PERTIWI HOSPITAL / Aida Uzaya

Period September 05th – 08th , 2021

Date of Patient Name

No Detail of Patient Treatment Recommendation
Admission (Age/LMP/MR)
1 06/09/2021 Mrs. A T/ 21 y.o Pre-treatment Diagnosis:  Spontaneous vertex  Exclusive breast
LMP : 11-12-2020 G1P0A0 38 weeks 3 days of gestational age in laten delivery feeding for 6 months
MR : 120477 phase 1st stage of labor  Early initiation of  Family planning
breastfeeding couseling and education :
Post-treatment Diagnosis:  Repair of Implant
Term delivery + 2nd degree of perineal laceration perineal laceration

Neonatal Outcome:
Male, BW: 3350 gr, BL: 48 cm, AS: 8/10
2 06/09/2021 Mrs. L/ 36 y.o Pre-treatment Diagnosis:  Spontaneous vertex  Exclusive breast feeding
LMP : 05-12-2020 G3P2A0 39 weeks 2 day of gestational age in 2nd stage delivery for 6 months
MR : 104851 of labor + IUD Acceptor Candidate  Early initiation of  Control of IUD position
breastfeeding
Post-treatment Diagnosis:  IUD Insertion
Term delivery + IUD Acceptor

Neonatal Outcome:
Male, BW: 2900 gr, BL: 49 cm, AS: 8/10
3 07/09/2021 Mrs. I/ 35 y.o Pre-treatment Diagnosis:  Spontaneous vertex  Exclusive breast feeding
LMP : 12-12-2020 G4P3A0 38 weeks 3 days of gestational age in active phase delivery for 6 months
MR : 120112 1st stage of labor  Early initiation of  Control of IUD position
breastfeeding
Post-treatment Diagnosis:  IUD Insertion
Term delivery

Neonatal Outcome:
Male, BW: 3200 gr, BL: 49 cm, AS: 8/10
4 07/09/2021 Mrs. R/ 30 y.o Pre-treatment Diagnosis:  Spontaneous vertex  Exclusive breast feeding
LMP : 18-12-2020 G3P2A0 37 weeks 4 hari of gestational age in active phase delivery for 6 months
MR : 077757 1st stage of labor + Implant Acceptor Candidate  Early initiation of
breastfeeding
 PERTIWI HOSPITAL / Aida Uzaya
Period September 05th – 08th , 2021

Post-treatment Diagnosis:  Implant insertion

Term delivery + Implant Acceptor

Neonatal Outcome:
Male, BW: 2800 gr, BL: 48 cm, AS: 8/10
5 08/09/2021 Mrs. L Pre Treatment Diagnosis :  Spontaneous  Vaginal hygiene
28 y.o G2P1A0 38 weeks of gestational age active phase 1st stage vertex delivery  Exclusive breast
LMP : 16/12/2020 in labor  Early initiation feeding for 6 months
MR : 126575 Post Treatment Diagnosis : of breastfeeding
Term delivery  Implant insertion
Outcome :
Female, BW : 3250 gram, BL : 49 cm, AS : 8/10
6 08/09/2021 Mrs. A Pre Treatment Diagnosis :  Spontaneous  Vaginal hygiene
25 y.o G2P1A0 39 weeks 5 days of gestational age active phase 1st vertex delivery  Exclusive breast
LMP : 04/12/2020 stage in labor  Early initiation feeding for 6 months
MR : 126438 Post Treatment Diagnosis : of breastfeeding  Family planning
Term delivery counseling and
Outcome : education: hormonal
Male, BW : 3200 gram, BL : 49 cm, AS : 8/10 progestin injection
7 07/09/2021 Mrs. A/ 29 y.o G1P0A0  Lower segment  Exclusive breast feeding
LMP : 30-11-2020 transverse caesarean for 6 months
MR : 120487 History of amnion leakage 3 hours before admission section  Mobilization
 IUD insertion  Control for surgical
Nitrazine test (+) wound suture
 Control of IUD position
USG
EFW : 3720 gr
AFI :1,8 cm

Pre-treatment Diagnosis:
G1P0A0 40 weeks 1 day of gestational age in latent phase 1st
stage of labor + Breech Presentation
+ Premature Rupture Of membrane + IUD acceptor
 PERTIWI HOSPITAL / Aida Uzaya
Period September 05th – 08th , 2021

candidate

Post-treatment Diagnosis:
Breech Presentation + Premature Rupture Of membrane
+ Term Delivery + IUD acceptor

Neonatal Outcome:
Male, BW: 3550 gr, BL: 48 cm, AS: 8/10
8 07/09/2021 Mrs. F/ 32 y.o G2P1A0  Oxygen 10 lpm  Exclusive
LMP : 07-12-2020 1st Cesarean Section on January 2017 due to Severe via NRM breastfeeding for 6
MR : 120490 Preeclampsia  4 grams of months
MgSO4 40% in 100  Wound Hygiene
BP 160/100 mmHg cc of NaCl 0,9%   Control Blood
Proteinuria (+++) 73 dpm Pressure until 12 weeks
 6 grams of Post Partum
Pre Operative Diagnosis : MgSO4 40% in 500 Control for IUD Position
G2P1A0 39 weeks 1 days of Gestational Age + 1 Previous cc of Ringer Lactate
Cesarean Section + Severe Preeclampsia + IUD Acceptor  28 dpm
Candidate  Nifedipin 10
mg/8 hours/orally
Post Operative Diagnosis :  Urinary
1 Previous Cesarean Section + Severe Preeclampsia + Term Catheter Insertion
Delivery + IUD Acceptor  Emergency
Lower Segment
Outcome : Transverse
Male, BW : 2800 gr, BL : 50 cm, AS : 7/9 Caesarean Section
 IUD Insertion
9 08/09/2021 Mrs. M/ 33 y.o st
1 caesarean section in July 2016 due to fetal distress  Lower segment  Exclusive breast
LMP : 09-12-2020 2nd caesarean section in December 2018 due to 1 previous transverse caesarean feeding for 6 months
MR : 120502 caesarean section section  Mobilization
Pre Operative Diagnosis:  IUD Insertion  Control for surgical
G3P2A0 39 weeks of gestational age laten phase 1st stage of wound suture
labor + 2 Previous caesarean section + IUD acceptor  Control for IUD
 PERTIWI HOSPITAL / Aida Uzaya
Period September 05th – 08th , 2021

candidate  Control at
Post Operative Diagnosis : obstetrician for next
2 Previous caesarean section + Term delivery + IUD pregnancy
acceptor  Subsequent delivery
Outcome: should be at least more
Male, BW: 3350 gr, BL: 51 cm, AS: 8/10 than 18 months
10 07/09/2021 Mrs. F/ 32 y.o G1P0A0 curettage  Vaginal hygiene
LMP : 06-07-2020 9 Weeks of Gestational Age  Family planning
MR : 120415 counseling and
History of Vaginal Bleeding since 2 days before education: barier
admission

ICO/ECO : dilated/dilated

Pre-operative Diagnosis:
Abortus incomplete

Post-operative Diagnosis:
Abortus incomplete

Total
Total Cases : 10
Vaginal Delivery :6
Lower segment transverse caesarean section :3
Curettage :1
 PERTIWI HOSPITAL / Aida Uzaya
Period September 05th – 08th , 2021

Family Planning:
Implant :2
IUD :5
Female sterilization :-

Makassar, September 09th, 2021

Known By :

Chief A Chief B

dr. Nagusman Danil dr. Livy Leonard Lieswan

PERTIWI HOSPITAL / Aida Uzaya
Period September 05th – 08th , 2021

Supervisor,

Dr. dr. Hj. Nur Rakhmah, Sp. OG(K), M Kes