MATERNITY HOSPITAL PROVISION CONFIRMATION RECORD

Hospital / country:
Unit or ward / type of admission:
Expected admission date, if known:
Official leaflet title / URL / version or review date:
Date I checked the page or received an answer:
Contact department / role (optional):

Status key:
PENDING = no answer yet; CONFIRMED PROVIDED = ward has confirmed item/scope;
BRING MY OWN = ward says to bring it; CONDITIONAL = limited supply, availability
or eligibility applies; RESTRICTED = permission or a local rule applies.

For EACH row record: status; exact item/quantity; ward and stay/discharge scope;
condition or restriction; source/contact and date; next question; packing action.

01 Maternity pads and underwear:
02 Toiletries, towels and bedding:
03 Nappies and baby cleaning supplies:
04 Baby clothes and blankets:
05 Feeding equipment and supplies:
06 Medicines and medication list:
07 Patient food / support-person food / storage:
08 Support person overnight / sleeping facilities:
09 Bag size, valuables and replacement supplies:
10 Chargers and other electrical items:
11 Arrival contact, entrance and discharge arrangements:

Recheck when the ward, admission plan or official policy changes.
Next unresolved question:
Who will bring confirmed extra supplies, if needed:

Use a copy for each hospital or unit. Do not treat another hospital's answer as
your own confirmation. Keep this record private; do not add identification
numbers or medical history to a publicly shared copy. It is a packing aid,
not a medication instruction, feeding protocol or maternity triage record.
If you need urgent maternity care, seek the appropriate help without waiting
to complete the bag or this form.