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01.12.2014
05.30 PM
Hb: 7.6 g/dl
WBC : 13.500/mm3
Plt : 198.000/L
CRP (-)
Conservative management
Mrs.IND/23/UA/LAT/SAN
D/ G2P1A0 34 weeks gestational age not inlabor with PROM 16 hours SLF cephalic presentation
+ moderate anemia
US ER (IDA) :
- SLF cephalic presentation
- Fetal biometry :
BPD 8,49 cm
FL 6,21 cm
HC 29,8 cm
EFW 2160 g
AC 29,2 cm
- Amniotic fluid AFI
1,08 0,80 = 6,06 cm
2,12 2,06
- Placenta at anterior of uterine corpus
C/ 34 weeks gestational age SLF cephalic presentation
M/ Conservative management
Nifedipine 10 mg tab / 6 hours
Ampicillin 1 g iv (ST)/6 hours
Dexamethason inj 12 mg / 24 hours (2 days)
PRC transfusion
P/ US confirmation
US (PM) :
- SLF cephalic presentation
- Fetal biometry :
BPD 8,05 cm
FL 6,68 cm
HC 30,58 cm
EFW 2182 g
AC 29,47 cm
- Amniotic fluid AFI
1,16 0,36 = 2,95 cm
0,76 0,67
- Placenta at anterior of uterine corpus
- There was 2x umbilical cord strangulation
- BPP : FM 2 FB 2 FT 2 ICA 0 NST 2 8
- Cervical length 2,4 cm
C/ 34 weeks gestational age SLF cephalic presentation + BPP 8 + cervical length 2,4 cm + 2x
umbilical cord strangulation + oligohidramnios
2.
01.12.14
Conservative management
08.20 PM
D/ G1P0A0 33 weeks gestational age not inlabor with PROM 9 hours SLF cephalic presentation
Mrs. FEN/28/RA/LAT/ASN
US ER (IDA) :
- SLF cephalic presentation
- Fetal biometry :
BPD 8,4 cm
FL 6,17 cm
HC 28,9 cm
EFW 1840 g
AC 27,5 cm
- Amniotic fluid AFI
1,12 1,03 = 5,17 cm
1,35 1,67
- Placenta at posterior of uterine corpus
C/ 33 weeks gestational age SLF cephalic presentation
M/ Conservative management
Nifedipine 10 mg tab / 6 hours
Ampicillin 1 g iv (ST)/6 hours
Dexamethason inj 12 mg / 24 hours (2 days)
P/ US confirmation
US
3.
02.12.14
03.30 AM
FHR I : 188 x/m
FHR II: 182 x/m
US confirmation (PM):
- Single life fetus cephalic presentation
- Biometry : BPD : 7.72 cm AC : 24.04 cm EFW : 1408 g
HC : 28.33 cm
FL : 6.36 cm
- Placenta at anterior of uterine corpus
- Amniotic fluid was decreased, AFI : 3.16 cm
- IUGR was suspected
- BPP : 8
C/ 31 weeks gestational age SLF cephalic presentation + IUGR was suspected +
oligohydramnios + BPP 8
LSCS due to fetal distress
Mrs. ELA/18/RA/SUG/MRZ
D/ G1P0A0 38 weeks gestational age inlabor 1st stage active phase with history of ROM 1 day
SLF breech presentation + fetal distress
4.
04.20 AM
04.23 AM
Placenta was delivered completely, PW 520 g, umbilical cord length 48cm, 19x20cm
02.12.14
06:00 AM
29.11.14
01.00 PM
GI : 6
Hb : 9.3 g/dl
Plt : 221.000/L
SGOT : 21U/L
SGPT : 13 U/L
LDH : 358 U/L
01.12.14
12.45 PM
5.
02.12.14
01.00 AM
GI : 4
10.50 AM
10.55 AM
Placenta was delivered completely, PW 210 g, umbilical cord length 35 cm, 14x15cm
02.12.14
02.12.14
04.30 AM
FHR I : 188 x/m
FHR II: 182 x/m
FHR III : 170 x/m
with
Mrs. IIN/24/UA/SUG/MRZ
st
D/ G1P0A0 42 weeks gestational age inlabor 1 stage latent phase with PROM 2 days SLF
cephalic presentation + fetal distress
06.55 AM
Placenta was delivered completely, PW 510 g, umbilical cord length 49 cm, 18x19cm
02.12.14