Obstetrics and Gynecology

12/25/98
10:00 a.m.

Preop Dx: Term IUP, failure to progress, [previous c/s, breech presentation]

Post-op Dx: Delivered viable female infant

Procedure: NSVD, 2^o episiotomy and repair [LFT c/s]

Surgeons: Dr. Smith, MD, Dr. Dobbs, MD, Dr. Jones, MD, Mr. Bill, CCIII

Anesthesia: Epidural (GETT)

Findings:

viable female infant, 3500 grams in LOA position

Apgars 9/9, AF clear

Cord pH 7.31, BE -2, Hgb 15.2

Placenta delivered spontaneously, intact with 3 vessel cord. No nuchal cord

Uterus massaged to firm

Cervix/vagina inspected for tears and lacerations

2^o episiotomy repaired with 2-0 and 3-0 vicryl

(vs. multiple uterine fibroids, etc.)

interoperative abx, meds given

Fluids: 1200 cc crystalloid

EBL: < 500 cc [1200 cc c/s]

Complications none

Specimens to Path: Placenta

Drains: none [Foley to gravity]

Pt. stable to RR, baby to NBN

OB-GYN Notes

OB-GYN

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