next Follow-up Date
Reviewed By