Reference no: EM133716492

Question

A pregnant woman R., 37 years old, was admitted to the department of pregnancy pathology in a satisfactory condition with a progressive pregnancy of 33 weeks. A history of two spontaneous abortions in 7-8 weeks. Secondary infertility for 14 years. During this pregnancy at 6-8 weeks and 20-24 weeks, a comprehensive treatment for the threat of abortion was carried out. At 29-30 weeks, the pregnant woman suffered an acute respiratory viral infection (ARVI) with a fever up to 38 ° C and was treated at home. Her body weight has increased by 8 kg. In the antenatal clinic, counting from 8-9 weeks, the volume of examinations is sufficient. Genetic counseling was carried out at 12 and 16 weeks of pregnancy. Objectively: BP - 120 / 80 mmHg, pulse - 80 beats / min, respiratory rate - 18 in 1 min; fundal height- 25 cm, abdominal circumference- 84 cm. She confirms that fetal movement is satisfactory. The uterus is in normal tone. The position of the fetus is longitudinal, the buttocks of the fetus are palpated above the entrance to the small pelvis. The fetal heartbeat is muffled, rhythmic, 100 beats / min. Data from an internal obstetric study correspond to.