KABUPATEN / KOTA : CIANJUR

PROVINSI : JAWA BARAT

BULAN : JANUARI
TAHUN : 2019'
LAPORAN HASIL PELAYANAN KESEHATAN IBU HAMIL, IBU BERSALIN DAN IBU NIFAS DI PUSKESMA

UMUR Dirujuk Oleh Dirujuk ke Kehamilan ke

Pkm Non Prwt

RSU Swasta
Dtg Sndr
Jumlah

Jumlah

Jumlah
NO JENIS KASUS

Dukun
Kader

RSKIA
Bidan

RSUD
<20 21-35 >35 1 2-3 >3

Persalinan Normal 3 2 1 6 0 0 0 6 0 6 0 0 0 0 3 2 1
Kelainan Lamanya Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Abortus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Partus Imaturus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Partus Prematurus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Partus Serotinus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Partus Lama/tdk maju/ macet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ab incomplit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kelainan Tempat Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Kehamilan Ektopik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kelainan Telur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Blighted ovum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mola Hidatidosa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kelainan Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Plasenta Previa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Placenta Acreta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Retensio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Sisa Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Solutio Placenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kelainan Tali pusat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Tali pusat menumbung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Lilitan Tali pusat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kelainan Ketuban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Polyhidramnion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Oligohidramnion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Ketuban Pecah Dini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kehamilan ganda (Gemelli) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Gestose 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Hyperemesis Gravidarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Preeklamsi Ringan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Eklampsi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Oedema tanpa hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Perdarahan di awal kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 2 Perdarahan antepartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Perdarahan Postpartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyulit Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Karena penyakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(varices vag,condiloma, carcinoma) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Karena kelainan alat kandungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(mioma, kista ovari dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Infeksi akut selama Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(tifus, febriskarena inf. Lain, ISK, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Infeksi menahun (TBC, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diabetes dalam Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Penyakit alat2 (ex: jantung, liver dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(jantung, Hepatitis,Asma/sesak, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malpresentasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Letak sungsang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Letak lintang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Letak Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Distosia Bahu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. CPD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Susp. Bayi Besar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kerusakan Jalan Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Robekan jalan lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Ruptura Uteri (Robekan rahim) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Infeksi Puerpuralis (Infeksi Nifas) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kondisi ibu lainnya berkaitan kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Kenaikan BB yang berlebih selama kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 2 Ibu dengan kenaikan BB kurang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Ibu dengan KEK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Riwayat abortus berulang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Riwayat Sectio Cessaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ibu dengan anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ibu dengan Hipertensi kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ibu dengan gangguan psikis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Atonia uteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Pos partum dengan retensio uri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 PEB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Menorage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Metrorhagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 solusio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 LAIN-LAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 3 2 1 6 0 0 0 6 0 6 0 0 0 0 3 2 1

Mengetahui
Kepala Puskesmas Cibaregbeg

H. Agus Kuswara S, SKM, M.Kes

NIP. 196611108 198803 1 001
BU NIFAS DI PUSKESMAS PONED

hamilan ke Keadaan Ibu Keadaan Bayi Tindakan

Placenta Manual
Vakum Extraksi

partus normal
Pit Drip / Drip

Curetase

Di rawat
Jumlah

Jumlah

Jumlah

Jumlah
Digital
Sehat

Sehat
Sakit

Sakit
Mati

Mati

dll
6 6 0 0 6 6 0 0 6 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 0 0 0 0 0 0 0 0 0
6 6 0 0 6 6 0 0 6 0 0 0 0 0 0 0 0 0

Cibaregbeg, 25 Januari 2019

Bidkor Puskesmas

Riski Zakiah Haetami, SST

NIP: 19751909 200604 2 015
KABUPATEN / KOTA : CIANJUR
PROVINSI : JAWA BARAT
BULAN : FEBRUARI
TAHUN : 2019'
LAPORAN HASIL PELAYANAN KESEHATAN IBU HAMIL, IBU BERSALIN DAN IBU NIFAS DI PUSKESM

UMUR Dirujuk Oleh Dirujuk ke Kehamilan ke

Pkm Non Prwt

RSU Swasta
NO JENIS KASUS

Dtg Sndr
Jumlah

Jumlah

Jumlah
Dukun

Kader

RSKIA
Bidan

RSUD
<20 21-35 >35 1 2-3 >3

Persalinan Normal 2 4 3 9 0 0 0 9 0 9 0 0 0 0 2 4 3
Kelainan Lamanya Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Abortus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Partus Imaturus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Partus Prematurus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Partus Serotinus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Partus Lama/tdk maju/ macet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ab incomplit 0 1 1 2 0 0 0 2 0 2 0 0 0 0 0 0 2
3 Kelainan Tempat Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Kehamilan Ektopik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kelainan Telur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 1 Blighted ovum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mola Hidatidosa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kelainan Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Plasenta Previa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Placenta Acreta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Retensio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Sisa Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Solutio Placenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kelainan Tali pusat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Tali pusat menumbung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Lilitan Tali pusat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kelainan Ketuban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Polyhidramnion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Oligohidramnion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Ketuban Pecah Dini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kehamilan ganda (Gemelli) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Gestose 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Hyperemesis Gravidarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Preeklamsi Ringan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Eklampsi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Oedema tanpa hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Perdarahan di awal kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Perdarahan antepartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Perdarahan Postpartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyulit Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 1. Karena penyakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(varices vag,condiloma, carcinoma) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Karena kelainan alat kandungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(mioma, kista ovari dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Infeksi akut selama Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(tifus, febriskarena inf. Lain, ISK, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Infeksi menahun (TBC, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diabetes dalam Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Penyakit alat2 (ex: jantung, liver dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(jantung, Hepatitis,Asma/sesak, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malpresentasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Letak sungsang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Letak lintang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Letak Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Distosia Bahu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. CPD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Susp. Bayi Besar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kerusakan Jalan Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Robekan jalan lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Ruptura Uteri (Robekan rahim) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Infeksi Puerpuralis (Infeksi Nifas) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kondisi ibu lainnya berkaitan kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kenaikan BB yang berlebih selama
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
kehamilan
2 Ibu dengan kenaikan BB kurang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Ibu dengan KEK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 4 Riwayat abortus berulang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Riwayat Sectio Cessaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ibu dengan anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ibu dengan Hipertensi kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ibu dengan gangguan psikis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Atonia uteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Pos partum dengan retensio uri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 PEB 1 1 1 3 3 0 0 0 0 3 3 0 0 3 1 1 1
19 Menorage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Metrorhagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 solusio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 LAIN-LAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 3 6 5 11 3 0 0 9 0 11 3 0 0 3 3 5 6

Mengetahui
Kepala Puskesmas Cibaregbeg

H. Agus Kuswara S, SKM, M.Kes

NIP. 196611108 198803 1 001
BU NIFAS DI PUSKESMAS PONED

hamilan ke Keadaan Ibu Keadaan Bayi Tindakan

Placenta Manual
Vakum Extraksi

partus normal
Pit Drip / Drip

Curetase

Di rawat
Jumlah

Jumlah

Jumlah

Jumlah
Digital
Sehat

Sehat
Sakit

Sakit
Mati

Mati

dll
9 9 0 0 9 9 0 0 9 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 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 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 0 0 0 0 0 0 0 0 0
2 2 0 0 2 0 0 0 0 0 0 0 0 0 0 0 2 2
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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
 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
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
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
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
3 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 10 0 0 10 9 0 0 9 0 0 0 0 0 0 0 2 2

Cibaregbeg, 25 Februari 2019

Bidkor Puskesmas

Riski Zakiah Haetami, SST

NIP: 19751909 200604 2 015
KABUPATEN / KOTA : CIANJUR
PROVINSI : JAWA BARAT
BULAN : MARET
TAHUN : 2019'
LAPORAN HASIL PELAYANAN KESEHATAN IBU HAMIL, IBU BERSALIN DAN IBU

UMUR Dirujuk Oleh Dirujuk ke

Pkm Non Prwt

RSU Swasta
NO JENIS KASUS

Dtg Sndr
Jumlah

Jumlah

Jumlah
Dukun

Kader

RSKIA
Bidan

RSUD
<20 21-35 >35

Persalinan Normal 0 8 4 12 0 0 0 12 0 12 0 0 0 0
Kelainan Lamanya Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Abortus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Partus Imaturus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Partus Prematurus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Partus Serotinus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Partus Lama/tdk maju/ macet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ab incomplit 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kelainan Tempat Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Kehamilan Ektopik 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kelainan Telur 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Blighted ovum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mola Hidatidosa 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kelainan Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Plasenta Previa 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Placenta Acreta 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Retensio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Sisa Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Solutio Placenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kelainan Tali pusat 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Tali pusat menumbung 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Lilitan Tali pusat 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kelainan Ketuban 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Polyhidramnion 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Oligohidramnion 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Ketuban Pecah Dini 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kehamilan ganda (Gemelli) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Gestose 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Hyperemesis Gravidarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Preeklamsi Ringan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Eklampsi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Oedema tanpa hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Perdarahan di awal kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Perdarahan antepartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Perdarahan Postpartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyulit Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Karena penyakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(varices vag,condiloma, carcinoma) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Karena kelainan alat kandungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(mioma, kista ovari dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Infeksi akut selama Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(tifus, febriskarena inf. Lain, ISK, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Infeksi menahun (TBC, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diabetes dalam Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Penyakit alat2 (ex: jantung, liver dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(jantung, Hepatitis,Asma/sesak, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malpresentasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Letak sungsang 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Letak lintang 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Letak Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Distosia Bahu 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. CPD 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Susp. Bayi Besar 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kerusakan Jalan Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Robekan jalan lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Ruptura Uteri (Robekan rahim) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Infeksi Puerpuralis (Infeksi Nifas) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kondisi ibu lainnya berkaitan kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 Kenaikan BB yang berlebih selama kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 Ibu dengan kenaikan BB kurang 0 0 0 0 0 0 0 0 0 0 0 0 0 0

 3 Ibu dengan KEK 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Riwayat abortus berulang 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Riwayat Sectio Cessaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ibu dengan anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ibu dengan Hipertensi kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ibu dengan gangguan psikis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Atonia uteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Pos partum dengan retensio uri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 PEB 0 2 0 2 1 0 0 0 0 1 2 0 0 2
19 Menorage 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Metrorhagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 solusio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 LAIN-LAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 10 4 14 1 0 0 12 0 12 2 0 0 2

Mengetahui
Kepala Puskesmas Cibaregbeg

H. Agus Kuswara S, SKM, M.Kes

NIP. 196611108 198803 1 001
BU BERSALIN DAN IBU NIFAS DI PUSKESMAS PONED

Kehamilan ke Keadaan Ibu Keadaan Bayi Tindakan

Placenta Manual
Vakum Extraksi

partus normal
Pit Drip / Drip

Curetase

Di rawat
Jumlah

Jumlah

Jumlah

Jumlah
Digital
Sehat

Sehat
Sakit

Sakit
Mati

Mati
1 2-3 >3

dll
2 6 4 12 12 0 0 12 12 0 0 12 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 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
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 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 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 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 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 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 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
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 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 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 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 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 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 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
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 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 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 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 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 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 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
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 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 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 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 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 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 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
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 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 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 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 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 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 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
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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 0 2 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 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 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
2 6 4 14 12 0 0 12 12 0 0 12 0 0 0 0 0 0 0 0 0

Cibaregbeg, 25 Maret 2019

Bidkor Puskesmas

Riski Zakiah Haetami, SST

NIP: 19751909 200604 2 015
KABUPATEN / KOTA : CIANJUR
PROVINSI : JAWA BARAT
BULAN : APRIL
TAHUN : 2019'
LAPORAN HASIL PELAYANAN KESEHATAN IBU HAMIL, IBU BERSALIN DAN IBU NIFAS DI PUSKES

UMUR Dirujuk Oleh Dirujuk ke Kehamilan ke

Pkm Non Prwt

RSU Swasta
NO JENIS KASUS

Dtg Sndr
Jumlah

Jumlah

Jumlah

Jumlah
Dukun

Kader

RSKIA
Bidan

RSUD
<20 21-35 >35 1 2-3 >3

Persalinan Normal 0 11 1 12 0 0 0 12 0 12 0 0 0 0 4 6 2 12
Kelainan Lamanya Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Abortus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Partus Imaturus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Partus Prematurus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Partus Serotinus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Partus Lama/tdk maju/ macet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ab incomplit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kelainan Tempat Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Kehamilan Ektopik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kelainan Telur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Blighted ovum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mola Hidatidosa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kelainan Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Plasenta Previa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Placenta Acreta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Retensio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Sisa Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Solutio Placenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kelainan Tali pusat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Tali pusat menumbung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Lilitan Tali pusat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kelainan Ketuban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Polyhidramnion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Oligohidramnion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Ketuban Pecah Dini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kehamilan ganda (Gemelli) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Gestose 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Hyperemesis Gravidarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Preeklamsi Ringan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Eklampsi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Oedema tanpa hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Perdarahan di awal kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 2 Perdarahan antepartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Perdarahan Postpartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyulit Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Karena penyakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(varices vag,condiloma, carcinoma) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Karena kelainan alat kandungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(mioma, kista ovari dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Infeksi akut selama Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(tifus, febriskarena inf. Lain, ISK, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Infeksi menahun (TBC, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diabetes dalam Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Penyakit alat2 (ex: jantung, liver dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(jantung, Hepatitis,Asma/sesak, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malpresentasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Letak sungsang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Letak lintang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Letak Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Distosia Bahu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. CPD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Susp. Bayi Besar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kerusakan Jalan Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Robekan jalan lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Ruptura Uteri (Robekan rahim) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Infeksi Puerpuralis (Infeksi Nifas) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kondisi ibu lainnya berkaitan kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Kenaikan BB yang berlebih selama
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
kehamilan
2 Ibu dengan kenaikan BB kurang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Ibu dengan KEK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Riwayat abortus berulang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Riwayat Sectio Cessaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ibu dengan anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ibu dengan Hipertensi kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ibu dengan gangguan psikis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Atonia uteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Pos partum dengan retensio uri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 PEB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Menorage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Metrorhagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 solusio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 LAIN-LAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 11 1 12 1 0 0 12 0 12 2 0 0 0 4 6 2 12

Mengetahui
Kepala Puskesmas Cibaregbeg

H. Agus Kuswara S, SKM, M.Kes

NIP. 196611108 198803 1 001
BU NIFAS DI PUSKESMAS PONED

Keadaan Ibu Keadaan Bayi Tindakan

Placenta Manual
Vakum Extraksi

partus normal
Pit Drip / Drip

Curetase

Di rawat
Jumlah

Jumlah

Jumlah
Digital
Sehat

Sehat
Sakit

Sakit
Mati

Mati

dll
12 0 0 12 12 0 0 12 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 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 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 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 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 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 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 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 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 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 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 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 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
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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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
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 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 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 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 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 0 0 0 0 0 0 0
12 0 0 12 12 0 0 12 0 0 0 0 0 0 0 0 0

Cibaregbeg, 25 April 2019

Bidkor Puskesmas

Riski Zakiah Haetami, SST

NIP: 19751909 200604 2 015
KABUPATEN / KOTA : CIANJUR
PROVINSI : JAWA BARAT
BULAN : MEI
TAHUN : 2019'
LAPORAN HASIL PELAYANAN KESEHATAN IBU HAMIL, IBU BERSALIN DAN IBU NIFAS DI PUSKES

UMUR Dirujuk Oleh Dirujuk ke Kehamilan ke

Pkm Non Prwt

RSU Swasta
NO JENIS KASUS

Dtg Sndr
Jumlah

Jumlah

Jumlah
Dukun

Kader

RSKIA
Bidan

RSUD
<20 21-35 >35 1 2-3

Persalinan Normal 0 4 1 5 0 0 0 5 0 5 0 0 0 0 2 2
Kelainan Lamanya Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Abortus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Partus Imaturus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Partus Prematurus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Partus Serotinus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Partus Lama/tdk maju/ macet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ab incomplit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kelainan Tempat Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Kehamilan Ektopik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kelainan Telur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Blighted ovum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mola Hidatidosa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kelainan Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Plasenta Previa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Placenta Acreta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Retensio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Sisa Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Solutio Placenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kelainan Tali pusat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Tali pusat menumbung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Lilitan Tali pusat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kelainan Ketuban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Polyhidramnion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Oligohidramnion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Ketuban Pecah Dini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kehamilan ganda (Gemelli) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Gestose 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Hyperemesis Gravidarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Preeklamsi Ringan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Eklampsi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Oedema tanpa hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Perdarahan di awal kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Perdarahan antepartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Perdarahan Postpartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyulit Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Karena penyakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(varices vag,condiloma, carcinoma) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Karena kelainan alat kandungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(mioma, kista ovari dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Infeksi akut selama Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(tifus, febriskarena inf. Lain, ISK, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Infeksi menahun (TBC, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diabetes dalam Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Penyakit alat2 (ex: jantung, liver dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(jantung, Hepatitis,Asma/sesak, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malpresentasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Letak sungsang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Letak lintang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Letak Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Distosia Bahu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. CPD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Susp. Bayi Besar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kerusakan Jalan Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Robekan jalan lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Ruptura Uteri (Robekan rahim) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Infeksi Puerpuralis (Infeksi Nifas) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kondisi ibu lainnya berkaitan kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Kenaikan BB yang berlebih selama kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Ibu dengan kenaikan BB kurang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Ibu dengan KEK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 4 Riwayat abortus berulang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Riwayat Sectio Cessaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ibu dengan anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ibu dengan Hipertensi kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ibu dengan gangguan psikis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Atonia uteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Pos partum dengan retensio uri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 PEB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Menorage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Metrorhagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 solusio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 LAIN-LAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 4 1 5 0 0 0 5 0 5 0 0 0 0 2 2

Mengetahui
Kepala Puskesmas Cibaregbeg

H. Agus Kuswara S, SKM, M.Kes

NIP. 196611108 198803 1 001
IBU NIFAS DI PUSKESMAS PONED

Kehamilan ke Keadaan Ibu Keadaan Bayi Tindakan

Placenta Manual
Vakum Extraksi

partus normal
Pit Drip / Drip

Curetase

Di rawat
Jumlah

Jumlah

Jumlah

Jumlah
Digital
Sehat

Sehat
Sakit

Sakit
Mati

Mati
>3

dll
1 5 5 0 0 5 5 0 0 5 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 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 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 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 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
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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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
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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0
1 5 5 0 0 5 5 0 0 5 0 0 0 0 0 0 0 0 0

Cibaregbeg, 25 Mei 2019

Bidkor Puskesmas

Riski Zakiah Haetami, SST

NIP: 19751909 200604 2 015
KABUPATEN / KOTA : CIANJUR
PROVINSI : JAWA BARAT
BULAN : JUNI
TAHUN : 2019'
LAPORAN HASIL PELAYANAN KESEHATAN IBU HAMIL, IBU BERSALIN DAN IBU NIFAS DI PUSKESMAS PONE

UMUR Dirujuk Oleh Dirujuk ke Kehamilan ke Keadaan Ibu

Pkm Non Prwt

RSU Swasta
NO JENIS KASUS

Dtg Sndr
Jumlah

Jumlah

Jumlah

Jumlah
Dukun

Kader

RSKIA
Bidan

Sehat
RSUD

Sakit
<20 21-35 >35 1 2-3 >3

Persalinan Normal 0 3 2 5 0 0 0 5 0 5 0 0 0 0 3 2 0 5 5 0
Kelainan Lamanya Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Abortus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Partus Imaturus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Partus Prematurus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Partus Serotinus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Partus Lama/tdk maju/ macet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ab incomplit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kelainan Tempat Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Kehamilan Ektopik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kelainan Telur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Blighted ovum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mola Hidatidosa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kelainan Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Plasenta Previa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Placenta Acreta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Retensio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Sisa Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Solutio Placenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kelainan Tali pusat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Tali pusat menumbung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Lilitan Tali pusat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kelainan Ketuban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Polyhidramnion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Oligohidramnion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Ketuban Pecah Dini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kehamilan ganda (Gemelli) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Gestose 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Hyperemesis Gravidarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Preeklamsi Ringan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Eklampsi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Oedema tanpa hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Perdarahan di awal kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Perdarahan antepartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Perdarahan Postpartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyulit Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Karena penyakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(varices vag,condiloma, carcinoma) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Karena kelainan alat kandungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(mioma, kista ovari dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Infeksi akut selama Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(tifus, febriskarena inf. Lain, ISK, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Infeksi menahun (TBC, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diabetes dalam Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Penyakit alat2 (ex: jantung, liver dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(jantung, Hepatitis,Asma/sesak, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malpresentasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Letak sungsang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Letak lintang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Letak Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Distosia Bahu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. CPD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Susp. Bayi Besar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kerusakan Jalan Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Robekan jalan lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Ruptura Uteri (Robekan rahim) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Infeksi Puerpuralis (Infeksi Nifas) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kondisi ibu lainnya berkaitan kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kenaikan BB yang berlebih selama
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
kehamilan
2 Ibu dengan kenaikan BB kurang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Ibu dengan KEK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Riwayat abortus berulang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Riwayat Sectio Cessaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ibu dengan anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ibu dengan Hipertensi kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ibu dengan gangguan psikis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Atonia uteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Pos partum dengan retensio uri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 PEB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Menorage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Metrorhagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 solusio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 LAIN-LAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 3 2 5 0 0 0 5 0 5 0 0 0 0 3 2 0 5 5 0

Mengetahui
Kepala Puskesmas Cibaregbeg

H. Agus Kuswara S, SKM, M.Kes

NIP. 196611108 198803 1 001
DI PUSKESMAS PONED

Keadaan Ibu Keadaan Bayi Tindakan

Placenta Manual
Vakum Extraksi

partus normal
Pit Drip / Drip

Curetase

Di rawat
Jumlah

Jumlah

Jumlah
Digital
Sehat
Sakit
Mati

Mati

dll
0 5 5 0 0 5 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 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 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 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
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 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 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 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 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
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 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 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 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 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
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 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 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 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 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
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 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 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 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 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
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 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 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 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 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
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 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 0 0 0
0 5 5 0 0 5 0 0 0 0 0 0 0 0 0

Cibaregbeg, 25 Juni 2019

Bidkor Puskesmas

Riski Zakiah Haetami, SST

NIP: 19751909 200604 2 015
KABUPATEN / KOTA : CIANJUR
PROVINSI : JAWA BARAT
BULAN : JULI
TAHUN : 2019'
LAPORAN HASIL PELAYANAN KESEHATAN IBU HAMIL, IBU BERSALIN DAN IBU NIFAS DI PUSKES

UMUR Dirujuk Oleh Dirujuk ke Kehamilan ke

Pkm Non Prwt

RSU Swasta
NO JENIS KASUS

Dtg Sndr
Jumlah

Jumlah

Jumlah

Jumlah
Dukun

Kader

RSKIA
Bidan

RSUD
<20 21-35 >35 1 2-3 >3

Persalinan Normal 0 5 2 7 0 0 0 7 0 7 0 0 0 0 2 4 1 7
Kelainan Lamanya Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Abortus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Partus Imaturus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Partus Prematurus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Partus Serotinus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Partus Lama/tdk maju/ macet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ab incomplit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kelainan Tempat Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Kehamilan Ektopik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kelainan Telur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Blighted ovum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mola Hidatidosa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kelainan Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Plasenta Previa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Placenta Acreta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Retensio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Sisa Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Solutio Placenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kelainan Tali pusat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Tali pusat menumbung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Lilitan Tali pusat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kelainan Ketuban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Polyhidramnion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Oligohidramnion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Ketuban Pecah Dini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kehamilan ganda (Gemelli) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Gestose 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Hyperemesis Gravidarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Preeklamsi Ringan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Eklampsi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Oedema tanpa hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Perdarahan di awal kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Perdarahan antepartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Perdarahan Postpartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyulit Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Karena penyakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(varices vag,condiloma, carcinoma) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Karena kelainan alat kandungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(mioma, kista ovari dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Infeksi akut selama Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(tifus, febriskarena inf. Lain, ISK, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Infeksi menahun (TBC, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diabetes dalam Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Penyakit alat2 (ex: jantung, liver dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(jantung, Hepatitis,Asma/sesak, dll) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malpresentasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Letak sungsang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Letak lintang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Letak Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Distosia Bahu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. CPD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Susp. Bayi Besar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kerusakan Jalan Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Robekan jalan lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Ruptura Uteri (Robekan rahim) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Infeksi Puerpuralis (Infeksi Nifas) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kondisi ibu lainnya berkaitan kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kenaikan BB yang berlebih selama
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
kehamilan
2 Ibu dengan kenaikan BB kurang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Ibu dengan KEK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Riwayat abortus berulang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Riwayat Sectio Cessaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ibu dengan anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ibu dengan Hipertensi kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ibu dengan gangguan psikis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Atonia uteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Pos partum dengan retensio uri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 PEB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Menorage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Metrorhagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 solusio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 LAIN-LAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 5 2 7 0 0 0 7 0 7 0 0 0 0 2 4 1 7

Mengetahui
Kepala Puskesmas Cibaregbeg

H. Agus Kuswara S, SKM, M.Kes

NIP. 196611108 198803 1 001
BU NIFAS DI PUSKESMAS PONED

Keadaan Ibu Keadaan Bayi Tindakan

Placenta Manual
Vakum Extraksi

partus normal
Pit Drip / Drip

Curetase

Di rawat
Jumlah

Jumlah

Jumlah
Digital
Sehat

Sehat
Sakit

Sakit
Mati

Mati

dll
7 0 0 7 7 0 0 7 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 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 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 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 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 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 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 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 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 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 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 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 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
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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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
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 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 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 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 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 0 0 0 0 0 0 0
7 0 0 7 7 0 0 7 0 0 0 0 0 0 0 0 0

Cibaregbeg, 25 Juli 2019

Bidkor Puskesmas

Riski Zakiah Haetami, SST

NIP: 19751909 200604 2 015