Past medical history was unremarkable for any surgeries or major medical illnesses. Family history is negative for diabetes, positive for hypertension in paternal grandfather. Negative for heart attack, stroke, cancer, twins or birth defects. Pertinent to her social history. The patient lives at home with her mother and several other siblings.
Mother suffers from schizophrenia.
Th pt. does not use tobacco or alcohol and has no known drug allergies. Medications on admission include prenatal vitamins Q D, which was initiated 2 wks prior to admission, when pt. was initially seen for pregnancy. Decisions with respect to delivery of this pt. are complicated by the fact that we do not have good prenatal care with good estimation of EDC and sonogram at this stage is only accurate within 2-3 weeks. However, if BSST is positive with evidence of fetal compromise, we may need to consider proceeding with delivery of this patient either by induction or C-Section. Fetal heart tone baseline 150-155 with good short term and some decrease in long term variability initially.