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44
MBU CS day 1
Mary Breckinridge
42 yo G2P2
Maternal information
Report
IVF pregnancy
Scheduled repeat CS at 39.0 wk and tubal ligation yesterday afternoon
Foley catheter is removed 2 hours ago
IV LR 120 ml/hr, can be removed later this morning
Pain 6/10 1 hour ago, Norco 5/325 PO was given at that time.
Incision is covered dry dressing
Fundus at u+1, deviated to right
Lochia rubra, minimal
T 37.0 C BP 140/86, HR 94, RR 18
Labs: O, Rh -, Rubella-immune, Hepatitis B surface antigen non-reactive, GBS negative
One hour GTT: Normal
Baby boy
7#4oz birth weight
7#0oz this AM
APGARS 8. 9
Marginal cord insertion
TCB was 11, sent for serum bili
Serum bili 9mg/dL at 18 hours of age
T 37.3, HR 128, RR 60
Voided x 2
Stool mechonium x 1 at birth
Infant
information
Maternal information
Rh
Moternal Blood type is O Rh negative
Father's blood type is A Rh positive
Mary received one dose of Rhogam at 28 weeks of pregnancy
Infant's information
Blood type A Rh positive
Positive direct coombs test,
Infant
information
Maternal information
Mary's previous infant also had jaundice, and she is familiar with the tests and photo-therapy
Jaundice
Bilirubin level
Infant
information
The baby looks yellow under the sun light
The nurse is going to look at bilitool to determine if he is eligible for starting photo therapy
https://bilitool.org/
Circumcision
Mary's previous child was a girl, and this is the first boy.
She asks you what you think about the circumcision.