OTP Grant: 14:00
CRITICAL CLINICAL ALERT: PRE-ECLAMPSIA PROTOCOL ACTIVE
Referral: Machakos Level 5CRITICAL ALERT: Superimposed Pre-eclampsia / Gestational Hypertension. BP 152/98 mmHg with Proteinuria +1. Fetal Doppler & Machakos Level 5 Hospital referral plan active.
LAO
Lilian Akinyi Ochieng
08 Oct 1993 (Age 31)
B+ Positive+254766334455
HIV Status:Negative (Verified rapid test)
GRAVIDA / PARITYG2 P1
GESTATION28 Weeks (High Risk)
EDD06 Desemba 2024
LMP01 Machi 2024
Vitals & Biometry Trends
Latest Blood Pressure:152/98 mmHg
Weight Progression:72.0 kg (Δ +3.4 kg)
Fetal Heart Rate:146 bpm
Symphysio-Fundal Ht:26 cm
Recent Timeline
ANC Contact 330/08/2024
Dr. Amani Waweru (Ob/Gyn)
ANC Contact 221/06/2024
Nurse Faith Chebet
ANC Contact 110/05/2024
Dr. Amani Waweru
Kenya MoH 405 Antenatal Register
3 contacts recorded against 8-contact schedule
| Visit # | Date | Gestation | Weight | BP (mmHg) | Fundal | FHR | IPTp-SP | IFAS | Clinician | Notes |
|---|---|---|---|---|---|---|---|---|---|---|
| ANC 3 | 30/08/2024 | 26 wks | 72.0 kg | 152/98 | 26 cm | 146 bpm | Dose 2 (SP) | Given + Methyldopa 500mg TDS | Dr. Amani Waweru (Ob/Gyn) | Proteinuria +1. Initiated high-risk protocol. Patient instructed on danger signs. |
| ANC 2 | 21/06/2024 | 16 wks | 69.5 kg | 142/92 | 16 cm | 150 bpm | Dose 1 (SP) | Given + Methyldopa 250mg TDS | Nurse Faith Chebet | Elevated BP noted. Commenced low-dose Methyldopa. Dietary salt restriction counselled. |
| ANC 1 | 10/05/2024 | 10 wks | 68.0 kg | 138/88 | 10 cm | 142 bpm | N/A | Given | Dr. Amani Waweru | First booking. Previous emergency CS noted. Baseline bloods normal. |