January 14th – January 20th 2017

CHIEF OBSTETRIC / GYNECOLOGIC EMERGENCY UNIT : PSG

CHIEF CEMPAKA OBSTETRIC / OBSTETRIC CENTRAL OPERATING ROOM : JTS
CHIEF CEMPAKA GYNECOLOGYC / GYNECOLOGIC CENTRAL OPERATING ROOM : GYS/PJP
CHIEF OBSTETRIC OUT PATIENT CLINIC : RAI
CHIEF GYNECOLOGIC OUT PATIENT CLINIC : BAM
CHIEF FERTILITY OUT PATIENT CLINIC : GSK
CHIEF ONCOLOGY OUT PATIENT CLINIC : STN
CHIEF UROGYNECOLOGIC OUT PATIENT CLINIC: SRY
 WEEKLY REPORT OF OBSTETRIC EMERGENCY ROOM

NO DIAGNOSE TOTAL
1 LABOR IRD / WI
- Preterm 6/-
- Aterm 17/-
- Postterm -/-
TOTAL 23/-
2 MODE OF DELIVERY
2.1 PERABDOMINAL
2.1.1 Cesarean Section 7/-
2.1.2 Laparotomy -/-
2.2 PERVAGINAM
2.2.1 Normal Labor 16/-
2.2.2.Vacuum Extraction -/-
2.2.3.Forcep Extraction -/-
2.2.4.Bracht -/-
2.2.5.Manual Aid
2.2.5.1. Total Extraction -/-
2.2.5.2. Louvset Mauriceau -/-
2.2.6.Cunam Mouzeoux -/-
2.2.7.Others -/-
TOTAL 23/-
 WEEKLY REPORT OF OBSTETRIC EMERGENCY ROOM

NO DIAGNOSE TOTAL

3 FETAL DEATH IRD / WI

- Antenatal -/-

- Intranatal -/-

- Postnatal 1/-

TOTAL 1/-

4 MATERNAL DEATH

- Hemorrhage -/-

- Infection -/-

- Preeclampsia / Eclampsia -/-

- Others 1/-

TOTAL 1/-
NO DIAGNOSE TOTAL
5 PATHOLOGIC CASES
a. Preterm 8
b. Post term -
c. Dystocia 1
d. Neglected labor -
e. Malposition
I. Breech presentation -
II. Transverse lie 1
f. Gemelli/multiple pregnancy 1
g. Hypertension disorders in pregnancy
I. Mild PE 1
II. Severe PE 4
III. Eclampsia -
IV. Chronic hypertension -
V. Superimposed PE -
VI. Gestational hypertension -
h. Antepartum hemorrhage 1
i. Previous cesarean section 4
j. Medical and surgical disorder 5
k. Fetal congenital anomalies -
l. PROM 3
m. Postpartum hemorrhage -
n. Infection in Pregnancy 3
o. Others 1
TOTAL 33
 WEEKLY REPORT OF PATHOLOGIC CASE
OBSTETRIC EMERGENCY UNIT
A.PRETERM
1. PAT, 32 yo, G3P0202 36 Weeks 2 Days, Single / Life, LHM, Ovarian Cyst Suspect Malignancy, 1st
Stage of labor (ROM), CTG category 2, EFW: 2982 g  intrauterine resuscitation  Repeated CTG
Category 2  CS cito  During preparation, Patient urge to bear down  2nd Stage of labor 
Spontaneously born baby ♂, 2800 g, AS : 7-8
2. SUM, 30 yo, G2P1001 31 Weeks 2 Days, Single / Life, Antepartum Bleeding (Totally Placenta
Previa), EFW: 1683 g  Conservative
3. WID, 32 yo, G2P1001 35 Weeks 5 Days, Twin/Life-Life, Transverse lie – Transferse lie, Secondary
primi, LMR (Previous CS 1×), Severe preeclampsia, Obs. Dypsnoe e.c susp. PPCM, PROM, EFW :
2940 g/2891 g  Consult Cardiologist: Acute Lung Oedem e.c Emergency hypertension, EF 63%,
Hypertensive heart disease  CS Cito  Born Baby I, ♂, 2880 g, AS: 8-9  Born Baby II, ♂, 2950
g, AS: 8-9  Uterine Atonia (+)  Atonia management  Failed  SVH
4. SUD, 25 yo, G1P0000 36 Weeks 1 Days, Single/Life, 1st Stage of labor, EFW : 2170 g  2nd Stage of
labor  Spontaneously born baby ♂, 2150 g, AS : 8-9, NBS : 30 ~ 36 Weeks (AGA)
5. SYA, 27 yo, G4P2012 29 Weeks 6 Days, Single / Life, LMR (Previous CS 1x), Obs Febris day 3 e.c
Susp UTI, Threatened preterm delivery, EFW: 1158 g  Conservative
6. RIS, 30 yo, G2P1001 36 Weeks 4 Days, Single/Life, Severe Preeclampsia, Obs. Dypsnoe e.c Susp
PPCM, Impending Respiratory Failure, Mild Anemia (9.54), EFW : 2361 g  Consult Cardiologist:
Acute Lung Oedem e.c PPCM (EF 42%)  CS Greend code  Born baby ♀, 2300 g, AS : 6 – 7, NBS :
30 ~ 36 Weeks (AGA)
 WEEKLY REPORT OF PATHOLOGIC CASE
OBSTETRIC EMERGENCY UNIT
A.PRETERM
7. LIS, 27yo, G4P3003 27 Weeks 3 Days Single/Life, PPROM, Susp. IUGR, EFW: 528,65 g 
Conservative + Amnioinfusion  Threatened Preterm Delivery (ROM)  1st Stage of labor (ROM),
Failed Conservatif  2nd Stage of labor  Born baby ♀, 600 g, AS : 3-5, FS: 9 ~ 24 Weeks 1 Day 
Born Placenta incomplete  Curettage  at 04.15 pm, Baby was pass away
8. MAH, 19yo, G1P0000 36 Weeks 2 Days, Single/Life, Mild Preeclampsia, 1st stage of labor, EFW :
2584 g  2nd stage of labor  Spontaneously born baby ♂, 2200 gr, AS : 8 – 9, NBS : 39~38-39
Weeks (SGA)
B. POST TERM

C. DYSTOCIA
1. MAY, 26 yo, G2P1001 40 Weeks 5 Days, Single / Life, 1st Stage of labor (ROM), Distocia 8 cm e.c
susp CPD, EFW : 3875 g  CS Cito  Born baby ♀ 4050 g, AS : 8-9

D. NEGLECTED LABOR

E. MALPRESENTATION
E.1. BREECH PRESENTATION

E.2. TRANSVERSE LIE

1. A3

F. GEMELLI/ MULTIPLE PREGNANCY

1. A3
G.HYPERTENSIVE DISORDER IN PREGNANCY

G.1. MILD PREECLAMPSIA

1. A8

G.2. SEVERE PREECLAMPSIA

1. MAR, 22 yo, G1P0000 38 Weeks 1 Day, Single / Life, Severe Preeclampsia, 1st Stage of labor, EFW
: 2719 g 2nd Stage of labor  Assisted with FE  Born baby ♂, 2550 g, AS: 8 - 9
2. SMI, 38 yo, G4P3003 39 Weeks 2 Days , Single/Life, Severe Preeclampsia, 2nd stage of labor, EFW
: 2945 g  During preparation FE  Spontaneously born baby ♀, 3100 g, AS: 8-9
3. A3
4. A6

G.3. ECLAMPSIA

G.4. CHRONIC HYPERTENSION

G.5. SUPERIMPOSED PREECLAMPSIA

G.6. GESTATIONAL HYPERTENSION

 WEEKLY REPORT OF PATHOLOGIC CASE
OBSTETRIC EMERGENCY UNIT
H.ANTEPARTUM HEMORRHAGE

1. A2

I. PREVIOUS CESAREAN SECTION

1. RAT, 38 yo, G7P4023 40 Weeks 1 Day, Single / Life, LMR (Previous CS 2x), Gestasional DM (BS:
269), Gestasional Trombositopenia (PLT: 111), Polyhydramnios, 1st Stage of labor, EFW : 3747 g
 CS Cito + sterille  Born baby ♀ 4300 g, AS : 8-9

2. AYU, 24 yo, G3P2002 37 Weeks 2 Days, Single / Life, LMR (Previous CS 2x), 1st Stage of labor 
SC Cito + IUD  Born baby ♀, 2500 g, AS : 7-8

3. A3

4. A5
 WEEKLY REPORT OF PATHOLOGIC CASE
OBSTETRIC EMERGENCY UNIT
J. MEDICAL AND SURGICAL DISORDER

1. IKA, 25yo, G2P1001 39 Weeks 0 Day, Single / Life, Mild Anemia (9.79), PROM, EFW: 3158 g 
2nd Stage of labor  Spontaneously born baby ♂, 3100 g, AS : 8-9

2. MAL 28yo, G1P0000 40 Weeks 3 Days, Single/Life, Mild Anemia (9,89), 1st Stage of labor, EFW :
3100 g  Spontaneously born baby ♀, 2900 g, AS : 8-9

3. A1

4. A3

5. A6
K. FETAL CONGENITAL ANOMALY
 WEEKLY REPORT OF PATHOLOGIC CASE
OBSTETRIC EMERGENCY UNIT

L. PREMATURE RUPTURE OF MEMBRANE

1. ROS, 25 yo, G2P1001 41 Weeks 0 Days, Single/Life, PROM, EFW : 3410 g  1st Stage of labor
(ROM)  2nd Stage of labor  Spontaneously born baby ♂, 3400 g, AS : 8-9
2. A3
3. J1

M.POST PARTUM HEMORRHAGE

 WEEKLY REPORT OF PATHOLOGIC CASE
OBSTETRIC EMERGENCY UNIT
N. INFECTION IN PREGNANCY
1. UUN, 28 yo, G4P3003 39 Weeks 4 Days, Single / Life, Hepatits B Infection, 1st Stage of labor, EFW
: 3410 g  2nd Stage of labor  Spontaneously born baby ♂, 3500g, AS : 8-9
2. JUL, 27yo, G1P0000 39 Weeks 2 Day, Single/Life, HIV Infection stadium III, 1st Stage of labor
(ROM), EFW : 3048  CS CITO + Sterile  Born baby ♀ 3250 g, AS : 8-9
3. A5
O. OTHERS
1. ANA, 28 yo, G2P1001 38 Weeks 4 Days, Single/Life, 1st Stage of labor (ROM), EFW: 2839 g 
Fetal Bradycardia, CTG Category II  Intrauterine Resuscitation  Repeated CTG Category II 
CS Cito  Born baby ♂, 3250 g, AS : 7-8, Cord Entanglement 1x, Minimal amnion fluid
 WEEKLY REPORT OF OBSTETRIC ROOM
EMERGENCY UNIT AND CEMPAKA WARD

CEMPAKA
EMERGENCY UNIT
OBSTETRI
NO CASES DECSRIPTION
NEW CASE OLD CASE NEW CASE OLD CASE

PRETERM PREGNANCY
1 3 - - -
Subtotal
1.1. Preterm Premature Rupture of the Membrane 1 - - -
1.2. Preterm Antepartum Hemorrhage 1 - - -
1.3. Preterm Preeclampsia - - - -
1.4. Threatened Preterm Delivery 1 - - -
1.5. Medical Disorder - - - -
1.6. Others - - - -
 EMERGENCY UNIT CEMPAKA OBSTETRIC
NO CASES DESCRIPTION
NEW CASE OLD CASE NEW CASE OLD CASE

MODE OF DELIVERY
2 23 - - -
Subtotal

2.1. Perabdominal
2.1.1 Caesarean Section 7 - - -
2.1.1 Laparatomy - - - -
2.2. Pervaginam
2.2.1 Normal Labor 16 - - -
2.2.2 Vacuum Extraction - - - -
2.2.3 Forcep Extraction - - - -
2.2.4 Bracht - - - -
2.2.5 Manual Aid - -
2.2.5.1 Total Extraction - - - -
2.2.5.2 Louvset Mauriceau - - - -
2.2.6 Cunam Mouzeaux - - - -

COMPLICATION
3 - - - -
Subtotal
3.1. Primary Postpartum Hemorrhage - - - -
3.2. Secondary Postpartum Hemorrhage - - - -
3.3. Puerperal Infection - - - -
3.4. Others - - - -
 WEEKLY REPORT OF GYNECOLOGY
EMERGENCY ROOM AND CEMPAKA WARD
January 7th – January 13th 2017

IRD CEMPAKA GYN/OBS

NO CASES DESCRIPTION ICD X
NEW PREVIOUS NEW PREVIOUS

1 GYNECOLOGY INFECTION Subtotal - - - -

1.1. Upper Genital

1.1.1 PID Grade I N70.9 - - - -
1.1.2 PID Grade II/ATO N71.9 - - - -
1.1.3 PID Grade III N72 - - - -
1.1.4 Others - - - -
1.2. Lower Genital
1.2.1 Vulvitis N76.2 - - - -
1.2.2 Vaginitis N76.0 - - - -
1.2.3 Bartholinitis N75.8 - - - -
1.2.4 Bartholin Abcess N75.1 - - - -
1.2.5 Others - - - -
 IRD CEMPAKA GYN/OBS
NO CASES DESCRIPTION
ICD X NEW PREVIOUS NEW PREVIOUS

2 GYNECOLOGY TUMORS Subtotal - 7 - -

19 2.1. Benign
2.1.1 Bartholin Cyst N75.0 - - - -
2.1.2 Cervical Polyp N84.1 - - - -
2.1.3 Adenomyosis N80 - - - -
2.1.4 Ovarian Cyst N83.2 - - - -
2.1.5 Solid Ovarian Tumor D27 - - - -
2.1.6 Hydatidiform Mole D39.1 - - - -
2.1.7 Leiomyoma D25.9 - - - -
2.2. Precancer Lesion - - - -
2.2.1 Cervical precancer lesion D06 - - - -
2.3. Malignant
2.3.1 Vulvar Carcinoma C51.9 - - - -
2.3.2 Vaginal Carcinoma C52 - - - -
2.3.3 Cervical Carcinoma C53.9 - 5 - -
2.3.4 Endometrial Carcinoma C54.1 - - - -
2.3.5 Fallopian Tube Carcinoma C57.0 - - - -
2.3.6 Ovarian Carcinoma C56 - 2 - -
2.3.7 Trophoblastic M90 - - - -
2.4 Others - - - -
 IRD CEMPAKA GYN/OBS
NO CASES DESCRIPTION
NEW PREVIOUS NEW PREVIOUS
ICD X
ENDOCRINOLOGY AND INFERTILITY
3 - - - -
Subtotal
3.1 Primary Amenorrhea N91.0 - - - -
3.2 Secondary Amenorrhea N91.1 - - - -
3.3 Primary Infertility N97.0 - - - -
3.4 Secondary Infertility N97.0 - - - -
3.5 AUB N93.9 - - - -
3.6 Others - - - -

EARLY PREGNANCY COMPLICATION

4 5 - - -
Subtotal
4.1 Threatened Abortion O20.0 3 - - -
4.2 Inevitable Abortion O07.9 - - - -
4.3 Incomplete Abortion O06.3 2 - - -
4.4 Infectious Abortion O07.5 - - - -
4.5 Septic Abortion O07.5 - - - -
4.6 Ectopic Pregnancy O00.1 - - - -
4.7 Hyperemesis Gravidarum O21.1 - - - -
4.8 Dead Conceptus O02.1 - - - -
4.9 Blighted Ovum O02.0 - - - -
4.10 Others - - -
 IRD CEMPAKA GYN/OBS
NO CASES DESCRIPTION
NEW PREVIOUS NEW PREVIOUS
ICD X
MINOR OPERATION GYNECOLOGY
5 2 - - -/-
Subtotal
5.1 Biopsy O35.7 - - - -
5.2 Incision 70.1 - - - -
5.3 Excision 70.4 - - - -
5.4 Extirpation 70.29 - - - -
5.5 Uterine Evacuation 69.02 2 - - -
5.6 Colposcopy 70.21 - - - -
5.7 IUD Extraction 97.71 - - - -
5.8 IUD Insertion 69.7 - - - -
OTHERS
6 1 - - -
Subtotal
6.1 Uterine Prolaps N81.2 - - - -
6.2 Unplanned Pregnancy O35 - - - -
6.3 IUD Translocation Z35 - - - -
6.4 Invertio Uteri O71.2 - - - -
6.5 Elongatio Colli N88.4 - - - -
6.6 Susp. Vagina Septa Q52.1 - - - -
6.7 Visum et Repertum Z03 1 - - -
6.8 Other - - - -
 RESUME OF WEEKLY REPORT
NO DIAGNOSA IRD VIP VK Total
I OBSTETRIC & GYNAECOLOGY Total % Total % Total %
1. Labor
<1000 g 1 -
1000 - < 1500 g - %
- Preterm
=> 1500 g 5 %
SubTotal 6 %
- Term 17 %
- Postterm - -
Total 23 %
2. Modes Of Delivery
a. Abdominal
- New Cesarean section 4 %
- Previous CS 3 %
Sub Total 7 %
b. Pervaginam
Spontaneously :
- Head 16 %
- Bracht - %
- Others -
Operative :
- FE - %
- VaE - -
Manual Aid ( Total Extraction) - -
Louvset Mauriceau - -
Cunam Mozeaux - -
Sub Total 16 %
Total 23 %
2 2. Minor Operation Gynecology Policlinic ER Total
Total % Total % Total %
- Biopsy (Colposcopy) - -
- Incision - -
- Excision - -
- Extirpation - -
- Uterine evacuation 2 100%
- Cryotherapy - -
Total - -
3. Gynecologic Operative
II Policlinic Total %
1.OBSTETRIC
PNC
- New
- Old
Total
2. Gynecologic
-New
-Old
Total
- Gynecologic Infection
- Gynecologic Tumor
- Infertile & Endocrine
- Family Planning
- Others
Total
III Neonatal Death ER VIP VK Total

Total % Total % Total %

- Ante natal - -%
- Intra natal - -
- Post natal 1 -
Total - -%
IV Maternal Death - - - - - -
- Haemorrhagic - - - - - -
- Infection - - - - - -
- PE / Eclampsia - - - - - -
- Other 1 - - -
Total - - - -
V Gynecologic Death ER Cempaka Total
Total - - -