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Maizatul Nadiah binti Mustaffa
Maizatul Nadiah binti Mustaffa
32 years old, G1 P0 @ 39W 5D
LMP : USOD
REDD : 25/5/17
1ST SCAN : 8W 4D (REDD GIVEN: 25/5/17)
SS : 11W (REDD GIVEN: 22/5/17)
- PRIMIGRAVIDA -
Maizatul Nadiah binti Mustaffa
32 years old, G1 P0 @ 39W 5D
6/5/17 REFER FROM KK TO LRC FOR URINE PROTEIN: 1+ ON EOD BP BP : 133/84 mmhg
37W 2D @LRC
URINE DIPSTICK: PROTEIN VE, BP: 133/84mmhg
TAS: S, C, P: = DATE, PLACENTA: PUS, FH ++, AFI 13, EFW 2.9kg
DX: NORMAL FETAL ASSESSMENT ALLOW DISCHARGE
Maizatul Nadiah binti Mustaffa
32 years old, G1 P0 @ 39W 5D
PLAN:
FOR BS + IOL CM
ADMIT M1C
Maizatul Nadiah binti Mustaffa
32 years old, G1 P0 @ 39W 5D
17/5/2017 (38W 6D)
AT M1C
SEEN BY HO/MO
0720H
CONTRACTION: NIL
BISHOP SCORE 1/13
MI
PGE 3MG INSERTED X 1
1250H
PATIENT RECEIVED CALL FROM KKIA : HVS C+S RESULT: GBS +VE
PLAN: FOR IV AMPICILLIN INTRAPARTUM
SEEN BY HO/MO
1425H
CONTRACTION: 1 IN 10, 15SEC
BISHOP SCORE 3/13
MI
PGE 3MG INSERTED X 3
Maizatul Nadiah binti Mustaffa
32 years old, G1 P0 @ 39W 5D
19/5/2017 (39W 1D)
SEEN BY HO/MO
0650H
CONTRACTION: 1:10 20SEC
BISHOP SCORE 5/13
MI
PGE 3MG INSERTED X 4
SEEN BY HO/MO/SPECIALIST
0820H
CONTRACTION: 1:10 15SEC
BISHOP SCORE 5/13
MI
PLAN
- ALLOW DISCHARGE
- READMIT ON SUNDAY, START 2ND CYCLE ON MONDAY
Maizatul Nadiah binti Mustaffa
32 years old, G1 P0 @ 39W 5D
20/5/2017 (39W 2D)
@LRC
2155H
VE:
V/V NAD
CX: EFFACED, SOFT, AXIAL
OS: 3CM
ST: -2
MI, VERTEX
PLAN
- ADMIT M1C
- FOR IM PETHIDINE
- VE ON STRONG CONTRACTION
Maizatul Nadiah binti Mustaffa
32 years old, G1 P0 @ 39W 5D
21/5/2017 (39W 3D)
SEEN BY HO/MO/SPECIALIST
1200H
CONTRACTION: 2:10, 35SEC
PLAN:
- TO REPEAR VE CM IF STILL NOT DELIVERED
SEEN BY HO
0942H
CONTRACTION 3:10. 35SEC
VE:
V/V NAD
CX: EFFACED, SOFT, AXIAL
OS: 7CM
ST: -2
MI, VERTEX
PLAN:
- SEND TO HRLR
Maizatul Nadiah binti Mustaffa
32 years old, G1 P0 @ 39W 5D
23/5/2017 (39W 5D)
SEEN BY MO
0942H
SVD with EPISIOTOMY
Delivered a baby BOYMSB
BW: 2995g
A/S: 0/0
EBL: 250mls
PLAN
- ALLOW T/O TO GYNAE WARD
- TO COMPLETE IV PITOCIN
- KIV DISCHARGE PM AFTER REVIEW BY MO GYNAE
- IF DISCHARGE, TCA PNC HTAA 2/12 AND REVIEW ALL BLOOD INVESTIGATION
- T. GARBOGILIN 2G STAT
- KEEP BHT FOR PMR
Maizatul Nadiah binti Mustaffa
32 years old, G1 P0 @ 39W 5D
23/5/2017 (39W 5D)
SEEN BY MO
0942H
SVD with EPISIOTOMY
Delivered a baby BOYMSB
BW: 2995g
A/S: 0/0
EBL: 250mls
PLAN
- ALLOW T/O TO GYNAE WARD
- TO COMPLETE IV PITOCIN
- KIV DISCHARGE PM AFTER REVIEW BY MO GYNAE
- IF DISCHARGE, TCA PNC HTAA 2/12 AND REVIEW ALL BLOOD INVESTIGATION
- T. GARBOGILIN 2G STAT
- KEEP BHT FOR PMR