Final Answer:
The patient was admitted with the diagnoses of an intrauterine pregnancy (IUP) at 22 0/7 weeks and cervical insufficiency. The patient underwent spontaneous vaginal delivery at 22 1/7 weeks, and these diagnoses remained unchanged at discharge.
Step-by-step explanation:
The operative report provides details about the patient's admission and discharge diagnoses, as well as the events during the hospital stay. The primary admission diagnoses include an intrauterine pregnancy (IUP) at 22 0/7 weeks, indicating the gestational age of the fetus, and cervical insufficiency, a condition where the cervix begins to dilate and efface prematurely. The patient was admitted for the induction of labor, suggesting a proactive approach to manage the pregnancy.
The discharge diagnoses indicate that the patient underwent a spontaneous vaginal delivery at 22 1/7 weeks. The gestational age at delivery is crucial information as it reflects the preterm nature of the birth. The fact that the diagnoses remained the same at discharge implies that the patient's condition was effectively managed, leading to a successful spontaneous vaginal delivery.
In obstetrics, tracking gestational age and managing conditions such as cervical insufficiency are critical for ensuring the well-being of both the mother and the newborn. The information provided in the operative report serves as a comprehensive summary of the patient's journey from admission to discharge, highlighting the medical decisions and interventions made during the course of care.