LABORATORY TEST RESULTS

Diagnostic Clinical Laboratory

Name of patient: Mrs. RVS Date: February 22, 2020

Event Results Reference range Status

Full blood count

RBC 4.61 4.5 -6.5 x 109/L Normal

WBC 9.09 4.0 – 11.0 x 109/L Normal
Hemoglobin 11.4 13.5 – 18.0 g/dL Low
Hematocrit 34.6 40.0 – 54.0 % Low
Mean Cell Volume 75.2 76.0 – 96 fl Low
Mean Cell
Hemoglobin 32.8 31.0 – 40.0 (pg/cell) Normal
concentration
Red Cell distribution 15.1 11.5 – 14.5 High
width
Platelet count 300 150 – 450 x 109/L Normal
Automated
Differentials:

% of Neutrophil 65.4% 40.0 – 80.0 Normal

% of Lymphocyte 26.4% 20.0 – 40.0 Normal
% of Monocyte 3.5% 2.0 – 10.0 Normal
% Eosinophil 2.6% 1.0 – 6.0 Normal
% of Basophil 0.6% 0.0 – 2.0 Normal

Results: Hemoglobin, hematocrit, mean cell volume were low.

Interpretation: Physiological hemodilution effect occurring in pregnancy.
Diagnostic Clinical Laboratory
Name of patient: Mrs. RVS Date: March 11, 2020

Event Results Reference range Status

Full blood count

RBC 4.14 4.5 -6.5 x 109/L Normal

WBC 13.63 4.0 – 11.0 x 109/L High
Hemoglobin 10.4 13.5 – 18.0 g/dL Low
Hematocrit 31.2 40.0 – 54.0 % Low
Mean Cell Volume 75.4 76.0 – 96 fl Low
Mean Cell
Hemoglobin 33.4 31.0 – 40.0 (pg/cell) Normal
concentration
Red Cell distribution 15.1 11.5 – 14.5 High
width
Platelet count 273x10.e3/uL 150 – 450 x 109/L Normal

Interpretation:

White blood cell count was elevated post-operation probably in response to medication.

Hemoglobin, hematocrit, and MCV were reduced and red cell distribution width was raised probably
due to the blood loss during the operation and uterine atony causing postpartum hemorrhage.
Blood sugar profile on March 10, 2020

Result Reference range Status

Fasting 4.2 mmol/L < 5.3 mmol/L Normal
2 hours postprandial 4.9 mmol/L <6.7 mmol/L Normal
Post lunch 5.1 mmol/L <7.8 mmol/L Normal
Post dinner 3.9 mmol/L <7.8 mmol/L Normal

Interpretation:

Blood sugar profile was well controlled.

Blood Sugar profile on December 18, 2020

Result Reference range Status

Fasting 8.7 mmol/L < 5.3 mmol/L High
2 hours postprandial 7.7 mmol/L <6.7 mmol/L High
Post lunch 8.2 mmol/L <7.8 mmol/L High
Post dinner 8.0 mmol/L <7.8 mmol/L High

Interpretation:

Gestational Diabetes.

REFERENCES

https://family.jrank.org/pages/1323/Pregnancy-Birth-Conclusion.html

https://www.mentalhelp.net/pregnancy/

https://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html

https://www.idf.org/our-activities/care-prevention/gdm.html?gclid=Cj0KCQjw-
r71BRDuARIsAB7i_QMU_ECZNQgXDJv3t_PpIy8ahFdnXZYlUkhQ6TsE4kxyeMNU7ZrgDbsaAkIYEALw_wcB
&fbclid=IwAR1v6JSJ9_U4NFy5OcuIDW3KtDlAupr9eLwps2Jit7I49krvoyAdqi5NI1Y
 ULTRASOUND REPORT

Name of Patient: Mrs. RVS March 14, 2020

Age 35 years old Address Balugo, Dumaguete City, Negros Oriental
Nationality Filipino AOG 28 weeks

TRANSABDOMINAL
Growing Fetus present at 28 weeks age of gestation with an estimated fetal weight of 4.0
kilograms.

Impression: Fetus large for gestational age; Macrosomic Baby

Consider Caesarian section delivery.

Examination performed by: Coleen Tyler, trainee sonographer

Supervised by: Charlie Delos Santos, clinical specialist sonographer

Discussed with: Anne Mari, radiologist

Overview and introduction

Pregnancy and birth can be a very special time in the life of a woman. The nine months
of pregnancy, as well as labor and delivery, are filled with many physical and psychological
changes, as well as changes in lifestyle. Pregnancy is a unique, exciting and joyous time in a
woman's life, as it highlights the woman's amazing creative and nurturing powers while
providing a bridge to the future. Pregnancy comes with some cost, however, for a pregnant
woman needs also to be a responsible woman so as to best support the health of her future child.
The growing fetus depends entirely on its mother's healthy body for all needs. Every expecting
parents, especially the mother wishes to have a healthy, safe and normal pregnancy and delivery.
But there are certain complications that only arises when a woman is pregnant despite all the
efforts to keep the mother and the fetus in a normal state because of some changes that only
happens when a woman has a growing fetus in her womb.

Gestational diabetes mellitus is a severe and neglected threat to maternal and child
health.  This occurs as a result of insulin resistance during pregnancy. Many women with GDM
experience pregnancy-related complications including high blood pressure, large birth weight
babies and obstructed labour. Adequate blood glucose control is important in helping prevent
complications in the mother, such as preeclampsia, and in the fetus, such as macrosomia and
stillbirth. These complications may increase the rate of cesarean section in women with
gestational diabetes. The newborn infant may also be at risk for hypoglycemia or
hyperbilirubinemia. The risk of complications may be decreased with proper control of blood
sugar. Nonpharmacologic measures, including diet and exercise, are often sufficient for many
women to maintain appropriate glycemic control. However, some women may require additional
pharmacologic therapy including insulin, metformin, or glyburide. Additionally, women with
gestational diabetes should be screened postpartum because they are at increased risk for
developing overt diabetes after pregnancy. Approximately half of women with a history of GDM
go on to develop type 2 diabetes within five to ten years after delivery.

The exact prevalence of gestational diabetes depends on the population and the criteria
used for diagnosis, but roughly 4% to 6% of all pregnancies are impacted by gestational diabetes.
The prevalence of high blood glucose (hyperglycaemia) in pregnancy increases rapidly with age
and is highest in women over the age of 45. In 2019 There were an estimated 223 million
women (20-79 years) living with diabetes. This number is projected to increase to 343 million by
2045. 20 million or 16% of live births had some form of hyperglycaemia in pregnancy. An
estimated 84% were due to gestational diabetes. 1 in 6 births was affected by gestational
diabetes.The vast majority of cases of hyperglycaemia in pregnancy were in low- and middle-
income countries, where access to maternal care is often limited.