“Salina” DOB: 12/2/1991 – 31 yo First baby (Gravida 1 : Para 0) currently 20 weeks pregnant. Question
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“Salina” DOB: 12/2/1991 – 31 yo First baby (Gravida 1 : Para 0) currently 20 weeks pregnant.
Health history:
Salina reports she had severe nausea and vomiting in first 6/8 weeks. Resolved in previous 3 weeks.
Salina was diagnosed with Polycystic ovary syndrome (PCOS) 8 years ago. She was told at the time she may have difficulties becoming pregnant but spontaneously conceived four months after stopping the oral contraceptive.
Had mild anxiety and some depressive episodes in her early 20’s. Salina states she saw a psychologist at the time but that her mental health has been “good” for a few years now.
Current health concerns and medications:
Recently ceased Metoclopramide, nausea improving. Has started taking Pyridoxine 50 mg QID a month ago on GP’s advice.
Taking iron due to low HB at booking visit and pregnancy vitamin supplement.
Salina is keen to not gain excess weight in pregnancy. BMI of 29 prior to pregnancy. There is a history of diabetes in her family and PCOS has meant she has spent many years following a low GI diet. Dietary advice for pregnancy discussed and Oral Glucose Tolerance Test (OGTT).
Social support:
Married 4 years. Supportive family, husband’s family is OS. Both employed, in stable accommodation.
Preferences for pregnancy and birth:
Happy with current care (hospital maternity clinic) and hospital birth. Not interested/ unsure about childbirth and early parenting in classes at this time. Asking for further information about classes for both herself and husband. Not really sure about getting ready for the birth, doesn’t want to feel overwhelmed. Salina talks to her Mum and sisters about birth to get informed.
Hopes to breastfeed but is undecided.
Husband as support, the couple are followers of the Muslim faith and will have some important rituals to follow at the time of their baby’s birth.
Test/investigations offered/ ordered:
Offered – Abdominal assessment – FH measurement (first measure), discussion regarding baby’s movements.
20 week morphology scan was delayed, due in two days.
Blood tests: FBE/antibodies; Iron studies and OGTT at 26 weeks
Pertussis vaccination offered – unable to have at this visit due to recent COVID19 booster vaccination
Questions:
age, parity and gestation
what is important to the woman?
what are two or three enablers to communication for this woman, plus one or two ways you could reduce barriers to communicating with her?
SCIENCE
HEALTH SCIENCE
NURSING
NURS HLT54115
“Salina” DOB: 12/2/1991 – 31 yo First baby (Gravida 1 : Para 0) currently 20 weeks pregnant
