Ibnu Sina Hospital / Yulfa Amita

Period 1st – 3st April 2019

N Date of Patient ID Detail of Patient Treatment Recommendation

o Admission
(Name/Age/LMP/RM)
1. 2/04/2019 Mrs E (37 y.o/ 1-7-2018 / Reffered from Jungpandang Primary Health Augmentation Early Initiation for
193429 Care due to Prolonged 1 st stage of Labor. Breastfeeding
Spontaneous Vertex
Pre Treatment Diagnosis : Delivery Exclusive Breast Feeding for 6
G5P4A1 gravid 39 weeks 1 day Gestational Age months.
1 st stage of labor Active Phase + Secondary
Uterine Inertia . Family Planning : IUD insertion

Post Treatment Diagnosis :

Secondary Uterine Inertia + Term Delivery
Outcome: Female, BW 3600 gr, BL 51 cm,
APGAR score 8/10.

2. 3/04/2019 Mrs R (22 y.o/ 17-1-2019 / G1P0A0 Curettage Vaginal hygiene

198899 Vaginal bleeding since this morning
Inform to the patient about the
ECO / ICO : dilated / dilated risk factor, cause, next
Urine Pregnancy Test : + pregnancy planning.
Family planning : barrier
Pre Operative Diagnosis : method.
Incomplete Abortion

Post Operative Diagnosis :

Incomplete Abortion
3. 1/4/2019 Mrs. L / 28 yo/ 08-07- 1 st C section in October 2017 due to Fetal Lower Segment Exclusive Breast Feeding for
2018 / 197278 Distress. Transverse Caesarean 6 months
Section
Mobilization
Pre Operative Diagnosis : IUD insertion
Control for Surgical Wound
G2P1A0 38 weeks Gestational Age Latent
-
 Ibnu Sina Hospital / Yulfa Amita
Period 1st – 3st April 2019

Phase 1 st stage of labor + 1 Previous C Control for IUD Position

Section + IUD Acceptor Candidate. Inform to the patient about
the risk of next pregnancy
Post Operative Diagnosis : due to 2 x Previous
1 Previous C Section + IUD Acceptor + Caesarean Section, Placenta
Term Delivery. Acreta Risk, Next pregnancy
planning.
Outcome :
Female, BW : 3000 grams, BL : 49 cm, AS :
8/10
4. 1/4/2019 Mrs. A / 25 yo/ 10-07- Reffered from Pangkep Hospital due to Lower Segment Exclusive Breast Feeding for
2018 / 197290 prolonged 2 nd Stage of Labor + Vulva Transverse Caesarean 6 months
Section
Oedema + Preeclampsia. Mobilization
Control for Surgical Wound
BP : 150/100 mmHg
Urine Protein : +1 Family Planning : IUD
insertion.
Pre Operative Diagnosis :
G1P0A0 37 weeks 5 days Gestational Age
2 nd stage of labor + Deep Transverse Arrest
+ Oedema Vulva + Preeclampsia

Post Operative Diagnosis :

Deep Transverse Arrest + Oedema Vulva +
Preeclampsia + Term Delivery

Outcome :
Female, BW : 3500 grams, BL : 51 cm, AS :
 Ibnu Sina Hospital / Yulfa Amita
Period 1st – 3st April 2019

7/9
 Ibnu Sina Hospital / Yulfa Amita
Period 1st – 3st April 2019

Total Miscarriage Total

Total Cases : 4
Vaginal Delivery : 1 Incomplete :
Augmentation Delivery : Dilatation & Curettage : 1
Lower Segment Transverse Caesarean Section : 2 Missed Abortion : -
Hysterectomy Sub Total/Total : - Blighted Ovum : -
Cystectomy/Myomectomy : -
Salpingectomy :

Mortality/Nearmiss
Total
Maternal : -
Perinatal : -
Family Planning :
Natural :- Hormonal Combination : - Female Sterilization : -
Barrier :- Hormonal Progestin Injection : - IUD : 1

Known By
Makassar, 4/04/2019

Chief Residen Consultant

dr. Sulistyawan Joko Saputro dr. Nuraini Abidin, Sp. OG (K).