tokens: 708739405 DH 0606127 65761 4209641 10/29/2003 12:00:00 AM OB Discharge Summary Signed DIS Report Status : Signed OB EMR L and D DISCHARGE SUMMARY NAME : SYSCO TAMARCE DOSE UNIT NUMBER : 372-13-02 ADMISSION DATE : 20031029 DISCHARGE DATE : 20041101 PRINCIPAL DISCHARGE DIAGNOSIS : Normal Vaginal Delivery ASSOCIATED DIAGNOSES : Current Smoker , history of ; Depression , history of ; Isoimmunization , Rh ; Undesired Fertility PRINCIPAL PROCEDURE OR OPERATION : Spontaneous Vertex Vaginal Delivery ASSOCIATED PROCEDURES OR OPERATIONS : POSTPARTUM DIAGNOSTIC PROCEDURES : None POSTPARTUM THERAPEUTIC PROCEDURES : None OTHER POSTPARTUM THERAPIES : Pp Sterilization HISTORY AND REASON FOR HOSPITALIZATION : Early Labor / Rule Out Labor PHYSICAL EXAMINATION : HEIGHT HOSPITAL COURSE ( include complications if any ) : This 22 year old Gravida 4 Para 2012 was admitted to the Naliheall County Memorial Hospital Obstetrical service on 10/29/2003 at 11:14 pm for the indication ( s ) : early labor / rule out labor . She delivered a 3263 gram female infant on 10/30/2003 at 05:03 am with apgar scores of 8 and 9 at one and five minutes respectively at 40.1 weeks gestation via spontaneous vertex vaginal delivery . During her labor she encountered the following complication ( s ) : none . During her delivery she encountered the following complication ( s ) : nuchal cord , x 1- reduced prior to delivery . Postpartum she encountered the following complication ( s ) : none . She was discharged on 11/01/2004 at 12:00 pm in good condition . DISCHARGE ORDERS ( medications instructions to patient , follow-up care ) : DISCHARGE ACTIVITY : No Restrictions DISCHARGE DIET : No Restrictions POSTPARTUM DISPOSITION : Home With Self-Care ( Routine Discharge ) POSTPARTUM CARE SITE : Uval General Hospital POSTPARTUM RETURN APPOINTMENT ( DAYS ) : 42 BREAST FEEDING AT DISCHARGE : No POSTPARTUM RH IMMUNE GLOBULIN : Given POSTPARTUM MEASLES / MUMPS/RUBELLA VACCINE : Not Indicated MEDICATION ( S ) ON DISCHARGE : Multivitamins And Folate Electronically Signed : Ockgiernruss , Riret R 12/18/2003 7:53:30 PM