June 8: 22 weeks AOG

Transabdominal ultrasound
Pregnancy uterine 21 weeks 6 days by fetal biometry, live, singleton, cephalic presentation.
Placenta fundal, grade 1, high lying. Adequate amniotic fluid volume (SVP: 6.4).
Estimated fetal weight is average for age of gestation (444g).
Cervix 4.43cm, long and closed

June 8:22 1/7 weeks AOG

Urinalysis
RESULT REFERENCE INTERVAL
Physical/ Macroscopic
Color LIGHT YELLOW STRAW to DARK YELLOW
Transparency SLIGHTLY TURBID CLEAR
Urine Chemical
Specific Gravity 1.020 1.005 -1.025
pH 6.0 5.00-7.00
Protein TRACE NEGATIVE
Glucose NEGATIVE NEGATIVE
Ketone NEGATIVE NEGATIVE
Urobilinogen NEGATIVE NEGATIVE
Bilirubin (B1b2) NEGATIVE NEGATIVE
Blood TRACE NEGATIVE
Microscopic
RBC 8-10 /HPF 0-3
Pus Cells 6-8 /HPF 0-5
Epithelial Cells FEW
Bacteria Occasional
Leukocytes NEGATIVE
Nitrite NEGATIVE

June 8:22 1/7 weeks AOG

EXAMINATION RESULTS NORMAL VALUES
RED BLOOD CELLS 3.62 4.50-6.0 x 10^12/L
HEMATOCRIT 0.35 0.37-0.47 L
HEMOGLOBIN 119 110-150 g /L
WHITE BLOOD CELLS 16.11 4.50 -10.00 x 10^9/L
SEGMENTERS 0.80 0.50-0.70 (H)
EOSINOPHILS 0.02 0.00-0.05
LYMPHOCYTES 0.12 0.20-0.40
MONOCYTES 0.06 0.00-0.07
PLATELET COUNT 362 150-400
MCV 97 80-100 fl
MCH 32.88 26-34 pg
MCHC 338 320-360 g/L
June 8:22 1/7 weeks AOG
Albumin 40.50 34-50g/L
Creatinine 270 49-90 umol/L (H)
FBS 4.10 4.1-5.9 mmol/L

June 15: 23 weeks AOG

Ionized Calcium 0.95 1.05-1.25 (L)
Potassium 3.50 3.5 – 5.1
Sodium 139 137 - 145

June 29: 24 6/7 weeks AOG

Congenital anomaly scan
Pregnancy uterine 23 weeks 5 days by fetal biometry. Live, singleton, cephalic presentation with good
cardiac activity and somatic activities. Placenta fundal grade 1. Adequate amniotic fluid volume (SDP:
5.31), Estimated fetal weight is average for age of gestation (619g). Consider hydronephrosis, left.
Suggest monitoring every 3-4 weeks. No other gross anomalies seen at time of scan.
Others: Right kidney: 2.57x 1.69x 1.80, Left kidney 2.89x 1.74x 2.14cm. Left renal pelvis: 0.85c, Right
renal pelvis: 0.80c.

June 29: 24 6/7 weeks AOG

Urinalysis
RESULT REFERENCE INTERVAL
Physical/ Macroscopic
Color LIGHT YELLOW STRAW to DARK YELLOW
Transparency SLIGHTLY TURBID CLEAR
Urine Chemical
Specific Gravity 1.015 1.005 -1.025
pH 6.0 5.00-7.00
Protein TRACE NEGATIVE
Glucose NEGATIVE NEGATIVE
Ketone NEGATIVE NEGATIVE
Urobilinogen NEGATIVE NEGATIVE
Bilirubin (B1b2) NEGATIVE NEGATIVE
Blood TRACE NEGATIVE
Microscopic
RBC 4 - 6 /HPF 0-3
Pus Cells 25-30 (SOME IN CLUMPS) /HPF 0-5
Epithelial Cells FEW
Bacteria MODERATE
Leukocytes POSITIVE 2
Nitrite NEGATIVE
July 25:28 weeks AOG
BPS
Pregnancy uterine 27 weeks 4 days by fetal biometry, live, singleton, breech presentation.
Placenta posterior, grade 1, high lying. Adequate amniotic fluid volume (AFI: 16cm).
Estimated fetal weight is average for age of gestation (1051g).
Consider bilateral pelvocaliectasia.
Right Kidney 4.15x 2.30x 2.32cm, PK ratio 0.61cm
Left kidney 3.18x 1.49x 2.17cm, PK ratio 0.52cm
Biophysical score 8/8

July 28: 29 1/7

75gOGTT
FBS 93.24 (less 92)
1st hour 221.58 (less 180)
2nd hour 232.74 (less 153)

Aug 19: 32 weeks AOG

BPS
Pregnancy uterine 30 weeks 4 days by fetal biometry, live, singleton, cephalic presentation.
Placenta fundal, grade 2, high lying. Adequate amniotic fluid volume (AFI: 8.5cm).
Estimated fetal weight is average for age of gestation (1540g).
Biophysical score 8/8
Bilateral hydronephrosis
Right Kidney 4.43x 2.51x 2.40cm, Renal Pelvis: 1.24cm
Left kidney 4.11x 2.30x 2.45cm, renal Pelvis: 0.98cm

Aug 22: Urinalysis

RESULT REFERENCE INTERVAL
Physical/ Macroscopic
Color LIGHT YELLOW STRAW to DARK YELLOW
Transparency SLIGHTLY TURBID CLEAR
Urine Chemical
Specific Gravity 1.020 1.005 -1.025
pH 6.0 5.00-7.00
Protein NEGATIVE NEGATIVE
Glucose NEGATIVE NEGATIVE
Ketone NEGATIVE NEGATIVE
Urobilinogen NEGATIVE NEGATIVE
Bilirubin (B1b2) NEGATIVE NEGATIVE
Blood TRACE NEGATIVE
Microscopic
RBC 2-4 /HPF 0-3
Pus Cells 4-6 /HPF 0-5
Epithelial Cells FEW
Bacteria Occasional
Leukocytes NEGATIVE
Nitrite NEGATIVE

Aug 28: 33 4/7 weeks AOG

BPS
Pregnancy uterine 32 weeks 2 days by fetal biometry, live, singleton, cephalic presentation.
Placenta posterofundal, grade 2, high lying. Adequate amniotic fluid volume (SVP: 3.90cm).
Estimated fetal weight is average for age of gestation (1879g).
Biophysical score 8/8
Pelvic caliectasia in fetal kidneys

Sept 6: 34 6/7 weeks AOG

BPS
Pregnancy uterine 32 weeks 4 days by fetal biometry, live, singleton, cephalic presentation.
Placenta posterofundal, grade 2, high lying. Adequate amniotic fluid volume (SVP: 3.70cm).
Estimated fetal weight is average for age of gestation (1911g).
Biophysical score 8/8
Fetal Kidneys with caliectasia

Sept 14: 36 weeks

BPS
Pregnancy uterine 32 weeks 3 days by fetal biometry, live, singleton, cephalic presentation.
Placenta fundal, grade 2, high lying.
Oligohydramnios (AFI: 1.94cm).
Estimated fetal weight is average for age of gestation (1886g).
Biophysical score 6/8
Consider hydronephrosis, bilateral
Right Kidney 4.09x 3x 2.70cm, Renal Pelvis: 1.1cm
Left kidney 4.42x 2.24x 2.25cm, renal Pelvis: 0.76cm