Look up delivery complicated by high head at term

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Reference no: EM133786648

Case: Dr. Alpha covering OB for Dr. Beta. Dr. Alpha delivers the baby and then care is transferred back to the primary care physician, Dr. Beta. The 27-year-old gravida 1, para 0 presented today to labor and delivery with ruptured membranes (2 hours) in early la- bor. Patient blood type is O , Coombs negative, rubella immune, VDRL nonreactive, and Group B strep negative. Nurse noticed that there was a light meconium staining. The patient is at term 39 weeks and 5 days. Upon inspec- tion, the baby's head had not engaged. Patient dilated to 3 cm and received an epidural at which time the baby had a prolonged bout of bradycardia. Because of the un- engaged head, the meconium, and the fetal bradycardia, elected to perform a primary low cervical transverse C-section.

A healthy male infant weighing 8 lbs., 4 oz., 21 inches was delivered. Apgars were 8 and 9. There was a two-vessel cord. The patient's regular physi- cian will take over care in the hospital starting tomorrow. Follow-up will be as per her regular physician. DX 5 PPROC Steps: 1. Look up delivery complicated by high head at term

Reference no: EM133786648

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