Ms Mary Thomas
Royal Brisbane Women’s Hospital
Butterfield St and Bowen Bridge Rd
Hurston QLD 4029
18 July 2019
Dear Ms Thomas
Re: Ms Julia Smith, aged 18
Ms Julia Smith, who underwent a Caesarean section, is reported malnourished. I am referring Ms Smith for nutritional assessment and your expert management regarding dietary concerns following the discharge today.
On 10 November 2018, an antenatal consultation was conducted which revealed about second pregnancy after one abortion. Ideal body weight was noticed as 32 kg, whereas height (64cm) was considerably more for a perfect BMI, hence malnutrition was confirmed. Inadequate intake of nutritional diet was reported regarding underweight. Ms Smith is being depressed of unplanned pregnancy in the early age and as well as education and baby’s health condition.
In addition, due to consequences of poor nutrition, baby is also having several complications including low birth weight which is 1.9 kg, risk of aspiration, bowel and bladder incontinence and baby is on nasogastric feeding. Recent weight gain is confirmed as 37 kg on discharge.
Ms Smith is a single university student and lives with her boyfriend. Presently, no contact with parents have been reported. Due to life problems depression is also present. Heamoglobin investigation has performed which showed mild anemia (7 mg/dl). Constant monitoring of dietary compliance is highly imperative.
Based on the aforementioned circumstances, your expert evaluation and appropriate management for nutritional balance for Ms Smiths health condition would be profoundly beneficial. In case any additional information is required, please do not hesitate to contact me.
Royal women’s Hospital