No Bulan Tgl MRS Tgl Terminasi Tgl KRS Nama (tanpa Ny) RM usia

1 Juli 01 Juli 20101 Juli 2019 04 Juli 201Meiliana 1394266 21

2 Juli 02 Juli 20102 Juli 2019 08 Juli 201Miftahur 1394089 22
3 Juli 02 Juli 20102 Juli 2019 05 Juli 201Liana 1394264 20
4 Juli 05 Juli 20105 Juli 2019 09 Juli 201Sant 1394540 16
5 Juli 06 Juli 20106 Juli 2019 13 Juli 201Rupiyant 1394610 18
6 Juli 10 Juli 20110 Juli 2019 14 Juli 201Fatmah 1395163 35
7 Juli 11 Juli 20111 Juli 2019 15 Juli 201Masmurah 1395169 35
8 Juli 16 Juli 20116 Juli 2019 20 Juli 201Yuliana 1395841 26
9 Juli 21 Juli 20121 Juli 2019 24 Juli 201Musyarafah 1396348 35
10 Juli 23 Juli 20123 Juli 2019 27 Juli 201Rahmi Azizah 1396546 27
11 Juli 29 Juli 20129 Juli 2019 02 AgustusEka Sari 1015690 27
12 Juli 29 Juli 20129 Juli 2019 02 AgustusDewi Sari 1397050 33
13 Juli 30 Juli 20130 Juli 2019 03 AgustusMardiat 1397186 30
14 Juli 30 Juli 20131 Jli 2019 03 AgustusSit Fatmah 1397200 31
15 Juli 30 Juli 20130 Juli 2019 03 AgustusElsya Antoni 1397178 19
 Usia Datang
Rujukan

SUAMI Dalam Banjar Luar Banjar

<16 17-34 >35 1 2 DST Sendiri pkm/bpm RS pkm/bpm RS

0 1 0 1 0 0 1 0 0 0
0 1 0 1 0 1 0 0 0 0
0 1 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 0
0 1 0 1 0 0 0 0 0 1
0 0 1 1 0 0 0 1 0 0
0 0 1 1 0 0 1 0 0 0
0 1 0 1 0 1 0 0 0 0
0 0 1 1 0 0 0 1 0 0
0 1 0 1 0 0 1 0 0 0
0 1 0 1 0 1 0 0 0 0
0 1 0 1 0 1 0 0 0 0
0 1 0 1 0 0 0 0 0 1
0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 1 0 0 0 0
 TD SAAT DATANG BMI
SISTOLIK DIASTOLIK
MAP
<18.5 18,5-24,9 25,0-29,9 30,0-34,9

140-159 ≥ 160 < 90 90-109 ≥ 110

0 1 0 0 1 0 0 0 0 1
0 0 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 0 1
0 0 1 0 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 0 1
0 1 0 0 1 0 0 0 1 0
0 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 0 0 1 0
0 0 1 0 1 0 0 0 1 0
0 0 1 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0
MI (ANGKA)

35,0-39,9 >40

G P

0 0 1 0
1 0 3 2
0 0 1 0
0 0 2 0
0 0 1 0
0 0 3 2
0 0 1 0
0 0 2 1
0 0 3 1
0 0 1 0
0 0 1 0
0 0 2 1
0 0 1 0
0 0 4 3
0 0 1 0
 Diagnois

G1P0A0 H 40 minggu + JTHIU + PresKep + Inpartu Kala I Fase Aktf + PE + Obese gr. II (IMT 30) + TBJ 3100 gr
G3P2A0 H 33-34 minggu + JTHIU + PresBok + R/PPI + PEB + HELLP Syndrome + Hipoalbumin (2,64) + Anemia (Hb 9,4) + Obese g
G1P0A0 H 39-40 minggu + JTHIU + PresKep + PEB + TBJ 2800gr
G2P0A1 H 38-39 mggu + JTHIU + PresKep + PEB + Primimuda + Obese gr.I + TBJ 3000gr + dalam terminasi misoprostol
G1P0A0 H 26-27 minggu + JTIUFD + PresKep + Eklampsia + Edem Paru + Stroke Hemoragic
G3P2A0 H 37-38 mgg + JTHIU + PresKep + Inpartu Kala I fase laten + PEB + Obes gr. I + U> 35 th TBJ 3400 gr
G1P0A0 H 38-39 mgg + JTHIU + PresKep + PEB + Inpartu Kala I fase laten + TBJ 2900
G2P1A0 H 41-42 minggu + JTHIU + PresKep + PEB + Obese gr. I + Postdate + TBJ 2800gr
G3P1A1 H 37-38 mgg + JTHIU + Preskep + PEB + U ≥ 35 th + TBJ 2100 gr
G1P0A0 H 27-28 minggu + JTHIU + LetKep + PEB + C IUGR + Severe Oligohidramnion + TBJ 500 gr
G3P1A1 H 40-41 minggu + JTHIU + PresKep + Inpartu kala I fase aktf + PEB + Postdate + TBJ 2900gr
G2P1A0 H 38-39 minggu + JTHIU + PresKep + PEB + TBJ 2900gr
G1P0A0 H 31-32 mgg + JTIUFD + PresKep + Inpartu Kala I Fase aktf + PEB + Impending Eklampsia + Hipoalbumin (2.0) + T
G4P3A0 H 39-40 mgg + JTHIU + PresKep + Inpartu Kala I fase aktf + PEB + Obes gr. I (IMT 34.7) + TBJ 3000 gr
G1P0A0 H 37-38 mgg + JTHIU + PresKep + Eklampsia + curiga IUGR + Severe Oligohidramnion (AFI 2.8) + TBJ 2200 g
 A<24 mgg
PERNAH
B 24 - < 28 MENDAPA
T ASPILET YA=1 TIDAK=0
C 28- <30

YA=1 USIA>35 GEMELLI

D 30- <32 ; E 32-34; 0 >34=0
TIDAK PRIMI/PO tua2NDOBES HTK DM GINJAL SLE
E 0 0 0 1 0 0 0 0 0
Hb 9,4) + Obese gr. II (BMI 35.9) + Pasca maturasi paru 1 0 0 0 0 0
E 1 0 0 0 0 0 0 0 0
e 0 0 0 1 0 0 0 0 0
e 0 0 0 1 0 0 0 0 0
E 1 1 0 1 0 0 0 0 0
e 1 1 0 0 0 0 0 0 0
e 0 0 0 1 0 0 0 0 0
e 1 1 0 0 0 0 0 0 0
b 24 - < 28 1 0 0 0 1 0 0 0 0
e 0 0 0 0 0 0 0 0 0
e 1 0 0 0 0 0 0 0 0
d 30- <32 ; 1 0 0 0 0 0 0 0 0
e 1 0 0 1 0 0 0 0 0
e 1 0 0 0 0 0 0 0 0
 ANC (1,0) Perujuk MgSO4 dari rujukan DATA LAB PERTA
ANTIHIPERTE
BPM NSI DARI PLT
PASIEN
BPM DAN DIANTAR ya RUJUKAN
PKM SPOG SPOG tdak Platelet :
N:
>150.000
YA=1 TIDAK=0 YA=1 TDK=0 loading maintenanlengkap YA=1 TDK=0
0 0 1 1 1 0 0 0 1 0
0 0 1 0 1 0 0 0 0 1
1 0 0 1 1 0 0 0 0 0
0 0 1 1 1 0 0 0 1 0
0 0 1 1 1 0 0 0 1 0
0 0 1 1 1 0 0 0 1 0
0 0 1 1 1 0 0 0 1 0
1 0 0 0 1 0 0 0 1 0
0 0 1 1 0 0 1 0 1 0
0 0 1 1 0 0 1 0 1 0
1 0 0 0 0 0 0 1 0 0
0 0 1 0 0 0 0 1 0 0
0 0 1 1 0 0 1 0 1 0
0 0 1 1 0 0 1 0 1 0
1 0 0 0 0 0 0 1 0 0
DATA LAB PERTAMA KALI DATANG (Normal =0 tidak normal = 1) MOD
LDH BUN SK OT PT ALB PROT PERVAG

LDH : N < Spt VE FE

N<20 N<1.3 OT/PT : N< 70 N (-)
600
N: > 3,0

0 0 0 0 0 0 1 0 1 0
1 1 1 1 1 1 1 0 0 0
1 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 1 0 1 0
0 0 0 0 0 0 1 0 1 0
0 0 0 0 0 0 1 0 1 0
0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 1 1 0 0
0 0 0 0 0 0 1 0 1 0
0 0 0 0 0 0 1 0 1 0
1 0 0 0 0 1 1 1 0 0
0 0 0 0 0 0 1 1 0 0
0 0 0 0 0 0 1 0 0 0
OD INDIKASI TERMINASI
PERBURUKAN
EKLAMPSI IBU PERBURUKAN BAYI
EDEMA A/IMPEN KONSV FETAL
SC PARU HELLP DING GAGAL LAIN LAIN DISTRES ABN NST IUFD IUGR

0 0 0 0 0 0 0 0 0 0
1 0 1 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 1 0 0 0
1 1 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 0 0 0 0 0
 A<24 LAMA LUARAN MATERNAL
B 24 - < PERAWAT KEMATIA
BAYI AEDV KOMPLIKASI
OLIGO/SE 28 AN N
VERE 34MGG C 28- <30. KONSERV MATERNA EDEMA PERDARA
REDV
OLIGO D 30- <32 (HARI) L PARU EKLAMPSIA HELLP HAN

E 32-34 HARI DATANG DIANGGAP HARI 1 TANPA MELIHAT JAM DATANG

0 0 0 E 32-34 4 0 0 0 0 0
0 0 0 e 32-34 7 0 0 0 1 0
0 0 0 e 32-34 5 0 0 0 0 0
0 0 0 e 32-34 6 0 0 0 0 0
0 0 0 e 32-34 7 0 1 1 0 0
0 0 0 E 32-34 4 0 0 0 0 0
0 0 0 e 32-34 4 0 0 0 0 0
0 0 0 e 32-34 4 0 0 0 0 0
0 0 0 e 32-34 4 0 0 0 0 0
b 24 - <
0 0 0 28 3 0 0 0 0 0
0 0 0 e 32-34 4 0 0 0 0 0
0 0 0 e 32-34 4 0 0 0 0 0
0 0 0 d 3 0 0 0 0 0
0 0 0 e 32-34 3 0 0 0 0 0
0 0 0 d 5 0 0 1 0 0
 LUARAN
PLIKASI Sex BBL PBL
1500- 2000- 2500- 3000-
AKI/ACKD PPCM L P <1500 1999 2499 2999 3999

0 0 0 1 0 0 0 0 1 53
0 0 0 1 0 1 0 0 0 38
0 0 1 0 0 0 0 1 0 49
0 0 1 0 0 0 0 1 0 48
0 0 1 0 1 0 0 0 0 36
0 0 1 0 0 0 0 0 1 49
0 0 1 0 0 0 0 0 1 49
0 0 0 1 0 0 0 1 0 48
0 0 1 0 0 1 0 0 0 45
0 0 0 1 1 0 0 0 0 38
0 0 1 0 0 0 0 0 1 50
0 0 1 0 0 0 0 1 0 49
0 0 0 1 1 0 0 0 0 49
0 0 1 0 0 0 0 0 1 52
0 0 0 1 0 0 1 0 0 47
 LUARAN NEONATUS
KEMATIAN KOMPLIKASI APGAR SCORE MENIT 1 APGAR SCORE MENIT 5

BS LS ≤ 48 JAM 48 JAM IUGR IUFD ?? 0-3 4-6 7-10 0-3

38 p50 0 0 0 0 0 0 1 0
30-32 p25 0 0 0 0 0 1 0 0
38-40 p25-50 0 0 0 0 0 1 0 0
38 p50 0 0 0 0 0 0 1 0
1 0 0 0 1 0 0 1
38-40 p50 0 0 0 0 0 0 1 0
38-40 p50 0 0 0 0 0 1 0 0
36-38 p50 0 0 0 0 0 1 0 0
36-38 p<10 0 0 1 0 0 0 1 0
24 p<10 1 0 0 1 0 0 0 0
38-40 p50 0 0 0 0 0 0 1 0
36-38 p50 0 0 0 0 0 0 1 0
32 p<10 0 0 0 1 0 0 0 0
38-40 p50 0 0 0 0 0 0 1 0
38 p10 0 0 1 0 0 0 1 0
APGAR SCORE MENIT 5

4-6 7-10

0 1
1 0
1 0
0 1
0 0
0 1
0 1
0 1
0 1
0 0
0 1
0 1
0 0
0 1
0 1