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  • Antenatal HX

    Transféré par

    Yasmin Jaafar
    8 vues8 pages
    PAST OBSTETRIC HISTORY NO. Year Gestation at Type of Delivery / Complicat Delivery ion Premature ELSCS delivery at 34 W 6D Placenta previa Type III posterior Complication: Adhesion at posterior wall Birth Weight 2. Kg Baby s Sex Current Status Male Alive and Healthy Medical History: NIL Surgical History: 1. Laparotomy and evisceration of endometrioma, adhesiolysis and ovarian

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    Antenatal Hx

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    PAST OBSTETRIC HISTORY NO. Year Gestation at Type of Delivery / Complicat Delivery ion Premature ELSCS delivery at 34 W 6D Placenta previa Type III posterior Complication: Adhesion at posterior wall Birth Weight 2. Kg Baby s Sex Current Status Male Alive and Healthy Medical History: NIL Surgical History: 1. Laparotomy and evisceration of endometrioma, adhesiolysis and ovarian

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    8 vues8 pages

    Antenatal HX

    Transféré par

    Yasmin Jaafar
    PAST OBSTETRIC HISTORY NO. Year Gestation at Type of Delivery / Complicat Delivery ion Premature ELSCS delivery at 34 W 6D Placenta previa Type III posterior Complication: Adhesion at posterior wall Birth Weight 2. Kg Baby s Sex Current Status Male Alive and Healthy Medical History: NIL Surgical History: 1. Laparotomy and evisceration of endometrioma, adhesiolysis and ovarian

    Droits d'auteur :

    Attribution Non-Commercial (BY-NC)
    Téléchargez comme PPTX, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 8

    ANTENATAL HISTORY

    Date of Booking: 14/2/2011 Gestation: 9/52 + 5/7 Place of Booking: KD Behor Lateh Booking Wt: 46 kg Booking Ht: 150 cm Booking BP: 100/60 mmHg Booking Hb: 12.6 VDRL: Non-Reactive HIV: Non-Reactive Blood Group/Rh: AB+

    U/SCAN FINDINGS
    DATE POA by Date POA by Scan Presentation FH/FM BPD HC AC FL EFW (kg) AFI Placenta Comments 29/4/2011 20 W 2 D 20 W 2 D Single/Breech Positive 4.79 = 20W3D 16.78 = 19W3D 15.06 = 20W2D 3.62 = 21W3D 371 g Adequate Fundal Anterior wall fibroid 16/5/2011 22 W 2 D 22 W 2 D Single/Breech Positive 55.4 = 22W6D 205.8 = 22W5D 192 = 23W6D 45 = 24W6D 667 g Adequate Fundal No retroplacental clot 27/5/2011 24 W 1 D 24 W 0 D Single/Breech Positive 5.99 = 24W3D 21.86 = 23W6D 19.56 = 24W2D 4.16 = 23W4D 646 g Adequate Fundal No obvious fibroid seen 19/6/2011 27 W 2 D 28 W 2 D Single/ Cephalic Positive 72.1 = 29W0D 262.0 = 28W4D 239.0 = 28W2D 50.9 = 27W2D 1173 g 122.9 m Fundal -

    PAST OBSTETRIC HISTORY


    NO. Year Gestation at Type of Delivery/Complicat Delivery ion Premature ELSCS delivery at 34 W 6D Placenta previa Type III posterior Complication: Adhesion at posterior wall Birth Weight 2.3 kg Baby s Sex Current Status Male Alive & Healthy

    April, 2010

    Medical History: NIL Surgical History: 1. Laparotomy & evisceration of endometrioma, adhesiolysis & ovarian reconstruction in 2007 2. ELSCS in 2010

    Gynaecological History: Family History: Father has Hypertension Social History: HDW nurse in HTF Husband works as a fisherman and is a smoker Drug History: NIL Drug Allergy: No

    PHYSICAL EXAMINATION
    General: Alert and conscious Pallor: No Jaundice: No Leg Oedema: No BP: 113/69 mmHg PR: 88/min RR: 20/min Temp: 37C Urine albumin: Urine Sugar: Thyroid: Breast: Cardiovascular System: DRNM Respiratory System:

    ABDOMEN SFH: 29 CFH: 28 Number of Fetus/Presentation: Single/Cephalic Head Perabdomen: 5/5 EFW: 2.0-2.2 kg Liquor: Adequate Fetal Heart: 143/min

    Speculum Examination: - Liquor: Non demonstrable - Vaginal Discharge: Yes, whitish in color, not foul smelling Vaginal Examination: - V/V: NAD - Cervix: Firm, posterior; 2cm - Os: Closed - Station: -2

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