Software for Gynecologists in India: Pregnancy Card, ANC Visits and Form F in One Case Paper

A general prescription pad records complaints, diagnosis and medicines. A gynecologist needs much more than that. In one visit you may calculate the EDD, check the blood pressure trend, see which scan is due, note a past caesarean, and decide whether the pregnancy is high risk. On paper, this information is spread across the ANC card, the case file, the sonography register and your memory.

This guide explains what a gynecology and obstetrics clinic should look for in its software, and how Doctopath's case paper handles each part.

This article is for general information only. It is not medical or legal advice. Clinical decisions, schedules and risk assessment remain with the treating doctor. Check current requirements with the National Medical Commission, your State Medical Council and your district Appropriate Authority under the PC&PNDT Act.

Why doesn't a general case paper work for obstetrics?

A pregnancy is followed over many visits, and each visit only makes sense next to the earlier ones. A general case paper treats every visit as a separate page, so the doctor has to rebuild the picture each time:

• How many weeks pregnant is she today?
• What were her weight and blood pressure at the last three visits?
• Has the anomaly scan been done, and where?
• Is there anything in her obstetric history that makes this pregnancy high risk?

Software built for obstetrics answers these questions on one screen. For more on why one generic system doesn't suit every doctor, see why one clinic software doesn't fit every specialty.

The pregnancy card

In Doctopath, a gynecology clinic sees a pregnancy card inside the patient's case paper. It holds everything about the current pregnancy.

EDD and gestational age

Enter the date of the last menstrual period (LMP) and the card shows the expected date of delivery (EDD) and the current gestational age in weeks and days. When an early ultrasound gives a different date, you can record the EDD by USG as well, so both are visible. For a quick estimate outside the case paper, try the free pregnancy due date calculator.

ANC visit table

Each antenatal visit records weight, blood pressure, fundal height, fetal heart rate and haemoglobin. The card shows the last three visits side by side, with trend charts, so a rising blood pressure or falling haemoglobin is easy to spot. Values outside the usual range are highlighted.

Test and scan schedule

The card lists the routine tests and scans for each stage of pregnancy, with the window in which each one is due. For every item you can record the date and whether it was done at your clinic or outside, or mark it as not needed. When a patient brings reports from another hospital, you can mark several items as done outside at once.

High-risk flags

Risk factors such as previous caesarean section, hypertension, diabetes, anaemia or multiple pregnancy can be flagged on the card. Some flags are suggested automatically from the obstetric history, for example after a previous LSCS, a stillbirth or two or more losses. High-risk pregnancies then appear in their own list.

Obstetric history and G P L A

Earlier pregnancies are entered once in the patient's history, with the year, outcome, place and details of each baby. Gravida, para, living and abortion counts are worked out from these records, so you don't have to calculate them by hand at every visit.

Delivery and postnatal care

After delivery, the card records the outcome and each baby's details. The postnatal section tracks breastfeeding, contraception advice and the postnatal check-ups at 24 hours, day 3, week 2 and week 6.

Pregnancy register

A busy obstetric practice needs to see all its pregnant patients, not just the one in front of the doctor. The pregnancy register lists them in tabs:

• Active: all ongoing pregnancies
• Due in 30 days: patients whose EDD is near
• High risk: pregnancies with one or more risk flags
• Tests overdue: patients who have missed a test or scan window
• Postnatal: recently delivered mothers who need follow-up

This replaces the hand-written ANC register and makes it easy to call patients who have not come back on time.

Sonography reports and Form F

Clinics that perform obstetric ultrasound in India must maintain records under the PC&PNDT Act, including a Form F for each scan on a pregnant woman.

Doctopath includes a sonography report editor for 2D, 3D and 4D scans. It calculates gestational age from CRL in early pregnancy, and gestational age and estimated fetal weight from biometry later on. When a report is finalised:

• the Form F is filled from the same data, so details are not typed twice
• a Form F number is given in sequence for the branch
• the final report and Form F are locked and cannot be edited or deleted
• the scan appears in the Form F register, which prints on A4 landscape

The scan date can also update the EDD by USG and tick the matching item in the pregnancy schedule.

Form F formats and submission rules can differ between states, so verify the printed format with your Appropriate Authority before relying on it.

WhatsApp reminders for tests and screening

Missed tests are a common reason for late detection of problems. If WhatsApp messaging is set up for your clinic, Doctopath can send the patient a reminder shortly before a test window opens and again when the window is about to close. The message text can be edited for each branch.

The same reminders work for women's health screening, such as Pap smear, HPV vaccine doses, mammogram and bone density tests.

More than pregnancy care

A gynecology practice also sees women who are not pregnant. The case paper includes sections for:

• Infertility: work-up for both partners, treatment cycles, and follicle tracking with a chart of follicle size by cycle day
• Periods and PCOS: a period log, cycle-length chart, PBAC score for heavy bleeding, and a PCOS checklist based on the Rotterdam criteria
• Menopause: the Menopause Rating Scale at each visit, with somatic, psychological and urogenital scores
• Screening and vaccines: Pap smear, HPV test, HPV vaccine, mammogram and DEXA, with the next due date

Each section can be switched on or off in the case paper settings, so the screen only shows what your clinic uses.

Frequently asked questions

Can I print the ANC card for the patient?

Yes. The pregnancy details, including visits and the test schedule, can be printed with the prescription so the patient carries a copy.

What if the patient was seen at another hospital earlier in the pregnancy?

Start the pregnancy card with her LMP and record earlier tests and scans as done outside, with the date and a remark.

Does it work for a clinic with more than one doctor or branch?

Yes. Registers, Form F numbering and reminders work per branch.

Is your clinic ready to move off paper?

If your ANC register, sonography register and case files are still on paper, a single case paper can save time at every visit and reduce missed follow-ups. See what Doctopath's clinic management software includes, or contact us for a demo set up for a gynecology practice.