Professional Documents
Culture Documents
RESIDENT ON DUTY:
Dr. Wadhit Taubah
SUPERVISOR:
Dr. H. Firmansyah Basir, OBGYN (C) MARS
February February February February March February
Date Total
25th 26th 27th 28th 1st 2nd
KIA Mother 2 4 2 3 2 3 12
(mother Neonatus - - - - - - -
and baby
health) Child - - - - - - -
Levonorgestrel-
- - - - - - -
Ethynil Estradiol
Condom - - - - - - -
Family
Depo-Provera Inj - 1 2 - - - 3
Planning
Cyclofem Inj - - - - - - -
Implant - - - - - - -
IUD - - - - - - -
Gynaecology - - 1 - 1 1 3
N - 2 - 2 1 1 6
Physiology
O 2 - 1 1 1 2 7
N - 1 - - - - 1
High Risk Pregnancy
O - 1 1 - - - 2
HIGH RISK PREGNANCY
Date No Name Age Address Diagnosis ICD 10 Therapy Residen
CIE
G4P2A1 20 weeks
Tuesday US examination
1 Mrs. MAS 32 13 Ilir gestational age SLF Z3A.2 WAH
Feb 26th Calcium Lactate 3 x 500 mg
intrauterine
Ferrous Sulphate 1 x 300 mg
CIE
G3P2A0 38 weeks US examination
1 Mrs. HEN 20 15 Ilir gestational age SLF Z34.03 WAH
cephalic presentation Calcium Lactate 3 x 500 mg
Tuesday Ferrous Sulphate 1 x 300 mg
Feb 26th
G1P0A0 8 weeks CIE
2 Mrs. MIF 20 20 Ilir gestational age SLF Z34.00 US examination WAH
intrauterine Folic Acid 1 x 400 mcg
Patient Obstetri Physiology
Date No Name Age Address Diagnosis ICD 10 Therapy Residen
CIE
Thursday G1P0A0 18 weeks US examination
Feb 28th 2 Mrs. HAN 30 20 Ilir gestational age SLF Z34.01 WAH
intrauterine Ferrous Sulphate 1 x 300 mg
Calcium Lactate 3 x 500mg
CIE
G2P1A0 30 weeks US examination
1 Mrs. DES 28 14 Ilir gestational age SLF Z3A.3 WAH
Cephalic Presentation Calcium Lactate 3 x 500 mg
Friday Ferrous Sulphate 1 x 300 mg
Mar 1st
CIE
G1P0A0 30 weeks US examination
2 Mrs. ANG 20 20 Ilir gestational age SLF Z3A.3 WAH
Calcium Lactate 3 x 500 mg
Cephalic Presentation
Ferrous Sulphate 1 x 300 mg
Patient Obstetri Physiology
Date No Name Age Address Diagnosis ICD 10 Therapy Residen
CIE
G2P1A0 38 weeks US examination
1 Mrs. IKA 33 18 Ilir gestational age SLF Z3A.3 WAH
Calcium Lactate 3 x 500 mg
Cephalic Presentation
Ferrous Sulphate 1 x 300 mg
Feb 27th 3 Mrs. ENI 37 Ilir Barat Depo-Provera Injection Z30.4 WAH
ICD 10
Supervision First Pregnancy
•Z34.00 = Supervision of normal first pregnancy, unspecified trimester
•Z34.01 = Supervision of normal first pregnancy, 1st trimester
•Z34.02 = Supervision of normal first pregnancy, 2nd trimester
•Z34.03 = Supervision of normal first pregnancy, 3rd trimester
Physiology
•Z3A.0 = Weeks of gestation of pregnancy, unspecified or < 10 weeks
•Z3A.1 = Weeks of gestation of pregnancy, weeks 10-19
•Z3A.2 = Weeks of gestation of pregnancy, weeks 20-29
•Z3A.3 = Weeks of gestation of pregnancy, weeks 30-39
•Z3A.4 = Weeks of gestation of pregnancy, weeks 40 or greater
ICD 10
Mild to moderate pre-eclampsia
•O14.00 = Mild to moderate pre-eclampsia, unspecified trimester
•O14.02 = Mild to moderate pre-eclampsia, second trimester
•O14.03 = Mild to moderate pre-eclampsia, third trimester
Twin pregnancy
•O30.0 = Twin pregnancy
•O30.00 = Twin pregnancy, unspecified number of placenta and of amniotic sacs
•O30.01 = Twin pregnancy, monochorionic/monoamniotic
•O30.02 = Conjoined Twin pregnancy
•O30.03 = Twin pregnancy, monochorionic/diamniotic
•O30.04 = Twin pregnancy, dichorionic/diamniotic
•O30.09 = Twin pregnancy, unable to determine number of placenta and number of
amniotic sacs
FAMILY PLANNING COUNSELING