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Mrs. Adisty, a 39 year old G3P1A1, is referred to the MHC clinic in her34 week pregnancy because of mild discomfort at the upper leftabdominal part. She noticed that everytime her baby moves;somethink that she said she had never experienced before. She alsocomplains a bit tense on her lower tummy and afraid of recurrenthaving preterm birth.When the doctor asked, mrs. Adisty had started some contraction, butthere is no water broke, no bloody or slimy discharge from her vagina.She admits that the baby is still moving now.
Previous obstetric history.
She knew that she had arcuate uterus from hysterosalphyngogramprior to her first pregnancy.Her first pregnancy ends with spontaneous miscarriage, but the secondone she had a spontaneous pre-term birt, weighing 2000grm. Her sonis a healthy 3-year old now. She sad an incision of vaginal septum onprevious delivery. She sad normal lab exams performed a few weeksbefore.
Her physical diagnosis
is shown below:BP:120/80mmHg, PR:72/m, RR:20/m, T:35 CHeart and lungs: within normal limitOther: within normal limit
Uterin fundus 30 cm above symphisisLeopold 1 : a globular round hard mass is occupying the uterinefundus.