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Pregnancy Long Case Is A 44 Year Old Woman Who Presents

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Pregnancy Long Case
M.P is a 44 year old woman who presents at 39+5 gestation.
Section 1
Task 1
Obstetric History
Current Pregnancy
History of Presenting Complaint
Planned induction of labour on the 28/7/15
Gestational age of the fetus
M.P’s first day of her last menstrual period (LMP) was the 20/11/2014.
The estimated date of delivery (EDD) was determined using Naegele’s rule, which calculated EDD as the 27/8/15.
This was refuted by an ultrasound at 8 weeks gestation to measure crown rump length (CRL). This measure predicts gestation accurately with a range of ± 4 days. EDD determined from CRL of 61mm was the 29/7/15 (gestation 122). Further parameters measured at 14 weeks such as head circumference, abdominal circumference and femur length provided a composite estimate of age.
The current gestation at the time of the first visit was 39+5.
History of current pregnancy
M.P had a planned pregnancy.
Having decided to start a family with her husband whom she had recently married, M.P stopped taking the oral contraceptive pill. However, M.P did not regain her periods, with a total cessation of periods for 12 months. Consulting a fertility specialist, she was diagnosed with early menopause.
Determined to have a child, but having undergone anovulation, a friend of M.P’s offered to donate eggs to the couple. These donor eggs were then used in the IVF process.
IVF involves a total of 3 steps: oocyte retrieval from the egg donor which is stimulated by recombinant FSH
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