Scenario Overview
Case: Normal Delivery in 25 -year-old Primi-Para in Active Labor.
Summary of Case: A 25 -year-old, married woman named Adelaine Chantal Dimaguiba, admitted at Davao Doctors Hospital, Inc. L & D and monitor placed in active labor, accompanied by her husband and mother. She was brought to the ED due to GI distress and abdominal pain. Assessment indicates that she is on active labor; primipara presents at 39 weeks estimated gestational age to Labor and Delivery in early labor with the onset of contractions approximately one hour ago. Her records indicate she is carrying a singleton pregnancy in vertex presentation. Her past medical history is uncomplicated. She develops hives at 14 weeks AOG. Specific IgE test came in negative for food allergens (Class 0: Absence of IgE). She is taking Levocitirizine 5mg 1 tab OD at HS until delivery and prenatal vitamins that were ordered by her OB. Her prenatal labs are negative and her pregnancy has been uncomplicated.
Question 1: Make a health history taking.
Question 2: Explain to the pregnant patient what is going to happen during labor and delivery.