Danielle Foster

31 yo · ~24 weeks · G1P0 (IVF) · Blood type B+

Allergies

NKDA
Seasonal pollen (grass, ragweed) — mild

Active Problems

IVF pregnancy — FET #2 (single euploid embryo, 4AA)
Hypothyroidism (Hashimoto's) — levothyroxine 75 mcg, TSH 2.1 at 18 wk
GAD — therapy (biweekly, Sarah Kim LCSW). No meds. PHQ-9: 3
Low-lying placenta — 1.8 cm from os at 20 wk. Pelvic rest. Recheck 32 wk
CF carrier — partner non-carrier, low risk

Medications

Levothyroxine 75 mcg daily (empty stomach)
Prenatal vitamin + DHA daily
Vitamin D3 2000 IU daily
Acetaminophen PRN
Docusate PRN

Key Labs

TSH (18 wk): 2.1 mIU/L (goal <3.0 in T2)
Free T4: 0.9 ng/dL (normal)
Hgb (8 wk): 12.4 g/dL (normal)
Platelets: 245 K (normal)

IVF History

Dx: unexplained infertility (18 months)
Cycle 1: retrieval → 3 euploid embryos. FET #1: failed implantation
Cycle 2 (FET #2): medicated, single 4AA embryo → current pregnancy
PGT-A performed. NIPT low risk. Fetal sex: male

OB Summary

EDD 06/11/2026 — ~24 weeks
Anatomy scan 20 wk: all normal
Low-lying placenta 1.8 cm from os — pelvic rest
Cervix 4.1 cm (normal)
Upcoming: 24-wk visit + glucose screening

Family History

Mother: Hashimoto's, anxiety
Father: HTN, T2DM
Paternal grandmother: breast cancer (dx 65)
Half-sister: anxiety, PCOS

Social

Marketing manager, hybrid. Married, no other children
Biweekly therapy for fertility-related anxiety
Walks 4x/wk, light strength training
Good support: husband, mother, IVF support group
Moderate-high stress — anxiety about pregnancy given IVF journey

Recent Communications

02/22 — Patient portal: "I've been feeling some tightening in my belly off and on today. Not painful. Is this Braxton Hicks? Also, the anatomy scan mentioned a low-lying placenta. Should I be worried?"

02/23 — Dr. Cole reply: Likely Braxton Hicks. If regular (q10-15 min), painful, bleeding, fluid, or pressure — call/go to L&D. Low-lying placenta common at 20 wk, >90% migrate. Recheck at 32 wk. Pelvic rest.

Review Submitted