Discharge From Inpatient Care – Obstetric Department

Organisation: Lancashire Hospital Trust


DATE OF ADMISSION:                                      20-Sep-2006
DATE OF DISCHARGE:                                    27-Sep-2006

Date Document Sent: 28-Sep-2006 10.30

Hospital: St. Elsewhere’s Hospital
Organisation: Lancashire Hospital Trust
Maternity Nurse: Mrs. Helen Marriott
Pharmacist: Ms. Jenny Alberta

Primary Recipients:
PSIS, GP (Dr. Keith Yale), Health Visitor (Mrs. Pauline Loore), Practice Nurse (Mrs. Ann O’Leary)

Summary of Care[section 1]

  1. Elective Caesarian Section[a]
  2. Twins both live born[b]
  3. Hypertension of Pregnancy[c]
Pregnancy History[section 2]
Mary was a primipara who was discovered to have a twin pregnancy on initial scan. Early pregnancy progressed normaly. She was noted to be AB rhesus negative[d]. Antenatal serology was all normal, she is sickle cell negative.
At 34 weeks Mary’s blood pressure was noticed be slightly raised at 130/85. This was closely monitored over the next few weeks, and it was decided to bring Mary in for Elective section at 38 weeks.

Operative Course[section 3]

Lower Uterine segment Caesarian Section[e] on 22-Sep-2006.
Spinal Anaesthesia.
Closure with absorbable Vicryl.

Twin delivery both babies fit and well.

Post Operative Course[section 4]

Mary progressed well post op, her blood pressure remained stable through out. At time of discharge her sutures were clean, her uterus was resorbing well. She still had some PV discharge but this is decreasing.
She commenced breast feeding the twins.
Contraceptive advise was given.
Anti- D (Rh) immunoglobin given.

Medication on Discharge[section 5]

Medication
Dose
Quantity
Voltarol Rapid 50mg tablets[f]
one tablet 3 times daily
21 tablets

Ongoing Care[section 6]

GP, and Midwife to visit.
Outpatient appointment – 10:15 at St Elsewhere’s Maternity Unit.