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Transvaginal Scan Transabdominal Scan
Transvaginal Scan Transabdominal Scan
Transvaginal Scan Transabdominal Scan
Transabdominal scan
Uterus is normal in size
Normal endometrial thickness
Both ovaries are normal
Adnexa free
No free fluid in POD
All explained to the patient
GDM
To see dietitian (pre-authorization sent)
Advised to have strict diet control and regular exercise.
BSS monitoring.
To increase Levemir to 2 units every night until the FBS become normal (93 mg/dl).
PERINEAL REPAIR
POSTNATAL (NSVD)
She is well.
Lochia is minimal.
Breastfeeding.
Healed and clean wound.
Cc: itching
For LFT and bile acids.
Chlorpheniramine and elocom cream was given.
ANC
USS
POSTPARTUM:
Conclusion:
HORMONAL TEST:
PREGNANCY TEST:
For BHCG today if negative for withdrawal bleeding and to come day 2 or 3 of period for hormonal test.
Transvaginal scan
Transabdominal scan
Single viable fetus
FHR positive
CRL (Crown rump length):
US GA (Ultrasound gestational age):
EDD by scan:
MEDICATIONS:
For IV paracetamol 1 g followed by Syntocinon 20 units with 500 ml NS over 2 hoursand methergine.
IUCD Insertion:
ADMISSION:
Procedure:
Lithotomy position.
Cleaned and draped.
Posterior perineal repair done.
V/E and PR done.
Minimal blood loss.
Post-op orders:
Vitals every 4 hours.
Watch for bleeding.
Soft diet.
Catheter out after 6 hours.
Early mobilization.
Clexane after 24 hours.
Anesthesia: GA
Procedure: ERPC/Suction evacuation
Lithotomy position
Cleaned and draped
ERPC and suction evacuation done.
Minimal blood loss.