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Twenty Weeks Gestation
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I encountered a Hispanic-American woman aged 34-year-old who was having her second pregnancy with one live birth and no history of abortion. She had come to the clinic for the prenatal care and was at week 24 of gestation. Her blood pressure was 130/80 mmHg; weight was 220 lb. The uterine size is well related to the gestational age. The past obstetric history of the patient includes virginal delivery of a male infant at 40 weeks of gestation, and he weighed 9lb, 8oz. He was born three and a half years ago in New York. The first child is doing well according to the patient (Schuiling, &Likis, 2013). The family history of the patient is that her father has type II diabetes Mellitus and mother is healthy. Test from urine dipstick indicates negative ketones and 3+ glycosuria. It was clear that the patient had several risk factors for GDM involving carbohydrates intolerance and various degree of severity with first recognition and onset during pregnancy with no regard to whether or not insulin was used in treating the conditions persistence after pregnancy or for other treatments. She is also above the age of 30, and her ethnic group has an increased risk of acquiring type 2 diabetes mellitus. She has a first degree relative with diabetes and is obese.
Findings indicated significant glycosuria which called for the need to undertake glucose determination. The patient was started on both insulin therapy and dietary insulin control. Her diet comprised of 25 kcal/kg of her body weight that needed to be divided into three meals and she was to avoid bedtime snacks. She was advised to stop talking simple carbohydrates and instead take the complex ones. She was also taught on using the self-monitoring kit for blood glucose and to take the tests while fasting and two hours after each meal. Follow-up was done six weeks after the 30 weeks gestation, and the regimen was working well. Fetal movements were undertaken to determine fetal well-being and measuring his heart rate twice weekly for the remainder of her pregnancy (Tharpe, Farley, & Jordan, 2013). From the tests, it became possible to diagnose the patient with diabetes mellitus since her plasma glucose was at 128 mg/dl.
Schuiling, K., &Likis, F. (2013). Women’s Gynecologic health (2nd ed.). Burlington, MA: Jones and Bartlett Publishers.
Tharpe, N., Farley, C., & Jordan, R. (2013). Clinical guidelines for Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.
Sherry Roberts is the author of this paper. A senior editor at Melda Research in Help Me Write My Essay For Me services. If you need a similar paper you can place your order for a custom research paper from pay someone to write research paper services.
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