STATUS OBSTETRICUS

Pemeriksaan Luar : ...............................................................................................................................

Tinggi f.Uteri : ............................................ Letak anak :...............................................................

Bunyinya jantung anak : ............................................ His :...........................................................................

Hal2 lain

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Diagnosa Sementara

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Pemeriksaan dalam (jika perlu)

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P.A

Pemeriksaan Panggul (jika perlu)....................................................................................................................

D.sp. (23)...........................D. christ (26) ................................ C. Ext. (19) :................................D.Tub (9+1):

D.sag post :............................Pront ont : ...............................C. diag .....................................CV...................

Linea innom : .................................................................Spin isch : ................................................................

Sacrum......................................................................................D.I .................................................................

Side Walls...........................................................................Ark pub ...............................................................

Presenting part............................................................. Kesan Panggul .........................................................

Pelvimetri Ro ..................................................................................................................................................

PEMERIKSAAN ANTENATAL SETERUSNYA

Timbangan

diperiksa
Oedema

Tinggi Letaknya anak

jantung

minggu
berapa
Tensia

Hamil
Bunyi

reflex

Urine

berat
Tanggal

Yang
(alb)

Fundus uteri Punggungnya dan Hal hal

turunnya bag bawah lain