Maternal Fetal Division / dr.

Surya Setiawan
Period November 1st – 4th 2020

Date of PatientName
No Detail of Patient Treatment Recommendation
Admission (Age/LMP/MR)
1. 04/11/2020 MRS. N Patient Referred from Pangkep hospital   O2 8 lpm via NRM  Monitoring blood
38 years old with G1P0A0 30 weeks 5 days of pressure and any sign
LMP: gestational age + severe preeclampsia +  Augmentation of labor with of impending
02/04/2020 intrauterine fetal death 5 IU oxytocin in 500 cc eclampsia
MR : 923921 Ringer lactate started with 8
Absent of fetal movement since 2 days dpm titrated until adequate  Breast binding
ago, contraction/ 32 dpm
History of hypertension before  Vaginal hygiene
pregnancy  Urinary catheter insertion
 Monitoring blood
BP : 220/110 mmhg  4 gr MgSO4 40% in 100 cc pressure until 12
Urine protein : +++ NaCl 0.9% 73 dpm weeks after
FHR : (-) continued with pregnancies
 6 gr MgSO4 40% in 500 cc
Pre Treatment Diagnosis :  Control at
ringer lactate 28 dpm until
G1P0A0 30 weeks 5 day of gestational obstetrician for the
24 hours after delivery
age latent phase 1st stage in labor + next pregnancy and
 Consult to internal medicine
superimposed preeclampsia + intra preventive treatment
department: for preeclampsia
uterine fetal death
 Perdipine 18
Post Treatment Diagnosis :
mcg/hour/syringe pump  Educate the patient
superimposed preeclampsia + preterm
delivery + Intrauterine fetal death  Vaginal Delivery about the risks and
Outcome : complications in
Male, BW : 1420 gram, BL :40cm, AS : subsequent
0/0, maceration grade II pregnancies
 Maternal Fetal Division / dr. Surya Setiawan
Period November 1st – 4th 2020

2. 05/11/2020 Mrs. N 1st caesarean section in march 2013 due  Lower segment transverse  Exclusive breast
31 years old to fetal distress caesarean section feeding for 6 months
LMP:  IUD insertion  Mobilization
02/02/2020 Patient Referred from Polewali hospital  Consult to cardiac and  Control for surgical
with G2P1A0 Gravid 39 weeks 2 days Of thoracic vascular surgery, wound suture
MR : 923921
gestational age + Placenta previa suspect urology, clinical pathology,  Control IUD
Accreta spectrum disorders + 1st Previous pulmonolgy, gynecology  Control at
Caesarean Section division obstetrician for next
pregnancy
 Subsequent delivery
 Maternal Fetal Division / dr. Surya Setiawan
Period November 1st – 4th 2020

Chief complain with vaginal bleeding should be at least

since 4 day before hospital admission. more than 18 months
PAI Score: 1,25 (10%)

Pre-Operative Diagnosis :
G2P1A0 gravid 39 weeks 2 days Of
gestational age + Placenta previa suspect
accrete spectrum + 1st Previous
Caesarean Section + IUD Acceptor
candidate
Post-Operative Diagnosis :
1st previous caesarean section + term
delivery + placenta previa + IUD acceptor
Outcome :
Male, BW : 2850 gram, BL :44cm, AS : 7/9
ultrasonography intraoperative
 Maternal Fetal Division / dr. Surya Setiawan
Period November 1st – 4th 2020

Total cases :2 Family Planning :1

Vaginal Delivery :1 IUD candidate :1
Caesarean Section :1

Makassar, November 5th, 2020

Known By :

Chief Team A Chief Team B Chief Team C

dr.Andi KonengPratiwi dr.Yulfa Rizki Amita dr.Nurstiasri

Supervisor,

Dr.dr. Deviana Soraya Riu, Sp.OG (K)