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Mrs. Sivamalar23yrsP3 C3 A1LRMP-25th April 2013EDD -02nd February 2014POA -33 week and 6dayesPCO- requested admission by vog wrong date

Co-abdominal pain no pv bleeding,show,dribling fetle movement good no urinary symptomsPMHX- HTN BA DM EPILEPSY-5 years back fitting episode.no records available

PSHX- Not significantALHX-Not significantGYHX-Menarche at 15 yrs regular cyclesSOHX-House wife Studied up to grade 10 Husband-at abroad4GEX-looks well, afebrile, not pale no b/l ankle edema

CVS-BP-110/70 mmhg PR-72b/mRS- VB, No added soundABD-SFH-36cm, CP, HNEVE- OS-TOF, Firm cervix

Management- daily CTG, FKCC, USS

USS(DPT)-20/12/2013SLF, CP, Anterior placenta, EDD-16/01/2014POA- 36W+2DDEXA Completed

Patient sent to labour room Baby deliveredApgar score 9-10-10 respectively at 1st 5th 10th minitesBaby cyanosed and informed to pbu Baby died Postmortem report-large vsd