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Mari-Carr C. Ibera-Taguinod,MD, Tuguegarao City (2026)

07/12/2025

Finally, nakapagpicture din kami together ni Big baby FA. 😊
(With kuya Coco and Mommy Angie too)

02/12/2025

LONG STORY.
2 days ago, I admitted a G3P1(1011) in her 32 weeks and 1 day age of gestation due to Elevated BP to as high as 180/120. Prior to consultation, her only symptom was nape pain.She had her BP measured at home and was elevated to 180/90. She consulted at the clinic and was advised immediate admission. Our treatment plan was for Medical management - control the BP, administer medication to prevent convulsions, and to give steroids for fetal lung maturity, since the baby is only 32 weeks. She was also referred to a Perinatologist for co-management. Ultrasound revealed an estimated fetal weight of 1.4 kg, which is below the expected weight ( a complication of hypertension in pregnancy).
Blood pressure was succesfully controlled, however, on day 2 of admission, fetal tracing revealed the one in the picture, indicating a Non-reassuring fetal status.It is a term used to describe a situation during pregnancy or labor where the baby's heart rate pattern is abnormal, indicating potential fetal distress. This can be caused by various factors such as umbilical cord compression, placental issues, or other complications. It usually requires close monitoring and may necessitate immediate delivery if the situation becomes severe 😟.
Emergency cesarean section was done, and we were able to deliver to a live, 1.4 kg baby boy with good APGAR score. The baby is currently admitted due to prematurity,managed by a respected neonatalogist.
Luckily, the patient consulted immediately when her BP was noted to be elevated otherwise worst scenario might have happened ( convulsion, pulmonary congestion, stroke, or worst- death for both the mother and the baby).
This shows the importance of having regular prenatal check-up for proper and immediate
management of complications as they arise.