Primigravida Case Study In Atlantics

General Health State (present weight – gain or loss, reason for gain or loss, amount of time for gain or loss; fatigue, malaise, weakness, sweats, night sweats, chills ): She currently weighs 110lbs. No weight loss. She is well developed and nourished. No distress. States she has always been healthy, other than occasional constipation.

The advanced technology today makes it possible to fetus’s potential conditions when it is born. Not everything is perfect and sometimes we find out that a baby

This particular case study involves a 29 year old obstetric patient who presented to the labor and delivery unit at 33 weeks gestation with complaints of abdominal pain for the past three days that had become more severe and absence of fetal movement noted since the previous evening. Her obstetric history revealed she has one living child and has had one previous miscarriage at ten weeks

Thank you for the opportunity to participate in the care of Ms. Katie Greene, who as you know is a 21yo female, G3 P2002, currently at 30 weeks 1 day EGA with a pregnancy complicated by maternal history of chronic HTN for which she remains on labetalol 100 mg b.i.d. and her BP appears well-controlled on today’s visit and maternal obesity with a prepregnancy BMI of > 47.

Charrice is a 30yo, G5 P3013, who is currently 33 weeks 4 days. She is followed through our office for a previa. At her last scan at 27 weeks it was about 9 mm from the internal os. There is also an EIF noted on her anatomic survey but she had low-risk noninvasive prenatal testing (NIPT). She is here today to evaluate the placenta location.

On ultrasound there is a live fetus in cephalic presentation. Fetal biometry is slightly behind dates. This is mostly because of the femur length. Head measurements are consistent and abdomen is only slightly behind. All measurements have

With a mean gestational age of 29.1 weeks. Because of the failure of the medical treatment,

Amber is a 22yo, G2 P1001, who is currently 20 weeks 6 days. She is healthy. She was seen earlier in our for a possible blighted ovum versus vanishing twin. At that time, we discussed in detail genetic testing but because of the suspected vanishing twin she did not opt for any further testing. At her anatomic survey, recently there was concern for a persistent right umbilical vein and she was sent for further evaluation.

Eva is a 32yo, G5 P4004, who is reportedly 15 weeks as dated by LMP of 11/26/16. She is obese with a BMI of 38. She os otherwise healthy. She is currently being treated for a UTI. She has 4 prior full-term deliveries, all without complications. She is here today for her anatomic survey.

To understand the development of Victoria’s condition, the underlying physiology and progressive pathophysiology must be examined. Victoria is a 29 year old woman of Indian descent, her booking body mass index (BMI) was 22.5 and her expected due date was 22/09/2015. Victoria gave birth to a live male infant named Noah, on the 24/08/2015 at 35 weeks and six days gestation, classing him as a late preterm. He weighed 2740gms and plotted on the 82nd

Marisna is a 39yo, G3 P2002, who is currently 21 weeks 0 days as dated by LMP using a due date of 04/25/17. This was consistent with her 1st ultrasound in your office that measured just slightly ahead with a due date of 04/18/17. She is AMA. She had a quad screen in your office that returned screen positive with an increased risk of Down syndrome of 1:100. This is close to what her age based risk would be. Open neural tube defect was screen negative. In reviewing her analytes, AFP was slightly elevated at 2.15 MoM and inhibin was borderline at 1.87 MoM. She was diagnosed with chronic HTN fairly early in her last pregnancy. She did not have preeclampsia with that pregnancy to her knowledge. The baby was quite small, as it weighed just over 4 lb at term. She was not on BP medication chronically, but coming into this pregnancy at 19 weeks her BP was elevated at 162/90 and she was started on labetalol. I cannot tell in the records if she had protein in her urine but she did have 2+ on her dip in our office today. She reports that she has collected a 24-hr urine last week, although we do not have those results. Because she entered care late, she is not on baby aspirin for the prevention of preeclampsia.

Her past medical history is negative for major medical disorders by her report. She denies a history of chronic HTN but her BP when she was first seen by us today was 160/102. On completion of our evaluation her BP was 124/83. She denies any allergies to medications and

Jessica is a 29yo, G2 P0010, who was seen for a follow-up ultrasound assessment. As you know, we have been following her for an abnormal fetal kidney on the left side versus agenesis. Currently on today’s assessment she has no complaints and has positive fetal movement. The patient also does have a history of chronic HTN and is on labetalol 100 mg b.i.d. Her BP was normal at 130/83, and her urine evaluation was negative. In addition, based on her height and weight at the start of the pregnancy, her BMI was 39.

On ultrasound, there is a live fetus in cephalic presentation. Initial scanning noted a very large abdominal cyst that appeared to be compressing the thoracic cavity. Intracranial anatomy appeared normal. It was impossible to evaluate the spine and intraabdominal contents in the setting of this large intraabdominal cyst. Measurements for the cyst were 8.4 x 12.6 x 12.8 cm. It appeared to be simple in nature.

Manisha is a 32yo, G2 P0010, who is currently 32 weeks 2 days. She is followed closely in our office for severe IUGR and oligohydramnios. She was admitted to the hospital last week and after 4 days of inpatient her amniotic fluid rose just slightly from just < 5 cm to just above 5 cm. She was allowed to be discharged home and is following up today for ongoing evaluation.