34 yo G4P3 at 39 6/7 weeks, pregnancy complicated by gestational diabetes, controlled with glyburide. EFW 9 lbs. Presents in active labor, progresses well to complete at 2230. Pushes x 45 minutes: Any special preparation you want before delivery? * At delivery, head comes out to eyebrows and then perineum has to be “milked” down [...]
Melissa is a 27 yo G2P1 at 40 1/2 weeks who presents at 4 am in active labor, 5 cm dilated, 80% effaced, -1 station, leaking clear fluid. GBS neg. 120/62, P84, Afeb 4 am fhr At 7:30 am she remains unchanged, but too painful to go home. 7:30 am fhr Options? At 10 am, you get [...]
Sarah is a 20 yo G1 P0 at 38 weeks with an uncomplicated pregnancy who presents at midnight with uterine contractions x 6 hours, no leaking fluid, uc’s now q5 minutes. Cervix is FT, 30% effaced, -2 sta fhr Management? 11 am, she is 4 cm, 90% effaced, -1, 120/70, Afeb 11 am [...]
7 lb 4 ounces, Apgars 8 at one minute, 9 at 5 minutes