Year Female Presents Assignment Help: How to Answer This Question

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Original Question

A 32-year-old female presents in active late-stage labor. She is at 38 weeks gestation and is gravida 2, para 1, abortus 0. This pregnancy has been complicated by cervical cervical shortening, requiring frequent monitoring. At the 16th week of gestation, cervical measurements of 20 mm necessitated high-risk surveillance to minimize the risk of premature delivery. Procedure description: Upon full dilation and cervical effacement, the obstetrician assisted the patient in spontaneous delivery of a full-term, single liveborn infant. Manual assisted delivery was performed by gentle manual traction in coordination with uterine contractions. Soft tissue resistance at the vaginal opening necessitated midline episiotomy to accommodate delivery of the fetal head, prevent obstetric tear, and to ensure optimal healing. Under local anesthesia, a sharp midline perineal incision was made, extending into the perineal soft tissues. Upon incision, it was noted that the perineal muscle and soft tissues were abnormally rigid. Upon delivery of the fetal head, a spontaneous second degree tear occurred in extension of the episiotomy. The episiotomy and perineal tear were reapproximated with sutures. O26.873 – Cervical shortening, third trimester O70.1 – Second degree perineal laceration during delivery Z37.0 – single live birth Z3A.38 – 38 weeks gestation

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