PERSONAL INFORMATION

NAME: MARIANE NABLO ABAYADE

AGE: 27
BIRTHDAY: DECEMBER 29, 1992
CURRENT ADDRESS: BRGY. 56, TACLOBAN CITY (RENTING)
HOME ADDRESS: HINABANGAN, WESTERN SAMAR
RELIGION: CHRISTIAN (JESUS IS LORD CHURCH)
PHYSICIAN: DR. CHRISTINE DECLARADOR
PLACE OF BIRTH: HINABANGAN, WESTERN SAMAR

FAMILY HEALTH HISTORY

NO KNOWN DISEASES.

PERSONAL HEALTH HISTORY

DOES NOT SMOKE. CURRENTLY DOES NOT DRINK. “dida han diri ako nagbuburod diri gud talaga ako
nainom – gin lulugar ko.” CLIENT’S DRINKING HABITS ARE WELL CONTROLLED BEFORE SHE WAS
PREGNANT. DURING HER PREGNANCY, SHE DOES NOT DRINK.

LIKES TO STAY ACTIVE THROUGH JOGGING AND ZUMBA. CURRENTLY, HER ONLY EXERCISE IS GOING
THROUGH WORK AND HOME.

RELAXATION HABITS: RELAXES WHENEVER SHE HAS FREE TIME. AT WORK, SHE TAKES A NAP AFTER
EATING DURING LUNCH BREAK. “Any time la gun gusto ko.” CLIENT LIKE TO KEEP ACTIVE AND IS NOT
USED TO BEING IDLE. “Pag uuli ko 9 ot 10 PM na ako nakaka-katurog. Pero danay 8 pala nahihingaturog
na ako” HOWEVER, DURING HER PREGNANCY, SHE TENDS TO TAKES MORE REST.

MEDICATIONS: CLIENT IS TAKING VITAMINS PERSCRIBED TO HER BY HER OBGYNE;

OBIMIN PLUS – multivitamins for pregnant women (for pregnancy and lactation)

CLIENT HAD A CHECK UP AT HER CLINIC ON NOVEMBER 7, 2020 DUE TO BACK PAIN. DOCTOR FOUND
THAT SHE HAS UTI AGAIN. SHE WAS RECOMMENDED NOT TO USE PANTY LINERS AND ADVISED TO
DRINK WATER. SHE WAS ADVISED NOT TO DRINK CARBONATED DRINKS AND SUCH. HOWEVER SHE WAS
PRESCRIBED TO DRINK COCONUT.

PAST MEDICAL HISTORY

CLIENT HAD CHICKENPOX WHEN SHE WAS 12 YEARS OLD. NO OTHER CHILDHOOD ILLNESSES.

IMMUNIZATIONS UP TO DATE.

CLIENT HAS HISTORY OF UTI.

PREVIOUS HOSPITALIZATION: DUE TO UTI. HOSPITALIZED FOR 1 WEEK AT RTR HOSPITAL AROUND THE
YEAR 2013.

CLIENT HAS NO KNOWN ALLERGIES.

NO HISTORY OF BLOOD TRANSFUSION.

CLIENT HAS NO HISTORY OF DIABETES, HT, BLOOD DISGRACES, TB, CARDIOPULMONARY DISEASES, AND
MALNUTRITION.

CLIENT IS KNOWN TO HAVE A HISTORY OF UTI THROUGH OUT HER LIFE.

NO OTHER DISEASES, CLIENT IS GENERALLY HEALTHY. “waray man ako may gin a-abat yana.”

GYNECOLOGIC HISTORY

Age of menarche: 14 years old

CYCLE OF MENSTRATION: CLIENT HAS MENSES AT EITHER THE FIRST WEEK OF THE MONTH OR THE LAST
WEEK OF THE MONTH. CYCLE IS ABOUT 26 DAYS. MENSTRATION LASTS FOR 5 DAYS, THE SHORTEST IS 3-
4 DAYS. IN A DAY, CLIENT USES 2 NAPKINS DURING THE DAY AND USES 1 AT NIGHT, AVERAGING AT 3
NAPKINS A DAY.
CLIENT NORMALLY DOES NOT EXPERIENCE DYSMENORRHEA. IS NORMALLY ABLE TO TOLERATE IT. “Na-
iilob ko it pain. Parang, kaya ko it pain.” CLIENT RATES PAIN USING PAIN RATINGSCALE AT 3. DURING
HER LAST MENSTRUAL PERIOD, SHE EXPERIENCED DYSMENORRHEA ONLY TWICE, SHE RATED IT AT 8.

CLIENT IS CURRENTLY WITH HER LIVE-IN PARTNER. SHE IS TO BE MARRIED AT DECEMBER.

METHOD OF CONTRACEPTION: NONE = ABSTENENCE. AS HER AND HER PARTNER WERE APART.

FIRST TIME PREGNANT.

PREGNANCY HISTORY

AUGUST 5, 2020 LAST MENSTRUAL PERIOD.

PREGNANCY TEST = SEPTEMBER 28, 2020

EDC: MAY 20, 2021 (However, her OB said pwede mag-iba)

AOG: 3 months 13 days = 13 WEEKS AOG

HER FIRST PRENATAL: OCT 6 = AOG THEN: 9 WEEKS AND 3 DAYS

CLIENT EXPERIENCES CRAVINGS AND INCREASE IN APPETITE.

PHYSICAL SYMPTOMS:

FIRST TRIMESTER: CLIENT EXPERIENCED HEADACHE, “masakit ha ulo na bagat nalutaw ka. Bagan gin
titiwa-tiwa na awto na naghihika-suka ka” AND NAUSEA.

SENSE OF SMELL BECAME MORE SENSITIVE. SHE FEELS NAUSEOUS TOWARDS SOME SMELLS.
At that time, she only ate bread or toasted bread, fruits such as dalandan and manga.

SHE DOES NOT EXPERIENCE ANY OTHER SYMPTOMS AT THE MOMENT AS SHE DESCRIBES HER
PREGNANCY TO BE “diri man masilan it akon pagbuburod”
SHE LIKES TO BE ACTIVE AND UP IN THE MORNING, ALTHOUGH SHE FEELS SLUGGISH SOME MORNINGS,
SHE STILL WAKES UP EARLY FOR WORK. “diri ako gin luluya” SHE DOES NOT FEEL WEAKENED.
SHE IS MORE USED TO BEING ACTIVE MORE WHICH HELPS IN ALEVIATING SOME SYMPTOMS OF
PREGNANCY. SHE AVOUDS DOING HEAVY CHORES, ONLY CHORES SHE IS ABLE TO DO SUCH AS COOK.

SKIN: CLIENT COMPLAINS OF AN OUTBREAK OF PIMPLES TO HER OB. PIMPLE GROWTH DUE TO
HORMONE IMBALANCE, AS EXPLAINED BY HER OB. [BEFORE SHE FOUND OUT SHE WAS PREGNANT, SHE
WAS PLANNING ON GETTING A DERMA FOR HER PIMPLES. HER DOCTOR WAS RELIEVED THAT SHE DID
NOT GO THROUGH WITH IT, AS IT IS A NORMAL OCCURRENCE IN PREGNANCY.]

SHE DOES NOT EXPERIENCE ANY OTHER SYMPTOMS ON HER SKIN.

BREASTS: DURING HER FIRST FEW WEEKS, HER BREASTS FELT PAINFUL “bagan masakit, naninig-a, nan-
dadagko, pagtatanggal hit bra masakit” AND LIKE IT WAS GROWING BIGGER, AND IT WAS TENDER.
CURRENTLY SHE DOES NOT EXPERIENCE ANY ISSUES WITH HER BREASTS.

CLIENT EXPERIENCING FREQUENCY IN URINATION.

CLIENT EXPERIENCING FLATULENCE.

BACK PAIN.

3 NIGHTS AGO, SHE WAS EXPERIENCING “nababanhood” AROUND HER PELVIC AREA [LEGS] ON HER
RIGHT SIDE. DUE TO STANDING FOR A LONG PERIOD OF TIME AS DURING THAT PERIOD SHE WAS
RUNNING ERRANDS. HER DOCTOR ADVISED HER NOT TO ENGAGE IN ACTIVITIES WHICH WILL CAUSE
HER TO GET TOO TIRED. “ayaw kunu pag pinakapoy”.

HER NEXT PRE-NATAL CHECK UP IS ON DECEMBER 4, 2020.

HER LAST PRENATAL CHECK UP WAS OCTOBER 26, 2020.

DRUGS TAKEN DURING PREGNANCY:

OBILIN PLUS – BEFORE BEDTIME
CLIENT DOES NOT TAKE ANY MEDICATION FOR HER UTI AS IT IS CONTRAINDICATED.
ANMUM MILK – MILK FOR PREGNANT WOMEN (VITAMINS) 2 GLASSES A DAY, IN THE MORNING AND
EVENING

ILLNESS SINCE PREGNANCY:

BEFORE HER PREGNANCY DURING THEIR ANNUAL MEDICAL EXAM, SHE HAD NO UTI.
DURING HER PRE-NATAL IN OCTOBER 6, HER URINALYSIS SHOWED NORMAL RESULTS AND NO SIGNS OF
UTI.
HOWEVER, AFTER HER LAST CHECK-UP ON NOV 7, 2020. HER DOCTOR INFORMED HER THAT SHE HAS
UTI OCCURING AGAIN.

PSYCHOLOGICAL:
PREGNANCY WAS NOT PLANNED AND IT WAS UNEXPECTED. AT THE TIME, SHE WAS PREPARING FOR
HER WEDDING SO IT WAS DIFFICULT FOR HER TO ACCEPT HER PREGNANCY. SHE FELT SHOCKED TO A
POINT SHE CRIED. “Natigdaan ba ako. Diri ko adto makarawat kay syempre, an amon mga plans for our
wedding.” HOWEVER, SHE THOUGHT OF HER PREGNANCY AS A BLESSING, SHE IS THEN THANKFUL THAT
SHE IS NOT EXPERIENCING SERVER SYMPTOMS OF PREGNANCY.
HER PARTNER READILY ACCEPTED THE PREGNANCY AND IS VERY SUPPORTIVE OF THE PREGNANCY. HE
WAS HAPPY ABOUT THE PREGNANCY AND WAS THE ONE TO SUPPORT HER EMOTIONALLY DURING HER
DIFFICULTY ACCEPTING IT.

FIRST TIME PRENATAL: OCTOBER 6 = 9 WEEKS AND 3 DAYS

CHECK UP YESTERDAY: DUE TO BACK PAIN, AND DOC SAID UTI IS BACK,

3 MONTHS AND 13TH DAYS CURRENTLY

PHYSICAL SYMPTOMS:

FIRST TRIMESTER: GIN ABAT NA FIRST: MASAKIT HA ULO NA BAGAT NALUTAW

HIHIKASUKA, NAGING SENSITIVE AN AMOY, EVEN ALCOHOL SMELLS BAD, EVEN HER FAVORITE FRUIT,

SHE EATS BREAD, TOASTED, DALANDAN, MANGA

SHE LIKES TO MOVE AND KEEP ACTIVE – HER GENERAL HEALTH IS GOOD. BUT HER SMELL IS SENSITIVE.

SHE HAS AN OUTBREAK OF PIMPLES DUE TO HORMONAL IMBALANCE.

BREASTS: AT FIRST, IT HURTS = NANINIG-A MASAKIT, NANDADAGKO, BUT RIGHT NOW DIRI NA
MASAKIT.

URINARY: MAIHI-IHI PIRMI. FLATULENCE TOO.

HA MAY TIIL, MABANHOD. RIGHT. AN KNEES. PAGMAMATA. NAKA TULO ABAT – 3 NIGHTS AGO,
THURSDAY, WEDNESDAY NIGHT. MAKURI MAMILING.

DECEMBER 4 NEXT CHECK UP. BALI MA 2ND TRIMESTER. LAST NA CHECK UP OCT 26 = 9 WEEKS AND 3
DAYS HADTO.

Drugs taken during pregnancy: VITAMINS, OBY-LYN PLUS, VITAMINS PARA BABY, AND MAMB, IN
A DAY, 2 TIMES. OBLYLYN PLUS BEFORE BEDTIME.
Illness since beginning of pregnancy: JANUARY ANNUAL MEDICAL EXAM: NO UTI. PAG DRINK
MORE WATER. HAN NAG CHECK UP OCTOBER 6: NO UTI. PERO YANA BUMALIK.

OCTOBER 6: URINALYSIS: NORMAL

Occupation: CLERK
Reaction & adaptation to Pregnancy? (Is Pregnancy Planned?)

NOT EXPECTED. AT FIRST, DIRI NA KARAWAT BECAUSE AN ERA PLANS HAN WEDDING, SHE WAS
SHOCKED, NATIG-DAAN SHE CRIED, BUT SHE REALIZED IT WAS A BLESSING. AUGUST 22, 2020 THEIR
WEDDING UNTA.
Reaction of husband towards pregnancy of wife:
HAPPY FOR THE PREGNANCY. SUPPORTIVE, NO PROBLEM.