RHMPP CASE STUDY

June 2016

DATA

Name: M.M.
Age: 31
Civil Status: Married
Address: Brgy. Inapoy, Kabanakan City

II

OB History

Gravida 4, Para 3
Wt: 62 kg

III

MENSTURAL HISTORY

Menarch: 14 years o;d

32 days menstyral cycle
LMP: October 25, 2015

IV

CURRENT STATUS

Medications given:
Ferrous Sulfate with Folic Acid once daily

VI

HEALTH TEACHINGS
1
2
3
4
5
6

Instructed to visit midwife every month for prenatal and monitoring.

Proper nutrition and exercise instructed.
Ferrous sulfate and increased fluid intake emphasize.
Danger signs of pregnancy explained thoroughly.
Explained the importance of facility based delivery.
Explained the importance of family planning.

DISCUSSION

Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to another organ
system, often the kidneys. Preeclampsia usually begins after 20 weeks of pregnancy in a woman whose blood pressure had
been normal. Even a slight rise in blood pressure may be a sign of preeclampsia.

Left untreated, preeclampsia can lead to serious even fatal complications for both you and your baby. If you have
preeclampsia, the only cure is delivery of your baby.
If you're diagnosed with preeclampsia too early in your pregnancy to deliver your baby, you and your doctor face a
challenging task. Your baby needs more time to mature, but you need to avoid putting yourself or your baby at risk of serious
complications.
Preeclampsia sometimes develops without any symptoms. High blood pressure may develop slowly, but more commonly it
has a sudden onset. Monitoring your blood pressure is an important part of prenatal care because the first sign of
preeclampsia is commonly a rise in blood pressure. Blood pressure that is 140/90 millimeters of mercury (mm Hg) or greater
documented on two occasions, at least four hours apart is abnormal.
Other signs and symptoms of preeclampsia may include:

Excess protein in your urine (proteinuria) or additional signs of kidney problems

Severe headaches

Changes in vision, including temporary loss of vision, blurred vision or light sensitivity

Upper abdominal pain, usually under your ribs on the right side

Nausea or vomiting

Decreased urine output

Decreased levels of platelets in your blood (thrombocytopenia)

Impaired liver function

Shortness of breath, caused by fluid in your lungs

Sudden weight gain and swelling (edema) particularly in your face and hands often accompanies preeclampsia. But
these things also occur in many normal pregnancies, so they're not considered reliable signs of preeclampsia.

VII

FINAL DIAGNOSIS

G1PO Pregnancy Uterine

Submitted by:

ROSARIO DELA CRUZ, RM

RHMPP
Noted by:

FERNANDO A. FERNANDEZ, MD
CITY HEALTH OFFICER
KABANKALAN CITY HEALTH OFFICE