5. Place where birth occurred (Birthplace)

The type of place where the birth occurred.

• Hospital
• Freestanding birthing center – No direct physical connection with an operative delivery center.
• Home birth – The birth occurred at a private residence.
• Clinic/ doctor’s office
• Other

Check the box that best describes the type of place where the birth occurred.

If home birth is checked, check whether the home birth was planned. If unknown whether a planned home birth write “unknown.”

If “Other,” specify taxi, train, plane, etc.

1st Admission history and physical (H&P) under –
General Admission under –

• Admitted from home, doctor’s office, other or–
• Problem list or findings

2nd Delivery record under –

• Delivery information
• Labor and delivery summary (L&D)
• Maternal obstetric (OB) or labor summary under – delivery

3rd Basic admission data

4th Progress notes or Note