Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anxiety, COVID-19, Caesarean section, Complication of pregnancy
Clinical narrative: Patient: Admit date: 1/13/2022  Discharge date : 1/15/2022   Antepartum complications: Covid-19 positive, GDMA1, Anxiety, Depression, Hx of C-section x 4,                                                   Delivered By: Doctor   Primary Diagnosis: Status post repeat low transverse cesarean section    Hospital Course       Patient Active Problem List Diagnosis ? Anxiety and depression ? Previous cesarean section ? Blood type, Rh positive ? Rubella immune ? Iron deficiency anemia ? Abdominal pain ? Status post repeat low transverse cesarean section ? Diet controlled gestational diabetes mellitus (GDM) in third trimester ? Irregular contractions ? Decreased fetal movements in third trimester ? COVID   Please see the prenatal record and admission history and physical for details.   Labor Analgesics: Spinal     OB Complications:  Gestational Diabetes    Cervical Ripening Type:   Cervical Ripening Comment:      Induction:    Induction Indications:   Augmentation:     Delivery Date: 1/13/2022  Delivery Time: 8:48 AM  Gestational Age(weeks days/7): 39 5/7      Method of Delivery: Cesarean Section     Pre-Operative Diagnosis: Intrauterine Pregnancy at 39 5/7 weeks; Previous Cesarean Section; Family Planning Complete; COVID Post-Operative Diagnosis: Intrauterine Pregnancy at 39 5/7 weeks; Previous Cesarean Section; Family Planning Complete; COVID   Birth Weight: 3.835 kg (8 lb 7.3 oz)   Sex: female   Apgar Score (1 min): 9   Apgar Score (5 min): 9      Quantified Blood Loss (ml):    Est Blood Loss      For further details of the delivery see the delivery summary and Anesthesia Record.   Her post paruncomplicated post-partum recovery.  On the day of discharge pain was well controlled with oral pain meds, she was ambulating and voiding without difficulty, COVID-19 symptoms resolved, and she was tolerating diet without nausea/vomiting.  Patient was requesting discharge home.  Following complete examination and review of recovery course, patient was deemed stable for discharge. Patient will need a 2hr GTT at her 6 week post partum visit tum course was complicated by:  None  Patient with    Procedures performed: Procedure(s): Bilateral - REPEAT CESAEAN SECTION, BILATERAL SALPINGECTOMY - Wound Class: Clean Contaminated - Incision Closure: Deep and Superficial Layers   Pending Tests at Discharge    Order Current Status   Surgical Pathology Tissue In process        Discharge       All Hospital Problems (Other diagnoses): Active Hospital Problems   Diagnosis ? Principal Problem: Status post repeat low transverse cesarean section [Z98.891] ? COVID [U07.1] ? Diet controlled gestational diabetes mellitus (GDM) in third trimester [O24.410] ? Blood type, Rh positive [Z67.90] ? Rubella immune [Z78.9] ? Iron deficiency anemia [D50.9] ? Anxiety and depression [F41.9, F32.A]   Resolved Hospital Problems No resolved problems to display.     Discharge Condition: stable Activity as tolerated Regular adult diet    Discharge instructions:    Follow-up Information     Essential Gynecology & Obstetrics In 1 week.  Specialty: Obstetrics and Gynecology Why: For incision check           Essential Gynecology & Obstetrics In 6 weeks.  Specialty: Obstetrics and Gynecology Why: Postpartum check and 2hr GTT    Chart has confusing mix of Covid vaccinations entered: Moderna: 12/29/202, 12/8/2020 and also Pfizer 1/7/2021, 12/21/2020