A Study On The Birth Of Weight Of 4.2kgs I Essay

G4 P3003 (4 Gestations, 3 Full Term, 0 Preterm, 0 Miscarriages, 3 Currently Living); 3 Spontaneous Vaginal Deliveries; Last birth was 7 years ago by SVD, weighed 4000 grams; No previous obstetrical complications or morbidity; No past medical history; No past surgical history; No prior antenatal care

She was a happy teen who shared pictures of her baby shower and also some pictures of the baby’s room. She was accompanied by her mother and her boyfriend who was not the father of her child. Both of them were very supportive during labor and everything progressed smoothly. Once the she delivered the baby, we saw that the baby was born with a cleft lip. The mood in the room changed completely and the patient’s family was distraught by the baby’s deformity. The patient’s boyfriend left without saying anything to her. The patient refused to hold the baby and give her new baby girl skin-to-skin touch. The patient’s mother was holding the baby in her arms with tears in her eyes. Without drawing any conclusion we talked to her about the situation. Although it was hard to get her to share her feelings, we waited patiently while we did the routine assessments on the mother and the baby. This enabled us to connect with our patient to better understand her feelings. After about an hour after our persistent effort the patient wept and told us that she was more disappointed that her boyfriend had left after seeing the baby. This had in turn created an aversion towards the baby. Later, I was able to find the boyfriend in the waiting area. I explained to him the patient’s feelings and he later decided to join the patient in her room. The patient felt much better seeing her boyfriend and

Another important clinical competency I experienced while working with this patient was identifying the necessity of constructive feedback from my preceptor and others. Specifically when it came to feeding practices by this patient’s mother who I felt was over-feeding the baby. I realized that after explaining the situation I was sounding judgmental, and that I needed to disregard my personal feelings about the mom’s feeding style and instead find opportunities to advocate for the patient and educate the mom further. With advice from my instructor and the help of Kathryn we then placed a phone call to the hospital lactation consultants and arranged a meeting for her to come and work with the mom to try and encourage breastfeeding and offer further education about proper feeding practices for her new baby.

The original due date for this unborn child was not until three months from this night, however, the doctors had the situation under control. When my mom went into labor prematurely, they had the ability to perform a Cesarean section and give birth to my little sister. This was only the beginning of the adventure for three pounds one ounce Elisabeth Marie Ballard. The first stop on her journey was the NICU to be placed in an incubator to be kept warm and monitored for developmental problems. During the first weeks of her life, she was fed breast milk through a tube that ran from her nose to her stomach. After two months in the NICU incubator, she was finally gained enough weight to go home. This exciting moment did come with a few strings attached. Her weight and vitals still needed to be monitored, so the hospital sent home a machine that allowed them to receive all of her vitals in real time. Her size and prematurity have never stopped her from leading a regular life. Thanks to the technology advancements in the medical field, my sister survived her prematurity and is now leading the life of an annoying six-year-old sibling. Libby, as we call her, transcended the process of natural selection and childhood mortality, and her life is a miracle. The credit can be given to the technology and the people who wield the knowledge

The onset of her labor was on a Saturday morning. She thought she had had too many tacos, but then she lost her mucus plug. Labor was slow because her cervix would not dilate. She went to the hospital more than once, but the maternity ward would not admit her because her cervix was stuck at two centimeters. The obstetrics staff advised her to walk around which she did. She took multiple hot baths to help with the pain. She was in labor and awake on and off from Saturday morning until Monday night when she finally gave birth at Kaiser hospital in Riverside, California.

Because her initial pregnancy was preterm based on PPROM, she would be a candidate for 17-OHP and this was discussed and would recommend that this start at around 16-18 weeks gestation. In addition, because of her prior history of cesarean deliveries as well as her HIV status the plan will be to undergo a repeat cesarean in this pregnancy at around 38 weeks gestation and she does have good dates. She does have a follow-up appointment in your office in 3-4 weeks.

On today’s evaluation, she is 13 6/7 weeks and the crown-rump length measurement is concordant. The nuchal translucency measurement fell within the normal range. The nasal bone was identified, and there was normal ductus flow.

Views today demonstrate a viable singleton fetus at 31 weeks 0 days in vertex presentation with an anterior placenta. Fetal biometry appears symmetric and corresponds with stated EDD falling at the 56%ile. Interval growth is noted; however, the growth percentage did trend down from the 80%ile to the 56%ile. Follow-up fetal anatomy visualized as normal or was previously documented as normal. Ductal velocity today measured at 69.2 cm/se, which falls within normal limits. AFI remains reassuring at 12.6 cm. BPP 8/8. Doppler studies are normal in value and wave form.

Views today demonstrate a viable singleton fetus at 12 weeks 2 days. Fetal crown-rump length measures 59.2 mm. The best nuchal translucency measurement obtained was 1.8 mm, and the nasal bone was visualized as present. Fetal cardiac activity is visualized. Due to early gestational age, fetal anatomy was not assessed, but 4 extremities are noted. Amniotic fluid and placental location are visualized as normal within limitations of early gestational age. Adnexa are suboptimally seen. No notching is seen on the uterine artery Doppler’s.

On today’s evaluation, she is 19 weeks and the fetal measurements overall are concordant. The long bone measurements are within one week of her dates. The amniotic fluid volume is normal, and the cervix is long and closed. A complete fetal anatomical survey was performed and a significant amount of ventriculomegaly/hydrocephalous was identified but no other major malformations were noted at this time, though due to the

Throughout most of the shift, my nurse preceptor and I were in the patient’s room either evaluating her and the fetus, performing exams, taking vital signs, administering medications and fluids, charting, or reading the fetal monitoring strips. We also kept in regular contact with the physician to keep him up to date on the patient’s status and to receive new orders. We also spent a lot of time talking to the patient, her mother, and her boyfriend. They were concerned for the status of the mother and the baby. We explained to them that both the mother and the baby’s heart rate was high and their goal was to decrease them both. In addition, my nurse preceptor explained how we were administering Tylenol and amoxicillin to reduce the fever and

Rachel is a 32yo, G7 P3033, who is currently 18 weeks 1 day. She is dated by LMP. She was seen previously for a dating scan and declined aneuploidy screening. She has 3 prior full-term deliveries. She had preterm labor with her last pregnancy but ultimately delivered at term. While she has miscarriages, she does not have 3 in a row. She is here today for an anatomic survey.

Louise was a nulliparous woman in her thirties who had no pregnancy complications and nothing sinister in her medical history, so she was classed as “low risk” and she was 7 days over her estimated due date. Louise came on to the delivery suite and my mentor and I were looking after her throughout her labour, her partner was away at work so Louise only had us for support.

Communication: During my shift today, I communicated more so with patients than any of the other days I had been on the floor, since most of time consisted of performing the newborn weights. Many of the babies had lost some weight since, birth and almost all the parents asked me if that was normal, or why was it that their baby had lost weight and I explained to them that it is not an unexpected finding for babies to lose some weight a few days after birth. However, they should regain their birth weight within ten to fourteen days after birth. While I was in the rooms I also asked the parents how the baby had been feeding, if they had any questions or concerns, and when was the last time the newborn had a void and/or stool. Furthermore, when I was in the nursery I was able to observe how different members of the healthcare team such as the nurses, the physician, respiratory therapist, lab and x-ray

During my placement at the Liverpool Women’s Hospital for my obstetrics and gynecology, I attended a clinic specifically dealing with multiple pregnancies. One of the patients (Miss X) was referred to the clinic to have a routine ultraound scan. She attended the scan with her partner and parents. Her last scan had identified that the amniotic fluid surrounding each foetus was unequal; a possible indication of twin-to-twin transfusion syndrome (TTTS). The specialist nurse conducting the scan was known to the family since she had delivered the mother herself, thus there was a level of trust and raport between the family and the specialist nurse. The ultrasound scan revealed that the amniotic fluid surrounding the foetuses was still unequal, and