LA P O R A N JA G A

JU M AT, 27 M EI 2016

Dias Amardeka
Karen Afian
Sreshta Mukhi

Fem ale,39 year old,G 3P1A1

S

Lower
abdominal
pain since 2
days. There
was whitish
discharge
since 1 month
ago with slight
spotting of
blood. Patient
was referred
from RS Islam
with the
diagnosis of
placenta
previa.

BP: 110/80
mmHg
HR: 87 x/min
RR: 18x/min
T: 36,3
Fundal height:
27 cm
His: 1-2 x /10
minutes, 10
seconds each
FHR: 132 bpm
Inspekulo:
portio smooth,
OUE closed,
amnion sac +
VT: not done

Preterm labor
in G3P1A1, 2829 weeks
pregnant
Fluor alba ec
susp bacterial
vaginosis

Dexametason
4 X 6 mg IM
Nifedipine 3 X
10mg PO
Profenid supp
3X1
Admission in
ward

Fem ale,34 year old,G 1P0A0

S

Patient was referred

from RS Koja with
severe pre
eclampsia. Patient
is 39 weeks
pregnant. Her water
broke 3 hours
before admission.
Patient feels
contractions but not
too often and not
too painful. Her
average BP is
150/100. She
consumes
methyldopa and
adalat for her
hypertension.
History of

BP: 160/100
HR: 80
RR: 16
S: 36,5
Fundal height: 26
cm
Breech
presentation
FHR: 146 bpm
Inspekulo:
smooth portio,
closed OUE, fluor
(-)
VT: soft portio
Urinalysis:
proteinuria ++

Nonreassuring
fetal status in
G1, 36-37
weeks
pregnant
IUGR
Superimpose
d
preeclampsia
Primary
infertility for 9
years.

C- section
CITO