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Sitti Khadijah 1 Hospital / Fitria Arianty

Period June 27th, 2022

No. Date of Patient Detail of Patient Treatment


Admission
1. 26/06/2022 Mrs. F G1P0A0 • Monitoring General condition,
24 years old vital sign, fetal heart rate, and
DOB: labor sign
Chief complaint:
22/01/1996
Abdominal pain since 10 hours before admission • Cervical ripening with
LMP: 16/09/2021 misoprostol 25
Bloody show (-)
MR: 1243451 mcg/vaginam
Payment : BPJS
Physical Examination :
Education : Senior
High School Fetal heart rate : 143 dpm
Uterus contraction : 1x10’ (10”)

Vaginal Examination
Portio : Soft, posterior
Dilatation: 1 cm
Fluxus : Mucous, Blood

Pre-treatment diagnosis :
G1P0A0 40 weeks 4 days of gestational age in latent
phase 1st stage of labor
2. 25/06/2022 Mrs. SN Pre-treatment diagnosis : • Spontaneous vertex delivery
24 years old G2P1A0 38 weeks 6 days of gestational active phase1st • Early initiation of
DOB: stage of labor + Implant Acceptor Candidate breastfeeding
13/07/1997
• Repair of Perineal
LMP: 07/09/2021 Post-Treatment Diagnosis: Laceration
MR: 108399 Term Delivery + 2nd degree Perineal Laceration + Implant • Implant Insertion
Payment : BPJS Acceptor
Education : Senior High
School Outcome:
Female, BW: 3000 gr, BL: 49 cm, A/S 8/10
Sitti Khadijah 1 Hospital / Fitria Arianty
Period June 27th, 2022

3. 25/06/2022 Mrs. F Pre-treatment diagnosis : • Spontaneous vertex delivery


19 years old G1P0A0 39 weeks 3 days of gestational active phase1st • Early initiation of
DOB: stage of labor + Implant Acceptor Candidate breastfeeding
20/08/2002
• Repair of
LMP : 22/09/2021 Post-Treatment Diagnosis:
MR: 125183 Perineal
Term Delivery + 2nd degree Perineal Laceration + Implant Laceration
Payment: BPJS
Acceptor • Implant Insertion
Education: Senior
High School
Outcome:
Female, BW: 2600 gr, BL: 47 cm, A/S 8/10
4. 25/06/2022 Mrs. M Pre-treatment diagnosis : • Spontaneous vertex delivery
32 years
G3P2A0 41 weeks 2 days of gestational active phase1st • Early initiation of breastfeeding
old
DOB:
stage of labor + Implant Acceptor Candidate • Implant insertion
11/11/1989
LMP : 09/09/2021 Post-Treatment Diagnosis:
MR: 036519 Term Delivery + Implant Acceptor
Payment: BPJS
Education: Outcome:
Senior High Female, BW: 2900 gr, BL: 48 cm, A/S 8/10
School
5. 25/06/2022 Mrs. K Pre-treatment Diagnosis: • Spontaneous vertex
29 years old G1P0A0 39 weeks 4 days of gestational active phase1st delivery
DOB: stage of labor • Early initiation of
06/08/1993
breastfeeding
LMP: 21/09/2021
Post-Treatment Diagnosis: • Repair of Perineal Laceration
MR: 125381
Term Delivery + 2nd degree Perineal Laceration
Payment : BPJS • Family planning and
Education : Bachelor counseling : Implant
Outcome:
Degree
Female, BW: 3200 gr, BL: 50 cm, A/S 8/10
Sitti Khadijah 1 Hospital / Fitria Arianty
Period June 27th, 2022

6. 25/06/2022 Mrs. AM Pre-treatment diagnosis : • Spontaneous vertex


22 years old G2P1A0 40 weeks 2 days of gestational age in active delivery
DOB: phase 1st stage of labor + Implant acceptor candidate • Early initiation of
07/03/2000
breastfeeding
LMP: 16/09/2021
MR: 124325 Post-treatment diagnosis : • Implant Insertion
Payment : BPJS Term delivery + Implant acceptor
Education : Senior
High School Outcome:
Male, BW 2700 grams, BL 48 cm, AS : 8/10
7. 25/05/2022 Mrs. B Pre-treatment diagnosis : • Spontaneous vertex
30 years old G1P0A0 41 weeks of gestational age in 2nd stage of delivery
DOB: labor • Early initiation of
12/02/1992
breastfeeding
LMP: 11/09/2021
MR: 084382 Post-treatment diagnosis : • Repair of Perineal
Payment : BPJS Term delivery + 2nd degree Perineal Laceration Laceration
Education :
Bachelor Degree Outcome:
Female, BW 3000 grams, BL 49 cm, AS : 8/10
8. 25/05/2022 Mrs. T Pre-Treatment Diagnosis: • Spontaneous vertex
29 years old G3P1A1 38 weeks 6 days of gestational active phase1st delivery
DOB: stage of labor + Implant Acceptor Candidate • Early initiation of
25/02/1993
breastfeeding
LMP: 26/09/2021
MR: 081722
Post-treatment diagnosis : • Repair of Perineal
Term delivery + 2nd degree of perineal laceration+ Implant Laceration
Payment : BPJS
Acceptor • Implant Insertion
Education : Junior High
School
Outcome:
Male, BW 3100 grams, BL 50 cm, AS : 8/10
Sitti Khadijah 1 Hospital / Fitria Arianty
Period June 27th, 2022

9. 26/05/2022 Mrs. KL Pre-Treatment Diagnosis: • Spontaneous vertex


27 years old G1P0A0 39 weeks 3 days of gestational active phase1st delivery
DOB: stage of labor • Repair of Perineal
11/10/1995
Laceration
LMP: 23/09/2021
MR: 124044
Post-treatment diagnosis : • Early initiation of
Term delivery + 2nd degree of perineal laceration+ Implant breastfeeding
Payment : BPJS
Acceptor Candidate • Planning for implant
Education : Junior High
School insertion
Outcome: 27/06/2022
Male, BW 3100 grams, BL 50 cm, AS : 8/10
10. 26/06/2022 Mrs. D Pre-treatment diagnosis : • Spontaneous vertex
22 years old G2P1A0 39 weeks 4 days of gestational age in active delivery
DOB: phase 1st stage of labor +IUD Acceptor Candidate • Early initiation of
12/06/2000
breastfeeding
LMP: 22/09/2021
MR: 084224 Post-treatment diagnosis : • IUD insertion
Payment : BPJS Term delivery + IUD Acceptor
Education : Senior
High School Outcome:
Female, BW 2700 grams, BL 47 cm, AS : 8/10
11. 26/06/2022 Mrs. AL Pre-treatment diagnosis : • Spontaneous vertex
25 years old G2P1A0 40 weeks 4 days of gestational age in active delivery
DOB: phase 1st stage of labor • Early initiation of
26/04/1997
breastfeeding
LMP: 15/09/2021
MR: 033029 Post-treatment diagnosis : • Repair of Perineal
Payment : BPJS Term delivery + 2nd degree Perineal Laceration+ Implant Laceration
Education : Senior Acceptor Candidate • Planning for implant
High School insertion
Outcome: 27/06/2022
Male, BW 3200 grams, BL 50 cm, AS : 8/10
Sitti Khadijah 1 Hospital / Fitria Arianty
Period June 27th, 2022

12 25/06/2022 Mrs. F G1P0A0 • 02 8 Lpm via NRM


20 years old • Urinary catheter insertion
DOB: 05/10/2001 Chief Complain : • 4gr 40% MgSO4 in 100 cc NaCl
LMP : 18/09/2021 0,9% 73 dpm within 30 minutes,
MR: 100550 continued with 6gr 40% MgSO4
Headache (+), blurry vision (+)
Payment: BPJS in 500 cc RL 28 dpm for 24 hours
Education: Senior High Physical Examination: after delivery
School Blood pressure: • Nifedipine 10 mg/8 hours/oral
170/110 mmHg • Emergency Lower
segment transverse
Laboratory: caesarean section
Protein Urine: (+++)
• IUD Insertion
Pre-Operative Diagnosis:
G1P0A0 40 weeks of Gestational Age not in labor yet +
Severe Preeclampsia + IUD Acceptor Candidate

Post-Operative Diagnosis:
Severe Preeclampsia + Term Delivery + IUD Acceptor

Outcome:
Female, BW: 2800 gr, BL: 48 cm, AS: 8/10
Sitti Khadijah 1 Hospital / Fitria Arianty
Period June 27th, 2022

13. 25/06/2022 Mrs. I G2P1A0


22 years old • Emergency Lower
DOB: 12/01/2000 1 previous caesarean section in July 2019 due to breech segment transverse
MR: 125181 presentation caesarean section
LMP: 27/09/2021 • IUD Insertion
Payment By BPJS Chief complaint :
Education: History of amnion leakage since 5 hours before admission
Senior High School
Ultrasonography:
EFW : 3200 gram
AFI : 4,9 cm

Pre-Operative Diagnosis:
G2P1A0 38 weeks 5 days of Gestational Age not in
Labor yet + PROM+ 1 Previous caesarean section +IUD
Acceptor Candidate
Post-Operative Diagnosis:
PROM + 1 previous caesarean section + Term Delivery +
IUD Acceptor

Outcome:
Female, BW 3300 grams, BL 50 cm, AS : 8/10

14. 26/06/2022 Mrs. A G3P2A0 • Planning for Dilatation and


35 years old 12 weeks of gestational age curettage 27/06/2022
MR:
DOB: 18/12/1986 History of bleeding since 2 days before admission
Sitti Khadijah 1 Hospital / Fitria Arianty
Period June 27th, 2022

LMP: 03/04/2022
Payment By BPJS ICO/ECO : closed/closed
Education
Senior High School Ultrasonography :

Pre-operative Diagnosis :
Blighted Ovum

Post-operative Diagnosis :
Blighted Ovum
15. 26/05/2022 Mrs. MD G1P0A0 • Planning for Lower
28 years old segment transverse
DOB Physical Examination : caesarean section
20/05/1994 FHR : 143 x/minutes 27/06/2022
LMP: 28/09/2021 • Family planning and
MR: 125188 Ultrasonography : counselling : Implant
Payment : BPJS Dorsosuperior
Education : Senior High EFW : 2900 gram
School
Pre-Operative Diagnosis:
G1P0A0 38 weeks 5 days of Gestational Age Not In Labor
yet + Transverse Lie

Total Cases
Observation :1
Vaginal Delivery : 10
Lower segment transverse
caesarean section :2
Plan for Caesarean Section :1
Plan for Curettage :1
Sitti Khadijah 1 Hospital / Fitria Arianty
Period June 27th, 2022

Makassar, June 27th 2022

Known By:

Team A Team B

dr. Brando Elioth Tayo dr. Surya Setiawan


(dr. Elia Tombe, dr. Ricky Ricardo Nalley, dr. Fauzia (dr. Gresella Khadijah Mamangkey, dr. Gledies Theresye
Tamara Rauf, dr. Ranitya Indra Amdhani Rauf, dr. Annisa Gosal, dr. Mirah Avisha, dr. Marwa Safa, dr.Kallan Aruan
Ika N. Syakir, dr. Dewi Zahara Hasmudin, dr.Jimmy Bonga Pulio, dr. Fitra Arianty Rasyid Thaha, dr. Andi Sitti
Patabang, dr. Muthmainnah, dr. Virgiawan Listanto.) Halija DIawanti M, dr. Damas Hendriansyah, dr. Rezuanto
Pualilin, dr. Nur Fitriani
Juraij)

Supervisor:

dr. Hj. Syahruni Syahrir, Sp.OG(K)

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