SUMMARY

'What about my baby?'

Mrs Leong Tring is a 41 year old woman who presents to her GP with a 4 week history of nausea and vomiting. Tests confirm she is pregnant and she is referred to the ante-natal clinic for further routine care for the pregnancy. During the pregnancy Mrs Tring develops a blood pressure problem (pre-eclampsia of pregnancy) and has to be delivered by lower segment Caesarian section at only 29 weeks gestation for her own health as well as that of her baby. The baby suffers from prematurity, with respiratory distress syndrome, but does well in the neonatal intensive care unit and is able to go home about 40 days after delivery.

The case raises the following issues:
    • Physiology of normal pregnancy
    • Blood pressure regulation in pregnancy
    • Eclampsia and pre-eclampsia
    • Obstetric ultrasound
    • Fetal monitoring
    • Patterns of antenatal care
    • Psychosocial aspects of pregnancy

 


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