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ION
GROUP NO 2
SUBGROUP 2
SEC C
GARGE SHRIKANT HARISH 33
GUNASEKARAN JANANI 37
KURPAT MUSTHABEEN 49
GENERAL DATA
Patient's name : A.A
Age : 22yrs old
Sex : female
Civil status : single
Religion :RC
Address : Davao City
Blood group: O+
Informant: patient
Reliability :70%
Date and time of admission in SPMC: feb 9, 2019 , 4.00pm
Date of delivery: feb 9, 2019 ,9.35pm
Date of interview : feb 11, 2019
CHIEF COMPLAINT
She was then reffered to SPMC because there was slow progress in
dilation from morning.
AT 6 P.M TO 9 P.M – 8cm dilation
She was then delivered via C-Section because of arrest in dilation .
OB HISTORY
Ob score: G1P1(1 0 0 1)
LMP- May 6,2018
EDD- Feb 13,2019
AOG- 39 weeks 6/7 days
No contraceptives used
PREGNANCY PREGNANCY YEAR GESTATION SEX BIRTH PRESENT COMPLICATIONS
ORDER OUTCOME COMPLETE WEIGHT STATUS
ANTENATAL HISTORY
Prenatal visits :10 visits in Mercy Maternity clinic ,2 visits in SPMC
Immunization: tetanus toxoid -2doses(month unrecalled)
Medications: multivitamins, ferrous sulfate, calcium
FAMILY HISTORY