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Post by dwindsweptwayne on Feb 10, 2013 16:28:22 GMT -5
LMP: December 6 (conceived 12/15 during assault by Tricckey Tatters)
EDD: September 7
Fundal Height: NA
FHR: NA
Gestational Age: 10wks
Pulse: 102
B/P: 98/64
Temp: 96.2
URINE:
Glucose: Neg
Ketones: Neg
Protein: Neg
BLOODWORK:
HCT: 38%
HGB: 11ng/dL
WBC: 5500 cells/mL
PLA: 272,000/mmol
Viral Load: Negative
Rh: -
ABO: O
Tsuritsa is a nullipara, ~10wks pregnant. She was admitted to the clinic on 2/10, suffering from hyperemesis gravidarum. She has been between 2 and 3 days without being able to keep down fluids or solids, including water.
Skin-pinch tests and initial blood work indicate that she is severely dehydrated. Lilly started an IV with ringer's lactate, and this has been followed with 25cc of phenergan, IM. She will remain NPO for ~24 hrs, and we will try a clear-liquid challenge after that. If she is able to keep clear liquids down, we will gradually re-intruduce full liquids, etc., depending on how she tolerates them.
I will speak with Luc about options for nausea management on her release.
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Post by dwindsweptwayne on Mar 17, 2013 14:56:07 GMT -5
LMP: February 4 EDD: November 11
Test done on 3/14 - Positive.
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Post by dwindsweptwayne on Mar 23, 2013 15:06:36 GMT -5
February 10
Maya came in for a routine prenatal visit today.
LMP: September 14 (this would mean a conception date ~9/27)
EDD: June 20
Fundal Height: 25.6cm
FHR: 156 bpm
Gestational Age: 27 wks 2 days
Pulse: 76
B/P: 118/84
Temp: 98.2
URINE:
Glucose: Neg
Ketones: Neg
Protein: Neg
BLOODWORK:
HCT: 36%
HGB: 9 ng/dL
WBC: 5500 cells/mL
PLA: 272,000/mmol
Viral Load: Negative
Rh: +
ABO: AB
Maya is a nullipara, 27 wks pregnant. Fundal height 25.6 cm, slightly SGA . Blood work looks good. Viral load and antibody titers for flu were negative. Weight gain 9 lbs, which is low for this point in pregnancy. Maya indicated that she is still having trouble sleeping -- midnight waking, delayed onset of sleep.
I've provided an herbal supplement to assist her in getting better sleep, and prescribed a diet that takes into account her activity level and metabolism, with a daily calorie requirement of around 3800 kcal/day. I've included a scrip to be given to the kitchen, to make sure that she doesn't have a problem obtaining travel variants of suitable foods for when she's on patrol.
I'm arranging a time with Rocky to do an ultrasound, since the baby is small for gestational age, and Maya's weight gain is lower than I would like for a pregnancy at this point.
I'll expect to see Maya in clinic again in two weeks for her next prenatal.
RTC: on or about April 6
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Post by dwindsweptwayne on Mar 30, 2013 15:34:33 GMT -5
March 30
Last Period (LMP): Unk Estimated Due Date (EDD): 7/10 Current gestational age (CGA): 27+ weeks Mother's pre-pregnacy Weight: 108 Mother's weight at visit: 122 lbs
Fundal Height (FH): 26 cm
Ultrasound Results: (Done by Mary Lee) 1 fetus, female. Head, abdominal, and crown-rump consistent with 27 week old fetus.
Return To Clinic (RTC): no later than 4/6
Sophie has been advised to stop all lab experiments and chemical exposures. She is mildly hypertensive (142/92) with an elevated HR (98). She's been having headaches, so has been advised to limit her working hours to 4 hrs.
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Post by Sophie on Apr 18, 2013 13:25:06 GMT -5
Sophie returned for a follow up visit.
Weight: 123.5 Pulse: 98 B/P: 144/90 Temp: 100.4
Fundal Height: 28cm FHR: 160 bpm Gestational Age: ~27 weeks Ultrasound Results: Head, abdominal, and crown-rump consistent with 27 week old fetus.
URINE: Glucose: Neg Ketones: Neg Protein: 4mg/dL RBC: 0/HPF WBC: 4/HPF RBC Casts: 0/HPF
BLOODWORK: HCT: 37.2% HGB: 12.2 g/dL WBC: 12,100 cells/mL PLA: 272,000/mmol Viral Load: Negative Rh: + ABO: O
Treatment: Amoxicillin 500 mg bid for five days. Echinacea tea twice daily for 14 days. Added high calorie nog mid-day to help patient gain weight.
RTC: 4/23
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Post by dwindsweptwayne on May 19, 2013 12:40:51 GMT -5
Charlie is a nullipara, no notable health history, however, she has a history of injury and trauma since the Rising.
Charlie came for an exam and help getting pregnant. During routine examination and pelvic, I noted the presence of cervical changes consistant with Chadwick's Sign, indicating probable pregnancy. This was confirmed with a bHCG (blood).
LMP: March 27 EDD: January 1
Charlie is scheduled to RTC on or about June 17. She was provided with nutritional counseling, and notes to obtain pregnancy rations.
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Post by dwindsweptwayne on May 19, 2013 12:46:46 GMT -5
Maya Littleton gave birth to a baby boy at 36 weeks. Baby and mom are both healthy. Birth was attended by Lilly Masters.
Lilly, Mary Lee or Darlene will do rounds at 24 hrs, 48 hrs, and 1 week postpartum.
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Post by dwindsweptwayne on May 19, 2013 12:51:42 GMT -5
Brandon was circumcised postpartum. Mother was provided with care instructions for the circumcised penis.
Brandon will be examined at the 24hr, 48hr, and 1 week visits, to assure no complications with the circumcision.
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Post by pandorasbox on May 20, 2013 13:53:47 GMT -5
Uuumm GO Charlie and Gideon!? LOL
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Post by dwindsweptwayne on May 20, 2013 17:19:17 GMT -5
Sophie Bradley presented to the clinic on 5/19, with acute, cyclical abdominal pain and backache. She had been diagnosed approximately 5 weeks earlier with a 3rd trimester pregnancy. However, with no known LMP, we were required to use crown-rump, head circumference, long-bone development and abdominal circumference to approximate due date. The approximation gave an approximate gestational age at the time of admission of 32 weeks gestation.
Upon initial examination, pulse was elevated, BP was slightly elevated, patient was perspiring profusely, temperature was normal. Patient was complaining of extreme pain. Pelvic examination showed ROM and cervical dilation at 10cm, eliminating the possibility of slowing or stopping labor so that the baby's maturity could be assured.
Pushing stage was uncomplicated, with no tears to the perineum. Sophie was encouraged to pant through contractions and not augment her body's natural expulsion process. In addition, she was positioned on hands and knees to minimize pressure on the baby's skull during descent and minimize risk of malpresentation or shoulder dystocia. Stage II pushing lasted for approximately 40 minutes.
The 5 lb, 2oz, 18" long baby girl was born without incident, and was vocally active with excellent respiration at birth. 1 minute APGAR - 9, 5 minute APGAR - 10.
Upon examination of the baby, it was determined that the baby was at least a month further along than ultrasound examination provided. She was at the earliest end of "full term" at approximately 36 weeks, rather than the anticipated 32 weeks.
Baby latched on to nurse without incident, and was nursing well at 24 hrs post-partum.
Mother and baby were released from the clinic on 5/20, to return home. Annabelle and Cerise will split shifts as "Mother's Helpers" for 90 days postpartum. Notes for additional rations and "meal flex" assistance have been provided to Anthony to allow liberal and flexible dining for mom during her first 6 months of nursing. Wet nurses have been located and assigned to assist with providing milk assistance in the event of complications resulting from the mother's work responsibilities or in the event of illness that impairs mother's milk supply.
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Yoko
Junior Member
Posts: 62
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Post by Yoko on Oct 20, 2013 11:07:49 GMT -5
October 19th
Kendra and Dom came in for a pregnancy test due to Kendra being almost two weeks late. (figured with dice roll a few days ago). Blood test was positive and confirmed pregnancy. Initial examination showed very good health of the mother and Kendra will be returning throughout pregnancy for prenatal care as directed.
Kira was with Dom and Kendra when they came in for the blood test and while there, Lilly retrieved a prosthetic leg piece taken among the supplies her and Scott loaded up on from the hospital before they left home and spent a few hours with Kira fitting her with it and helping her to walk around with it a bit with the assistance of her crutches and Lilly. Lilly agreed to do house calls with Kira for physical therapy as often as possible to help her make the adjustment and get used to it and hopefully be able to walk without the crutches by the time the baby comes.
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Post by dwindsweptwayne on Oct 20, 2013 12:23:10 GMT -5
Kira completed her follow-up prenatal appointment this morning.
7/18
Prenatal checkup.
EDD: May 30, 2016
Urine - negative for sugar, albumin BP - 118/76
FHT: too early for an FHT
CGA: 8 weeks, 2 days
Mother's Weight: 110.2 lbs
RTC: 11/3
Kira has recently obtained a sub-tibial prosthesis. We'll need to watch it through the pregnancy for signs of distal swelling affecting the end of the tibia, and for now, I am recommending that she continue using either canes or crutches until her balance is secure on the new prosthetic. Lilly handled the fitting of the prosthetic device and is handling all aspects of physical therapy, and it is likely that, with adjustments to fitting to address the normal distal swelling of pregnancy, Kira may be able to walk using the prosthetic through the greater portion of her pregnancy. She will need to be re-fitted about 45 days postpartum, to address changes to limb size after the fluid changes due to pregnancy have resolved.
In terms of the pregnancy, Kira is only slowly gaining weight. She's only gained about 8 oz (0.22 kg) in the past 2 weeks. However, the fetal growth at this stage is still minimal, and the fact that there has been any weight gain is a good sign.
All vitals and bloodwork was within normal limits. One of the team will see Kira in her home in approximately 2 weeks, as a routine follow-up.
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