1.

Obstetric case

Mrs X, 30 yrs w/o Mr Y, address – cowl bazaar, Ballari,

Husband’s occupation – shopkeeper.

Chief complants : G2P1L1 with 8 MOA,

Case of previous LSCS, FM well perceived.

LMP – 23/07/2020 EDD – 30/4/2021

For safe confinement,

No h/o pain abdomen ,bleeding PV and leaking PV

Obstetric History : ML – 5yrs

1st Pregnancy – Full term LSCS for Fetal Distress, Male, BW-2.8 kgs, Alive and
healthy, 4yrs now. Exclusive breast feeding was done for 6 months, breast
feeding was continued till 1 year 2 months.

Cu T was used for 2 years.

2nd Pregnancy- 1st trimester – UPT done at 2 months, USG done at 3 months,
told to be normal. No h/o fever, excessive vomiting. Taken T. Folic acid.inj TT
taken

2nd Trimester – Quickening felt at 5 months. 5th month scan done, told to be
normal. Taken tab iron, calcium. No h/o suggestive of GDM/HDP.
3rd trimester – growth scan done ,fetal movements well percieved

Menstrual history:

AOM : 12yrs, PMC – regular, LMP – 23/07/2020

Past history – nothing significant

Family history – nothing significant

Personal history – Died: veg, Appetite: normal.

Bowel&bladder-reg, normal, Addicative habits-none.

General physical examination : A 30yrs old female, conscious, oriented,

moderately built and nourished.

No pallor/no lcterus/No clubbing / No koilinochiya / No Generalized

lymphadenopathy / No Edema.

PR – 84 bpm BP – 122/76 mmhg.

Ht – 152cms, wt – 60 kgs (pre pregnancy wt – 52 kgs)

Breast – normal Thyroid-normal Spine – normal

CVS / RS – NAD

P/A – Uterus 32-34 wks size, relaxed, cephalic lower polel, FHR 140 bpm
regular, suprapubic transverse scar noted healed by primary intention.
2. Obstetric case

Mr X aged 32 yrs, w/o Mr y, address – Bandihatti, husband’s occupation –

farmer.

Chief complaints : Primi with 9MOA, FM well perceived

LMP – 19/8/2020 EDD – 26/05/2021,

Now admitted for high BP for evaluation & management

No h/o headche/blurring of vision/ giddiness/ epigastric pain/ vomiting.

Obstetric history : ML – 5 yrs, NCM, conceived spontaneously

Primigravida.

1st trimester – UPT done at 2 months, USG done at 3 months, told to be normal .
No H/o fever, excessive vomiting. Taken T. Folic acid.inj TT taken.

2nd trimester – Quickening felt at 5 monts. 5th month scan done, told to be
normal. Taken tab iron, calcium. Inj TT second dose taken. No h/o suggestive
of GDM/HDP.

3rd trimester – now admitted for above complaints.

Menstrual history – AOM -13yrs, PMC – reg, LMP – 19/08/2020

Past history – nothing significant.

Family history – nothing significant

Personal history – Died: veg, Appetite: normal.

Bowel & bladder-reg, normal, Addictive habits-none.

General physical examination : A 30yrs old female, conscious, oriented,
moderately built and nourished.

No pallor/no lcterus/No clubbing / No koilinochiya / No Generalized

lymphadenopathy / No Edema.

PR – 84 bpm BP – 142/100 mmhg. Urine albumin-1+

Pedal edema +

Ht – 152cms, wt – 60 kgs (pre pregnancy wt – 52 kgs)

Breast – normal Thyroid-normal Spine – normal

CVS / RS – NAD

P/A – Uterus 32-34 wks size, relaxed, cephalic lower polel, FHR 140 bpm
regular
3. Obstetric case

Mr X aged 32 yrs, w/o Mr y, address – kudligi,

husband’s occupation – farmer.

Chief complaints : Primi with 9MOA, FM well perceived

LMP – 17/08/2020 EDD – 24/5/2021

No h/o headche/blurring of vision/ giddiness/ epigastric pain/ vomiting.

Obstetric history : ML – 5 yrs, NCM, she was investigated for subfertility,

conceived with medication – 2nd cycle of treatment from D2 to D7 of periods.

Primigravida.

1st trimester – UPT done at 2 months, USG done at 3 months, told to be normal
and has twin babies. No H/o fever, excessive vomiting. Taken T. Folic acid.inj
TT taken.

2nd trimester – Quickening felt at 5 monts. 5th month scan done, told to be
normal. Taken tab iron, calcium. Inj TT second dose taken. No h/o suggestive
of GDM/HDP.

3rd trimester – now admitted for above complaints.

Menstrual history – AOM -13yrs, PMC – reg, LMP – 17/08/2020

Past history – nothing significant.

Family history – nothing significant.

Personal history – Diet : mixed, Appetite:normal.

Bowel & bladder-reg, normal, Addictive habits-none

General physical examination : A 32 yrs old female, conscious, oriented,
moderately built and nourished.

No pallor/No lcterus/ No clubbing/ No kolinochiya / No Generalized

lymphadenopathy / No edema.

PR-84 bpm

BP – 108/70 mmhg.

Ht-164 cms, wt-66kgs (per pregnancy wt-57 kgs)

Breast – normal

Thyroid – normal

Spine – normal

CVS/RS-NAD

P/A – uterus overdistended for POG, relaxed, multiple fetal parts felt, twin A-
Cephalic Presentaton, both FHS heard, 140 bpm & 155 bpm.
4. Obstetric case

Mrs X aged 20 yrs, w/o Mr Y, address – kurugodu, SES – lower middle class

Chief complaints :

Primigravida with 8MOA

LMP – 19/08/2020 EDD – 26/05/2021

C/o pain abdomen since 1 day,

Associated with low back pain.

No h/o leak pv

OBH: ML-1yr, primigravida,

1st trimester – UPT done at 2 months, USG done at 3 months, told to be normal.
No h/o fever, excessive vomiting. Taken T. Folic acid.Inj TT Taken.

2nd trimester – Quickening felt months. 5th month scan done, told to be normal.
Taken tab iron, calcium. Int TT second dose taken. No h/o suggestive of gdm /
hdp.

3rd trimester – uneventful

Menstrual history : AOM – 1yr, PMC – Reg, LMP – 18/08/2020

Past history – nothing significant

Family history nothing significant.

Personal history – Died: veg, Appetite: normal.

Bowel & bladder-reg, normal,

Addictive habits-none.

General physical examination : A 20yr old female, conscious, oriented,

moderately built and nourished.

No pallor/no lcterus/No clubbing / No koilinochiya / No Generalized

lymphadenopathy / No Edema.

PR – 84 bpm BP – 122/76 mmhg.

Ht – 152cms, wt – 60 kgs (pre pregnancy wt – 52 kgs)

Breast – normal Thyroid-normal Spine – normal

CVS / RS – NAD

P/A – Uterus 32-34 wks size, relaxed, cephalic lower pole, FHR 140 bpm
regular
5. Obstetric case

MrsX, aged 28 yrs, w/o Mr. Y Address – Rayasamudra, Husband’s occupation

–farmer. Lower middle socio economic status

Chief complaints : G3P2L2 with 8 MOA

LMP – 29/07/20 EDD – 06/05/2021

C/o generalized tiredness since 1 month

Both lower limbs swelling – 2 wks

Fetal movements well perceived.

OBH: ML – 6 yrs,

1st pregnancy – FTVD, alive, male, BW – 3kg, now 4 yrs alive and healthy

2nd pregnancy – h/o blood transfusion at 8 months, PTVD at 8 and ½ months,

alive female, BW – 2kgs, alive & healthy, 2 and ½ yrs.

3rd pregnancy – irregular ANC visits

1st Trimester – No h/o fever, excessive vomiting.

2nd trimester – Quickening felt at 5 months. Not taken tab iron and calcium.
Scan done at 5th month told to be normal.

3rd trimester – pt is now referred here i/v/o above complaints.

Menstrual History: AOM- 12yrs, PMC – reg, LMP – 29/07/20

Past history – h/o blood transfusion in 2nd pregnancy

Family history – Nothing Significat

Personal history – Nothing significant.

General physical examination : A 28 yrs old female, conscious, oriented,

moderately built and nourished.

Pallor + B/l pedal edema +

No lcterus / No clubbing / No kolinochiya / No Generalized lymphadenopathy

PR – 84 bpm

BP – 112/70 mmhg.

Ht – 155cms, wt – 60 kgs (pre pregnancy wt – 52 kgs)

Breast – Normal

Thyroid – normal

Spine – normal

CVS/RS – NAD

P/A – Uterus 32wks size, relaxed, cephalic lower pole, FHR 144 bpm regular
6. Obstetric case

Mrs X, aged 28 yrs, w/o Mr. Y Address – Rayasamudra, Husband’s occupation

–farmer. Lower middle socio economic status

Chief complaints : G2P1L1 with 9MOA

LMP – 29/07/20 EDD – 06/05/2021

Blood group -B negative

Husbands blood group-B positive

Fetal movements well perceived.

OBH: ML – 6 yrs,

1st pregnancy – FTVD, alive, male, BW – 3kg, now 4 yrs alive and healthy

Baby blood group- B positive ,Anti D 300mcg taken

1st Trimester – No h/o fever, excessive vomiting.

2nd trimester – Quickening felt at 5 months. taken tab iron and calcium. Scan
done at 5th month told to be normal.

3rd trimester – uneventful.

Menstrual History: AOM- 12yrs, PMC – reg, LMP – 29/07/20

Past history – Nothing significant

Family history – Nothing Significant

Personal history – Nothing significant.

General physical examination : A 28 yrs old female, conscious, oriented,

moderately built and nourished.

No pallor/No pedal edema/No lcterus / No clubbing / No kolinochiya / No

Generalized lymphadenopathy

PR – 84 bpm

BP – 112/70 mmhg.

Ht – 155cms, wt – 60 kgs (pre pregnancy wt – 52 kgs)

Breast – Normal

Thyroid – normal

Spine – normal

CVS/RS – NAD

P/A – Uterus 32wks size, relaxed, cephalic lower pole, FHR 144 bpm regular
7. Obstetric case

Mrs X, 30 yrs w/o Mr Y, address – cowl bazaar, Ballari,

Husband’s occupation – shopkeeper.

Chief complants : G2P1L1 wirth 9MOA,

Fetal movements well perceived.

LMP – 23/07/2020 EDD – 30/4/2021

For safe confinement,

No h/o pain abdomen ,bleeding PV and leaking PV

Obstetric History : ML – 5yrs

1st Pregnancy – full term vaginal delivery, Male, BW-2.8 kgs, Alive and
healthy, 4yrs now. Exclusive breast feeding was done for 6 months, breast
feeding was continued till 1 year 2 months.

1st Trimester – No h/o fever, excessive vomiting.

2nd Trimester – Quickening felt at 5 months. 5th month scan done, told to be
normal. Taken tab iron, calcium. No h/o suggestive of GDM/HDP.

3rd trimester – growth scan done ,fetal movements well percieved

Menstrual history:

AOM : 12yrs, PMC – regular, LMP – 23/07/2020

Past history – nothing significant

Family history – nothing significant

Personal history – Died: veg, Appetite: normal.

Bowel & bladder-reg, normal

Addictive habits-none.

General physical examination : A 30yrs old female, conscious, oriented,

moderately built and nourished.

No pallor/no lcterus/No clubbing / No koilinochiya / No Generalized

lymphadenopathy / No Edema.

PR – 84 bpm BP – 122/76 mmhg.

Ht – 152cms, wt – 60 kgs (pre pregnancy wt – 52 kgs)

Breast – normal Thyroid-normal Spine – normal

CVS / RS – NAD

P/A – Uterus 32-34 wks size, relaxed, cephalic lower polel, FHR 140 bpm
regular