DEPT.

OF OBSTETRICS & GYNECOLOGY CASE REPORT

Dr. M. DJAMIL CENTRAL GENERAL HOSPITAL October 25th – 28th, 2021
Date DR WR Gyn Total
No. CLASSIFICATION
25-26 26-27 27-28
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 00 00 00 00
Operative Delivery
Vaginal Delivery 01 00 00 01 00 02
Abdominal Delivery 01 00 00 01 02 04
Operative Obstetrics
Vaginal 00 00 00 01 00 01
Abdominal 00 00 00 00 00 00

Number of Cases 02 00 00 03 02 07
II GYNECOLOGY :
Operative Gynecology
Vaginal 00 00 00 00 00 02 02
Abdominal 00 00 00 00 00 08 08

III FAMILY PLANNING :

Sterilization
Laparotomy 00 00 00 00 01 01
Minilaparotomy 00 00 00 00 00 00
Laparoscopy 00 00 00 00 00 00
IUD 01 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 : (-)
VAGINAL OPERATIVE DELIVERY :
96. Mrs. I, 18 years old, MR 01 11 73 39, Severity level I
G1P0A0L0 37-38 weeks of term parturient prolonged second stage + IUFD  Forcep extraction (ZI,IB,VN,ZU,YN,IK,AW,LI,KA,IR, HY)
106. Mrs. R, 37 years old, MR 01 11 68 00, Severity level I
G2P1A0L1 37-38 weeks of term parturient active phase of first stage + Low lying plasenta + once previous CS  Second stage 
Forcep extraction (MR,ZI,LT,HC,IB,RA,VN,BO,BY, HDF)

ABDOMINAL OPERATIVE DELIVERIES :

97. Mrs. R, 31 years old, MR 01 11 73 40, Severity level II
G4P2A1L2 34-35 weeks of preterm pregnancy + PPROM + twice previous CS + complete lung maturation form other institution  In labor 
LSCS (ZI,IB,VN,ZU,YN,IK,AW,LI,KA,IR, FF)
99. Mrs. E, 25 years old, MR 01 11 73 51, Severity level II
Impending eclampsia on maintenance dose of MgSO4 regimen from other institution on G4P2A1L2 36-37 weeks of preterm pregnancy +
HELLP syndrome  LSCS (ZI,IB,VN,ZU,YN,IK,AW,LI,KA,IR, HY,RZ)
105. Mrs. F, years old, MR 01 11 65 30, Severity level II
G5P3A1L3 37-38 weeks of term pregnancy + oligohydramnios + thrice previous CS  CCS + Pomeroy tubectomy
(MR,ZI,LT,HC,IB,RA,VN,BO,BY, HDF)
107. Mrs. M, years old, MR 01 11 69 87, Severity level II
Antepartum haemorrhage due to total placenta previa suspected accreta + thrice previous CS  Uterine Didelphys  CCS  Placental bed
bleeding  Cesarean histerectomy (MY,LT,GR,RA,FP,MC,ND,PI,WN,IR, HDF)

VAGINAL OPERATIVE OBSTETRIC : (-)

Curettages : Incomplete Abortion : 01 Women
Complete Abortion : 00 Women
Infectious Abortion : 00 Women
Missed Abortion : 00 Women
Early fetal demise : 00 Women
100. Mrs. R, 37 years old, MR 01 11 68 00, Severity level I
G6P6A0L4 11-12 weeks of pregnancy + incomplete abortion  Curettage (MR,ZI,LT,HC,IB,RA,VN,BO,BY, HSA)

ABDOMINAL OPERATIVE OBSTETRIC : (-)

VAGINAL OPERATIVE GYNECOLOGY :
Curettages
PA : 00 Women
Hydatidiform Mole : 00 Women
Biopsy : 00 Women
Hysteroscopy : 00 Women
Cystoscopy : 00 Women
Hysterectomy transvaginal : 01 Women
Clinical staging : 00 Women
Colpcleisis : 01 Women
103. Mrs. Z, 64 years old, MR 00 48 22 51 , Severity level II
P?H? + grade II uterine prolapse + grade III cystocele + grade III rectocele  posterior colphorrhaphy + anterior colphorrhaphy
(DC,IK,IH,NM,IR,TS, BIU)
104. Mrs. Y, 63 years old, MR 01 11 65 00 , Severity level II
P?H? + vaginal vault prolapse  Colpocleisis (DC,IK,IH,NM,IR,TS, BIU)

ABDOMINAL OPERATIVE GYNECOLOGY :

95. Ms. N, 24 years old, MR 01 11 66 12 , Severity level II
suspected dextra endometrosis cyst + suspected adenomyosis + mitral regurgitation + VES  Laparotomy  dextra endometrosis cyst +
adenomyosis  Adhesiolysis  Dextra cystectomy + adenomyosis resection (MC,AN,AW,IR,TS, MS)
98. Mrs. S, 27 years old, MR 01 11 47 65, Severity level II
P?H? + intra abdominal tumor + endometriosys  Laparoscopy (FJ,YN,IR,TS, SM)
101. Mrs. N, 44 years old, MR 01 11 63 94 , Severity level II
P1H1 + suspected dextra endometrosis cyst  Laparotomy  Adhesion to pelvic  Adhesiolysis  Bilateral endometrosis cyst  Bilateral
cystectomy (MC,AN,AW,IR,TS, MS)
102. Mrs. M, 31 years old, MR 01 03 79 59 , Severity level II
P?H? + grade III cystocele + once previous CS  Ventrofixation (DC,IK,IH,NM,IR,TS, BIU)
108. Mrs. R, 68 years old, MR 00 72 23 72, Severity level II
P?H? + suspected endometrial carcinoma  Laparotomy (FJ,YN,IR,TS, SM)
109. Mrs. D, 47 years old, MR 00 47 03 47 , Severity level II
P?H? + multiple utrine myomas  Laparotomy (AK,FP,TF,ZU,ND,IR,TS, RZ)
110. Mrs. Z, 38 years old, MR 01 11 37 55, Severity level II
P?H? + suspected cervical carcinoma  Laparotomy (FJ,YN,IR,TS, SM)
111. Mrs. F, 62 years old, MR 01 11 58 92, Severity level II
P?H? + suspected endometrial carcinoma  Laparotomy (FJ,YN,IR,TS, SM)
OTHERS :
MR,IB,RA,AK-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------PD