{"id":43,"date":"2019-01-18T10:56:24","date_gmt":"2019-01-18T10:56:24","guid":{"rendered":"http:\/\/meenakshiammamemorial.com\/blog\/?p=43"},"modified":"2019-01-18T10:56:24","modified_gmt":"2019-01-18T10:56:24","slug":"a-case-of-bad-obstetric-history","status":"publish","type":"post","link":"http:\/\/meenakshiammamemorial.com\/blog\/2019\/01\/18\/a-case-of-bad-obstetric-history\/","title":{"rendered":"A case of Bad obstetric history"},"content":{"rendered":"\n<p>Here\u2019s the story of a lady who had lost a young baby years back.<\/p>\n\n\n\n<p>She was a 41 year old lady. 10 years back she conceived\nafter infertility treatment and delivered a male baby, in a different hospital.\nIt was a premature delivery as patient had preterm labour pains at 6<sup>th<\/sup>\nmonth of pregnancy. The baby was under NICU care for 3 months in view of prematurity\nand was discharged after 2 months of NICU care. At home ,following discharge\nbaby died due to a suspected infection!<\/p>\n\n\n\n<p>After this patient tried for conception for a good long 9\nyears, but was in vain. Then she consulted Dr Vinay Chandra shenoy , a renowned\ninfertologist at Payyanur. Following a successful treatment under him patient\nconceived. Patient came to us for further ANC and was managed by Dr\nMuralikirshnan nambiar and Dr Shyamala mukundan. <\/p>\n\n\n\n<p>We were curious to find out the reason for her previous\npremature delivery . On evaluation she was found to have chronic urinary tract\ninfection (infections are notorious in causing preterm deliveries) which was\nresistant to treatment. So we started the patient on what we call \u201csuppressive\nprophylaxis for UTI\u201d to which she responded well and this prevented any further\nUTIs. To prevent a second premature delivery , we put a cervical encerclage at\n14 weeks. <\/p>\n\n\n\n<p>Next thing we were curious about was the reason behind her\nprevious new born death. We evaluated her and found her to be positive for\ntoxoplasmosis. We started her on Spiramycin and continued through pregnancy. <\/p>\n\n\n\n<p>We also excluded probability of Downs syndrome in the baby\nafter doing relevant tests. Pregnancy was followed with strict vigil as she had\nmarginally raised sugars and BP was on the higher side.<\/p>\n\n\n\n<p>Finally we come to the happy ending. After Patient delivered\na healthy male baby weighing 3.2kgs. Both mother and baby was discharged and\nsent home in healthy condition. Now the baby is 6 months old and doing fine.\nNever lose hope, believe in destiny.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Here\u2019s the story of a lady who had lost a young baby years back. She was a 41 year old lady. 10 years back she conceived after infertility treatment and delivered a male baby, in a different hospital. It was a premature delivery as patient had preterm labour pains at 6th month of pregnancy. The [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-43","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"http:\/\/meenakshiammamemorial.com\/blog\/wp-json\/wp\/v2\/posts\/43","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/meenakshiammamemorial.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/meenakshiammamemorial.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/meenakshiammamemorial.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/meenakshiammamemorial.com\/blog\/wp-json\/wp\/v2\/comments?post=43"}],"version-history":[{"count":1,"href":"http:\/\/meenakshiammamemorial.com\/blog\/wp-json\/wp\/v2\/posts\/43\/revisions"}],"predecessor-version":[{"id":44,"href":"http:\/\/meenakshiammamemorial.com\/blog\/wp-json\/wp\/v2\/posts\/43\/revisions\/44"}],"wp:attachment":[{"href":"http:\/\/meenakshiammamemorial.com\/blog\/wp-json\/wp\/v2\/media?parent=43"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/meenakshiammamemorial.com\/blog\/wp-json\/wp\/v2\/categories?post=43"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/meenakshiammamemorial.com\/blog\/wp-json\/wp\/v2\/tags?post=43"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}