Progress Notes - Hopkins Medicine



5/03/2003

0410 |Delivery Note

Dx: 37 3/7 week pregnancy, Spontaneous Labor

Procedure: Spontaneous Vaginal Twin

Attending: Dr. West Assistant: Dr. Hughey

Anesthesia: Local

Twin A: Female, 5#5, at 0301. Apgars 8/9

Twin B: Male, 5#1, at 0344. Apgars 6/8

2 Placentas: Both Spontaneous, 3-vessel cord.

Epis: None

Lacs: 1st degree perineal laceration and bilateral periurethral lacerations

EBL: More than Average (~900 cc)

Blood type: B neg

Rubella: Immune

Cord Blood Gasses:

Twin A Twin B

A: 7.21/-3 A: 7.10/-6

V: 7.24/-2 V: 7.18/-4

After NSVD of Twin A, I explored the birth canal. Twin B was cephalic, -2 station. After contractions resumed, AROM was performed, yielding clear fluid. Twin B then descended normally and with several pushes, was delivered without incident

Mike Hughey, MD

PG-1 | |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download