2. HISTORY 15 days old female baby Mariyam, weighing 2.9kg and
K/C of birth asphyxia delievered via LSCS due to breech
presentation at 38 weeks of gestation was admitted on 15-9-2013
with C/O Fitsfor 1 day reluctant to feedfor 1 day 3. HISTORY OF
PRESENTING COMPLAIN: According to attendent, baby was in usual
state of health 1 day back when she started having fits in the
morning. Fits were focal and involved either one limb at one time
with flickering of eyes and lasting 5-10 secs occuring every 2 to 3
hrs. There was no loss of consciousness, fecal or urinary
incontinence and uprolling of eyeballs.There is no history of fever
and vomiting .Baby is also reluctant to feed since then. 4. BIRTH
HISTORY ANTENATAL: It was a fullterm pregnancy and a booked case at
some private hospital U/S scan was done twice at 8th and 9th mth
Mother had no c/o gestational DM, hypertension,fever,rash or anemia
during pregnancy She took multivitamins and got tetanus toxoid.
NATAL: Mother underwent LSCS due to breech presentation of baby at
38 wks of gestation. There is no H/O PROM, preeclampsia or any
other maternal complication at birthof baby. POSTNATAL: Baby had
delayed and weak cry. There was peripheral cyanosis.There was no
jaundice. Baby had episode of fits half hr after birth.They took
the baby to Jinnah hospital and upon their refusal to admit due to
lack of incubators, they took the babyto Naseem centre.The baby was
admitted there as a case of perinatal asphyxia for 9 days.No fits
were observed during this period.Platelets and FFPs were
tranfused.Baby was on tanzo and vancomycin and was discharged on
9-9-2013. 5. VACCINATION HISTORY:No BCG vaccination done. FEEDING
HISTORY:Baby was kept NPO after birth.Breast feeding was started at
8th day of life and she was taking feed normally. She is reluctant
to feed for 1 day. FAMILY HISTORY:Baby is 5th product of
cosanginuous marriage.She has 3 normal siblings.There is no
significant family history of any illness. SOCIOECONOMIC HISTORY:
Their socioeconomic status is average. They use unboiled water for
drinking. 6. EXAMINATION GENERAL PHYSICAL EXAMINATION VITALS Heart
rate: 142/min Respiratory rate: 48/min Temprature: 98.6FCapillary
refill time:
