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. Elsewheres 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 OLeary)
Summary of Care[section 1]
-
Elective Caesarian Section[a]
- Twins both live born[b]
- 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 Marys 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 Elsewheres Maternity Unit.