care does pose some problems including the lack of pain medication and whether birthing centers are the safest option for both mother and child. Other models of care including obstetric models place less emphasis on continuity of care and therefore marginalize the mother’s holistic health. For example public obstetric care still provides the mother with antenatal care but the mother could see a different obstetrician each time she has a check up. This results in no form of relationship with the
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Wesley Chen H&P Assignment ID: Patient is 23 yo G2P1001 At 32wk3d GA determined by U/S admitted for vaginal bleeding. HPI: The patient first noticed vaginal bleeding this morning when she woke up at 6:30 am to use the restroom. She noticed bleeding in her clothing and blood clots in the toilet bowl. She reports bleeding 1 cup (~250ml) total this morning. In addition‚ she has a positive h/o placenta previa with her current pregnancy determined by U/S. She denies any similar episodes in the past
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Turner Syndrome Turner syndrome affects 3% of all females prior to birth‚ with only around 1% of these ‘in utero’ cases surviving to term; it is not inherited from either parent‚ but purely a ‘chance’ mutation. Despite this‚ it has become the most common genetically determined abnormality amongst females‚ and can have detrimental effects on systemic wellbeing throughout life. Turner Syndrome is a sex-linked genetic disorder which only affects females‚ and can present symptoms in several organ
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A 54 year old man sustained a left orbital fracture after a human assault. Immediately after the injury‚ the patient noticed diplopia and discomfort in all fields of gaze. At the initial examination‚ there was important periorbital edema‚ ecchymosis‚ marked limitation of infra duction and supraduction of the right eye and associated pain and diplopia in all fields of gaze‚ complete anesthesia in the left V2 nerve territory. In addition‚ there was 2.5 mm of right enophtalmos measured with Hertel
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In industrialized nations‚ this situation can be resolved with a Cesarean section. In developing nations‚ however‚ which have high rates of adolescent pregnancy‚ medical services are scarce and problems during childbirth can lead to eclampsia‚ obstetric fistula‚ infant mortality‚ or maternal death. Another reason that teen pregnancy and health risks are closely associated is due to lack of knowledge of proper behavior; pregnant adolescents tend to have very poor eating habits‚ do not take vitamins
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labor: although no longer the case‚ in the 1940s it was common for women to be routinely sedated and for babies to be delivered from their unconscious mothers with forceps (termed by Dr. Robert A. Bradley as "knock-em-out‚ drag-em-out obstetrics"). Other routine obstetric interventions have similarly come and gone: shaving of the mother’s pubic region; mandatory intravenous drips; enemas; hand strapping of the laboring women; and the 12 hour
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consultations ‚ and that abnormal findings are detected and appropriately addressed . If abnormalities are noted on prenatal evaluation‚ counseling specific to congenital Zika syndrome should occur during pregnancy‚ preferably with the involvement of obstetric and pediatric providers. Before the infant’s discharge from the birth hospital‚ follow-up appointments with specialists and services recommended during initial evaluation should be made. Consideration should be given to
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Identifying Data JJ is a 38-year old female‚ Chinese‚ Roman Catholic‚ married‚ residing in Pasig City. Chief Complaint: vaginal bleeding‚ 1 day History of Present Illness LMP = April 21‚ 2010 PMP = March 2010 AOG = 27 6/7 weeks EDD = Jan. 26‚ 2011 The present condition started about an hour prior to consult. The patient while walking around the mall experienced sudden onset of passage of bloody vaginal discharge of unknown quantity. There was no associated hypogastric pain‚ uterine contraction
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II. Global Public Health Issue Somalia is a country that has suffered from many issues since the collapse of any sort of centralized government. The Somali people have suffered from countless diseases‚ poverty‚ conflict‚ environmental disasters‚ and constant displacement. For almost an entire generation the country has been without an effective central government‚ which in turn had major effects on the country’s health system. The Somali health system consists primarily of fragmented and
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SHOULDER DYSTOCIA Presented by Dr . E . G. Migwi • -an uncommon obstetric complication of cephalic vaginal deliveries • -the fetal shoulders do not deliver after the head has emerged from the mother’s introitus. • -One or both shoulders become impacted against the bones of the maternal pelvis (mechanical reasons).size or positional discrepancy‚ thus almost always after 34 weeks. Anterior shoulder impacted behind the symphysis pubis and also posterior shoulder impacted behind the sacral promontory
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