2. My patient Kashmala Azhar, W/O Azhar Iqbal, age
26 yrs married for 1 year(this is her 2nd marriage),
resident of Kotli Azad Kashmir presented in OPD on
13th feb and is now admitted in ward. Her LMP was
1st June, 2023 and EDD is 7th March, 2024.
3. My patient, who’s G3P1+1 with gestational
amenorrhea at 36 weeks+6 days was admitted due
to low amniotic fluid (Oligohyrdramnios), reduced
fetal movements, P/V discharge and
correction/management of HTN. She has previous
one scar.
4. 1st trimester: It was a planned, booked
spontaneous pregnancy detected by urine test
strip, later confirmed through ultrasound. She took
folic acid regularly and dating scan was done.
There was no hx of nausea, vomiting, fever or
headache.
2nd trimester: Quickening was felt at 6 months(20-
24 wks). Iron & calcium supplements were taken.
Anamoly scan was done. TT prophylaxis was done.
No hx of diabetes, although HTN was +ive.
3rd trimester: Fetal movements were present but
not felt my mother due to low amniotic fluid. No hx
of GDM, but +ive HTN hx.
5. My patient is married for 1 year(2nd marriage) at GA
36 wks+6 days.
Her 1st pregnancy was 4 years ago. It was a female
child delivered through emergency LSCS due to
abruption after husband pushed her at 33 wks+6
days. Baby was breastfed and vaccination was
done.
Her 2nd pregnancy was a spontaneous miscarriage
at 6 months.
3rd pregnancy is present pregnancy.
6. Her age of menarche was 16 yrs. Her cycle was
4/28. Flow was normal, with 2-3 pads per day. No
hx of HMB, IMB, PCB and dysmennorhea.
No history of pap smear.
7. No hx of contraceptives.
Insignificant past medical hx.
No past surgical hx other than previous Caesarean.
Family hx: Mother is hypertensive.
No allergic hx.
No drug hx.
Transfusion hx is nil.
Socioeconomic hx: She belongs to middle class and
is educated upto matric. She lives in her own house
with 4 other family members.
8. My patient was lying comfortably in bed, well
oriented in time, place and space.
Vitals: Her BP was 110/70 mmHg, RR was 20 per
min and pulse was 74 bpm.
On general examination, my patient had no pallor,
cyanosis, clubbing and jaundice.
9. Admit in obstetrics ward.
Tests(CRP, CBC, Urine R/E)
USG obs.
Fetal doppler.
CTG
BP charting 4 hourly.
Medication to control HTN.
Keep fully prepared for emergency LSCS.
