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 03 03
Abdominal 00 00 00 00 00 07 07

III FAMILY PLANNING :

Sterilization
Laparotomy 00 00 00 00 02 02
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 : (-)
VAGINAL OPERATIVE DELIVERY :
96. Mrs. I, 18 years old, MR 01 11 73 39, Severity level III
G1P0A0L0 37-38 weeks of term parturient prolonged second stage due to neglected labor + trombositopenia + IUFD  Forcep extraction 
Neurogenic shock  Stabilization  Care in greenzone ROI (ZI,IB,VN,ZU,YN,IK,AW,LI,KA,IR, HY)
106. Mrs. R, 37 years old, MR 01 11 68 00, Severity level II
G2P1A0L1 term parturient active phase of first stage + 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 parturient laten phase of first stage + prolonged PPROM + twice previous CS + complete lung maturation
from other institution  LSCS (ZI,IB,VN,ZU,YN,IK,AW,LI,KA,IR, FF)
98. 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 G1P0A0L0 36-37 weeks of preterm pregnancy +
oligohydramnios  LSCS (ZI,IB,VN,ZU,YN,IK,AW,LI,KA,IR, HY,RZ)
105. Mrs. F, 44 years old, MR 01 11 65 30, Severity level II
G5P3A1L3 37-38 weeks of term pregnancy + oligohydramnios + thrice previous CS + HBsAg (+)  CCS + Pomeroy tubectomy
(MR,ZI,LT,HC,IB,RA,VN,BO,BY, HDF)
107. Mrs. M, 37 years old, MR 01 11 69 87, Severity level II
Antepartum haemorrhage due to total placenta previa suspected accreta on G4P3A0L3 37-38 weeks of term pregnancy + thrice previous CS 
Laparotomy  Left side uterine didelphys pregnancy  LSCS  Placental bed bleeding on left side uterine didelphys  Cesarean
hysterectomy left side uterine didelphys + right Pomeroy tubectomy on right side uterine didelphys (MY,LT,GR,RA,FP,MC,ND,PI,WN,IR, HDF)

VAGINAL OPERATIVE OBSTETRIC :

Curettages : Incomplete Abortion : 01(100) Women
Complete Abortion : 00 Women
Infectious Abortion : 00 Women
Missed Abortion : 00 Women
Early fetal demise : 00 Women
100. Mrs. E, 42 years old, MR 01 11 74 17, Severity level I
G7P6A0L4 11-12 weeks of pregnancy + incomplete abortion  Curettage (LTMR,ZI,HC,IB,RA,VN,BO,BY, HSA)

ABDOMINAL OPERATIVE OBSTETRIC : (-)

VAGINAL OPERATIVE GYNECOLOGY :
Curettages
PA : 00 Women
Hydatidiform Mole : 00 Women
Colphorrhaphy : 01 (103) Women
Colpocleisis : 01 (104) Women
Biopsy : 00 Women
Hysteroscopy : 01 (111) Women
Cystoscopy : 00 Women
103. Mrs. Z, 64 years old, MR 00 48 22 51 , Severity level II
P3L3 + grade III uterine prolapse + grade III cystocele + grade III rectocele  Anterior colphorrhaphy + posterior colphorrhaphy
(DC,IK,IH,NM,IR,TS, BIU)
104. Mrs. Y, 63 years old, MR 01 11 65 00 , Severity level II
P3L3 + grade IV vaginal vault prolapse  Colpocleisis (DC,IK,IH,NM,IR,TS, BIU)
111. Mrs. F, 62 years old, MR 01 11 58 92, Severity level II
P2L2 + suspected cervical cancer  Clinical stagging  Suspected stage IIIA cervical cancer (FJ,YN,IR,TS, SM)

ABDOMINAL OPERATIVE GYNECOLOGY :

95. Ms. N, 24 years old, MR 01 11 66 12 , Severity level II
Suspected dextra endometriosis cyst + suspected adenomyosis + mitral regurgitation + ventricle extra systole  Laparotomy  Dextra
endometriosis cyst + adenomyosis  Dextra cystectomy + adenomyosis resection (MC,AN,AW,IR,TS, MS)
99. Mrs. S, 27 years old, MR 01 11 47 65, Severity level II
P0L0 + suspected dextra ovarian cyst  Laparoscopy  Dextra ovarian cyst  Dextra Cystectomy (FJ,YN,IR,TS, SM)
101. Mrs. N, 44 years old, MR 01 11 63 94 , Severity level II
P1L1 + suspected bilateral endometriosis cyst  Laparotomy  Adhesion to pelvic  Adhesiolysis  Bilateral endometriosis cyst  Bilateral
cystectomy (MC,AN,AW,IR,TS, MS)
102. Mrs. M, 31 years old, MR 01 03 79 59 , Severity level II
P2L2 + grade III uterine prolapse  Laparotomy  Uterine prolapse  Purandare hysteropexy (DC,IK,IH,NM,IR,TS, BIU)
108. Mrs. R, 68 years old, MR 00 72 23 72, Severity level II
P3L3 + suspected cervical cancer  Laparotomy  Suspected advanced stage cervical cancer  Debulking (FJ,YN,IR,TS, SM)
109. Mrs. D, 47 years old, MR 00 47 03 47 , Severity level II
P1L1 + suspected multiple uterine myomas + previous CS  Laparotomy  Multiple uterine myomas  Supravaginal hysterectomy
(AK,FP,TF,ZU,ND,IR,TS, RZ)
110. Mrs. Z, 38 years old, MR 01 11 37 55, Severity level II
P3L3 + suspected cervical cancer + metastases to lymph node  Laparotomy  Suspected stage IB cervical carcinoma  Radical
hysterectomy + bilateral lymphadenectomy + ovarian transpotition (FJ,YN,IR,TS, SM)
OTHERS : (-)
ZI,IB,RA,AK---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------KS