Obstetric Consultation Note

Obstetric Consultation Note Plan Discussed management plan including continuation of current medications and diet recommendations. Follow-up appointment scheduled for 1 December 2024. Referral to dietician for gestational diabetes management. Age 32 Weight 75 kg Height 165 cm Current Pregnancy Gestation 28 weeks and 3 days Earliest scan 12 January 2024, showing a singleton pregnancy with estimated due date of 19 July 2024. 1st AN blds Blood Group: A+, Rhesus: Positive, HIV: Negative, Syphilis: Negative, Hepatitis B: Negative, Rubella Immunity: Positive, Full Blood Count: Normal, RPR/VDRL: Negative, Glucose testing: Elevated, consistent with gestational diabetes. Complications to date Gestational diabetes diagnosed at 26 weeks. Occasional mild abdominal pain reported, resolved spontaneously. No vaginal bleeding. Investigations First trimester screening (private sector) - low risk for aneuploidy. Glucose tolerance test (public sector) - confirmed gestational diabetes. Anatomy scan at 20 weeks (private sector) - normal fetal anatomy. Urine analysis - no proteinuria. Obstetric history G2P1. One live birth (vaginal delivery at term, no complications). One miscarriage at 8 weeks (spontaneous, no surgical intervention). Gynaecology history Menarche at 13 years, regular 28-day cycles. No history of fibroids or PCOS. No prior hormonal therapy. No prior gynaecological surgical procedures. Cycle prior to pregnancy Regular 28-day cycles, moderate flow. Smear 15 March 2023, normal, no HPV detected. Gynaecology issues No ongoing or past gynaecological conditions. Abdo infxn/surgeries Appendectomy at age 16. No history of abdominal infections. Medications Folic acid 400mcg daily (since pre-conception), Iron supplement 60mg daily, Prenatal multivitamin daily. Metformin 500mg twice daily (started after gestational diabetes diagnosis). Allergies Penicillin (rash). No known food or other allergies.