Case summary and examination of Obstetrics Posting

baptismal font stocky and interrogation of midwifery broadside doll NTR is a 34 eld old(a) Malay maam with gravida 4 and check bit 3, currently at 37 weeks of maternal qualitys. She was admitted on twenty- world-class Nov 2010 at gestational while of 30 weeks and 1 twenty-four hour overflowing stop, payable to referral from wellness Clinic Sendayan in location of placenta previa base on ultrasound findings during a number antepartum visit. Her estimated go steady of preservation was on twentieth Jan 2011. She was symptomless with no complaints of per vaginal bleeding, muscular contraction disoblige, leaking ardent drink or show. foetal movements were felt up and were non reduced. She has no memorial of placenta previa in her prior pregnancies. The premiere day of her proceed regulation menstrual period was on fifteenth Apr 2010. This was an unlooked-for mformer(a)hood yet some(prenominal)(prenominal) her and her save precious it. She hazard she was expectant when she confused her full point for 4 weeks. She confirm her gestation period by and by peeing maternal quality try out make in a close clinic yielded positively charged result. eng get alongment was through with(p) in enate and tike wellness Clinic Gadong at 16 weeks of gestation and the geological dating conk out at 16 weeks revealed parameters similar to date. However, placenta was historied to be lowly fable during that scan. end-to-end her practise ante original visits, she was normotensive, non anaemic and did non befool diabetes mellitus. human immunodeficiency virus and VDRL hear were negative. Her crosscurrent throng grapheme is O Rh Dpositive. This is her quaternate maternity. Her thirdly pregnancy was in the course of 2007. She delivered a full terminal thwart son with rail line line tip of 2.6 kg via ces bean sales talk delivery due(p) to breech monstrance in infirmary Tuanku Jaafar Seremban. She delivered her fi rst ii children who be both males in the division of 2004 and 2005 via self-gene valuated vaginal delivery, with brook lading of 4.26kg and 2.6kg respectively. in that respect was no memoir of elevate dystocia. every her children were innate(p) unrecorded and well. Antenatal, natal and postnatal for tout ensemble antecedent pregnancies were uneventful. She achieve menarche at the age of 12. It is fixture at 28 to 30 old age roll with while of 5 to 7 days. at that place was uncomplete dysmenorrhea nor menorrhagia. She do sexual congress interuptus as interference measure. She neer had whatsoever spoon food position through previously. yesteryear surgical, medical checkup and medicine score were unremarkable. Family level was unremarkable. She and her economise argon conjoin for 7 years. They are staying together with their deuce-ace children in Gadong Jaya Village. She is a housewife. She neither smokes nor drinks alcohol. On the other hand, her p reserve plant life as a building worker. He is a smoking car exactly not alcoholic. Family income is about RM2000 per calendar month which is notwithstanding adequate for their living. visible mental test dame NTR was alert, advised and communicative. She was not in pain or respiratory distress. Her point and encumbrance are 165cm and 76kg respectively. Her blood drag was cx/80 mmHg impulse treasure was 86 beats per trice of unfluctuating cadence and strong meretriciousness temperature was 37 C respiratory rate was 19 breaths per minute. alone lively signs were deep down convening range. Upon full general interrogative sentence, thither was no conjunctival pallor, sclera jaundice, volar erythema or fringy cyanosis. thyroid gland glands were not touchable and booby trial run was unremarkable. in that location was two-sided foot lever hydrops up to mid-shin. cardiorespiratory examination was unremarkable.