PERTIWI HOSPITAL / SARNISYAH DWI

th th
MARCH 13 – 17 2019

NO DATE PATIENT DETAIL OF PATIENT TREATMENT RECOMENDATION

1 13.03.19 Mrs. F/27 Pre Treatment Diagnosis : - Spontaneous Vertex Delivery - Exclusive
years old/ G1P0A0 39 weeks 2 days of Gestational Age Active Phase - Repair of Perineal Laceration breastfeeding for 6
LMP 11-06- 1st Stage of Labor - Early Breastfeeding months
2018 - Vaginal Hygiene
MR 107502 Post Treatment Diagnosis : - Family Planning :
Term Delivery + Second Degree Perineal Laceration Counseling and
Education : IUD
Outcome :
Female, BW : 2800 gr, BL : 47 cm, AS : 8/10
2 13.03.19 Mrs. N/32 Pre Treatment Diagnosis : - Spontaneous Vertex Delivery - Exclusive
years old/ G3P2A0 38 weeks 5 days of Gestational Age Latent Phase - Early Breastfeeding breastfeeding for 6
LMP 14-06- 1st Stage of Labor months
2018 - Family Planning :
MR 107508 Post Treatment Diagnosis : Counseling and
Education : IUD
Term Delivery

Outcome :
Male, BW : 2850 gr, BL : 49 cm, AS : 8/10
3 13.03.19 Mrs. F/ 26 History of amnion leakage 4 hours before admitted - Lung Maturation with - Educate and informed
years old/ History of TB treatment 2 months before get pregnant but Dexamethasone 6mg/ IM patient and her family
LMP 13-08- stopped - Observation of Vital Sign, Sign of about her condition
2018 History of mass at the vertebrae at May 2018 labor, and bleeding sign and the possibility of
MR 109875 SDP : 2,1 cm - Plan to refer the patient to spontaneous bleeding
Fetomaternal Division - Informed the patient
PLT : 10.000/uL
and family about the
HGB : 8,1 gr/dL plan to refer the
patient to
Pre Treatment Diagnosis : fetomaternal division
G2P1A0 30 weeks 2 days of Gestational Age + Preterm
Premature Rupture of Membrane + Bicytopenia +

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 PERTIWI HOSPITAL / SARNISYAH DWI
th th
MARCH 13 – 17 2019

Suspected Spondylosis tuberculosis

4 14.03.19 Mrs. K/29 Pre Treatment Diagnosis : - Spontaneous Vertex Delivery - Exclusive
years old/ G2P0A1 39 weeks of Gestational Age Latent Phase 1st - Repair of Perineal Laceration breastfeeding for 6
LMP 14-06- Stage of Labor - Early Breastfeeding months
2018 - Vaginal Hygiene
MR 107513 - Family Planning :
Post Treatment Diagnosis :
Counseling and
Term Delivery + Second Degree Perineal Laceration
Education : Hormonal
Progestin Injection
Outcome :
Male, BW : 3300 gr, BL : 51 cm, AS : 8/10

5 14.03.19 Mrs. H/22 Pre Treatment Diagnosis : - Spontaneous Vertex Delivery - Exclusive
st
years old/ G1P0A0 38 weeks of Gestational Age Active Phase 1 Stage - Repair of Perineal Laceration breastfeeding for 6
LMP 21-06- of Labor - Early Breastfeeding months
2018 - Family Planning :
MR 107519 Post Treatment Diagnosis : Counseling and
Term Delivery + Second Degree Perineal Laceration Education : Hormonal
Progestin Injection
Outcome :
Female, BW : 2600 gr, BL : 46 cm, AS : 8/10

6 14.03.19 Mrs. A/23 Pre Treatment Diagnosis : - Spontaneous Vertex Delivery - Exclusive
years old/ G2P1A0 39 weeks of Gestational Age Active Phase 1 Stage - Early Breastfeeding
st breastfeeding for 6
LMP 14-06- of Labor months
2018 - Family Planning :
MR 107520 Post Treatment Diagnosis : Counseling and
Education : IUD
Term Delivery

Outcome :
Male, BW : 2900 gr, BL : 45 cm, AS : 8/10

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 PERTIWI HOSPITAL / SARNISYAH DWI
th th
MARCH 13 – 17 2019

7 15.03.19 Mrs. P/26 Pre Treatment Diagnosis : - Spontaneous Vertex Delivery - Exclusive
years old/ G2P1A0 40 weeks 3 days of Gestational Age Latent Phase - Repair of Perineal Laceration breastfeeding for 6
LMP 05-06- 1st Stage of Labor - Early Breastfeeding months
2018 - Vaginal Hygiene
MR 107523 Post Treatment Diagnosis : - Family Planning :
Counseling and
Term Delivery + Second Degree Perineal Laceration
Education : IUD
Outcome :
Male, BW : 3200 gr, BL : 49 cm, AS : 8/10

8 16.03.19 Mrs. A/28 Pre Treatment Diagnosis : - Spontaneous Vertex Delivery - Exclusive
years old/ G2P1A0 38 weeks 3 days of Gestational Age Latent Phase - Early Breastfeeding breastfeeding for 6
LMP 20-06- 1st Stage of Labor months
2018 - Family Planning :
MR 107525 Post Treatment Diagnosis : Counseling and
Education : IUD
Term Delivery

Outcome :
Male, BW : 2500 gr, BL : 45 cm, AS : 8/10

9 16.03.19 Mrs. P/26 Pre Treatment Diagnosis : - Spontaneous Vertex Delivery - Exclusive
years old/ G2P1A0 39 weeks of Gestational Age Latent Phase 1st - Repair of Perineal Laceration breastfeeding for 6
LMP 16-06- Stage of Labor - Early Breastfeeding months
2018 - Vaginal Hygiene
MR 107530 Post Treatment Diagnosis : - Family Planning :
Counseling and
Term Delivery + Second Degree Perineal Laceration
Education : IUD

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 PERTIWI HOSPITAL / SARNISYAH DWI
th th
MARCH 13 – 17 2019

Outcome :
Male, BW : 3200 gr, BL : 49 cm, AS : 8/10

10 16.03.19 Mrs. P/26 Pre Treatment Diagnosis : - Spontaneous Vertex Delivery - Exclusive
years old/ G2P1A0 39 weeks 4 days of Gestational Age Latent Phase - Repair of Perineal Laceration breastfeeding for 6
LMP 12-06- 1st Stage of Labor - Early Breastfeeding months
2018 - Vaginal Hygiene
MR 107513 - Family Planning :
Post Treatment Diagnosis :
Counseling and
Term Delivery + Second Degree Perineal Laceration
Education : IUD
Outcome :
Male, BW : 3200 gr, BL : 49 cm, AS : 8/10

11 16.03.19 Mrs. H/39 1st C-Section in July 2012 due to Fetal Distress - Lower Segment Transverse - Exclusive
years old/ 2nd C Section in August 2016 due to 1 Previous C Section Caesarean Section Breastfeeding for 6
LMP 15-06- - Bilateral Tubectomy Pomeroy months
2018 Pre Treatment Diagnosis : Modification - Early Mobilization
MR 109880 G4P3A0 39 weeks 1 day of Gestational Age Latent Phase - Wound surgery follow
1st Stage of Labor + 2 Previous C Section + Female up
Sterilization Acceptor Candidate

Post Treatment Diagnosis :

2 Previous C Section + Term Delivery + Female Sterilization
Acceptor

Outcome :
Male, BW :2600 gr, BL : 49 cm, AS : 7/9

12 16.03.19 Mrs. I/26 EFW USG : 4126 gram - Lower Segment Transverse - Exclusive
years old/ FPG : 90 gr/dL Caesarean Section Breastfeeding for 6

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 PERTIWI HOSPITAL / SARNISYAH DWI
th th
MARCH 13 – 17 2019

LMP 20-06- - IUD Insertion months

2018 Pre-Operative Diagnosis : - Early Mobilization
MR 107903 G1P0A0 38 weeks 3 days of Gestational age + Macrosomia - Wound surgery follow
+ IUD Acceptor Candidate up
- Subsequent delivery
Post-Operative Diagnosis : should be at least 18
Macrosomia + Term Delivery + IUD Acceptor months
- IUD Position Follow Up
Outcome:
Female, BW : 4200 gr, BL : 52 cm, A/S : 8/10

13 16.03.19 Mrs. H/26 G1P0A0 - Curretage - Family Planning :

years old/ Vaginal Bleeding Since 2 days before admitted Barrier
LMP 31-12- Urine Pregnancy Test (+)
2018 ICO/ECO : Dilated/ Dilated
(10 weeks 3
days)
Pre Treatment Diagnosis :
Incomplete Abortion

Post Treatment Diagnosis :

Incomplete Abortion

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 PERTIWI HOSPITAL / SARNISYAH DWI
th th
MARCH 13 – 17 2019

Total Miscarriage Total

Total Cases : 13
Vaginal Delivery : 10 Incomplete :1
Dilatation & Curettage :1 Missed Abortion :-
Lower Segment Transverse Caesarean Section :2 Hydatidiform Mole :-
Cystectomy/Salphyngooforectomy :

Mortality/Nearmiss Total
Maternal :-
Perinatal :-

Family Planning :
Natural :- Hormonal Combination : - Female Sterilization :1
Barrier :1 Hormonal Progestin : - IUD :1
Implant :-

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 PERTIWI HOSPITAL / SARNISYAH DWI
th th
MARCH 13 – 17 2019

Makassar, 18/03/2019
Known By
Chief Resident,

dr. Wenny Y dr. Stefanus Wibisono

Supervisor,

Dr. dr. Hj. Nur Rakhmah SpOG (K), MKes