DEPT.

OF OBSTETRICS & GYNECOLOGY CASE REPORT

Dr. M. DJAMIL CENTRAL GENERAL HOSPITAL November 1st – 4th, 2021
Date DR WR Gyn Total
No. CLASSIFICATION
1-2 2-3 3-4
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 01 00 00 00 01
Operative Delivery
Vaginal Delivery 00 00 00 00 00 00
Abdominal Delivery 00 03 02 03 03 11
Operative Obstetrics
Vaginal 01 00 00 00 01 02
Abdominal 00 01 00 00 00 01

Number of Cases 01 05 02 03 04 15
II GYNECOLOGY :
Operative Gynecology
Vaginal 00 00 00 00 00 05 05
Abdominal 00 00 00 00 00 10 10

III FAMILY PLANNING :

Sterilization
Laparotomy 00 01 01 02 01 05
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 :
15. Mrs. V, 32 years old, MR 01 11 34 32, Severity level II
G5P2A2L1 34-35 weeks of preterm pregnancy + type 2 DM + chronic hypertension + twice previous CS + anhydramnios + bilateral polycystic
renal in fetus + IUFD  Mechanical induction with balloon catheter  Latent phase of first stage  Uterine inertia  Induction of labor 
Active phase of first stage  Second stage  Vaginal delivery (ZI,IB,VN,ZU,YN,IK,KA,LI,AW,TS, HjYW)

VAGINAL OPERATIVE DELIVERY : (-)

ABDOMINAL OPERATIVE DELIVERIES :

06. Mrs. D, 34 years old, MR 01 11 78 66, Severity level II
G6P1A4L1 33-34 weeks of preterm pregnancy + previous CS + suspected IUGR  Expectative  Fetal distress  LSCS
(MR,ZI,LT,HC,IB,RA,VN,BO,BY, HjYW)
07. Mrs. L, 33 years old, MR 00 96 67 14, Severity level II
G3P2A0L2 38-39 weeks of term parturient latent phase of first stage + twice previous CS + HIV (+)  CCS + Pomeroy tubectomy
(MR,ZI,LT,HC,IB,RA,VN,BO,BY, RZ)
17. Mrs. A, 28 years old, MR 01 11 79 57, Severity level II
G2P1A0L1 38-39 weeks of term pregnancy + suspected placental abruption + fetal distress  LSCS (ZI,IB,VN,ZU,YN,IK,KA,LI,AW,TS, HSA)
18. Mrs. A, 31 years old, MR 01 11 79 71, Severity level II
G4P1A2L1 34-35 weeks of preterm pregnancy + oligohydramnios due to prolonged PPROM + previous CS + completed lung maturation from
other institution + breech presentation  CCS (ZI,IB,VN,ZU,YN,IK,KA,LI,AW,TS, HSA)
20. Mrs. M, 42 years old, MR 01 11 79 72, Severity level II
G5P3A1L3 38-39 weeks of term parturient latent phase of first stage + twice previous CS  CCS (ZI,IB,VN,ZU,YN,IK,KA,LI,AW,TS, HSA)
21. Mrs. S, 29 years old, MR 01 11 59 68, Severity level II
G2P1A0L1 34-35 weeks of preterm pregnancy + chronic granulocytic leukemia + breech presentation  Expectative  LSCS + bilateral
fimbriectomy (MR,ZI,LT,HC,IB,RA,VN,BO,BY, HDF)
22. Mrs. R, 27 years old, MR 01 06 01 83, Severity level II
G2P0A1L0 37-38 weeks of term pregnancy + breech presentation + leukemia on medication  LSCS (MR,ZI,LT,HC,IB,RA,VN,BO,BY, HAL)
23. Mrs. I, 41 years old 01 11 79 79, Severity level II
G3P2A0L2 38-39 weeks of term pregnancy + severe preeclampsia on maintenance dose of MgSO4 regimen from other institution + fetal
macrosomia + IUFD  CCS + bilateral fimbriectomy (ZI,IB,VN,ZU,YN,IK,KA,LI,AW,TS, HSA)
24. Mrs. M, 36 years old, MR 01 11 80 63, Severity level II
Late HPP due to suspected uterine wound dehiscence on P2A0L2 post LSCS from other institution day-18 + moderate anemia + post
hypovolemic shock from other institution  General condition improvement  Laparotomy  Uterine wound dehiscence  Total hysterectomy
(MR,ZI,LT,HC,IB,RA,VN,BO,BY, HDF,SM)
30. Mrs. E, 21 years old, MR 01 11 80 89, Severity level III
Decrease of consciousness due to antepartum eclampsia on maintenance dose of MgSO4 regimen from other institution on G1P0A0L0 37-38
weeks of term pregnancy + obesity  Stabilization LSCS (MY,LT,GR,RA,FP,MC,ND,PI,WN,BO, HSA,RZ)
31. Mrs. D, 35 years old, MR 01 11 80 36, Severity level II
G5P3A1L3 40-41 weeks of term parturient latent phase of first stage + thrice previous CS  LSCS + Pomeroy tubectomy
(MY,LT,GR,RA,FP,MC,ND,PI,WN,BO, BA,HjYW)

VAGINAL OPERATIVE OBSTETRIC :

Curettages : Incomplete Abortion : 00 Women
Complete Abortion : 01 (04) Women
Infectious Abortion : 00 Women
Missed Abortion : 00 Women
Early fetal demise : 01 (05) Women

04. Mrs. S, 24 years old 01 11 69 01, Severity level II

G1P0A0L0 19-20 weeks of pregnancy + complete abortion (PR,LS,JN,EP,FJ,KS,NM,PD,GT, RZ)
05. Mrs. I, 23 years old 01 11 72 07, Severity level II
Decrease of consciousness due to electrolyte imbalance on G2P0A1L0 9-10 weeks of pregnancy + EFD  Care in internal medicine high care
unit  General condition improvement  Laminaria insertion  Curettage (MR,ZI,LT,HC,IB,RA,VN,BO,BY, MS)

ABDOMINAL OPERATIVE OBSTETRIC :

19. Mrs. D, 35 years old, MR 01 11 79 63, Severity level II
Acute abdomen due to ruptured ectopic pregnancy on G3P2A0L2 15-16 weeks of pregnancy + previous CS + moderate anemia  Laparotomy
 Intra-abdominal pregnancy + left tubal rupture  Left salpingectomy + right tubectomy due to enough children
(ZI,IB,VN,ZU,YN,IK,KA,LI,AW,TS, HSA)

VAGINAL OPERATIVE GYNECOLOGY :

Curettages
PA : 00 Women
Hydatidiform Mole : 00 Women
Biopsy : 00 Women
Hysteroscopy : 00 Women
Polyp extirpation : 00 Women
Curettage : 01 (05) Women
Hysterectomy transvaginal : 03 (09,11,25) Women
Clinical staging : 01 (03) Women
Colpocleisis : 02 (09,25) Women
03. Mrs. T, 56 years old, MR 01 11 53 59, Severity level II
P3L3 + suspected cervical cancer + right hydronephrosis  Clinical staging + right DJ stent insertion  Suspected cervical carcinoma stage IIB
(FJ,YN,IR,TS, SM)
09. Mrs. R, 64 years old, MR 01 11 72 77, Severity level II
P8L8 + grade IV of uterine prolapse + grade IV cystocele + vesicolithiasis  Cystostomy  Bladder stone extraction  Transvaginal
hysterectomy + colpocleisis (DC,IK,IH,NM,IR,TS, BIU)
11. Mrs. A, 58 years old, MR 01 11 73 06, Severity level II
P2L2 + grade III of uterine prolapse + grade III cystocele  Transvaginal hysterectomy + anterior colporrhaphy (DC,IK,IH,NM,IR,TS, BIU)
14. Mrs. D, 43 years old, MR 01 11 42 37, Severity level II
P3L3 + grade III of uterine prolapse + grade III cystocele  Manchester fothergill procedure + anterior colporrhaphy (DC,IK,IH,NM,IR,TS, BIU)
25. Mrs. A, 59 years old, MR 00 63 24 85, Severity level II
P3L3 + grade IV of uterine prolapse  Transvaginal hysterectomy + colpocleisis (DC,IK,IH,NM,IR,TS, BIU)

ABDOMINAL OPERATIVE GYNECOLOGY :

02. Mrs. A, 42 years old, MR 01 11 63 05, Severity level II
P0L0 + suspected bilateral endometrial cyst  Laparoscopy  Pelvic adhesion  Adhesiolysis  Bilateral endometrial cyst  Bilateral
cystectomy (MC,AN,AW,IR,TS, MS)
08. Ms. Y, 33 years old, MR 00 99 18 54, Severity level II
Suspected multiple uterine myomas  Laparotomy  Multiple uterine myomas  Myomectomy (FJ,YN,IR,TS, SM)
10. Mrs. R, 40 years old, MR 01 11 57 78, Severity level II
P3L2 + suspected ovarian cancer + pelvic abscess  Laparotomy  Suspected advance stage ovarian cancer + pelvic abscess  Debulking +
abscess drainage (FJ,YN,IR,TS, SM)
12. Mrs. S, 59 years old, MR 01 11 76 99, Severity level II
P6L6 + suspected ovarian cancer + pelvic abscess  Laparotomy  Suspected advance stage ovarian cancer + pelvic abscess  Debulking +
drainage (FJ,YN,IR,TS, SM)
13. Mrs. M, 59 years old, MR 01 11 63 01, Severity level II
P3H3 + suspected ovarian cancer  Laparotomy  Suspected advance stage ovarian cancer  Debulking (FJ,YN,IR,TS, SM)
16. Mrs. Y, 29 years old, MR 01 11 70 22, Severity level II
P0L0 + suspected right endometrial cyst  Laparoscopy  Pelvic adhesion  Adhesiolysis  Right endometrial cyst  Right cystectomy
(MC,AN,AW,IR,TS, MS)
26. Mrs. H, 45 years old, MR 01 11 62 27, Severity level II
P0H0 + suspected uterine corpus cancer  Laparotomy  Suspected uterine corpus cancer  Debulking (FJ,YN,IR,TS, SM)
27. Mrs. G, 68 years old, MR 01 10 01 96, Severity level II
P3L3 + suspected endometrial cancer  Laparotomy  Suspected endometrial cancer  Debulking (FJ,YN,IR,TS, SM)
28. Mrs. H, 60 years old, MR 00 75 06 91, Severity level II
P2L2 + suspected ovarian cancer  Laparotomy  Suspected advance stage ovarian cancer  Debulking (FJ,YN,IR,TS, SM)
29. Mrs. L, 25 years old, MR 01 11 28 65, Severity level II
P0L0 + suspected left endometrial cyst  Laparoscopy  Pelvic adhesion  Adhesiolysis  Left endometrial cyst  Left cystectomy
(MC,AN,AW,IR,TS, HY)

OTHERS : (-)

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