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Medical Specialty:
Obstetrics / Gynecology
Sample Name: Delivery Note - 5
Description: Artificial rupture of membrane was performed for clear fluid. She did receive epidural anesthesia. She progressed to complete and pushing.
(Medical Transcription Sample Report)
DELIVERY NOTE: This is a 30-year-old G7, P5 female at 39-4/7th weeks who presents to Labor and Delivery for induction for history of large babies and living far away. She was admitted and started on Pitocin. Her cervix is 3 cm, 50% effaced and -2 station. Artificial rupture of membrane was performed for clear fluid. She did receive epidural anesthesia. She progressed to complete and pushing. She pushed to approximately one contraction and delivered a live-born female infant at 1524 hours. Apgars were 8 at 1 minute and 9 at 5 minutes. Placenta was delivered intact with three-vessel cord. The cervix was visualized. No lacerations were noted. Perineum remained intact. Estimated blood loss is 300 mL. Complications were none. Mother and baby remained in the birthing room in good condition.
See More Samples on Obstetrics / Gynecology
Abdominosacrocolpopexy
Bilateral Mammogram
Bilateral Tubal Occlusion - Laparoscopic
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Biophysical Profile - 1
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Breast Ultrasound & Biopsy
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Cesarean Section
Cesarean Section & BTL
Cholestasis Of Pregnancy
Colpocleisis
Complete Physical - Female
Cone Biopsy
Consult/ER Report - OB/GYN
CT Abdomen & Pelvis - OB-GYN
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Well-woman checkup
Keywords: obstetrics / gynecology, perineum, placenta, rupture of membrane, artificial rupture, cervix, delivery, induction,