The concept of self care education and participation are incorporated into a prenatal record. The client and the nurse-midwife jointly define written needs and goals and record directly on the chart. When opened, the folded record reveals all data necessary to assess pregnancy status and plan care. The outer pages provide demographic data, histories, and physical examinations. Other unique features of the chart include graphs for visualization of fundal height and weight gain patterns and lists for potential and acute problems and needs.