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MORNING REPORT

Monday, December 1th, 2014 at 02.00 PM


Tuesday, December 2nd, 2014 at 07.00 AM
Physiologic obstetrical patient
Pathologic obstetrical patient
Gynecological patient
Passed Away
Total patient

: 2 cases
: 5 cases
: 0 case
: 0 case
: 7 cases

Obstetric ward patients


Gynecology and Oncology ward patients
ICU patient
Total Patients

: 21 patients
: 33 patients
: 1 patient
: 55 patients

OBSTETRICS
1.
01.12.14
05.30 PM
Hb: 7.6 g/dl
WBC : 13.500/mm3
Plt : 198.000/L
CRP (-)

Conservative management

Mrs.IND/23/UA/LAT

D/ G2P1A0 34 weeks gestational age not inlabor with PROM 16 hours


SLF cephalic presentation + moderate anemia
US ER (IDA) :
- SLF cephalic presentation
- Fetal biometry :
BPD 8,49 cm
FL 6,21 cm
HC 29,8 cm
EFW 2160 g
AC 29,2 cm
- Amniotic fluid AFI 1,08 0,80 = 6,06 cm
2,12 2,06
- Placenta at anterior of uterine corpus
C/ 34 weeks gestational age SLF cephalic presentation
M/ Conservative management
Nifedipine 10 mg tab / 6 hours
Ampicillin 1 g iv (ST)/6 hours
Dexamethason inj 12 mg / 24 hours (2 days)
PRC transfusion
P/ US confirmation

2.

01.12.14

Conservative management

08.20 PM

D/ G1P0A0 33 weeks gestational age not inlabor with PROM 9 hours


SLF cephalic presentation
US ER (IDA) :
- SLF cephalic presentation
- Fetal biometry :
BPD 8,4 cm
FL 6,17 cm
HC 28,9 cm
EFW 1840 g
AC 27,5 cm
- Amniotic fluid AFI 1,12 1,03 = 5,17 cm
1,35 1,67
- Placenta at posterior of uterine corpus
C/ 33 weeks gestational age SLF cephalic presentation
M/ Conservative management
Nifedipine 10 mg tab / 6 hours
Ampicillin 1 g iv (ST)/6 hours
Dexamethason inj 12 mg / 24 hours (2 days)
P/ US confirmation

Hb: 11.4 g/dl


WBC : 21.700/mm3
Plt : 343.000/L
CRP (-)

3.

Mrs. FEN/28/RA/LAT

02.12.14

LSCS due to fetal distress

03.30 AM

D/ G1P0A0 38 weeks gestational age inlabor 1st stage active phase with
history of ROM 1 day SLF breech presentation + fetal distress

FHR I : 188 x/m


FHR II: 182 x/m
FHR III : 179 x/m

Mrs. ELA/18/RA/SUG

M/ Intrauterine rescucitation: lateroposition, O2 5l/m


Laboratory examination
Ceftriaxone inj. 2 x 1 g iv (ST)
P/ Abdominal delivery
Consult to consultant on duty agree for abdominal delivery
04.20 AM

Female live baby was born, BW 3000g, BL 47cm, AS 7/9 FT AGA

04.23 AM

Placenta was delivered completely, PW 520 g, umbilical cord length

48cm, 19x20cm
02.12.14
06:00 AM

4.

29.11.14
01.00 PM
GI : 6
Hb : 9.3 g/dl
Plt : 221.000/L
SGOT : 21U/L
SGPT : 13 U/L
LDH : 358 U/L

01.12.14
12.45 PM

02.12.14
01.00 AM
GI : 4

Mother and baby were in good condition

Plan for LSCS due to impending eclampsia


Mrs.IPA/34/RA/SUG
D/ G3P2A0 31 weeks gestational age not inlabor
with severe
preeclampsia SLF breech presentation
M/Expectative management
MgSO4 inj. protocol
Nifedipine 10 mg / 8 hours
Evaluation with gestosis task
Consult to Internal Departement, Ophthalmology
US (PM):
- SLF breech presentation
- Fetal biometry :
BPD 7,74 cm
FL 5,79 cm
HC 27,82 cm
EFW 1245 g
AC 22,47 cm
- Amniotic fluid was enough
- Placenta at anterior of uterine corpus
- BPP : FM 2, FB 2, FT 2, ICA 2, NST 0 8
C/ 32 weeks gestational age SLF breech presentation + BPP 8 +IUGR
was suspected
Consult to supervisor fetomaternal
Advice : Lung maturation 2 days
Terminate the pregnancy
P/ Elective cesarean section (Tuesday, 2 December 2014)
G3P2A0 31 weeks gestational age not inlabor with impending eclampsia
SLF cephalic presentation
M/ Terminate the pregnancy (abdominal delivery)
Consult to consultant on duty :
agree for abdominal delivery

5.

02.12.14

LSCS due to fetal distress

04.30 AM

D/ G1P0A0 42 weeks gestational age inlabor 1st stage latent phase with
PROM 2 days SLF cephalic presentation + fetal distress

FHR I : 188 x/m


FHR II: 182 x/m
FHR III : 170 x/m

Mrs. IIN/24/UA/SUG

M/ Intrauterine rescucitation: lateroposition, O2 5l/m


Laboratory examination
Ceftriaxone inj. 2 x 1 g iv (ST)
P/ Abdominal delivery
Consult to consultant on duty agree for abdominal delivery
Cesarean section was on going