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					        Electronic Encyclopaedia of Perinatal Data.
               Volume I. Discussion Documents.
            Section H. Patient Information Leaflets




I – H10. Suggested Leaflet Sets
            (Both for Concertina File Covers,

                and for Refill Reminder Lists)

                           Version 45: 19 August 2008

                         Rupert Fawdry, FRCS(Ed), FRCOG

                   Consultant Obstetrician & Gynaecologist
               31, St Mary„s Way, Leighton Buzzard, LU7 2RX
               Home: 01525 37 01 37 Mobile: 07768 97 44 13
                          website: www.fawdry.info

                                         Also

                            c/o The Perinatal Institute,
                                  Crystal Court,
                           Aston Cross (off Rocky Lane),
                               Birmingham B6 5RQ
                                Tel: 0121 687 3400
                               www.perinatal.nhs.uk

   Any Comments, Corrections, Criticisms, Suggestions, or Additions
                          Very Welcome


       www.fawdry.info     EEPDPCFILES/01_ESSAYS/H_LEAFLETS/H10_Refills-45 .doc (19th Aug 2008) 11of
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                                                                                                      OCTOBER 2009
                                                    Index
Maternity
            Community Midwives – Booking Set                                              3
            Community Midwives – Pregnancy Set                                            4
            Consultant (Hospital) Ante Natal Clinics                                      5
            Screening Co-ordinator / Counsellor                                           6
            Ultrasound Department                                                         7
            Early Pregnancy Assessment                                                    8
            Late Pregnancy Assessment                                                     9
            Labour Ward                                                                  10
            Maternity Ward (Pregnancy & Birth)                                           11
            Maternity Ward (Post-Natal & Baby)                                           12
            SCBU                                                                         13
            Consultant Clinic in the Community                                           14

Gynaecology

            Gynaecology Out-Patients (Non-Surgical)                                      15
            Gynaecology Outpatients (Surgical)                                           16
            Fertility Clinic                                                             17
            Colposcopy Clinic                                                            18
            Uro-Gynaecology Clinic                                                       19
            Day Unit Gynaecology                                                         20
            Gynaecology Ward                                                             21

Private Practice

            Private Clinic Rooms                                                         22
            Private Hospital Ward                                                        23

Primary Health Care

            General Practitioner or Practice Nurse                                       24

The following pages suggest which leaflets will be appropriate for each department.
Once they have been modified to match your own needs, you may find these lists useful:

A   To keep track of what particular set of leaflets you decided would be likely to be useful in which different
    departments or wards.
B   To work out how many originals for photocopying of each leaflet you are likely to need to create so
    that each department has its own set of such photocopy originals.
C   As a list to be stuck on the outside of a concertina file to let people know which leaflet has been stored
    in which partition.
D   Copies can be kept in the last space, to be filled in by the user when some leaflets have nearly run out
    so that they can make arrangements for refills
Not all the leaflets listed are yet available as part of the Prescribable Leaflet Collection. Some suggest
standard national forms which it would be useful to keep in the same folders (e.g. Mole Registration
Forms, Blue Termination of Pregnancy Forms etc.) Others have been left as reminders of leaflets which
have not yet been created as part of the Prescribable Leaflet initiative but which you might think are
important to have make available, and which you may be able to get from other sources.(e.g. Fertility
Proformas, Vasectomy leaflet, Endometriosis Leaflet, Pelvic Inflammatory Disease Leaflet etc)

You will unfortunately find it necessary to make regular revisions, hence the essential need for the date at the
top of each page



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                                                                                                          OCTOBER 2009


           Community Midwives “First Assessment”
                                                 Refill Reminder

1    Welcome to AnteNatal Care                                16
2    Notification of Need for Maternity Care                  17
3    Initial Assessment Summary                               18
4    Serum Screening Tests                                    19
5                                                             20
6                                                             21
7                                                             22
8                                                             23
9                                                             24
10                                                            25
11                                                            26
12                                                            27
13                                                            28
14                                                            29        C, not C – Intro           C not C – Law
15                                                            30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                 (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.




                                    www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 3   of 28
                                                                                                          OCTOBER 2009

                   Community Midwives “Pregnancy”
                                                 Refill Reminder

1    Anaesthetic Alert              Baby Alert                16        After a Caesarean: Vaginal or C/S
2    Care Alert                     Hazard Alert              17        Awake or Asleep for Caesarean
3    Pharmacy Alert                 Teardrop Alert            18        Planned (Elective) Caesarean Section
4    Strep-B Stickers and Leaflet                             19        Sterilisation at the time of Caesarean
5                                                             20        Lap Steri (Post Part)              Mini-Lap Steri
6    Planned Amniocentesis                                    21        Mirena instead              Vasectomy instead
7    Miscarriage           Hidden Miscarriage                 22        Strengthening the Pelvic Floor
8    Hydatidiform Mole                                        23        Physio – PN                        Physio – C/S
9    Pre-Eclampsia           Low Dose Aspirin                 24        [Going Home with Baby (Breast)]
10 Pubic Symphysis Pain Back Pain                             25        [Going Home with Baby (Bottle)]
11 Placenta Praevia                                           26        Hip Problems (CDH)                 BCG
12 Breech                                                     27        Vitamin K
13 Home or Hospital Birth                                     28        Breathing Problems                 Jaundice
14 Induction of Labour                                        29        C, not C – Intro           C not C – Law
15 Epidural for your Labour                                   30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                 (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere
                                    www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 4   of 28
                                                                                                          OCTOBER 2009

                           Consultant Ante-Natal Clinic
                                                 Refill Reminder

1    Initial Assessment Summary                               16        Laparotomy
2    Past Pregnancy Enquiry Letter                            17        [Possibly Small Baby]
3    Baby ALERT             Anaesthetic ALERT                 18        After a C/S: Vaginal or C/S (VBAC)
4    Medical Referral Haematology Referral 19                           Home, or Hospital Birth
5    Letters: Consultant to GP. DNA to GP 20                            Checking Baby Ante-natally
6    Serum Screening Tests                                    21        Breech                       Placenta Praevia
7    Amniocentesis                                            22        Induction of Labour Hosp Prescription
8                                                             23        Epidural for your Labour
9    Pre-Eclampsia                  Aspirin                   24        Awake or Asleep for a Caesarean
10 Miscarriage                      Cervical Stitch           25        Planned (Elective) Caesarean
11 Toxoplasmosis                                              26        Sterilisation at C/S               Mini-Lap Steri
12 [Diabetes and Pregnancy]                                   27        Lap Sterilisation (Post Partum)
13 Hydatidiform Mole                                          28        Mirena instead Vasectomy instead
14 Pubic Symphysis Pain                  Back Pain            29        C, not C – Intro           C not C – Law
15 Ovarian Cysts                    Fibroids                  30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                 (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.


                                    www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 5   of 28
                                                                                                         OCTOBER 2009

                  Screening Co-Ordinator/Counsellor
                                                Refill Reminder

1    Welcome to AnteNatal Care                               16        Miscarriage
2                                                            17        Hydatidiform Mole
3    Serum Screening Tests                                   18        Mole Registration Form
4                                                            19        Fibroids
5    Spina Bifida Test: Positive                             20        Ovarian Cysts
6    Down„s Test: Increased Risk                             21
7    Amniocentesis                                           22
8    Amniocentesis Request Form                              23
9    Chorion Villus Biopsy                                   24
10                                                           25
11                                                           26
12 Pregnancy End for Fetal Abnormality                       27
13                                                           28        Countries, not Cars - Law
14                                                           29        Countries, Not Cars – Intro
15 BABY Alert                                                30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere


                                   www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 6   of 28
                                                                                                          OCTOBER 2009

                                 Ultrasound Department
                                                 Refill Reminder

1    Scans in Pregnancy                                       16        Baby ALERT
2    Healthy Early Pregnancy                                  17
3    Empty Uterus. Slight Ectopic Risk                        18        Threatened Miscarriage
4    Spina Bifida Blood Test: Increased Risk 19                         Missed Abortion (“Hidden Miscarriage”)
5    Downs Blood Test: Increased Risk                         20        Miscarriage
6    Planned Amniocentesis                                    21        Cervical Stitch
7    Amniocentesis Request Form                               22        Hydatidiform Mole Mole Registration
8    [Early TOP for Fetal Abnormality]                        23        [Small Baby]
9                                                             24        Ovarian Cysts
10 Choroid Plexus Cysts                                       25        Fibroids
11 Ureteric Dilatation                                        26        Breech
12 Cardiac Golf Balls                                         27
13 Echogenic Gut                                              28        Placenta Praevia
14 Nuchal Thickness                                           29        C, not C – Intro C not C – Law
15 Pregnancy End for Fetal Abnormality                        30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                 (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.


                                    www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 7   of 28
                                                                                                          OCTOBER 2009

                    Early Pregnancy Assessment Unit
                                                 Refill Reminder

1    Welcome to AnteNatal Care                                16        SCANTY CURRETINGS AT ERPC
2                                                             17        ERPC. Ectopic? Letter to GP
3    Serum Screening Tests                                    18        ERPC. Ectopic? Patient Information
4    Too Early. Letter to GP                                  19        ERPC. Ectopic? Memo to Consultant
5    Healthy Pregnancy.                                       20        ERPC. Ectopic? Memo to Histopath
6    .                                                        21        Open Letter to GP
7    Empty Womb. Ectopic? Patient Info.                       22        Open Letter
8    Empty Womb. Ectopic? Letter to GP                        23        Open Memo
9    Threatened Miscarriage. Patient Info                     24        Ovarian Cysts
10 Threatened Miscarriage. Letter to GP.                      25        Fibroids
11                                                            26        Hydatidiform Mole Registration Form
12 Miscarriage/ERPC. Patient Information                      27        [Early TOP/D&C for Fetal Abnormality]
13 Miscarriage/ERPC. Letter to GP                             28        Pregnancy End for Fetal Abnormality
14 Miscarriage/ERPC. Memo to Scan Dept 29                               C, not C – Intro                   C, not C - Law
15 Missed Abortion (Hidden Miscarriage)                       30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                 (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.




                                    www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 8   of 28
                                                                                                          OCTOBER 2009

                     Late Pregnancy Assessment Unit
                                                 Refill Reminder

1    Welcome to Ante Natal Care in MK                         16
2                                                             17        Awake or Asleep for Caesarean
3    Pre-Eclampsia                                            18        Planned (Elective) Caesarean Section
4    Placenta Praevia                                         19        Sterilisation at the time of Caesarean
5                                                             20        Mini-Lap Sterilisation
6    Breech                                                   21        Lap Sterilisation (Post Partum)
7    Cervical Stitch                                          22
8                                                             23
9    Checking Baby„s Heart in Pregnancy                       24
10 [Small Baby]                                               25
11                                                            26
12                                                            27
13 Induction of Labour                                        28        Countries, not Cars - Law
14 Epidural for Labour                                        29        Countries, Not Cars – Intro
15                                                            30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                 (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere


                                    www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 9   of 28
                                                                                                         OCTOBER 2009
.

                                              Labour Ward
                                                 Refill Reminder

1    Induction of Labour                                     16        Consent/Request Form
2    Epidural for your Labour                                17        Consent Form, using Leaflet
3    After a Caesarean: Vaginal or C/S                       18        Awake or Asleep for Caesarean
4    Cervical Stitch                                         19        Planned (Elective) Caesarean Section
5    Breech                                                  20        Emergency Caesarean
6    Pre-Eclampsia                                           21        Sterilisation at the time of Caesarean
7    Eclampsia                                               22        Lap Sterilisation (Post Partum)
8    Stillbirth following Abruptio                           23        [Late Miscarriage Check List]
9    HELLP Syndrome                                          24        Stillbirth Checklist
10 Placenta Praevia                                          25        Post Mortem Consent
11 Rupture of Membranes without Labour                       26        SANDS Society The Next Pregnancy
12 Checking Baby‟s Heart in Pregnancy                        27        Cremation
13 Checking Baby in Labour                                   28        C not C – Law
14 Perineal Care                                             29        C, not C – Intro
15 Grade 3 Tear                                              30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.


                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 10   of 28
                                                                                                         OCTOBER 2009

                   Maternity Ward (Pregnancy & Birth)
                                                 Refill Reminder

Name of Ward:

1    Welcome to MK Ante Natal Care                           16
2    Choices for Maternity Care                              17        Consent/Request Form
3    Pre-Eclampsia                                           18        Consent Form using Leaflet
4    Low Dose Aspirin                                        19        Laparotomy
5    Cervical Stitch                                         20
6    Pubic Symphysis Pain                                    21        Induction of Labour
7                                                            22        Epidural for your Labour
8    Home or Hospital Birth                                  23        Awake or Asleep for Caesarean
9    With C/S Scar: Vaginal or Caesarean                     24        Planned Caesarean
10                                                           25        Emergency Caesarean
11 Checking Baby„s Heart in Pregnancy                        26
12 Breech                                                    27        Sterilisation at the time of Caesarean
13 APH and Placenta Praevia                                  28        Mini-Lap Sterilisation
14 Stiillbirth following Abruptio                            29        Laparoscopic Sterilisation
15 HELLP Syndrome                                            30
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.


                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 11   of 28
                                                                                                         OCTOBER 2009

                    Maternity Ward (Postnatal & Baby)
                                                 Refill Reminder

Name of Ward:

1    Perineal Care                                           16
2    Strengthening the Pelvic Floor                          17        Vitamin K
3    Post Natal Physiotherapy                                18        Vitamin K by mouth
4    Physiotherapy after a Caesarean                         19
5                                                            20        Breathing Problems
6    Grade 3 or 4 Tears                                      21        Jaundice
7                                                            22
8                                                            23        BCG for the Baby
9                                                            24        Hepatitis B Vaccination
10                                                           25
11                                                           26        Possible Hip Problems
12                                                           27        Possible Hearing Problems
13    [Going Home with Baby (Breast)]                        28        C not C – Law
14    [Going Home with Baby (Bottle)]                        29        C, not C – Intro
15    Keeping Baby Cool                                      30         Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.


                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 12   of 28
                                                                                                         OCTOBER 2009

                                         Neonatal / SCBU
                                                 Refill Reminder

1    [Going Home with Baby (Breast)]                         16        Consent/Request Form
2    [Going Home with Baby (Bottle)]                         17        Consent Form using Leaflet
3                                                            18
4    Vitamin K                                               19
5    Vitamin K by Mouth                                      20
6    Breathing Problems                                      21        SANDS Society
7    Jaundice                                                22        Consent for Post Mortem
8                                                            23        Cremation
9    BCG for the Baby                                        24        The Next Pregnancy
10 Hepatitis B Vaccination                                   25
11                                                           26
12 Possible Hip Problems                                     27
13 Possible Hearing Problems                                 28        C not C – Law
14                                                           29        C not C – Intro
15                                                           30        Confidential Statement of Concern,
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.


                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 13   of 28
                                                                                                      OCTOBER 2009

                  Consultant A/N Clinic In Community
                   (Black bag, with transparent polythene envelopes for leaflets)

A    INTRODUCTION
A1   Shared Care Guidelines
B    ALERTS
B1   BABY Alert                                            B2       CARE Alert
B3   PHARMACY Alert                                        B4       ANEASTHESIA Alert
C    LETTERS and REFERALS
C1 Medical Referral                                        C2       Anaesthesia Referal
C3 Haematology Referral                                    C4       Past Pregnancy Enquiry Letter
C5 DNA Letter to GP                                        C6       Cons to GP Letter
C7 Physiotherapy Request Form                              C8       Social Services Referal
D    SCREENING & SCANS
D1 Fetal Development Pictures                              D2       Serum Screening
D3 Amniocentesis                                           D4       Hydatidiform Mole
D5 Fibroids                                                D6       Ovarian Cysts
D7 Miscarriage                                             D8       Missed Abortion (Hidden Miscarriage)
E    PREGNANCY
E1   Pubic Pain                                            E2       Pre-Eclampsia
E3   Cervical Stitch                                       E4       Laparotomy
E5   Back Pain in Pregnancy                                E6       Itching in Pregnancy
F    PLANS FOR BIRTH & POSTNATAL
F1   Home, or Hospital Birth                               F2       After Caesarean: Vaginal or C/S
F3   Breech Options                                        F4       Epidural for your Labour
F5   Planned (Elective) Caesarean Section                  F6       Awake or Asleep for Caesarean
F7   Sterilisation at the time of Caesarean                F8       Mini-Lap Sterilisation
F9   Lap Sterilisation (Post Partum)                     F10        Vasectomy
G    BIRTH
G1 Induction of Labour                                    G2        Hospital Prescriptions
H    MISCELLANEOUS
H1 Countries, Not Cars – Intro                             H2       Countries, Not Cars - When things go wrong
H3 Prescribing the Leaflet                                 H4       Audit: C/S or Vaginal
H5 Pelvimetry Statement                                    H6       Routine Iron
H7 Confidential Statement of Concern                      H8        Refill Need
Prescribing in Pregnancy RS Ledward Baypharm
Prescribing in Pregnancy Peter Rubin BMJ
Medical Problems in Pregnancy
Effective Care in Pregnancy and Childbirth

                               www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 14   of 28
                                                                                                         OCTOBER 2009

             Gynaecology Outpatients (Non Surgical)
                                                 Refill Reminder
Name of Clinic/Room:


1    Gynaecology Outpatient Proformas                        16        Pelvic Inflammatory Disease
2    Helping in a Gyn OPD Continuations                      17        Miscarriage
3    Proforma Letter to GP                                   18        Chromosome Request Forms
4    OPD Coding Forms               Presentems               19        Hydatidiform Mole Registration Docs
5    Steps                          Steps in Full            20        Vulval Dystrophy                    Ring Pessary
6    B.C.Pills                                               21        Weight Control
7    Fibroids                       Ovarian Cysts            22        PMT Recommend PMT Rational
8    Bladder Questionnaire Record                            23        PMT Charts                 [PMT Treatments]
9    Pelvic Floor Exercises Urodynamics                      24        Endometriosis                       PCO
10 True Stress Incontinence                                  25        HRT Choices                         HRT Drugs
11 Irritable Bladder                Drugs                    26        Fertility Problems                  Semen Test
12 Femassist (for Stress Incontinence)                       27        Lifestyle – Female                  - Male
13 Vaginal Dilators                                          28        C. not C - Hormones
14 Cystitis                         Thrush                   29        C not C – Law                       C or C Educ
15 Irritable Bowel                  Jungle                   30        C, not C – Intro
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.

                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 15   of 28
                                                                                                         OCTOBER 2009

               Gynaecology Outpatients (Operations)
                                                 Refill Reminder
Name of Clinic:

1    TCI Forms                                               16        Lap Steri                           Risks
2    Waiting List Leaflet           Driving                  17        Vasectomy instead                   Mirena instead
3    Standard Consent                                        18        Reversal of Sterilisation
4    Consent using Leaflet                                   19        Diagnostic Laparoscopy
5    Day Bed Unit Instructions                               20        Laparotomy                          Myomectomy
6    Day Bed Unit Admission Letter                           21        Endometrial Thermal Ablation
7    Hospital Admission Letter                               22        Hysterectomy
8    Cervical "Erosion"                                      23        Hysterectomy Choices
9    D & C / Hysteroscopy                                    24        Vaginal Repair                  Colposuspension
10 Bartolin„s Cyst or Abscess                                25        No Ovaries
11 T.O.P. Medical                   Surgical                 26        Stamey                              T.V.T.
12 Late Abortion            Blue „Abortion„ Forms            27        GP Letters - Suggestions
13 Fentons                                                   28        Old and New Medicine
14 Colposcopy after Positive Smear                           29        Gynaecology Diagrams
15 Cone Biopsy                                               30        Confidential Statement of Concern
                                                                       Prescribing the Leaflet
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.
                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 16   of 28
                                                                                                         OCTOBER 2009

                                       Colposcopy Clinic
                                                 Refill Reminder
Name of Clinic/Room:


1    Continuation Sheets                                     16        Pelvic Inflammatory Disease
2    Letter to GP                                            17        Miscarriage
3    Gynaecology Outpatient Proformas                        18        Cystitis
4    OPD Coding Forms                                        19        Thrush
5    [Your Positive Smear]                                   20
6    Ovarian Cysts                                           21
7    Fibroids                                                22        PMT Recommendations
8                                                            23        PMT Charts
9    Diagnostic Laparoscopy                                  24        PMT Rational Approach
10 Cone Biopsy                                               25
11 Hysterectomy                                              26
12                                                           27
13                                                           28        Countries , Nor Car- Law
14                                                           29        Countries, Not Cars – Intro
15                                                           30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.

                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 17   of 28
                                                                                                         OCTOBER 2009

                                             Fertility Clinic
                                                 Refill Reminder
Name of Clinic/Room:


1    Continuation Sheets                                     16        Pelvic Inflammatory Disease
2    Letter to GP                                            17        Miscarriage
3    Gynaecology Outpatient Proformas                        18        Chromosome Request Forms
4    OPD Coding Forms                                        19        Cervical Stitch
5    [Fertility]                                             20        Weight Control
6    [IVF]                                                   21
7    D &C - Hysteroscopy                                     22        C or C, Hormones
8    Diagnostic Laparoscopy                                  23        [Endometriosis]
9    [Myomectomy]                                            24        [PCO]
10 Hysterectomy                                              25
11 Hysterectomy Choices                                      26        Temperature Charts
12 Ovarian Cysts                                             27        Semen Testing
13 Fibroids                                                  28
14 Cystitis                                                  29        C, not C – Intro C not C – Law
15 Thrush                                                    30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.

                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 18   of 28
                                                                                                         OCTOBER 2009

                                 Uro-Gynaecology Clinic
                                                 Refill Reminder
Name of Clinic/Room:


1    Continuation Sheets                                     16        Ring Pessary
2    Proforma Letter to GP                                   17
3    Gynaecology Outpatient Proformas                        18        Stamey Operation
4    OPD Coding Forms                                        19        Colpospension
5    Bladder Record                                          20        Vaginal Repair
6    Bladder Questionnaire                                   21
7                                                            22
8    Pelvic Floor Exercises                                  23        Weight Control
9    True Stress Incontinence                                24
10 Irritable Bladder                                         25        HRT
11 Femassist (for Stress Incontinence)                       26        HRT Drugs
12 Amiele Vaginal Dilators                                   27        C. not C - Hormones
13 Cystitis                                                  28        C not C – Law
14 Thrush                                                    29        C, not C – Intro
15 Irritable Bowel                                           30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.

                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 19   of 28
                                                                                                         OCTOBER 2009

                                  Day Unit Gynaecology
                                                 Refill Reminder

1    Welcome to the Day Unit                                 16        Miscarriage
2    General Consent                                         17        Hydatidiform Mole
3    Consent using Leaflet                                   18        Mole Registration Documents
4    Day Bed Unit Instructions                               19        Fibroids
5    Laser Fenton‟s                                          20        Ovarian Cysts
6    D & C / Hysteroscopy                                    21        Irritable Bowel
7    Bartolin„s Cyst or Abscess                              22
8    Early Abortion                                          23        Steps
9    Blue „Indication for Abortion„ Forms                    24        Steps Explained
10 Bluff Abortion Report Forms                               25        [Endometriosis]
11 Cervical “Erosion”                                        26        Endometriosis Society
12 Cone Biopsy                                               27        C, not C –.Hormones
13 Laparoscopic Sterilisation                                28        C, not C – Law
14 Diagnostic Laparoscopy                                    29        C, not C – Intro
15 Endometrial Thermal Ablation                              30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.

                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 20   of 28
                                                                                                         OCTOBER 2009




                                      Gynaecology Ward
                                                 Refill Reminder

Name of Ward:

1    General Consent                                         16        Hysterectomy
2    Consent using Leaflet                                   17        Hysterectomy Choices
3    Waiting Lists                                           18        Vaginal Repair
4    Early Abortion                                          19        Colposuspension
5    [Late Abortions]                                        20        TVT
6    Ending a Pregnancy (Fetal Abnormality) 21                         Stamey
7    Blue ‘Indication for Abortion‘ Forms                    22        Myomectomy
8    Mole.                   Mole Registration               23        Miscarriage
9    D & C/Hysteroscopy                                      24        Small Ovarian Cysts                  Fibroids
10 Bartolin„s Cyst or Abscess.                               25        Irritable Bowel. Irritable Bladder
11 Cone Biopsy                                               26        Steps Leaflet.             Steps Explained
12 Laparoscopic Sterilisation                                27        Endometriosis                            PCOS
13 Diagnostic Laparoscopy                                    28        C, not C – Hormones
14 Laparotomy                                                29        C, not C – Intro.           C, not C – Law
15 Endometrial Thermal Ablation                              30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out. More photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere..



                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 21   of 28
                                                                                                         OCTOBER 2009

                                 Private Hospital Rooms
                                                 Refill Reminder

1    General Consent                                         16        Vaginal Repair
2    Consent using Leaflet                                   17        Pelvic Floor Exercises
3    Instructions for Day Surgery                            18        True Stress Incontinence
4    D & C/Hysteroscopy                                      19        Irritable Bladder
5    Cervical Erosion                                        20        Irritable Bowel
6    Bartolin„s Cyst or Abcess                               21        [Pelvic Inflammatory Disease]
7    Cone Biopsy                                             22        Small Ovarian Cysts
8    Laparoscopic Sterilisation                              23        Fibroids
9    Diagnostic Laparoscopy                                  24        Steps Leaflet
10 Laparotomy                                                25        Steps Explained
11 Endometrial Thermal Ablation                              26        PMT Treatments
12 Hysterectomy                                              27        HRT Drugs
13 Hysterectomy Choices                                      28        C, not C – Hormones
14 Colposuspension                                           29        C not C – Law
15 Stamey                                                    30        C, not C – Intro
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.


                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 22   of 28
                                                                                                         OCTOBER 2009

                                   Private Hospital Ward
                                                 Refill Reminder

1    General Consent                                         16        Vaginal Repair
2    Consent using Leaflet                                   17        Pelvic Floor Exercises
3    Instructions for Day Surgery                            18        True Stress Incontinence
4    D & C/Hysteroscopy                                      19        Irritable Bladder
5    Cervical Erosion                                        20        Irritable Bowel
6    Bartolin„s Cyst or Abcess                               21        [Pelvic Inflammatory Disease]
7    Cone Biopsy                                             22        Small Ovarian Cysts
8    Laparoscopic Sterilisation                              23        Fibroids
9    Diagnostic Laparoscopy                                  24        Steps Leaflet
10 Laparotomy                                                25        Steps Explained
11 Endometrial Thermal Ablation                              26        PMT Treatments
12 Hysterectomy                                              27        HRT Drugs
13 Hysterectomy Choices                                      28        C, not C – Hormones
14 Colposuspension                                           29        C not C – Law
15 Stamey                                                    30        C, not C – Intro
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.


                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 23   of 28
                                                                                                         OCTOBER 2009

                  Primary Care Health Centre/Surgery
                                                 Refill Reminder

1    Steps Diagram                                           16        Early Abortion Blue „Abortion„ Form
2    Steps Explained                                         17        Cone Biopsy
3    Ovarian Cysts                  Fibroids                 18        Diag Laparoscopy                    Lap Steri
4    Positive Smear, Colposcopy                              19        Laparotomy
5    Cystitis & Thrush                                       20        Endometrial Ablation
6    Pelvic Floor                                            21        Hysterectomy             Hyst Choices
7    True Stress Incontinence                                22        No Ovaries
8    Irritable Bladder                                       23        Vaginal Repair
9    Irritable Bowel                                         24        Colposuspension                     Stamey
10 C or C - Hormones                [Endometriosis]          25        Welcome to AnteNatal Care
11 PMT Treatments                   HRT Drugs                26        A Birth in Milton Keynes
12 Vulval Dystrophy                 Ring Pessary             27        AnteNatal Serum Screening Tests
13 General Consent                                           28        Hydatidiform Mole                   Miscarriage
14 Consent using Leaflet                                     29        Home, or Hospital Birth
15 D & C                            Bartolin„s               30        C, not C – Intro C not C – Law
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 24   of 28
                                                                                                         OCTOBER 2009
                       Laparoscopy Nurse Practitioner
                                            (Non Surgical)
                                                 Refill Reminder
Name of Clinic/Room:


1    Continuation Sheets                                     16        Pelvic Inflammatory Disease
2    Proforma Letter to GP                                   17        Miscarriage
3    Gynaecology Outpatient Proformas                        18        Chromosome Request Forms
4    OPD Coding Forms                                        19        Hydatidiform Mole Registration Docs
5    Steps (Gynaecology Treatment Options) 20                          Vulval Dystrophy                    Ring Pessary
6    Steps Explained                                         21        Weight Control
7    Fibroids                       Ovarian Cysts            22        PMT Recommendations
8    Bladder Record                 Questionnaire            23        PMT Charts                 [PMT Treatments]
9    Pelvic Floor Exercises                                  24        PMT Rational Approach
10 True Stress Incontinence                                  25        [Endometriosis]                     [PCO]
11 Irritable Bladder                                         26        HRT                                 HRT Drugs
12 Femassist (for Stress Incontinence)                       27        C. not C - Hormones
13 Vaginal Dilators                                          28        Fertility Problems                  Semen Test
14 Cystitis                         Thrush                   29        C not C – Law
15 Irritable Bowel                                           30        C, not C – Intro
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.



                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 25   of 28
                                                                                                         OCTOBER 2009

       Laparoscopy Nurse Practitioner (Operations)
                                                 Refill Reminder
Name of Clinic:

1    TCI Forms                                               16        Laparoscopic Sterilisation
2    Waiting List Leaflet                                    17        [Vasectomy]                         Mirena Coil
3    Standard Consent                                        18        Diagnostic Laparoscopy
4    Consent using Leaflet                                   19        [Myomectomy]
5    Day Bed Unit Instructions                               20        Laparotomy
6    Day Bed Unit Admission Letter                           21        Endometrial Thermal Ablation
7    Hospital Admission Letter                               22        Hysterectomy
8    Cervical "Erosion"                                      23        Hysterectomy Choices
9    D & C/Hysteroscopy                                      24        Vaginal Repair
10 Bartolin„s Cyst or Abscess                                25        Colposuspension
11 S.T.O.P. (Early Abortion)                     BPAS        26        Stamey
12 Late Abortion            Blue „Abortion„ Forms            27        Trans-Vaginal Tape (T.V.T.)
13 Fentons                                                   28        Old and New Medicine
14 [Positive Smear Colposcopy]                               29        Gynaecology Diagrams
15 Cone Biopsy                                               30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 26   of 28
                                                                                                         OCTOBER 2009
                                      Nurse Assessment
                                 (Day Unit Gynaecology)
                                                 Refill Reminder

1    Welcome to the Day Unit                                 16        Miscarriage
2    General Consent                                         17
3    Consent using Leaflet                                   18
4    Day Bed Unit Instructions                               19        Fibroids
5    Laser Fenton‟s                                          20        Ovarian Cysts
6    D & C / Hysteroscopy                                    21        Irritable Bowel
7    Bartolin„s Cyst or Abscess                              22
8    Early Abortion                                          23
9                                                            24
10                                                           25        [Endometriosis]
11 Cervical “Erosion”                                        26        Endometriosis Society
12 Cone Biopsy                                               27        C, not C –.Hormones
13 Laparoscopic Sterilisation                                28        C, not C – Law
14 Diagnostic Laparoscopy                                    29        C, not C – Intro
15 Endometrial Thermal Ablation                              30        Confidential Statement of Concern
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.

                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 27   of 28
                                                                                                         OCTOBER 2009




                                                       Blank
                                                 Refill Reminder

1    Steps Diagram                                           16        Early Abortion Blue „Abortion„ Form
2    Steps Explained                                         17        Cone Biopsy
3    Ovarian Cysts                  Fibroids                 18        Diag Laparoscopy                    Lap Steri
4    Positive Smear, Colposcopy                              19        Laparotomy
5    Cystitis & Thrush                                       20        Endometrial Ablation
6    Pelvic Floor                                            21        Hysterectomy             Hyst Choices
7    True Stress Incontinence                                22        No Ovaries
8    Irritable Bladder                                       23        Vaginal Repair
9    Irritable Bowel                                         24        Colposuspension                     Stamey
10 C or C - Hormones                [Endometriosis]          25        Welcome to AnteNatal Care
11 PMT Treatments                   HRT Drugs                26        A Birth in Milton Keynes
12 Vulval Dystrophy                 Ring Pessary             27        AnteNatal Serum Screening Tests
13 General Consent                                           28        Hydatidiform Mole                   Miscarriage
14 Consent using Leaflet                                     29        Home, or Hospital Birth
15 D & C                            Bartolin„s               30        C, not C – Intro C not C – Law
-----------------------------------------------------------------------------------------------------------
31 This Refill Reminder                                                (Health Matters)


The circled items have nearly run out; more photocopies are needed.




[In Brackets = In Preparation.]
Italic = Not yet part of the Prescribable Leaflet Collection but probably available from elsewhere.

                                  www.fawdry.info/eepd/01_ess/h_leaflets/H10_Refills.doc (Version-49, 4 August, 2011). 28   of 28

				
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