DEPT.

OF OBSTETRICS & GYNECOLOGY CASE REPORT

Dr. M. DJAMIL CENTRAL GENERAL HOSPITAL March 15th – 18th,2021
Date DR WR Gyn Total
No. CLASSIFICATION
15-16 16-17 17-18
I OBSTETRICS :
Normal Delivery
Vertex Presentation
Primiparous 00 00 00 00 00 00
Multiparous II-III 00 00 00 00 00 00
Multiparous IV-etc 00 00 00 00 00 00
Breech Presentation
Primiparous 00 00 00 00 00 00
Multiparous II-III 00 00 00 00 00 00
Multiparous IV-etc 00 00 00 00 00 00
Pathologic Cases 00 00 01 00 00 01
Operative Delivery
Vaginal Delivery 01 00 00 01 00 02
Abdominal Delivery 00 00 00 02 04 06
Operative Obstetrics
Vaginal 01 00 00 00 00 01
Abdominal 00 00 00 00 00 00

Number of Cases 02 00 01 03 04 10
II GYNECOLOGY :
Operative Gynecology
Vaginal 00 00 00 00 00 03 03
Abdominal 00 00 00 00 00 06 06

III FAMILY PLANNING :

Sterilization
Laparotomy 00 00 00 00 02 02
Minilaparotomy 00 00 00 00 00 00
Laparoscopy 00 00 00 00 00 00
IUD 00 00 00 00 00 00
IV DEATHS :
Perinatal 00 00 00 00 00 00 00
Mother - Obstetrics 00 00 00 00 00 00 00
- Gynecology 00 00 00 00 00 00 00

VAGINAL DELIVERY : (-)

PATHOLOGIC CASE :
84. Mrs. D, 29 years old, MR 01 10 14 06, Severity level II
G1P0A0L0 34-35 weeks of preterm parturient second stage + suspected congenital esophageal atresia + IUFD  Vaginal delivery
(KI,RA,AK,TF,ZA,IH,BY,IR,GT,RV,DM, HJYW)

VAGINAL OPERATIVE DELIVERY :

70. Mrs. T, 24 years old, MR 01 10 11 03, Severity level II
G1P0A0L0 37-38 weeks of term pregnancy + Tetralogy of Fallot  Laten phase of first stage  Active phase of first stage  Second stage
 Forcep extraction (IB,LS,VN,MV,AN,AW,ND,LI,BO,PI,RJ, MS,VB)
72. Mrs. R, 35 years old, MR 01 10 13 08, Severity level II
G1P0A0L0 37-38 weeks of term parturient second stage + severe preeclampsia on maintenance dose of MgSO4 regimen from other
institution + IUFD  Forcep extraction (IO,IB,GR,MV,ZR,FY,MP, HDF)

ABDOMINAL OPERATIVE DELIVERIES :

68. Mrs. R, 32 years old, MR 01 10 12 26, Severity level II
G2P1A0L1 37-38 weeks of term pregnancy + eclampsia antepartum on maintenance dose of MgSO4 regimen from other institution +
previous CS + HELLP syndrome  Stabilization  LSCS (IO,IB,GR,MV,ZR,FY,MP, HY,HJS)
71. Mrs. E, 35 years old, MR 01 10 07 60, Severity level II
G4P3A0L3 37-38 weeks of term pregnancy + thrice previous CS + moderate anemia  General condition improvement  CCS + Pomeroy
tubectomy (HC,JN,VN,DK,PG,TF,IL,DM, RZ)
73. Mrs. W, 27 years old, MR 01 10 06 78, Severity level II
G1P0A0L0 37-38 weeks of term pregnancy + thrombocytopenia due to ITP  General condition improvement  LSCS + bilateral
fimbriectomy (HC,JN,VN,DK,PG,TF,IL,DM, HSA,HDF)
75. Mrs. T, 30 years old, MR 00 70 06 06, Severity level II
G4P1A2L1 38-39 weeks of term pregnancy + previous CS + moderate anemia  General condition improvement  LSCS
(HC,JN,VN,DK,PG,TF,IL,DM, HjYW)
76. Mrs. S, 32 years old, MR 00 51 51 30, Severity level II
G2P1A0L1 34-35 weeks of preterm pregnancy + previous CS + fetal distress + fetal omphalocele  LSCS (IO,IB,GR,MV,ZR,FY,MP, RZ)
78. Mrs. N, 34 years old, MR 01 09 80 07, Severity level II
G3P2A0L1 38-39 weeks of term pregnancy + fetal hydrocephalus  LSCS (HC,JN,VN,DK,PG,TF,IL,DM, HjYW)

VAGINAL OPERATIVE OBSTETRIC :

 Curettages : Incomplete Abortion : 01 (69) Women
Complete Abortion : 00 Women
Missed Abortion : 00 Women
Late PPH : 00 Women
Manual Placenta : 00 Women

69. Mrs. E, 29 years old, MR 00 75 24 24, Severity level II

G4P2A1L2 7-8 weeks of pregnancy + incomplete abortion + moderate anemia  Curretage (IB,LS,VN,MV,AN,AW,ND,LI,BO,PI,RJ, VB)

ABDOMINAL OPERATIVE OBSTETRIC : (-)

VAGINAL OPERATIVE GYNECOLOGY :

Curettages
PA : 00 Women
Hydatidiform Mole : 00 Women
Hysteroscopy : 02 (77,79) Women
Transvaginal Hysterectomy : 01 (80) Women
Biopsy : 00 Women
Colpocleisis : 01 (80) Women

77. Mrs. N, 74 years old, MR 01 09 94 63, Severity level II

P3L3 + suspected cervical cancer  Clinical staging  Cervical cancer stage IIB (WN,ND,GT,RJ, SM)
79. Mrs. C, 68 years old, MR 01 09 91 56, Severity level II
P3L3 + suspected endometrial cancer  Clinical staging  Endometrial cancer stage IA (WN,ND,GT,RJ, SM)
80. Mrs. D, 70 years old, MR 01 10 06 90, Severity level II
P6L6+ uterine prolapse grade IV + cystocele grade IV  Transvaginal hysterectomy + colpocleisis (AB,IC,IR,RY,GH,RJ, BIU)

ABDOMINAL OPERATIVE GYNECOLOGY :

66. Mrs. D, 52 years old, MR 01 09 99 48, Severity level II
P5L6 + suspected uterine cancer post incomplete surgery  Laparotomy  Adhesion of omentum and sigmoid to peritoneum  Adhesiolysis
 Suspected multiple metastasis  Debulking (WN,ND,GT,RJ, SM)
67. Mrs. A, 47 years old, MR 01 09 80 24, Severity level II
P2L2 + suspected adenomyosis + bilateral ovarian cyst  Laparotomy  Suspected adenomyosis + bilateral ovarian cyst  Total
hysterectomy + ovarian cyst resection (WN,ND,GT,RJ, SM)
74. Mrs. H, 38 years old, MR 01 05 74 56, Severity level II
P2L2 + recidive ovarian cancer + massive ascites + previous laparotomy  Laparotomy  Suspected multiple metastasis  Debulking
(WN,ND,GT,RJ, SM)

81. Mrs. R, 49 years old, MR 01 09 91 50, Severity level II

 P3L3 + suspected ovarian cancer  Laparotomy  Intraabdominal abscess  Abscess drainage  Suspected ovarian cancer  Debulking
(WN,ND,GT,RJ, SM)
82. Ms. I, 48 years old, MR 01 08 83 47, Severity level II
Suspected ovarian cancer  Laparotomy  Massive adhesion  Adhesiolysis  Colon perforation  Consult to digestive surgeon intra op
 Right hemicolectomy by digestive surgeon  Suspected ovarian cancer  Debulking (WN,ND,GT,RJ, SM)
83. Mrs. N, 50 years old, MR 01 10 01 71, Severity level II
P4L4 + suspected ovarian cancer  Laparotomy  Suspected ovarian cancer  Optimal debulking (WN,ND,GT,RJ, SM)

OTHERS : (-)

GR,IB,JN,KI,LS,RA,VN,AK,MV,ZR,TF,PD----------------------------------------------------------------------------------------------------------------------------------NM