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Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ

Period May 17th- 21st, 2023

No. Date of
Patient Detail of Patient Treatment Recommendation
Admission
1. 16/05/2023 Mrs. D Pre-Treatment Diagnosis: • Spontaneous Vertex • Exclusive
35 years old G3P2A0 38 weeks 3 days of Gestational Delivery Breastfeeding for
DOB: Age in laten phase 1st stage of labor + IUD
04/03/1988 • Early Initiation of 6 months
Acceptor Candidate Breastfeeding
LMP: • Control for IUD
20/08/2022 • IUD Insertion
MR: 079xxx Post-Treatment Diagnosis:
Referral:- Term Delivery + IUD Acceptor
Education:
Senior High Outcome:
School Male, BW: 2950 gram, BL: 48 cm, A/S:
Payment 8/10
Method:
Government
Insurance

2. 17/05/2023 Mrs. S Pre-Treatment Diagnosis: • Spontaneous Vertex • Exclusive


37 years old G4P3A0 39 weeks 4 days of Gestational Delivery Breastfeeding for
DOB: Age in active phase 1st stage of labor + • Early Initiation of 6 months
27/12/1985 IUD Acceptor Candidate
LMP: Breastfeeding • Control for IUD
13/08/2022 • IUD Insertion
MR: 030xxx Post-Treatment Diagnosis:
Referral:- Term Delivery + IUD Acceptor
Education:
Senior High Outcome:
School Female, BW: 3100 gram, BL: 48 cm, A/S:
Payment 8/10
Method:
Government
Insurance
Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ
Period May 17th- 21st, 2023

3. 17/05/2023 Mrs. Y Pre-Treatment Diagnosis: • Spontaneous Vertex • Exclusive


33 years old G2P1A0 40 Weeks 1 Day of Gestational Delivery Breastfeeding for
DOB: Age in Active Phase 1st Stage of Labor + • Early Initiation of 6 Months
16/04/1990 Implant Acceptor Candidate
LMP: Breastfeeding
09/08/2022 • Implant Insertion
MR: 130xxx Post-Treatment Diagnosis:
Referral:- Term Delivery + Implant Acceptor
Education:
Senior High Outcome:
School Male, BW: 3200 gr, BL: 49 cm, A/S : 8/10
Payment
Method:
Government
Insurance

4. 17/05/2023 Mrs. S Pre-Treatment Diagnosis: • Spontaneous Vertex • Exclusive


32 years old G3P2A0 39 Weeks 4 Days of Gestational Delivery Breastfeeding for
DOB: Age in Active Phase 1st Stage of Labor + • Early Initiation of 6 Months
17/01/1991 IUD Acceptor Candidate
LMP: Breastfeeding • Control for IUD
13/08/2022 • IUD Insertion
MR: 131xxx Post-Treatment Diagnosis:
Referral:- Term Delivery + IUD Acceptor
Education:
Senior High Outcome:
School Male, BW: 3250 gr, BL: 51 cm,
Payment A/S : 8/10
Method:
Government
Insurance
Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ
Period May 17th- 21st, 2023

5. 17/05/2023 Mrs. W Pre-Treatment Diagnosis: • Spontaneous Vertex • Exclusive


32 years old G2P1A0 38 Weeks 5 Days of Gestational Delivery Breastfeeding for
DOB: Age in Active Phase 1st Stage of Labor + • Early Initiation of 6 Months
27/12/1990 Implant Acceptor Candidate Breastfeeding
LMP:
19/08/2022 • Implant Insertion
MR: 030xxx Post-Treatment Diagnosis:
Referral:- Term Delivery + Implant Acceptor
Education:
Senior High Outcome:
School Female, BW: 2700 gr, BL: 47 cm, A/S:
Payment 8/10
Method:
Government
Insurance

6. 18/05/2023 Mrs. T Pre-Treatment Diagnosis: • Spontaneous Vertex • Exclusive


27 years old G2P1A0 38 weeks 3 days of Gestational Delivery Breastfeeding for
DOB: Age in laten phase 1st stage of labor + • Early Initiation of 6 months
05/06/1995 Implant Acceptor Candidate
LMP: Breastfeeding
22/08/2022 • Implant Insertion
MR: 130xxx Post-Treatment Diagnosis:
Referral:- Term Delivery + Implant Acceptor
Education:
Senior High Outcome:
School Female, BW: 2900 gram, BL: 48 cm, A/S:
Payment 8/10
Method:
Government
Insurance
Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ
Period May 17th- 21st, 2023

7. 18/05/2023 Mrs. S Pre-Treatment Diagnosis: • Spontaneous Vertex • Exclusive


30 years old G2P1A0 39 weeks 1 day of Gestational Delivery Breastfeeding for 6
DOB: Age in laten phase 1st stage of labor • Early Initiation of months
12/04/1993
LMP: Breastfeeding • Family Planning,
17/08/2022 Post-Treatment Diagnosis:
Counseling and
MR: 131xxx Term Delivery Education : DMPA
Referral:-
Education: Outcome:
Senior High Male, BW: 3250 gram, BL: 50 cm, A/S:
School 8/10
Payment
Method:
Government
Insurance

8. 21/05/2023 Mrs. S Pre-Treatment Diagnosis: • Spontaneous Vertex • Exclusive


27 years old G1P0A0 38 weeks 6 days of Gestational Delivery Breastfeeding for
DOB: Age in active phase 1st stage of labor + • Early Initiation of 6 months
24/07/1995 Implant Acceptor Candidate
LMP: Breastfeeding
22/08/2022 • Implant Insertion
MR: 131xxx Post-Treatment Diagnosis:
Referral:- Term Delivery + Implant Acceptor
Education:
Senior High Outcome:
School Male, BW: 3200 gram, BL: 49 cm, A/S:
Payment 8/10
Method:
Government
Insurance
Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ
Period May 17th- 21st, 2023

9. 18/05/2023 Mrs. A Pre-Treatment Diagnosis: • Spontaneous Vertex • Exclusive


21 years old G3P1A1 38 weeks 4 days of Gestational Delivery Breastfeeding for
DOB: Age in active phase 1st stage of labor • Family Planning,
• Early Initiation of
05/05/2002 Counseling and
LMP: Breastfeeding
Post-Treatment Diagnosis: Education : DMPA
21/08/2022
MR: 131xxx Term Delivery
Referral:-
Education: Outcome:
Senior High Male, BW: 2900 gram, BL: 48 cm, A/S: 8/9
School
Payment
Method:
Government
Insurance

10 18/05/2023 Mrs. C Pre-Treatment Diagnosis: • Augmentation of Labor • Exclusive


30 years old G4P2A1 40 Weeks of Gestational Age in with 5 IU Oxytocin in Breastfeeding for
DOB: Active Phase 1st Stage of Labor + 500 cc RL start 8 dpm 6 Months
12/04/1993 Secondary Uterine Inertia + Implant titrate 4 dpm every 30 • Vaginal hygiene
LMP: Acceptor Candidate minutes until 40 dpm
11/08/2022 or adequate
MR: 131xxx Post-Treatment Diagnosis: contraction
Referral:- Secondary Uterine Inertia + Term • Vaginal Delivery
Education: Delivery + 2nd Degree of Perineal • Early Initiation of
Senior High Laceration + Implant Acceptor Breastfeeding
School • Repair of perineal
Payment Outcome: laceration
Method: Female, BW: 3600 gr, BL: 50 cm, A/S : • Implant Insertion
Government 8/10
Insurance
Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ
Period May 17th- 21st, 2023

11. 19/05/2023 Mrs. N G1P0A0 • Curettage • Vaginal Hygiene


21 years old 11 Weeks 2 Days of Gestational Age
DOB:
12/09/2001 Chief Complaint :
LMP:
01/03/2023 Vaginal bleeding since 2 days before
MR: 131xxx admission
Referral:
Obstetrician Physical Examination :
Education: ECO/ICO : dilated/dilated
Senior High
School Laboratory Result:
Payment Urine Pregnancy Test : (+)
Method:
Government
Insurance Pre-Operative Diagnosis:
Incomplete Abortion

Post-Operative Diagnosis:
Incomplete Abortion
12. 19/05/2023 Mrs.A G1P0A0 • Lower Segment • Exclusive Breast
28 years old Transverse Caesarean feeding for 6 Months
DOB: Ultrasonography : Section • Early Mobilization
02/06/1994 Breech Presentation • IUD Insertion • Postpartum follow
LMP: EFW : 3750 gr up visit for
24/08/2022 monitoring surgical
MR: 120xxx Pre-Operative Diagnosis: wound and IUD
Referral: G1P0A0 38 weeks 2 days of Gestational • Educate the patient
Obstetrician Age + Breech Presentation + IUD about the risks and
Education: acceptor Candidate complications in
Bachelor subsequent
Degree Post-Operative Diagnosis: pregnancy
Payment Frank Breech Presentation + Term
Method: Delivery + IUD Acceptor
Government
Insurance Outcome:
Male, BW:3600 gr, BL 48 cm, A/S 8/10
Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ
Period May 17th- 21st, 2023

13. 19/05/2023 Mrs. I G4P3A0 • Lower Segment • Exclusive Breast


36 years old Transverse Caesarean feeding for 6 Months
DOB: Pre-Operative Diagnosis: Section • Early Mobilization
07/03/1987 G4P3A0 39 weeks 4 days of Gestational • Bilateral Tubectomy • Postpartum follow
LMP: Age + Transverse Lie + Female Pomeroy Modification up visit for
15/08/2022 Sterilization Acceptor Candidate monitoring surgical
MR: 123xxx wound
Referral: Post-Operative Diagnosis:
Obstetrician Right Transverse Lie + Term Delivery +
Education: Female Sterilization Acceptor
Senior High
School Outcome:
Payment Male, BW:3100 gr, BL 49 cm, A/S 8/10
Method:
Government
Insurance
14. 20/05/2023 Mrs.N G4P3A0 • O2 via NRM 10 lpm • Exclusive Breast
36 years old • Urinary Catheterization feeding for 6 Months
DOB: Chief complaints : • 4 grams MgSO4 40% • Early Mobilization
27/02/1987 Headache (+) Blurry vision (+) in 100 cc NaCl 0,9% • Controlled regularly
LMP: 73 dpm continued with for blood pressure
25/08/2022 Physical Examination: 6 gr MgSO4 40 % in 12 weeks after
MR: 131xxx BP : 170/110 mmHg 500 cc RL 28 dpm until delivery
Referral: 24 hours after delivery • Postpartum follow
Obstetrician Ultrasonography: • Nifedipine 10 up visit for
Education: AFI : 3,2 cm mg/8hours/oral monitoring surgical
Bachelor • Lower Segment wound
Degree Laboratory Result : Transverse Caesarean
Payment Protein Urine : +++ Section
Method: • Bilateral Tubectomy
Government Pre-Operative Diagnosis: Pomeroy Modification
Insurance G4P3A0 38 weeks 2 days of Gestational
Age + Severe Preeclampsia +
Oligohydramnios + Female Sterilization
Acceptor Candidate
Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ
Period May 17th- 21st, 2023

Post-Operative Diagnosis:
Severe Preeclampsia + Term Delivery +
Oligohydramnios + Female Sterilization
Acceptor

Outcome:
Male, BW:2900 gr, BL 49 cm, A/S 8/10
15. 18/05/2023 Mrs.N G2P1A0 • Lower Segment • Exclusive
28 years old 1st Caesarean section in December 2021 Transverse Caesarean Breastfeeding for 6
DOB: due to Failed Induction Section Months
18/06/1994 • Early Mobilization
LMP: • IUD Insertion
Pre-Operative Diagnosis: • Postpartum follow up
15/08/2022 visit for monitoring
MR: 115xxx G2P1A0 39 weeks 3 days of Gestational
surgical wound and
Referral: Age + 1 Previous Caesarean Section + IUD
Obstetrician IUD Acceptor Candidate • Educate the patient
Education: about the risks and
Bachelor Post-Operative Diagnosis: complications in
Degree 1 Previous Caesarean Section + Term subsequent
Payment Delivery + IUD Acceptor pregnancy
Method:
Government
Insurance Outcome:
Female, BW: 3400 gr, BL 50 cm, A/S 7/8
16. 20/05/2023 Mrs.H G2P1A0 • Lower Segment • Exclusive Breast
33 years old 1st Caesarean section in November 2021 Transverse Caesarean feeding for 6 Months
DOB: due to Failed Induction Section • Early Mobilization
02/07/1989 • IUD Insertion • Postpartum follow
LMP: Pre-Operative Diagnosis: up visit for
18/08/2022 G2P1A0 39 weeks 2 days of Gestational monitoring surgical
MR: 092xxx Age + 1 Previous Caesarean Section + wound and IUD
Referral: IUD Acceptor Candidate • Educate the patient
Obstetrician about the risks and
Education: Post-Operative Diagnosis: complications in
Bachelor 1 Previous Caesarean Section + Term subsequent
Degree Delivery + IUD Acceptor pregnancy
Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ
Period May 17th- 21st, 2023

Payment Outcome:
Method: Male, BW:3000 gr, BL 48 cm, A/S 8/10
Government
Insurance

17. 20/05/2023 Mrs.S G4P2A1 • Lower Segment • Exclusive Breast


34 years old 1st Caesarean section in December 2012 Transverse Caesarean feeding for 6 Months
DOB: due to Failed Induction Section • Early Mobilization
02/07/1988 2nd Caesarean section in January 2015 • Bilateral Tubectomy • Postpartum follow
LMP: due to 1 Previous Caesarean Section Pomeroy Modification up visit for
22/08/2022 monitoring surgical
MR: 130xxx Pre-Operative Diagnosis: wound
Referral: G4P2A1 38 weeks 5 days of Gestational
Obstetrician Age + 2 Previous Caesarean Section +
Education: Female Sterilization Acceptor Candidate
Bachelor
Degree Post-Operative Diagnosis:
Payment 2 Previous Caesarean Section + Term
Method: Delivery + Female Sterilization Acceptor
Government
Insurance Outcome:
Female, BW:3200 gr, BL 49 cm, A/S 8/10

18. 17/05/2023 Mrs.Y P3A0 • Polyp Extirpation • Monitoring patient


42 years old • Curettage general condition
DOB: Chief complaint: • Early Mobilization
20/06/1980 • Removal IUD
Vaginal Bleeding since 4 months before • IUD Insertion • Waiting for
LMP: histopathology result
04/05/2023 admission
• Control for IUD
MR: 131xxx
Referral: Digital Examination:
Obstetrician Long protruding mass from cervical canal
Education:
Bachelor Speculum Examination:
Degree Cherry-red colored protruding mass from
cervical canal
Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ
Period May 17th- 21st, 2023

Payment Pre-Operative Diagnosis:


Method: Cervical Polyp + IUD Acceptor Candidate
Government
Insurance Post-Operative Diagnosis:
Cervical Polyp + IUD Acceptor

Ultrasonography Speculum Examination

Cervical Polyp
Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ
Period May 17th- 21st, 2023

19. 16/05/2023 Mrs.S P2A1 • Total Abdominal • Control for surgical


65 years old Hysterectomy wound
DOB: Chief Complaint: • Bilateral Salpingo- • Waiting for
03/12/1957 Vaginal Bleeding since 1 year before histopathology result
MR: 131xxx oophorectomy
Referral: admission
Obstetrician
Education: History of Transfusion with Packed Red
Junior High Cell 4 bags in Kolaka Hospital
School History of consumed Tranexamic Acid and
Payment progestin pill for 3 months
Method:
Government Laboratory Result:
Insurance Hb : 11,2 g/dl

Ultrasonography:
Endometrial line (+) 1,18 cm

Pre-Operative Diagnosis:
Endometrial Hyperplasia

Post-Operative Diagnosis:
Endometrial Hyperplasia
Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ
Period May 17th- 21st, 2023

Ultrasonography
Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ
Period May 17th- 21st, 2023

Intra-Operative Post-Operative

Right Left Fallopian


Fallopian Tube Right
Tube Left Fallopian
Fallopian Tube
Tube

Right Left Ovary Right


Ovary Left Ovary
Ovary

Uterine
Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ
Period May 17th- 21st, 2023

Total Cases : 19
Vaginal Delivery : 10
Curettage :1
Polyp extirpation + Curettage :1
Lower Segment Transverse Caesarean :6
Total Abdominal Hysterectomy + Bilateral Salpingooophorectomy :1

Family Planning : 14
IUD :7
Implant :5
Female Sterilization :3
Sitti Khadijah 1 Mother & Child Hospital / Muhammad Risal DJ
Period May 17th- 21st, 2023

Makassar, 22nd May 2023

Known by,

Team A Team B

dr. Hidayatullah
dr. Arini Rafiqoh Asri, dr. M. Orto Witra Wahab dr. Andi Nurul Faizah Tenri Ola
dr. Annisa Ika Nurrahmayanti Syakir, dr. Evelyn Natasya Lotisna dr. Edward Chandra, dr. Radhiah Karim
dr. Yunita Indah Cahyani, dr. Mutmainnah dr. Dewi Pertiwi, dr. Tiara Pasomba, dr. Nur Fitriani Juraj
dr. Muhammad Risal Dj, dr. Mariska Vanessa dr. Hasmiyanti, dr. Wahidah Masrah
dr. Akbar Yunus, dr. Winda Lestari dr. Eta Lestari Taufan, dr. Ratna
dr. Irwan Setiawan

Supervisor

dr. Andi Nursanti Padjalangi, Sp.OG Subsp. Obginsos

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