Maya Chen

28 yo · ~8 weeks · G1P0 · Blood type A+

Allergies

Amoxicillin (penicillin class) — rash, hives
Shellfish — throat tightness, hives (severe)
Latex — contact dermatitis

Active Problems

IUP, first trimester — EDD 10/05/2026
Nausea of pregnancy — worsening, B6 + doxylamine
Hx chlamydia (2023) — treated, cleared. Ectopic risk factor
Penicillin class allergy
Vitamin D insufficiency — on supplementation
Hx iron deficiency — resolved, monitor in pregnancy
Latex sensitivity

Medications

Prenatal vitamin + DHA daily
Vitamin D3 2000 IU daily
Doxylamine/B6 25/25 mg bedtime PRN (nausea)
Acetaminophen 500 mg PRN
Discontinued: ibuprofen (pregnancy)

Key Labs (OB intake, 6 wk)

Hgb: 12.8 g/dL (normal)
TSH: 1.9 mIU/L (normal T1)
Ferritin: 34 ng/mL (low-normal, monitor)
Vitamin D: 32 ng/mL (sufficient, improved)
Blood type A+, antibody screen neg
Rubella immune, HIV neg, RPR NR, CT/GC neg

OB Summary

G1P0 — first pregnancy
Dating US 6w2d: viable IUP, FHR 118
Spontaneous conception
LMP 12/29/2025. EDD 10/05/2026
NT scan planned ~12 weeks

Family History

Mother: T2DM (dx 48), HTN
Father: hyperlipidemia, gout
Sister (31): G2P2, uncomplicated
Brother (25): asthma

Social

4th grade teacher. Lives with partner David
Pescatarian — struggling with food aversions
1 cup coffee/day (reduced). No tobacco/alcohol/drugs
Moderate stress — teaching job + first pregnancy anxiety
Good support: partner, sister nearby, parents 1 hr away
Indoor cat (partner handles litter)

Recent Communications

02/20 — Patient portal: "Nausea has gotten worse this week. Throwing up most mornings. Unisom+B6 helps a little at night but mornings are rough. Is this still normal?"

02/21 — Nurse reply: B6 25 mg 3x daily + doxylamine at bedtime. Call if can't keep fluids down 12+ hrs or dark urine. Common at 7-8 wk, often improves T2.

Review Submitted