1.0 Patient’s Identification Name : Fatin Izzatul Race : Malay Age : 3 months Address : Klang Date of Birth : 28/8/2012 Date of Admission : 17/12/2012 Weight : 5kg Date of Clerking : 18/12/2012 Gender : Female Source of referral : Biological mother 2.0 Chief complaint My patient Fatin Izzatul was brought by her mom to Hospital Tengku Ampuan Rahimah due to rapid breathing about 2 days prior to admission and associated with fever, cough and runny nose for 4 days. 3.0 History of presenting illness My patient, Fatin Izzatul was previously well child until she was having cough, fever and flu for 4 days. Then the mother brought her to the private clinic and was given medication but the symptoms did not resolve. 2 days before the admission, the mother was noticed that her child was having rapid breathing. Due to that, she brought her to Hospital Tengku Ampuan Rahimah for further investigation.
A “Do you know why I am here?” (I need to know if she understands what is happening without upsetting her.) C “I am not sure. Doctor B has told me that I am pregnant. (I am afraid and don’t want to get anyone into trouble.) A “That’s right.
When the fetal heart rate decreased (Bradycardia), fetal distress was noted, and an emergency caesarean was initiated. To her sadness, the baby was found bluish in skin colour when born in her 35th week gestation in labour with a low birth weight of only 1.4kilogramms. Some abnormality was also found in the baby’s leg. The doctor warned of 50% chance of survival and presence of special child characteristics. Postnatal The born baby was put in the incubator for 2 months.
We began spending everyday together, it was great. After two years of dating I got pregnant with our beautiful daughter. I got so sick I almost lost her at three months, then again at seven months. I had toxemia so I spent a lot of the time in the hospital. I had to go on independent study because I was bedridden.
My grandmother is a breast cancer survivor, but in 2000 her cancer returned in her left breast so she was very ill , and working to raise a newborn baby so throughout my childhood she was always in and out of the hospital . Throughout my kinder through 3rd grade education every summer , or vacation i would have i would travel to Sinaloa Mexico with my grandmother on a travel bus , it would take us 24 hours sometimes even more . It was always a scary car ride because we never knew if we would make it to our destination traveling to Sinaloa back then was a very dangerous trip everyone was always paranoid that our bus would get hijacked by a cartel because they new that there was people traveling from the United States and they always assumed that we were rich . My grandma would take me with her because she wanted me to value what i had. I was a spoiled brat my dad , my grandma , and my godmother would always try to buy me what i wanted when they could afford it.
After months of testing and the doctors telling my mom I might have cancer, we finally got an answer. My diagnosis was called Chronic Recurrent Multifocal Osteomyelitis (pediatrics 2005). This disease is something that is very rare childhood disease. After multiple surgeries, lots of medication and a whole year spent living at the hospital things had started to quiet down. Throughout all of this, I met so many compassionate nurses, doctors with great bedside manner and even laundry and maintenance people who would stop and say hi.
Fact 3 Each year, between 50 000 to 100 000 women worldwide develop obstetric fistula. Fact 4 Women who experience this preventable condition suffer constant urinary incontinence which often leads to social isolation, skin infections, kidney disorders and even death if left untreated. Fact 5 Obstetric fistulae can largely be avoided by delaying the age of first pregnancy, by the cessation of harmful traditional practices and by timely access to quality obstetric care. Fact 6 Most fistula occur among women living in poverty in cultures where a woman’s status and self-esteem may depend almost entirely on her marriage and ability to bear children. Fact 7 Obstetric fistula still exists because health care systems fail to provide accessible, quality maternal health care, including family planning, skilled care at birth, basic and comprehensive emergency obstetric care, and affordable treatment of fistula.
But what truly causes it is a mystery that leaves scientists and doctors with just guesses and tests to do. Some people say that babies die of SIDS just from sleeping wrong. In 1994, the National Institute of Child Health and Human Development (NICHD) had a “Back To Sleep” campaign that told parents to always put infants on their backs when sleeping. After that, the rate of SIDS went down by more than 50% (U.S. Department of Health and Human Services). Even with that drop in the death rate, SIDS is still responsible for about 3,000 deaths per year (“Sudden Infant Death” 1621).
We all want to reduce the number of unplanned pregnancies, but there is no reason to single out abortion among all a woman’s reproductive choices as the one choice which is somehow less valid or acceptable than childbirth, adoption, or other reproductive choices. Abortion is a valid personal decision within the field of health care. Every woman has their own personal reason to have an abortion. There are many reasons women decide abortion is the best choice for them such as, birth control failures, inability to care and support
However, the question should not be whether or not an abortion is murder, but instead what is best for both the teenage mother and the unborn child, and in many cases for young teenage girls the answer to both questions may be to abort the pregnancy. Not all situations are the same; therefore they should not be treated as such. Whereas one girl may be able to openly debate the choice of abortion with her parents and the biological father, for another it could potentially do much more harm than good. All teenage girls should be given the option to do what they feel is right for themselves and the unborn baby, not be forced into doing what her parents believe is the morally correct thing to do because of laws placing the ultimate decision in their hands. Others should not be forced to turn to judicial bypass because of their family’s opinion on the topic.