LAST PCL: AN EARLY ARRIVAL
Name: Rohani
Age: 30 years old
Gender: Woman
Status: Married, children - Anisa (3), Kamal (5), G3P2
Occupation: Farmer (paddy)
Pregnant – 30 weeks
SYMPTOMS:
- Increased urinary frequency
- Back ache
- Lower abdominal cramp
CC: Abdominal cramps
When- about half hour, now more frequent
Quality- Increased
PAST HISTORY
- Carcinoma in situ
ON EXAMINATION
- Dilation cervix (2 cm)
DIFFERENTIAL DIAGNOSIS
- PREMATURE LABOUR
- UTI in pregnancy – LUKMAN
LEARNING ISSUES
1. Growth and Development of Fetus (Syukriah & Kieron)
2. Physiology of Pregnancy & Labour (Sam & Nicole)
a. What happen if preterm occur at each trimester?
b. Sign and Symptoms of labour
3. Causes & risk factor for preterm labour – (Rose & Deepak)
4. Complications of preterm labor - baby (Lukman)
5. Management of preterm labor (Fui Fui)
6. Psychosocial issue (Shamendri & Viran)
a. Family, possible loss of child
b. Access to health care, money, distance, transport, long term care, support for wife, bonding with child.
7. Health care delivery (maternal and child health), logistic (what if anything goes wrong) in Rural Area (David)