tokens: 424729395 DH 0011649 07013 908447 6/14/2001 12:00:00 AM OB Discharge Summary Signed DIS Report Status : Signed OB EMR L and D DISCHARGE SUMMARY NAME : XARAH RATIA SERVICE UNIT NUMBER : 642-07-90 ADMISSION DATE : 20010614 DISCHARGE DATE : 20010616 PRINCIPAL DISCHARGE DIAGNOSIS : Abnormal Fetal Heart Rate / Rhythm - Delivered ASSOCIATED DIAGNOSES : Abnormal Pap Test , history of PRINCIPAL PROCEDURE OR OPERATION : Vacuum Extraction ASSOCIATED PROCEDURES OR OPERATIONS : POSTPARTUM DIAGNOSTIC PROCEDURES : None POSTPARTUM THERAPEUTIC PROCEDURES : None OTHER POSTPARTUM THERAPIES : Routine Post Partum Care HISTORY AND REASON FOR HOSPITALIZATION : Active Labor PHYSICAL EXAMINATION : HEIGHT 49 HEENT NORMAL MOUTH NORMAL NECK NORMAL BREASTS NORMAL NIPPLES NORMAL CHEST NORMAL COR NORMAL ABDOMEN NORMAL gravid , + FHR , NT EXTREM NORMAL SKIN NORMAL NODES NORMAL VULVA NORMAL VAGINA NORMAL CERVIX NORMAL 4-5/100% OS NORMAL closed , firm , -CMT ADNEXAE NORMAL UTERUS NORMAL term 7-7.5 # vtx UTERINE SIZE IN WEEKS NORMAL term HOSPITAL COURSE ( include complications if any ) : This 23 year old Gravida 2 Para 1001 was admitted to the Naliheall County Memorial Hospital Obstetrical service on 06/14/2001 at 01:29 pm for the indication ( s ) : active labor . She delivered a 3263 gram female infant at 06/14/2001 at 06:40 pm with apgar scores of 8 and 8 at one and five minutes respectively at 40.3 weeks gestation via vacuum extraction . During her labor she encountered the following complication ( s ) : fetal bradycardia . During her delivery she encountered the following complication ( s ) : nuchal cord , times two . Postpartum she encountered the following complication ( s ) : none . She was discharged on 06/16/2001 at 12:00 pm in stable condition . DISCHARGE ACTIVITY : No Restrictions DISCHARGE DIET : No Restrictions POSTPARTUM DISPOSITION : Home With Self-Care ( Routine Discharge ) POSTPARTUM CARE SITE : Burnrise Memorial Hospital POSTPARTUM RETURN APPOINTMENT ( DAYS ) : 42 BREAST FEEDING AT DISCHARGE : Yes POSTPARTUM MEASLES / MUMPS/RUBELLA VACCINE : Not Indicated Electronically Signed : American , 06/16/2001 5:14:05 PM