India's OB/GYN Landscape — Volume, Schemes & Complexity

India manages approximately 25 million deliveries per year — one of the highest in the world. Government maternity schemes, increasing institutional delivery rates, and growing demand for high-risk obstetric care make gynecology one of the most complex specialties to manage from a software perspective.

High Delivery Volumes

Even a mid-sized private maternity hospital in a tier-2 Indian city may conduct 300–600 deliveries per month. MedicoPlus manages the full delivery cycle — admission triage, labour room monitoring, delivery record, newborn registration, and postnatal follow-up — in a single integrated workflow.

JSY Scheme Billing

Janani Suraksha Yojana (JSY) incentivises institutional delivery for BPL and low-income mothers. MedicoPlus captures all JSY-eligible deliveries, documents the ASHA worker involvement, generates the required beneficiary records, and supports the government reimbursement claim documentation for each delivery.

PM-JAY High-Risk Delivery Coverage

PM-JAY covers high-risk deliveries including pre-eclampsia, placenta praevia, multiple pregnancies, and premature births under specific HBP packages. MedicoPlus pre-loads these packages, supports pre-authorisation documentation, and generates the PM-JAY claim bundle including the obstetric complication summary.

Antenatal Care Tracking

Comprehensive ANC documentation is essential for managing pregnancy outcomes, identifying high-risk cases early, and meeting government ANC programme requirements. MedicoPlus provides a structured ANC module aligned with MoHFW guidelines.

  • ANC registration with LMP, EDD calculation, and gestational age tracking across all visits
  • 8 ANC contact schedule per MoHFW guidelines — visit reminders sent to patient by SMS/WhatsApp
  • Clinical examination recording — weight, BP, fundal height, foetal heart rate, presentation at each visit
  • ANC investigation tracking — Hb, blood group, VDRL, HIV, urine routine, blood sugar, Hepatitis B
  • High-risk pregnancy flag — GDM, anaemia, hypertension, previous LSCS, age risk — with alert at every visit
  • Iron-folic acid and calcium supplementation tracking — doses prescribed and compliance noted
  • Tetanus Toxoid vaccination schedule tracking — TT1, TT2, TT booster with dates
  • Obstetric ultrasound dates and reports — NT scan, anomaly scan, growth scan linked to ANC record
  • Referral documentation for high-risk cases referred to higher centres
  • ANC summary card printout for patient — colour-coded risk level for easy community health worker follow-up

Delivery & Postnatal Records — NMC-Compliant Obstetric Documentation

Delivery records are among the most medico-legally sensitive documents in any hospital. MedicoPlus provides structured, NMC-compliant templates for normal delivery, operative delivery, and LSCS that capture every clinical detail required for legal, insurance, and quality purposes.

Labour Room Records

Structured partograph documentation — cervical dilation, foetal descent, contractions, foetal heart rate, maternal vitals, and drug administration — recorded at mandated intervals. Alerts generated for prolonged labour, foetal distress, or deviation from normal progress.

Delivery Note & Newborn Record

The delivery note captures mode of delivery, time, baby's birth weight, APGAR score at 1 and 5 minutes, and immediate resuscitation if required. Newborn record is created simultaneously — linked to the mother's admission — with BCG and OPV 0 vaccination at birth recorded.

Postnatal Follow-Up

Postnatal visit templates capture involution progress, lochia, episiotomy/wound healing, breastfeeding status, and family planning counselling. Postnatal depression screening tools are embedded. Newborn follow-up — weight gain, jaundice, feeding — is tracked in linked paediatric records.

PC-PNDT Compliance — Obstetric Ultrasound Documentation

The Pre-Conception and Pre-Natal Diagnostic Techniques (PC-PNDT) Act mandates strict documentation for all ultrasound examinations performed during pregnancy. Non-compliance risks loss of ultrasound registration. MedicoPlus builds PC-PNDT compliance into the routine ultrasound workflow.

  • Form F capture — mandatory fields including patient details, referring doctor, indication, and declaration — for every obstetric ultrasound
  • Informed consent documentation — patient signs that she has not requested sex determination and understands the prohibition
  • Strict indication recording — ultrasound blocked unless a valid clinical indication is selected
  • Sex determination prohibition enforcement — reporting fields do not include sex selection information
  • Form G monthly summary generation — aggregated data for submission to the appropriate authority
  • Machine registration details maintained — ultrasound machine serial number, registration certificate linked to reports
  • Audit trail for all ultrasound records — tamper-evident log of who performed, who reported, date and time
  • Alert for incomplete PC-PNDT documentation — ultrasound report cannot be finalised without mandatory fields

Gynecology Procedure Management

Beyond obstetrics, MedicoPlus supports the full range of gynecology procedures performed in Indian clinics and day-care surgical centres — from minor OPD procedures to major laparoscopic surgery.

OPD Procedure Documentation

Colposcopy, LEEP, cervical biopsy, endometrial sampling, IUD insertion, and diagnostic hysteroscopy — each has a structured procedure template in MedicoPlus capturing indication, findings, specimen sent, complications, and follow-up plan.

Day Surgery & Laparoscopy Records

Laparoscopic procedures — diagnostic laparoscopy, myomectomy, hysterectomy, salpingectomy, ovarian cystectomy — are documented with structured operative notes. Anaesthesia record, instrument count, specimen details, and discharge instructions generated from the same system.

Oncology Screening Programs

Track Pap smear screening schedules, HPV vaccination records for adolescent patients, and breast examination findings. Abnormal result follow-up reminders ensure patients are recalled appropriately. NPCB-aligned screening camp records can be bulk-imported.

JSY & PM-JAY Maternity Billing

Maternity billing in India involves government schemes, TPA insurance, and self-pay — often for the same facility in the same month. MedicoPlus manages all payer types with correct package rates and documentation for each.

  • JSY beneficiary identification — BPL card, Aadhar linkage, ASHA worker details captured at registration
  • JSY claim documentation — institutional delivery record, discharge summary in government-required format
  • PM-JAY maternity package selection — normal delivery, LSCS, high-risk packages with correct HBP codes
  • PM-JAY pre-authorisation for complicated pregnancies — documentation bundle generated automatically
  • TPA cashless maternity claims — pre-authorisation request, daily updates, final bill in TPA format
  • Self-pay obstetric packages — bundled ANC + delivery packages collected in advance with balance settlement at discharge
  • CGHS maternity rates — normal delivery, LSCS, complications — pre-configured with claim documentation
  • Newborn care billing — NICU charges, phototherapy, vaccination billed separately or consolidated with mother's bill

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