Pregnancy

The Pregnancy tab on a client's profile is the antenatal dashboard. It shows one pregnancy at a time: dating, checklist, fetal growth, antenatal visits, ultrasound images, hormone trends, client-reported data and anatomical annotations.

MediSync calculates dates and statuses from the data you enter. It does not give clinical advice. Check every value against your own clinical judgement.

Before you start

The Pregnancy tab appears on a client's profile only when:

• Your clinic has the Women's Health & OB-GYN module turned on.
• Your role has the View pregnancies permission.
• The client's Sex is not Male.

To open it:

1. In the sidebar, go to Clients → Client List.
2. Open the client's profile.
3. Click the Pregnancy tab.

Viewing is not enough to make changes. See Permissions at the end of this page.

Record a pregnancy

A client can have only one active pregnancy at a time.

1. On the Pregnancy tab, click Record pregnancy.

2. Enter the dating. Give one of these:

   • Last menstrual period (LMP), or
   • Dating ultrasound date together with GA at ultrasound (days).

   You can give both.

3. Optionally, enter Gravida and Para.

4. Click Save.

MediSync calculates the gestational age, the estimated due date (EDD) and the trimester. You don't type the EDD yourself.

If you enter both an LMP and an ultrasound, MediSync keeps the LMP dating unless the two differ by more than the standard threshold for the gestational age at the scan. Then it uses the ultrasound dating. The badge at the top shows which one applies: Dated by LMP or Dated by ultrasound.

MediSync refuses:

• An LMP or ultrasound date in the future.
• Dating that gives a gestational age below zero or above 300 days.

The summary card at the top shows Gestational age, Estimated due date and Trimester. A Post-dates badge appears from 40 weeks.

Use the antenatal checklist

The Antenatal checklist is created when you record the pregnancy. It is a copy of your clinic's checklist template. If your clinic has no custom template, MediSync uses its built-in list (booking bloods, infection screen, dating ultrasound, anomaly scan, GTT, Anti-D, Tdap, Group B Strep swab and others). Your clinic admin manages the template. See Women's Health settings.

Changes to the template later do not change pregnancies that already exist.

Each item has a week window and a status badge: Upcoming, Due, Overdue, Completed or N/A.

Tick an item:

• Click Mark complete when the item is done.
• Click N/A when the item does not apply.
• Click Reset to set a completed or N/A item back to open.

Add an item:

1. Click Add item.
2. Enter the Item name.
3. Choose a Category: Lab, Screening, Vaccination or Exam.
4. Enter From week and To week.
5. Click Save.

Edit an item: click the pencil icon on its row, change the fields, then click Save.

Delete an item: click the bin icon on its row. The item is removed straight away, with no confirmation.

These changes apply to this pregnancy only, not to the template.

Record growth measurements

The Fetal growth card shows a chart of one measurement type at a time. Choose the type in the list at the top of the card:

• Fundal height (cm)
• Estimated fetal weight (g)
• Biparietal diameter (mm)
• Head circumference (mm)
• Abdominal circumference (mm)
• Femur length (mm)

To add a measurement:

1. Click Add measurement.
2. Choose the Type, then enter the Value and the Date.
3. Click Save.

You can't edit or delete a measurement in the app.

Generate antenatal visits

Generate visit series books the antenatal visits for you as normal appointments. It follows this pattern, from today until the EDD:

• Every 4 weeks until week 28.
• Every 2 weeks from week 28 to week 36.
• Every week from week 36 to the EDD.

To generate them:

1. In the Antenatal visits card, click Generate visit series.
2. Choose the Branch, the Visit type (a procedure template) and the Doctor.
3. Set the Time of day.
4. Click Generate visit series.

Each visit uses the visit type's default duration. If the doctor is already booked on a date, MediSync skips that date. The visits appear in the appointments calendar and can be changed one by one like any other appointment. The Antenatal visits card lists the upcoming ones.

Generate the series only once per pregnancy. If you generate it again, MediSync books a second set, and the card then shows only the new set.

Upload ultrasound images

The Ultrasound images card holds the scans for this pregnancy. It needs the File Storage module.

1. Click Upload image.
2. Select one or more image files.

Accepted formats are JPEG, PNG, GIF, WebP and HEIC, up to 50 MB per file. Each thumbnail shows the upload date. Click a thumbnail to open the full image in a new browser tab.

To delete an image, point to it and click the bin icon. It is deleted straight away, with no confirmation.

Track hormone trends

The Hormone trends card charts these results over time: Beta-hCG, LH, FSH, Progesterone and Estradiol. Click a hormone name above the chart to switch between them.

To add a result:

1. In the entry row, choose the hormone.
2. Enter the Value and the date.
3. Click Record.

Each result is saved as a lab result for the client. It also appears in the Labs & Documents tab. A lab result added there with one of these exact test names also appears on this chart. See Labs & documents.

View client-reported data

The Client-reported card shows Kick counts and Symptoms. The client logs them in the client portal. Staff can also record them on the client's behalf. A badge on each entry shows who recorded it: Client or Staff.

Record a kick count: enter the number of Kicks, then click Record. The entry is saved with the current time.

Record a symptom:

1. Choose the type: Blood pressure, Morning sickness, Mood, Weight or Other.
2. For blood pressure, enter Systolic and Diastolic. For the other types, you can enter Severity (1-10).
3. Optionally, add a Note (optional).
4. Click Record.

To delete an entry, click the bin icon on its row. It is deleted straight away, with no confirmation.

Give the client portal access

The client can log kick counts and symptoms only after you link their portal account. Use the Patient portal access box at the top of the Client-reported card.

The client must first create their own account in the client portal. See Register for the client portal.

Grant access:

1. Enter the email of the client's portal account.
2. Click Grant.

The box then shows Portal account linked and the email.

Revoke access: click Revoke. The client can no longer see or log their pregnancy data.

What the client sees is described in Pregnancy in the client portal.

Add anatomical annotations

The Anatomical annotations card lets you mark findings on a diagram.

1. Open New annotation and choose a diagram, for example Pelvic anatomy, Uterus & ovaries or Fetal position.
2. Choose a tool:
   • Pin: click the diagram to drop a numbered pin. Type a Pin label for each pin in the list below the diagram.
   • Draw: draw on the diagram.
3. Optionally, enter a Title (optional) and Notes (optional).
4. Click Save.

To change a saved annotation, click it in the list, make your changes and click Save. Clear removes all pins and drawings from the diagram. Delete removes the annotation straight away, with no confirmation.

Record the outcome

Recording the outcome closes the pregnancy.

1. Click Record outcome at the top of the tab.
2. Choose the Outcome: Delivered, Miscarried, Terminated or Ended (other).
3. Check the Outcome date. It defaults to today.
4. Optionally, add Notes (optional).
5. Click Record outcome.

When you save:

• The pregnancy becomes read-only.
• All future visits from the generated visit series are removed from the schedule. Their doctor time is freed and any video consultation links for them stop working. Past visits are kept.

You can't reopen a closed pregnancy or change its outcome in the app.

Switch between pregnancies

When a client has more than one pregnancy, buttons above the summary card list them. The current pregnancy shows Current pregnancy and its gestational age. Closed ones show the outcome and the month, for example "Delivered · Mar 2026". Click a button to open that pregnancy.

A closed pregnancy shows "This pregnancy is closed and shown read-only." You can view its data but not change it.

The hormone trends, client-reported data and anatomical annotations belong to the client, not to one pregnancy. They show the same entries on every pregnancy.

Permissions

Clinic Owner and Admin roles can do everything on this page. Other staff can only view the tab unless the clinic admin gives their role more permissions. See Staff & roles.

Common problems

The Pregnancy tab isn't there. Check three things: the Women's Health & OB-GYN module is on, your role has View pregnancies, and the client's Sex is not Male. Ask your clinic admin.

"Could not record the pregnancy. Check the dating and try again." The dating is in the future or gives an impossible gestational age, the client already has an active pregnancy, or your role lacks Record pregnancies.

"Provide an LMP date, or an ultrasound date with its gestational age." Enter an LMP, or enter both the ultrasound date and the GA at ultrasound.

A button does nothing or shows an error toast. Some buttons appear even when your role can't use them. The action then fails with an error message. Ask your clinic admin to check your role.

The Branch list in Generate visit series is empty. The list needs the Branches module. Ask your clinic admin.

"Could not update portal access." No portal account exists with that email, or that account is already linked to another client. Ask the client to register first, and check the email.

The Upload image button isn't there. The File Storage module is off, or the pregnancy is closed.

I generated the visit series twice. Two sets of appointments now exist. Cancel the extra visits in the appointments calendar. See Reschedule or cancel.