AF Form 3250: Obstetric Patient Care Plan (Download)

AF Form 3250: Obstetric Patient Care Plan (Download) – AF Form 3250, officially titled the Obstetric Patient Care Plan, is a specialized document used within the U.S. Air Force Medical Service (AFMS) to outline and document individualized care for pregnant patients (obstetric patients) receiving care in Air Force Medical Treatment Facilities (MTFs).

This form supports structured, multidisciplinary planning for prenatal, intrapartum, and postpartum care, ensuring continuity, safety, and compliance with Air Force and Department of Defense (DoD) standards. It is part of the standardized inpatient and outpatient documentation tools listed in DHA-PM 6025.02, DoD Health Record, alongside related forms such as AF Form 3248 (Neonatal Patient Care Plan).

What Is AF Form 3250 Used For?

The Obstetric Patient Care Plan helps obstetric providers, nurses, and the care team create a tailored plan that addresses the unique needs of each pregnant service member, dependent, or beneficiary. Key purposes include:

  • Documenting risk assessments, medical history, and current pregnancy status.
  • Outlining prenatal visit schedules, laboratory tests, ultrasounds, and screening recommendations (aligned with ACOG or USPSTF guidelines referenced in AFI 44-102).
  • Planning for labor and delivery, including potential complications, anesthesia options (e.g., epidural), and mode of delivery (vaginal, VBAC, or cesarean).
  • Addressing postpartum care, including recovery, breastfeeding support, mental health screening, and follow-up.
  • Supporting high-risk pregnancies with specific interventions, consultations, or transfers if needed.

It promotes patient-centered care while meeting military health system requirements for documentation, quality assurance, and readiness. Air Force Instruction (AFI) 44-102, Medical Care Management (certified current as of 2020 with later updates), provides the overarching framework for maternity services in MTFs, including standards for women’s health exams, pregnancy care, and newborn services.

Who Uses AF Form 3250?

  • Primary users: Obstetricians, gynecologists, women’s health nurse practitioners, midwives, and labor & delivery nursing staff in Air Force MTFs.
  • Beneficiaries: Active duty Air Force and Space Force members, their spouses and dependents, and other TRICARE-eligible patients receiving obstetric care in the direct care system.
  • Related contexts: Often paired with neonatal forms for mother-baby dyad care and integrated into the electronic or paper health record (e.g., alongside DD Form 2766 series for preventive/chronic care).

Maternity care under TRICARE Prime for eligible active duty and families typically has no out-of-pocket costs for prenatal, delivery, and postpartum services (generally six weeks post-delivery).

Key Sections Typically Included on AF Form 3250

While the exact layout is provided in the official fillable PDF from Air Force e-Publishing, standard obstetric care plans generally cover:

  • Patient Identification & Demographics: Name, rank/relation, DOB, gestational age, EDC (estimated date of confinement).
  • Medical & Obstetric History: Gravida/para status, previous deliveries, complications, allergies, chronic conditions.
  • Current Pregnancy Assessment: Vital signs, fundal height, fetal heart tones, labs (e.g., blood type, antibody screen, glucose testing, Group B Strep).
  • Risk Factors & Problem List: Hypertension, gestational diabetes, preterm labor risk, mental health concerns.
  • Care Plan Components:
    • Prenatal monitoring and education.
    • Nutrition, activity, and warning signs counseling.
    • Delivery plan preferences and contingencies.
    • Pain management and anesthesia consultation.
    • Postpartum care, contraception, and follow-up appointments.
  • Multidisciplinary Notes: Input from nursing, social work, lactation, or case management.
  • Signatures & Dates: Provider, nurse, and patient acknowledgment where appropriate.

The form ensures all elements align with evidence-based practices and Air Force policies on topics like trial of labor after cesarean (VBAC), oxytocic drug use, sponge/sharp counts in the OR, and epidural anesthesia.

How to Access and Download AF Form 3250?

The official versions are available through the Air Force e-Publishing website. You can download:

These links provide the fillable or reference format for the form. Always verify you are on the official e-publishing.af.mil domain or your MTF’s secure portal when accessing forms. Local MTF policies may require use of the electronic health record (MHS GENESIS) for documentation, with AF Form 3250 serving as a template or supplemental tool.

Important: Forms and instructions can be updated. Check the latest revision on https://www.e-publishing.af.mil/ and consult your facility’s Medical Records or Obstetrics department for current guidance.

Best Practices for Completing AF Form 3250

  1. Be Thorough and Timely — Complete or update the plan at key milestones (initial OB visit, 28 weeks, admission to L&D, discharge).
  2. Follow Evidence-Based Guidelines — Reference ACOG, AAP Bright Futures, and USPSTF recommendations as directed in AFI 44-102.
  3. Ensure Interdisciplinary Input — Involve the full care team for complex cases.
  4. Maintain Privacy & Compliance — Follow Privacy Act, HIPAA-equivalent DoD rules, and AFI 44-102 requirements for documentation.
  5. Document Patient Education — Include discussions on warning signs, breastfeeding, postpartum depression screening, and return-to-duty planning (especially important for active duty women).

For high-risk or complicated pregnancies, the care plan may trigger additional consultations or transfer to a higher level of care.

  • AFI 44-102, Medical Care Management — Core policy for obstetric and women’s health services in the AFMS.
  • DHA-PM 6025.02, DoD Health Record — Lists AF Form 3250 as part of standardized inpatient forms.
  • TRICARE Maternity Benefits — Covers prenatal, delivery, and postpartum care with minimal or no cost-share for many beneficiaries.
  • MHS GENESIS — The current electronic health record system used across military treatment facilities.

Air Force personnel should also review unit-specific guidance or the Air Force Medical Service Knowledge Exchange for additional maternal health resources.

Why Proper Use of AF Form 3250 Matters?

Accurate, complete obstetric care plans improve maternal and neonatal outcomes, support medical readiness for service members, reduce liability, and ensure seamless care transitions—especially important in a mobile military population. Whether you are a provider documenting care or a patient receiving it, understanding this form helps facilitate high-quality, coordinated maternity services within the Air Force health system.

Need the form? Download it directly here:
[PDF] https://static.e-publishing.af.mil/etc/physical.pdf
[EPUB] https://static.e-publishing.af.mil/etc/physical.epub

For clinical questions or assistance filling out the form, contact your local Air Force MTF Obstetrics Clinic or Women’s Health service. Always refer to the most current version of AFI 44-102 and local policies.

This article is for informational purposes and is based on publicly available DoD and Air Force publications. Policies and forms are subject to change; consult official sources or your healthcare provider for the latest guidance.