Divine Word Hospital

DEPARTMENT OF
OBSTETRICS AND GYNECOLOGY

SGD #7

Date of consult: December 28, 2020

SM, a 29-year old G2P1 (1001), Pregnancy uterine 30 weeks and 4 days AOG by LMP,
consulted at the OPD General Clinic for prenatal check-up. She has no known co-
morbidities. On history, both her parents have Diabetes Mellitus. She had a previous
Cesarean Section secondary to cephalopelvic disproportion with her first baby weighing 4.3
kg. She had stable vital signs with essentially normal PE findings. Fundic height was 32 cm
with an estimated fetal weight of 1.8 to 2.0 kg cephalic in presentation and with good fetal
heart tones. On IE, cervix smooth closed.

Biometry done last December 24, 2020 showed:

Single live intrauterine pregnancy, cephalic in presentation, 30 weeks by Composite aging
Placenta anterior, high-lying, Grade 2
Biophysical Profile Score 10/10
High normal amniotic fluid volume (AFI = 22cm)
Sonographic estimated fetal weight is Large for gestational age

75 g OGTT:
FBS- 90
1 hour- 184
2 hour- 160