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ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.

R
Period October 26th – 30th, 2022

DATE OF
NO PATIENT DETAIL OF PATIENT TREATMENT RECOMMENDATION
ADMISSION
1. 27/10/2022 Mrs. A Pre-Treatment Diagnosis: • Spontaneous Vertex Delivery • Exclusive
DOB: G3P2A0 38 weeks 6 days of gestational age in • Early Initiation of breastfeeding for 6
02/08/1993 active phase 1st stage of labor + IUD Acceptor months
Breastfeeding
(29 years candidate
old) LMP: • IUD Insertion • Control for IUD
28/01/2022 Post treatment diagnosis:
MR : Term delivery + IUD acceptor
055333
Educational Outcome:
Status: Senior Female, BW: 3100 gr, BL 50 cm, A/S 8/10
High School
Payment:
BPJS
2. 27/10/2022 Mrs. F Pre-Treatment Diagnosis: • Spontaneous Vertex Delivery • Exclusive
DOB: G2P1A0 39 weeks 6 days of gestational age in • Early Initiation of breastfeeding for 6
14/03/1997 active phase 1st stage of labor + Implant months
Breastfeeding
(25 years acceptor candidate
old) LMP: • Implant insertion
21/01/2022 Post treatment diagnosis:
MR : Term delivery + Implant acceptor
121265
Educational Outcome:
Status: Senior Male, BW: 3200 gr, BL 51 cm, A/S 8/10
High School
Payment:
BPJS
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

3 27/10/2022 Mrs. A Pre-Treatment Diagnosis: • Spontaneous Vertex Delivery • Exclusive


DOB: G1P0A0 38 weeks 3 days of gestational age in • Early Initiation of breastfeeding for 6
09/02/1996 active phase 1st stage of labor months
Breastfeeding
(26 years
old) LMP: Post treatment diagnosis: • Repair of Perineal • Family planning
31/01/2022 Term delivery + Second Degree of Perineal Laceration counselling and
MR : Laceration education: Implant
070553
Educational Outcome:
Status: Male, BW: 2950 gr, BL 49 cm, A/S 8/10
Junior High
School
Payment:
BPJS
4. 28/10/2022 Mrs. S Pre-Treatment Diagnosis: • Spontaneous Vertex Delivery • Exclusive
DOB: G3P2A0 39 weeks 2 days of gestational age in • Early Initiation of breastfeeding for 6
22/01/1991 active phase 1st stage of labor + IUD acceptor months
Breastfeeding
(31 years candidate
old) LMP: • IUD insertion • Control for IUD
26/01/2022 Post treatment diagnosis:
MR : Term delivery + IUD acceptor
127583
Educational Outcome:
Status: Male, BW: 3100 gr, BL 50 cm, A/S 8/10
Junior High
School
Payment:
BPJS
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

5. 28/10/2022 Mrs. N Pre-Treatment Diagnosis: • Spontaneous Vertex Delivery • Exclusive


DOB: G2P1A0 40 weeks 2 days of gestational age in • Early Initiation of breastfeeding for 6
19/08/1994 active phase 1st stage of labor months
Breastfeeding
(28 years
old) LMP: Post treatment diagnosis: • Consult Urogynecology • Educate the patient
19/01/2022 Term delivery + 4th Degree of Perineal department: to increase fiber
MR : Laceration • Repair 4th degree perineal intake and drinking
127788 laceration plenty of water
Educational Outcome: - Rectal mucosa repair with • Educate the patient
Status: Female, BW: 3400 gr, BL 52 cm, A/S 8/10 PGA 3.0 interrupted about the mode of
Junior High - Sphincteroplasty : delivery for future
School - IAS repaired with PGA
pregnancy
Payment: 3.0 mattress horizontal
BPJS - EAS repaired with PGA • Family planning
2.0 overlapped technique counselling and
- Vagina muscle repaired education: DMPA
with PGA 2.0 continuous
suture
- Perineal body repaired
with PGA 2.0 continous
suture
- Vagina mucosa repaired
with PGA 2.0 continuous
suture
- Lactulax syrup 15ml /oral
- Cefotaxime 1 gram/12
hours/intravenous
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

6. 28/10/2022 Mrs. A Pre-Treatment Diagnosis: • Spontaneous Vertex Delivery • Exclusive


DOB: G1P0A0 38 weeks 3 days of gestational age in • Early Initiation of breastfeeding for 6
25/02/1997 active phase 1st stage of labor + Implant months
Breastfeeding
(25 years old) acceptor candidate
LMP: • Repair of Perineal Laceration
01/02/2022 Post treatment diagnosis: • Implant insertion
MR : 127769 Term delivery + Second Degree of Perineal
Educational Laceration + Implant acceptor
Status: Junior
High School Outcome:
Payment: BPJS Male, BW: 3100 gr, BL 50 cm, A/S 8/10
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

7. 28/10/2022 Mrs. S Pre-Treatment Diagnosis: • Spontaneous Vertex Delivery • Exclusive


DOB: G3P1A1 39 weeks 1 day of gestational age in • Early Initiation of breastfeeding for 6
12/02/1995 active phase 1st stage of labor + Implant months
Breastfeeding
(27 years acceptor candidate
old) LMP: • Implant Insertion
27/01/2022 Post treatment diagnosis:
MR : Term delivery + Implant acceptor
086412
Educational Outcome:
Status: Male, BW: 3150 gr, BL 51 cm, A/S 8/10
Senior
High
School
Payment:
BPJS
8. 28/10/2022 Mrs. A Pre-Treatment Diagnosis: • Spontaneous Vertex Delivery • Exclusive
DOB: G1P0A0 38 weeks 2 days of gestational age in • Early Initiation of breastfeeding for 6
19/02/1996 active phase 1st stage of labor months
Breastfeeding
(26 years
old) LMP: Post treatment diagnosis: • Repair of Perineal Laceration • Family planning
02/02/2021 Term delivery + Second Degree of Perineal counselling and
MR : Laceration education: Implant
088300
Educational Outcome:
Status: Female, BW: 2900 gr, BL 49 cm, A/S 8/10
Senior High
School
Payment:
BPJS
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

9. 28/10/2022 Mrs. I Pre-Treatment Diagnosis: • Spontaneous Vertex Delivery • Exclusive


DOB: G2P1A0 38 weeks 2 days of gestational age in • Early Initiation of breastfeeding for 6
28/06/1993 active phase 1st stage of labor + IUD Acceptor months
Breastfeeding
(29 years candidate
old) • IUD Insertion • Control for IUD
LMP: Post treatment diagnosis:
02/02/2022 Term delivery + IUD Acceptor
MR :
099328 Outcome:
Educational Female, BW: 2900 gr, BL 49 cm, A/S 8/10
Status:
Senior High
School
Payment:
BPJS
10. 28/10/2022 Mrs. D Pre-Treatment Diagnosis: • Augmentation of labor with • Exclusive
DOB: G1P0A0 38 weeks of gestational age in active oxytocin 5 IU titrated with breastfeeding for 6
14/07/1995 phase 1st stage of labor + Secondary Uterine 500 cc RL started 8 dpm months
(27 years Inertia until adequate contraction or •
old) LMP: Family planning
maximal 40 dpm counselling and
04/02/2022 Post treatment diagnosis:
MR : Secondary Uterine Inertia + Term delivery + • Vaginal Delivery education: Implant
066292 Second Degree of Perineal Laceration • Repair of Perineal
Educational Laceration
Status: • Early Initiation of
Junior High Outcome:
Breastfeeding
School Male, BW: 2950 gr, BL 49 cm, A/S 8/10
Payment:
BPJS
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

11. 28/10/2022 Mrs. I Pre-Treatment Diagnosis: • Spontaneous Vertex Delivery • Exclusive


DOB: G3P2A0 37 weeks 6 days of gestational age in • Early Initiation of breastfeeding for 6
12/10/1990 active phase 1st stage of labor + IUD acceptor months
Breastfeeding
(32 years candidate
old) LMP: • IUD insertion • Control for IUD
05/02/2022 Post treatment diagnosis:
MR : Term delivery + IUD acceptor
127811
Educational Outcome:
Status: Male, BW: 2800 gr, BL 48 cm, A/S 8/10
Senior High
School
Payment:
BPJS
12. 29/10/2022 Mrs. S Pre-Treatment Diagnosis: • Spontaneous Vertex Delivery • Exclusive
DOB: G2P1A0 38 weeks 2 days of gestational age in • Early Initiation of breastfeeding for 6
19/03/1997 active phase 1st stage of labor + IUD acceptor months
Breastfeeding
(25 years candidate
old) LMP: • IUD insertion • Control for IUD
03/02/2022 Post treatment diagnosis:
MR : Term delivery + IUD acceptor
127032
Educational Outcome:
Status: Male, BW: 3000 gr, BL 49 cm, A/S 8/10
Junior High
School
Payment:
BPJS
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

13. 29/10/2022 Mrs. U Pre-Treatment Diagnosis: • Spontaneous Vertex Delivery • Exclusive


DOB: G2P1A0 39 weeks 6 days of gestational age in • Early Initiation of breastfeeding for 6
01/07/1994 active phase 1st stage of labor months
Breastfeeding
(28 years
old) LMP: Physical examination: • Catheter insertion • Keep the catheter
23/01/2022 Post voiding Residual Volume: 700 cc • Misoprostol 200 mcg/8 insertion 1x24
MR : hours/oral hours
127832 Post treatment diagnosis: • Neuroboransia 1 tab/24 • Bladder Training
Educational Term delivery + Urine retention hours/oral • Family planning
Status: Junior
High School • Cefadroxil 500 mg/12 counselling and
Outcome:
Payment: hours/oral education: Implant
Female, BW: 3300 gr, BL 52 cm, A/S 8/10
BPJS
14. 29/10/2022 Mrs. N G3P2A0 • Curettage • Control for IUD
DOB: 10 weeks 1 day of gestational age • IUD Insertion
08/03/1989
(33 years Chief Complaint:
old) LMP: Vaginal Bleeding 3 days before
19/08/2022 Admissions
MR :
165032 Physical Examination:
Educational ICO/ECO: Dilated/Dilated
Status:
Senior High Pre-Operative Diagnosis:
School Incomplete Abortion + IUD Acceptor candidate
Payment:
BPJS Non
referred
Post-Operative Diagnosis:
Incomplete Abortion + IUD Acceptor
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

15. 29/10/2022 Mrs. W G1P0A0 • Curettage • Family Planning


DOB: 9 weeks 6 days of gestational age Counselling and
12/01/1996 Education: Barrier
(26 years Chief Complaint:
old) LMP: Vaginal Bleeding 1 day before admission
21/08/2022
MR : Physical Examination:
020541 ICO/ECO: Dilated/ Dilated
Educational
Status: Pre-Operative Diagnosis:
Senior High Incomplete Abortion
School
Payment: Post-Operative Diagnosis:
BPJS Non Incomplete Abortion
referred
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

16. 27/10/2022 Mrs. I G3P2A0 • Lower Segment Transverse • Exclusive


DOB: Caesarean Section Breastfeeding for 6
10/05/1992 1st Caesarean section in May 2019 due to Months
• IUD Insertion
(30 years Breech Presentation • Postpartum follow up
old) LMP: visit for monitoring
24/01/2022 2nd Caesarean section in February 2020 due to surgical wound and
MR : previous caesarean section IUD
172902 • Educate the patient
Educational Pre- Operative Diagnosis: about the risks and
Status: G3P2A0 39 weeks 3 days of gestational age + complication in
Bachelor 2 Previous Caesarean Sections + IUD acceptor
Payment: subsequent
candidate
BPJS pregnancies
Post-operative diagnosis: • Suggest prenatal
2 Previous Caesarean Sections + Term delivery visit at
+ IUD Acceptor Obstetricians for
Subsequent
Outcome : Pregnancy
Female, BW: 3200 gram, BL: 51 cm, A/S: 8/10
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

17. 27/10/2022 Mrs. A G2P0A1 • Lower Segment Transverse • Exclusive


DOB: Caesarean Section Breastfeeding for 6
29/03/1994 USG: Months
• Implant Insertion
(28 years Breech Presentation • Postpartum follow up
old) LMP: EFW: 3800 gram visit for monitoring
26/01/2022 surgical wound
MR : Pre- Operative Diagnosis: • Educate the patient
137319 G2P0A1 39 weeks 1 day of gestational age + about the risks and
Educational Breech Presentation + Implant acceptor complication in
Status: candidate
Senior High subsequent
School pregnancies
Post-operative diagnosis:
Payment: Frank Breech Presentation + Term delivery + • Suggest prenatal visit
BPJS Non Implant Acceptor at Obstetricians for
referred Subsequent
Pregnancy
Outcome :
Male, BW : 3650 gram, BL : 52 cm, A/S; 8/10
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

18. 28/10/2022 Mrs. F G2P1A0 • Lower Segment Transverse • Exclusive


DOB: Caesarean Section Breastfeeding for 6
20/04/1995 1st Caesarean section in June 2021 due to Fetal Months
• IUD Insertion
(27 years distress • Postpartum follow up
old) LMP: visit for monitoring
23/01/2022 Pre- Operative Diagnosis: surgical wound and
MR : G2P1A0 39 weeks 5 days of gestational age + IUD
133513 1 Previous Caesarean Section + IUD acceptor • Educate the patient
Educational candidate about the risks and
Status:
complication in
Senior High Post-operative diagnosis:
School subsequent
1 Previous Caesarean Section + Term delivery
Payment: pregnancies
+ IUD Acceptor
BPJS Non • Suggest prenatal visit
referred at Obstetricians for
Outcome :
Subsequent
Female, BW: 3250 gram, BL: 51 cm, A/S: 8/10
Pregnancy
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

19. 28/10/2022 Mrs. N G2P1A0 • Lower Segment Transverse • Exclusive


DOB: Caesarean Section Breastfeeding for 6
10/09/1993 1st Caesarean section in May 2021 due to Months
• IUD Insertion
(29 years Transverse lie • Postpartum follow up
old) LMP: visit for monitoring
27/01/2022 Pre- Operative Diagnosis: surgical wound and
MR : G2P1A0 39 weeks 1 day of gestational age + 1 IUD
101523 Previous Caesarean Section + IUD acceptor • Educate the patient
Educational candidate about the risks and
Status:
complication in
Senior High Post-operative diagnosis:
School subsequent
1 Previous Caesarean Section + Term delivery
Payment: pregnancies
+ IUD Acceptor
BPJS Non • Suggest prenatal visit
referred at Obstetricians for
Outcome :
Female, BW: 3050 gram, BL: 50 cm, A/S: 8/10 Subsequent
Pregnancy
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

20. 29/10/2022 Mrs. H G3P2A0 • Lower Segment Transverse • Exclusive


DOB: Caesarean Section Breastfeeding for 6
13/04/1988 1st Caesarean section in March 2018 due to Months
• Bilateral Tubectomy with
(34 years Fetal Distress • Postpartum follow up
old) LMP: Pomeroy Modification visit for monitoring
25/01/2022 2nd Caesarean section in January 2020 due to surgical wound
MR : previous caesarean section • Educate the patient
140989 about the risks and
Educational Pre- Operative Diagnosis:
complication in
Status: G3P2A0 39 weeks 4 days of gestational age +
Bachelor subsequent
2 Previous Caesarean Sections + Female
Payment: Sterilization acceptor candidate pregnancies
BPJS
Post-operative diagnosis:
2 Previous Caesarean Sections + Term delivery
+ Female Sterilization acceptor

Outcome :
Male, BW: 3200 gram, BL: 51 cm, A/S: 8/10
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

21 30/08/2022 Mrs. S G2P1A0 • Lower Segment Transverse • Exclusive


DOB: Caesarean Section Breastfeeding for 6
11/07/1994 1st Caesarean section in June 2018 due to Fetal IUD Insertion Months
(28 years distress • Postpartum follow up
old) LMP: visit for monitoring
04/02/2022 Chief complaint: surgical wound and
MR : History of amnion leakage since 6 hours before IUD
142715 admission • Educate the patient
Educational about the risks and
Status: Junior Physical examination:
complication in
High School Vaginal pooling: (+)
Payment: Nitrazin test: (+) subsequent
BPJS pregnancies
Non referred Pre- Operative Diagnosis: • Suggest prenatal
G2P1A0 38 weeks 2 days of gestational age + visit at
1 Previous Caesarean Section + Premature Obstetricians for
Rupture of Membrane + IUD acceptor Subsequent
candidate Pregnancy

Post-operative diagnosis:
1 Previous Caesarean Section + Premature
Rupture of Membrane + Term delivery + IUD
Acceptor

Outcome :
Male, BW: 3000 gram, BL: 49 cm, A/S: 8/10
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

22. 26/10/2022 Mrs. N P4A0 • Total abdominal • Control for surgical


DOB: Menopause 20 years ago Hysterectomy wound
20/05/1950 • Bilateral • Waiting for
(72 years Chief Complaint: Salpingooophorectomy
old) histopathology result
Vaginal bleeding since 3 month ago. Lower • Consult to Interna
MR : abdominal pain (+) Department: • Report to Oncology
127710 History of Chronic Hypertension (+) Captopril 25mg/12 Gynaecology
Educational hours/Oral Division
Status: Physical examination:
Senior High BP : 190/110 mmHg
School BMI : 32,8 kg/m2
Payment: Palpable mass, solid consistency, 15 x 10 cm in
BPJS Non size, regular surface, mobile, no pain in
referred palpation

Ultrasonography :
Uterine enlargement regular border 12,40 x
9,38 cm, Hyperechoic mass irregular border
3,32 x 4,23 cm originating from endometrium

Laboratory Result:
Hb 13,3 gr/dl

Radiology Chest X-Ray Result:


Normal

Pre-Operative Diagnosis:
Abnormal Uterine Bleeding e.c Suspected
Endometrial cancer + Chronic Hypertension +
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

Obesity grade 2

Post-Operative Diagnosis:
Endometrial Cancer Stage IIIA + Chronic
Hypertension + Obesity grade 2

Chest X-Ray Ultrasonography


ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

Post - Operative

ADNEXA

ENDOMETRIUM

CERVIX
ST. KHADIJAH 1 HOSPITAL/ MUH. FADHIL A.R
Period October 26th – 30th, 2022

Total Cases : 22
Vaginal Delivery : 13
Curettage :2
Lower Segment Transverse Caesarean Section :6
HT-SOB :1

Family Planning : 15
IUD : 10
Implant :4
Female Sterilization :1

Makassar, October 31st, 2022

Known by,

Chief Resident:
Team A Team B
dr. Astri Ayu Agus dr. Marwa Safa

Supervisor:

Dr. dr. H. Nasrudin Andi Mappaware, Sp.OG, Subsp. Obginsos, MARS, M.Sc

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