Duty Report

Tuesday, August 6th 2019

Consultant :
dr. Devi Marischa, OBGYN
Residents:
Jessica – Ria / Ika – Okta
Coass:
Puteri/Ria
 Reporting
1 Procedures:
• 1 Vaginal delivery
 Procedure N Patient Outcome FP NBC/ BC
o
Vaginal
delivery
1 Mrs. E, 18 yo
RM 02273527 Triawa Girl, 3500 gram, 48
cm, AS 9/10
- BC

Clear diminished
Premature rupture of membrane since 4 amniotic fluid
hours BA on G2P1A0 39 weeks of gestational Placenta born
age, singleton live head presentation, completely,
amniotic fluid diminished (AFI 8), Perineal rupture
unfavorable cervix not in labor (PS 4) with B grade I 
hepatitis hemostatic suture

Process:
FH 33 cm, clinical EFW 3326 g, 2 times contraction
in ten minutes, FHR 140 bpm, Io : opened ostium,
pooling positive, valsava positive, lacmus positive,
VT : PS 4, leucocyte 7720, normal CTG 
misoprostol 350 mg per 6 hours, ampisilin
sulbaktam I.V 4x1,5 gr  3 hours observation  ø
6 cm, amniotic membrane (-), head on hodge III
active phase of labor  Observation 1/2 hour, His
Now mother and
3-4 x/10’/45“, fully dilated, amniotic membrane (-)
DPJP : Head on Hodge III-IV, right anterior occiput 
baby is in good
dr. Devi second stage of labor  head crowning  lead to condition in the
Marischa, bear down ward, rooming in
OBGYN Anggrek