<?xml version="1.0" encoding="UTF-8"?>
<ui version="4.0">
 <class>widget</class>
 <widget class="QWidget" name="widget">
  <property name="geometry">
   <rect>
    <x>0</x>
    <y>0</y>
    <width>655</width>
    <height>1117</height>
   </rect>
  </property>
  <property name="windowTitle">
   <string>Dialog</string>
  </property>
  <layout class="QGridLayout" name="gridLayout">
   <item row="0" column="0">
    <layout class="QVBoxLayout" name="verticalLayout">
     <item>
      <layout class="QHBoxLayout" name="horizontalLayout">
       <item>
        <widget class="QLabel" name="label_4">
         <property name="text">
          <string/>
         </property>
        </widget>
       </item>
       <item>
        <widget class="QLabel" name="label_3">
         <property name="sizePolicy">
          <sizepolicy hsizetype="Preferred" vsizetype="Preferred">
           <horstretch>0</horstretch>
           <verstretch>0</verstretch>
          </sizepolicy>
         </property>
         <property name="text">
          <string>&lt;!DOCTYPE HTML PUBLIC &quot;-//W3C//DTD HTML 4.0//EN&quot; &quot;http://www.w3.org/TR/REC-html40/strict.dtd&quot;&gt;
&lt;html&gt;&lt;head&gt;&lt;meta name=&quot;qrichtext&quot; content=&quot;1&quot; /&gt;&lt;style type=&quot;text/css&quot;&gt;
p, li { white-space: pre-wrap; }
&lt;/style&gt;&lt;/head&gt;&lt;body style=&quot; font-family:'Sans Serif'; font-size:9pt; font-weight:400; font-style:normal;&quot;&gt;
&lt;p style=&quot; margin-top:0px; margin-bottom:0px; margin-left:0px; margin-right:0px; -qt-block-indent:0; text-indent:0px;&quot;&gt;&lt;span style=&quot; font-size:12pt; font-weight:600;&quot;&gt;Consultation de Grossesse&lt;/span&gt;&lt;/p&gt;&lt;/body&gt;&lt;/html&gt;</string>
         </property>
         <property name="textFormat">
          <enum>Qt::RichText</enum>
         </property>
        </widget>
       </item>
       <item>
        <widget class="QLabel" name="label">
         <property name="text">
          <string/>
         </property>
        </widget>
       </item>
      </layout>
     </item>
    </layout>
   </item>
   <item row="1" column="0">
    <widget class="QGroupBox" name="generalGroup">
     <property name="title">
      <string/>
     </property>
     <layout class="QGridLayout" name="gridLayout_2">
      <item row="0" column="0" colspan="2">
       <widget class="QLabel" name="label_2">
        <property name="text">
         <string>Date de consultation:</string>
        </property>
       </widget>
      </item>
      <item row="0" column="2" rowspan="2" colspan="4">
       <widget class="QDateEdit" name="dateEdit"/>
      </item>
      <item row="0" column="6" colspan="2">
       <widget class="QLabel" name="label_6">
        <property name="text">
         <string>Circonstances:</string>
        </property>
       </widget>
      </item>
      <item row="0" column="8">
       <widget class="QCheckBox" name="checkBox">
        <property name="text">
         <string>Surveillance</string>
        </property>
       </widget>
      </item>
      <item row="0" column="9">
       <widget class="QCheckBox" name="checkBox_3">
        <property name="text">
         <string>Autre</string>
        </property>
       </widget>
      </item>
      <item row="1" column="8" colspan="2">
       <widget class="QCheckBox" name="checkBox_2">
        <property name="text">
         <string>Urgence</string>
        </property>
       </widget>
      </item>
      <item row="2" column="0">
       <widget class="QLabel" name="label_5">
        <property name="text">
         <string>Age gestationnel:</string>
        </property>
       </widget>
      </item>
      <item row="2" column="1" colspan="2">
       <widget class="QSpinBox" name="spinBox">
        <property name="buttonSymbols">
         <enum>QAbstractSpinBox::NoButtons</enum>
        </property>
        <property name="maximum">
         <number>50</number>
        </property>
       </widget>
      </item>
      <item row="2" column="3">
       <widget class="QLabel" name="label_11">
        <property name="text">
         <string>SA +</string>
        </property>
       </widget>
      </item>
      <item row="2" column="4">
       <widget class="QSpinBox" name="spinBox_3">
        <property name="buttonSymbols">
         <enum>QAbstractSpinBox::NoButtons</enum>
        </property>
        <property name="maximum">
         <number>50</number>
        </property>
       </widget>
      </item>
      <item row="2" column="5">
       <widget class="QLabel" name="label_12">
        <property name="text">
         <string>Jours</string>
        </property>
       </widget>
      </item>
      <item row="2" column="6">
       <widget class="QLabel" name="label_7">
        <property name="text">
         <string>motif:</string>
        </property>
       </widget>
      </item>
      <item row="2" column="7" colspan="3">
       <widget class="QLineEdit" name="lineEdit"/>
      </item>
     </layout>
    </widget>
   </item>
   <item row="2" column="0">
    <widget class="QGroupBox" name="groupBox_7">
     <property name="title">
      <string>État général/Entretien:</string>
     </property>
     <layout class="QGridLayout" name="gridLayout_3">
      <item row="0" column="0">
       <widget class="QTextEdit" name="textEdit"/>
      </item>
     </layout>
    </widget>
   </item>
   <item row="3" column="0">
    <widget class="QGroupBox" name="groupBox_6">
     <property name="title">
      <string>Examen clinique général:</string>
     </property>
     <layout class="QGridLayout" name="gridLayout_10">
      <item row="0" column="0">
       <widget class="QGroupBox" name="groupBox_3">
        <property name="title">
         <string/>
        </property>
        <layout class="QGridLayout" name="gridLayout_11">
         <item row="0" column="0">
          <widget class="QLabel" name="label_36">
           <property name="text">
            <string>TA:</string>
           </property>
          </widget>
         </item>
         <item row="0" column="3">
          <widget class="QLabel" name="label_37">
           <property name="text">
            <string>/</string>
           </property>
          </widget>
         </item>
         <item row="0" column="1">
          <widget class="QSpinBox" name="spinBox_8">
           <property name="buttonSymbols">
            <enum>QAbstractSpinBox::NoButtons</enum>
           </property>
           <property name="maximum">
            <number>250</number>
           </property>
          </widget>
         </item>
         <item row="0" column="4">
          <widget class="QSpinBox" name="spinBox_9">
           <property name="buttonSymbols">
            <enum>QAbstractSpinBox::NoButtons</enum>
           </property>
           <property name="maximum">
            <number>250</number>
           </property>
          </widget>
         </item>
        </layout>
       </widget>
      </item>
      <item row="0" column="1" colspan="2">
       <widget class="QGroupBox" name="groupBox_4">
        <property name="title">
         <string/>
        </property>
        <layout class="QGridLayout" name="gridLayout_12">
         <item row="0" column="0">
          <widget class="QLabel" name="label_14">
           <property name="text">
            <string>Poids:</string>
           </property>
          </widget>
         </item>
         <item row="0" column="1">
          <widget class="QDoubleSpinBox" name="doubleSpinBox">
           <property name="buttonSymbols">
            <enum>QAbstractSpinBox::NoButtons</enum>
           </property>
           <property name="maximum">
            <double>299.990000000000009</double>
           </property>
          </widget>
         </item>
         <item row="0" column="2">
          <widget class="QLabel" name="label_15">
           <property name="text">
            <string>kg</string>
           </property>
          </widget>
         </item>
        </layout>
       </widget>
      </item>
      <item row="0" column="3">
       <widget class="QGroupBox" name="groupBox_5">
        <property name="title">
         <string/>
        </property>
        <layout class="QGridLayout" name="gridLayout_13">
         <item row="0" column="0">
          <widget class="QLabel" name="label_16">
           <property name="text">
            <string>Prise de Poids:</string>
           </property>
          </widget>
         </item>
         <item row="0" column="1">
          <widget class="QDoubleSpinBox" name="doubleSpinBox_2">
           <property name="buttonSymbols">
            <enum>QAbstractSpinBox::NoButtons</enum>
           </property>
           <property name="maximum">
            <double>299.990000000000009</double>
           </property>
          </widget>
         </item>
         <item row="0" column="2">
          <widget class="QLabel" name="label_17">
           <property name="text">
            <string>kg</string>
           </property>
          </widget>
         </item>
        </layout>
       </widget>
      </item>
      <item row="1" column="0" colspan="2">
       <widget class="QCheckBox" name="checkBox_8">
        <property name="text">
         <string>troubles digestifs</string>
        </property>
       </widget>
      </item>
      <item row="1" column="2" colspan="2">
       <widget class="QCheckBox" name="checkBox_9">
        <property name="text">
         <string>troubles urinaires</string>
        </property>
       </widget>
      </item>
     </layout>
    </widget>
   </item>
   <item row="4" column="0">
    <widget class="QGroupBox" name="groupBox_9">
     <property name="title">
      <string>Examen obstétrical:</string>
     </property>
     <layout class="QGridLayout" name="gridLayout_5">
      <item row="0" column="0">
       <widget class="QLabel" name="label_19">
        <property name="text">
         <string>Palpations:</string>
        </property>
       </widget>
      </item>
      <item row="0" column="1" colspan="5">
       <widget class="QLineEdit" name="lineEdit_2"/>
      </item>
      <item row="1" column="1" colspan="3">
       <widget class="QGroupBox" name="groupBox_11">
        <property name="title">
         <string/>
        </property>
        <layout class="QGridLayout" name="gridLayout_15">
         <item row="0" column="0">
          <widget class="QLabel" name="label_20">
           <property name="text">
            <string>HU:</string>
           </property>
          </widget>
         </item>
         <item row="0" column="1">
          <widget class="QDoubleSpinBox" name="doubleSpinBox_3">
           <property name="buttonSymbols">
            <enum>QAbstractSpinBox::NoButtons</enum>
           </property>
           <property name="maximum">
            <double>50.000000000000000</double>
           </property>
          </widget>
         </item>
         <item row="0" column="2">
          <widget class="QLabel" name="label_21">
           <property name="text">
            <string>cm</string>
           </property>
          </widget>
         </item>
        </layout>
       </widget>
      </item>
      <item row="1" column="4">
       <widget class="QGroupBox" name="groupBox_10">
        <property name="title">
         <string/>
        </property>
        <layout class="QGridLayout" name="gridLayout_14">
         <item row="0" column="0">
          <widget class="QLabel" name="label_23">
           <property name="text">
            <string>PO:</string>
           </property>
          </widget>
         </item>
         <item row="0" column="1">
          <widget class="QDoubleSpinBox" name="doubleSpinBox_4">
           <property name="buttonSymbols">
            <enum>QAbstractSpinBox::NoButtons</enum>
           </property>
           <property name="maximum">
            <double>50.000000000000000</double>
           </property>
          </widget>
         </item>
         <item row="0" column="2">
          <widget class="QLabel" name="label_22">
           <property name="text">
            <string>cm</string>
           </property>
          </widget>
         </item>
        </layout>
       </widget>
      </item>
      <item row="2" column="0">
       <widget class="QLabel" name="label_24">
        <property name="text">
         <string>TV:</string>
        </property>
       </widget>
      </item>
      <item row="2" column="1" colspan="5">
       <widget class="QLineEdit" name="lineEdit_3">
        <property name="text">
         <string/>
        </property>
       </widget>
      </item>
      <item row="3" column="0" colspan="2">
       <widget class="QCheckBox" name="checkBox_4">
        <property name="text">
         <string>Métrorragies</string>
        </property>
       </widget>
      </item>
      <item row="3" column="4">
       <widget class="QCheckBox" name="checkBox_7">
        <property name="text">
         <string>Contractions utérines</string>
        </property>
       </widget>
      </item>
      <item row="3" column="5">
       <widget class="QLineEdit" name="lineEdit_4">
        <property name="text">
         <string>Si oui, précisez circonstances</string>
        </property>
       </widget>
      </item>
      <item row="4" column="0" colspan="4">
       <widget class="QCheckBox" name="checkBox_5">
        <property name="text">
         <string>Leucorrhées physiologiques</string>
        </property>
       </widget>
      </item>
      <item row="4" column="4" colspan="2">
       <widget class="QCheckBox" name="checkBox_6">
        <property name="text">
         <string>Leucorrhées anormales</string>
        </property>
       </widget>
      </item>
      <item row="5" column="0" colspan="2">
       <widget class="QLabel" name="label_25">
        <property name="text">
         <string>Bruits du coeur:</string>
        </property>
       </widget>
      </item>
      <item row="5" column="2">
       <widget class="QSpinBox" name="spinBox_5">
        <property name="buttonSymbols">
         <enum>QAbstractSpinBox::NoButtons</enum>
        </property>
        <property name="maximum">
         <number>200</number>
        </property>
       </widget>
      </item>
      <item row="5" column="3">
       <widget class="QLabel" name="label_26">
        <property name="text">
         <string>bpm</string>
        </property>
       </widget>
      </item>
      <item row="5" column="4" colspan="2">
       <widget class="QCheckBox" name="checkBox_10">
        <property name="text">
         <string>Mouvements actif foetaux</string>
        </property>
       </widget>
      </item>
      <item row="6" column="0">
       <widget class="QLabel" name="label_27">
        <property name="text">
         <string>Autres:</string>
        </property>
       </widget>
      </item>
      <item row="6" column="1" colspan="5">
       <widget class="QLineEdit" name="lineEdit_5">
        <property name="text">
         <string/>
        </property>
       </widget>
      </item>
     </layout>
    </widget>
   </item>
   <item row="5" column="0">
    <widget class="QGroupBox" name="groupBox_12">
     <property name="title">
      <string>Résultats d'examens:</string>
     </property>
     <layout class="QGridLayout" name="gridLayout_4">
      <item row="0" column="0" colspan="2">
       <widget class="QGroupBox" name="groupBox_13">
        <property name="title">
         <string/>
        </property>
        <layout class="QGridLayout" name="gridLayout_6">
         <item row="0" column="0">
          <widget class="QLabel" name="label_29">
           <property name="text">
            <string>Sucres:</string>
           </property>
          </widget>
         </item>
         <item row="0" column="1">
          <widget class="QDoubleSpinBox" name="doubleSpinBox_5">
           <property name="buttonSymbols">
            <enum>QAbstractSpinBox::NoButtons</enum>
           </property>
          </widget>
         </item>
         <item row="0" column="2">
          <widget class="QLabel" name="label_32">
           <property name="text">
            <string>g/L</string>
           </property>
          </widget>
         </item>
        </layout>
       </widget>
      </item>
      <item row="0" column="2">
       <widget class="QGroupBox" name="groupBox_14">
        <property name="title">
         <string/>
        </property>
        <layout class="QGridLayout" name="gridLayout_7">
         <item row="0" column="0">
          <widget class="QLabel" name="label_30">
           <property name="text">
            <string>Albumines:</string>
           </property>
          </widget>
         </item>
         <item row="0" column="1">
          <widget class="QDoubleSpinBox" name="doubleSpinBox_6">
           <property name="buttonSymbols">
            <enum>QAbstractSpinBox::NoButtons</enum>
           </property>
          </widget>
         </item>
         <item row="0" column="2">
          <widget class="QLabel" name="label_31">
           <property name="text">
            <string>g/L</string>
           </property>
          </widget>
         </item>
        </layout>
       </widget>
      </item>
      <item row="1" column="0">
       <widget class="QLabel" name="label_33">
        <property name="text">
         <string>Autres:</string>
        </property>
       </widget>
      </item>
      <item row="1" column="1" colspan="2">
       <widget class="QLineEdit" name="lineEdit_6">
        <property name="text">
         <string/>
        </property>
       </widget>
      </item>
      <item row="2" column="0" colspan="3">
       <widget class="QGroupBox" name="groupBox_2">
        <property name="title">
         <string>Examens complémentaires et traitements prescrits:</string>
        </property>
        <layout class="QGridLayout" name="gridLayout_8">
         <item row="0" column="0">
          <widget class="QTextEdit" name="textEdit_2"/>
         </item>
        </layout>
       </widget>
      </item>
      <item row="3" column="0" colspan="3">
       <widget class="QGroupBox" name="groupBox">
        <property name="title">
         <string>Conclusions/Conseils:</string>
        </property>
        <layout class="QGridLayout" name="gridLayout_9">
         <item row="0" column="0">
          <widget class="QTextEdit" name="textEdit_3"/>
         </item>
        </layout>
       </widget>
      </item>
     </layout>
    </widget>
   </item>
  </layout>
 </widget>
 <resources/>
 <connections/>
</ui>
