ISIS May 2014 OB

PHILIPPINE OBSTETRICAL AND GYNECOLOGICAL SOCIET
version 0.12
Overview
Hospital Information
Name
Chong Hua Hospital
Code
Location
Cebu City
Data Period
2014
Instructions
1. The paper Maternal Mortality Form and the paper Gestational Trophoblastic Disease Form STILL HAVE T
LOGICAL SOCIETY
ic Disease Form STILL HAVE TO BE SUBMITTED.

version 0.12
Maternal Fetal Form
Chong Hua Hospital
PATIENT DATA
CASE NO
LASTNAME
FIRSTNAME
Birthday
Age
Service
PTN 729547
PTN 729532
PTN 729524
PTN 729566
PTN 729563
PTN 729177
PTN 729713
PTN 729701
PTN 733659
PTN 733946
PTN 698162
PTN 733509
Yagono
Lim
Jubay
Antig
Mabayo
Biron
Gariando
Sinining
Veloso
Campos
Talingting
Acuna
Maria Lourdes
Jan Lui
Judy
Marilyn
Florence Andrei
Raquel
Melba
Ma. Carla
Elenie
Jacqueline
Joanna Mae
Catherine
9/5/1986
9/28/1988
4/4/1976
1/11/1986
7/17/1982
4/9/1985
1/6/1977
5/24/1984
4/27/1983
5/17/1983
6/29/1988
11/22/1987
28
26
38
29
32
29
38
30
31
31
26
27
Private
Private
Charity
Private
Private
Charity
Private
Private
Private
Charity
Private
Private
PTN 73622
PTN 737123
PTN 737080
PTN 737191
PTN 737295
PTN 737210
PTN 737073
PTN 737272
PTN 737277
PTN 737288
PTN 740688
PTN 741397
PTN 741338
PTN 741051
PTN 759731
PTN 759070
PTN 759076
Laus
Cala-or
Espejo
Ortiz
Tanaleon
Noma
Bechayda
Alejandria
Dudang
Arco
Almaden
Enriquez
Chua
Mendoza
Aladad
Hingco
Piala
Ginalyn
Chona
Angelita
Dixie
Aimee Karen
Rosemary
Abzyl
Shella Marie
Jennifer
Kierstienne
Miserie
Jailyn
Kimberline
Jewel
Angelica
Josie
Christine
8/8/1976
3/9/1988
4/4/1982
12/1/1985
4/2/1984
2/10/1983
8/12/1979
8/10/1984
8/14/1991
8/24/1986
11/20/1989
3/27/1978
11/18/1990
10/27/1982
12/1/1994
12/30/1990
3/26/1991
38
26
32
29
30
31
35
30
23
28
25
36
24
32
20
24
23
Private
Private
Private
Charity
Private
Private
Private
Private
Charity
Private
Private
Charity
Private
Private
Private
Private
Private
PTN 765129
PTN 761371
PTN 761948
PTN 762361
PTN 762283
PTN 762366
Chan
Beluan
Pamaran
Hibales
Alejandre
Yu
Maria Katrina
Criselda
Raceene Christa
Anne Bernadette
Ma. Nerissa
Melissa Anna
10/31/1985
12/1/1979
11/7/1995
5/25/1986
11/3/1985
10/8/1984
29
35
19
28
29
30
Private
Private
Private
Private
Charity
Private
PTN 765892
PTN 765309
Tompar
Mirambel
Ma. Irene
Debbie Anne
12/15/1974
1/1/1989
40 Private
26 Private
PTN 766157
PTN 766325
Cuizon
Cuarto
Chevy Karhleen
Jaye Denise
PTN 719041
PTN 722430
PTN 754928
Dela Cruz
Bernaldez
Gelig
PTN 729805
Mirambel
PTN 729713
Gariando
PTN 729912
Impas
PTN 730845
Roble
PTN 734128
Beltran
PTN 734945
Sardido
PTN 734861
Olis
PTN 737288
Arco
PTN 738148
Linawagan
PTN 738280
Taok
PTN 738189
Ng
PTN 738200
Oral
PTN 738364
Delos Santos
PTN 738318
Melendres
PTN 738322
Ilusorio
PTN 741338
Chua
PTN 741397
Enriquez
PTN 755963
Kivon
PTN 755368
Balaba
PTN 756270
Empleo
PTN 755653
Laurente
PTN 756241
Pamaran
PTN 755999Escultor
PTN 759950
Nevada
PTN 760118
Bendano
PTN 759423
Cejas
PTN 759553
Burgos
PTN 760108
Resilla
PTN 760079
Piezas
PTN 763479
Cuenco
PTN 763062
Alilin
PTN 763342
Rafon
PTN 767282
Nacion
PTN 762531
Cerna
PTN 763529
Yap
PTN 767122Nerves
PTN 766454
Angel
PTN 767033
Nava
1/6/1981
9/22/1981
34 Private
33 Private
Michelle May
Judy Mae
Malou
10/22/1989
10/28/1983
2/11/1984
25 Private
31 Private
30 Private
Debbie
Melba
Gleda
Maridez
Sofia
Maylin
Gienna
Kirstienne
Adeline
Joyce
Lalaine
Exalene
Lydia
Abigail
Roselyn
Kimberline
Jailyn
Eunbee
April Joy
Genevieve
Katherine
Raceene
Mary Jane
Zorayda
Bambi
Laarni
Johanna
Wenjie
Junnybe
Katrina
Welna
Nerissa
Ruby May
Michaela
Desseree
June Christine
Marie
Glaiza
1/1/1989
1/6/1977
7/8/1984
4/25/1984
6/8/1991
5/2/1987
5/28/1985
8/24/1986
3/30/1978
3/5/1978
1/26/1980
1/15/1980
26
38
30
30
23
27
29
28
36
36
34
35
3/20/1988
6/3/1982
11/18/1990
3/27/1978
26
32
24
36
2/17/1984
1/21/1979
11/7/1995
12/22/1971
2/24/1972
9/23/1974
7/20/1987
2/5/1982
11/2/1979
12/12/1982
3/20/1980
3/21/1986
6/27/1975
3/15/1987
3/16/1976
2/17/1974
6/10/1982
3/12/1991
6/14/1985
30
36
19
43
42
40
27
32
35
32
34
28
39
27
38
40
32
23
29
Private
private
private
private
Charity
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Charity
Charity
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
OGICAL SOCIETY
HISTORY
ADMIT DATE
OB Score
Gravidity
Parity
Term
Preterm
Abortion
Alive
5/18/2014
5/18/2014
5/18/2014
5/18/2014
5/18/2014
5/18/2014
5/19/2014
5/19/2014
5/22/2014
5/22/2014
5/22/2014
5/22/2014
1
1
2
2
2
2
2
4
2
2
1
1
0
0
1
1
1
0
1
3
1
1
0
0
0
0
1
1
1
0
1
3
1
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
0
1
3
1
1
0
0
26-May
26-May
5/26/2014
5/26/2014
5/26/2014
5/26/2014
5/26/2014
5/27/2014
5/27/2014
5/27/2014
5/30/2014
5/31/2014
5/31/2014
5/30/2014
6/19/2014
6/19/2014
6/20/2014
1
1
2
4
2
1
1
1
1
1
1
2
1
3
1
1
2
1
0
0
3
1
0
0
0
0
0
0
1
0
1
0
0
1
1
0
0
3
1
0
0
0
0
0
0
1
0
1
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
1
0
0
0
0
0
0
0
0
0
0
2
0
0
0
1
0
0
3
1
0
0
0
0
0
0
1
0
1
0
0
1
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
1
2
1
3
1
1
0
1
0
2
0
0
0
1
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
2
0
0
6/27/2014
6/27/2014
6
4
3
2
3
2
0
0
2
1
3
2
6/27/2014
6/28/2014
4
1
2
0
2
0
0
0
1
0
2
0
5/6/2014
5/10/2014
6/15/2014
2
3
2
1
1
1
1
1
1
0
0
0
0
2
0
1
1
1
5/19/2014
5/19/2014
5/19/2014
5/19/2014
5/23/2014
5/23/2014
23-May
5/27/2014
5/27/2014
5/27/2014
5/27/2014
5/27/2014
5/27/2014
5/27/2014
5/27/2014
5/31/2014
5/31/2014
6/16/2014
6/16/2014
6/16/2014
6/16/2014
6/16/2014
6/16/2014
6/20/2014
6/21/2014
6/20/2014
6/20/2014
6/21/2014
6/20/2014
6/24/2014
6/24/2014
6/24/2014
6/24/2014
6/24/2014
6/25/2014
6/28/2014
6/28/2014
6/29/2014
3
2
5
2
1
1
2
1
2
3
3
2
3
2
1
1
1
1
2
2
4
1
6
8
3
3
3
2
3
2
2
3
3
2
7
1
1
1
2
1
2
0
0
0
1
0
1
2
2
1
2
1
0
0
0
0
0
1
2
0
4
7
2
1
3
1
2
1
1
2
2
1
6
0
0
0
2
1
2
0
0
0
0
0
1
2
2
1
2
1
0
0
0
0
0
1
2
0
4
7
2
1
3
1
2
1
1
2
2
1
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
1
0
0
0
0
0
0
0
0
3
0
0
0
2
1
2
0
0
0
1
0
1
2
2
1
2
1
0
0
0
0
0
1
2
0
3
7
2
1
3
1
2
1
1
2
2
1
3
0
0
0
ADMISSION AOG
MEDICAL/SURGICAL HISTORY
Weeks
Days
Last Year of Pregnancy
40
40
39
39
37
17
39
14
36
39
40
40
1
0
1
0
6
0
2
0
6
4
6
0
40
38
40
37
38
38
40
38
40
37
37
35
38
0
0
2
0
6
2
0
6
5
1
5
0
6
17
37
40
3 n/a
2 n/a
3
36
38
38
40
37
37
5
3
2
2
6
5
39
38
4
2
Category
n/a
n/a
2007
2012
2010
2010
2012
2013
2010
2012
n/a
n/a
2009
n/a
2009
2012
2010
n/a
n/a
n/a
n/a
n/a
n/a
2010
n/a
2013
n/a
2001
n/a
n/a
n/a
2010 Endocrine, Nutritional, Metabolic

Endocrine, Nutritional, Metabolic
2010 Respiratory
2011 Neurologic/Psychiatric
37
39
1
2 n/a
2007 Cardiovascular
Respiratory
9
16
9
0
0
3
2011
2013
2012
32
39
40
38
37
39
39
37
37
35
38
41
40
37
35
38
35
37
35
31
37
37
39
38
37
37
37
38
38
38
37
36
9
37
38
35
38
38
6
0
0
4
4
1
3
3
4
3
1
0
0
5
6
6
5
5
5
1
3
2
6
5
5
6
6
0
1
4
2
5
6
3
1
2
3
2
2012
2012
2012
2013
n/a
n/a
2012
n/a
2011
2012
2012
2012
2012
2011
n/a
n/a
n/a
n/a
2012
2012
2011
n/a
2012
2012
2011
2013
2012
2013
2012
2013
2012
2013
2013
2012
2011
n/a
n/a
n/a
OBSTETRIC HISTORY
Condition
Category
Previous Scar
Previous Scar
Abortion
Hypothyroidism
Gestational diabetes mellitus
Bronchial asthma in remission

Drug abuse and dependency
Abortion
Mitral valve prolapse

Bronchial asthma in remission
Previous Scar
Previous Scar
Condition
Previous LSCS
Previous LSCS
Incomplete abortion
Incomplete abortion
PRENATAL
DELIVERY
Antenatal Procedures
Delivery Date
Electronic fetal monitoring

5/18/2014
5/18/2014
5/19/2014
5/19/2014
5/18/2014

19-May
5/19/2014
5/22/2014
5/23/2014
5/22/2014
5/22/2014

5/26/2014
5/26/2014
5/27/2014
5/26/2014
5/26/2014
5/26/2014
5/26/2014
5/27/2014
5/27/2014
5/27/2014
5/30/2014
5/31/2014
5/31/2014

6/19/2014
6/20/2014

6/23/2014
6/23/2014
6/24/2014
6/23/2014
6/24/2014
6/24/2014

6/27/2014
6/28/2014
Previous LSCS

Previous LSCS
PLSTCS
RCS
RCS
6/28/2014
6/29/2014
5/10/2014

19-May
5/19/2014
5/20/2014
5/24/2014
5/24/2014
5/24/2014
5/27/2014
5/27/2014
5/27/2014
5/27/2014
5/28/2014
5/28/2014
5/28/2014
5/31/2014
5/31/2014
6/16/2014
6/16/2014
6/16/2014
6/16/2014
6/16/2014
6/21/2014
6/21/2014
6/20/2014
6/21/2014
6/21/2014
6/21/2014
6/25/2014
6/24/2014
6/24/2014
6/24/2014
6/25/2014
6/28/2014
6/29/2014
DELIVERY AOG
Weeks
Days
Route
40
40
39
39
37
1
0
2
1
6
Vaginal
Vaginal
Vaginal
Vaginal
Abdominal
39
14
36
39
40
40
2
0
6
5
6
0
Abdominal
Vaginal
Vaginal
Vaginal
Vaginal
Vaginal
40
38
40
37
38
38
40
38
40
37
37
35
38
0
0
3
0
6
2
0
6
5
1
5
0
6
Vaginal
Vaginal
Abdominal
Vaginal
Vaginal
Vaginal
Abdominal
Vaginal
Vaginal
Vaginal
Vaginal
Vaginal
Vaginal
37
40
2 Vaginal
3 Vaginal
36
38
38
40
38
37
5
3
3
2
0
6
39
38
4 Vaginal
3 Vaginal
Vaginal
Abdominal
Vaginal
Vaginal
Vaginal
Vaginal
Malpresentation
Face
Footling breech
37
39
2 Abdominal
4 Abdominal
16
0 vaginal
39
40
38
37
39
39
37
37
0
3
5
1
4
3
4
abdominal
vaginal
vaginal
vaginal
vaginal
vaginal
vaginal
abdominal
38
41
40
37
36
38
35
37
35
31
37
1
0
1
6
0
6
5
5
5
1
3
abdominal
vaginal
vaginal
vaginal
vaginal
vaginal
vaginal
vaginal
vaginal
abdominal
abdominal
39
38
37
37
37
38
38
38
37
36
6
6
5
6
7
0
2
5
2
5
abdominal
vaginal
vaginal
vaginal
vaginal
vaginal
abdominal
abdominal
abdominal
vaginal
37
38
3 abdominal
1 vaginal
38
38
3 vaginal
3 vaginal
VAGINAL DELIVERY - Only for the CURRENT pregnancy.

Delivery
Other Procedures
Spontaneous vertex delivery

Episiotomy
ME
ME
ME
ME
Completion curettage
ME
ME
ME
ME

ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME

ME
ME
ME
Others

ME
ME
ME
ME

ME
None
Completion curettage

Vacuum extractor delivery
ME
ME
ME
ME
ME
ME

ME
ME
ME
ME
ME
ME
ME
ME

ME
ME
ME
ME
ME
ME
ME

ME
ME
CAESAREAN SECTION
Perineal Laceration
Elective/Emergency
Incision
Primary/Repeat
Elective
Low segmeRepeat
Emergency
Low segmePrimary
Elective
Low segmePrimary
Emergency
Low segmePrimary
Elective
Low segmePrimary
2nd
2nd
2nd
2nd
2nd
2nd
2nd
2nd
2nd
2nd
1st
2nd
4th
2nd
3rd
2nd
2nd
2nd
2nd
2nd
3rd
2nd
2nd
2nd
3rd
4th
4th
Elective
Emergency
Low segmeRepeat
Low segmePrimary
low segmenprimary
2nd
2nd
2nd
2nd
2nd
2nd
Elective
low segmenRepeat
elective
Low segmerepeat
Emergency
emergency
Low segmeprimary
Low segmerepeat
elective
low segmenprimary
elective
elective
elective
low segmenrepeat
low segmenrepeat
low segmenrepeat
elective
Low segmeRepeat
2nd
2nd
2nd
2nd
2nd
2nd
2nd
2nd
2nd
3rd
1st
2nd
2nd
2nd
1st
3rd
2nd
Tubal Ligation
Anesthesia
INFANT FETAL DATA
Tubal ligation
Anesthesia Route
Number of Infants
No
No
No
No
No
Local
Neuraxial, epidural
Local
Local
Neuraxial, combined spi
1
1
1
1
1
No
No
No
No
No
No

IV sedation
Local
Local
Local
Local
1 Female
1
1
1
1
Female
Male
Male
Male
No
No
Without hysterect No
No
No
No
No
No
No
No
No
No
Local
Neuraxial, epidural
Local
Local
Local
Local
Local
Neuraxial, epidural
Local
Local
Local
1
1
1
1
1
1
1
1
1
1
1
1
1
Male
Female
Female
Female
Male
Male
Male
Female
Male
Male
Male
Female
Male
Local
Local
1 Female
1 Male
Local
Local
Local
Local
Local
1
1
1
1
1
1
Local
1 Male
1 Female
Hysterectomy
No
No
No
without hysterecto No
No
No
No
No
No
No
Gender
Male
Male
Female
Female
Female
Male
Female
Female
Female
Male
Male
Without hysterect Yes

No

1 Female
1 Female
General, intubated
Without hysterect no
no
no
no
no
no
no

Local
local
Local
Local
Local
Local
1
1
1
1
1
1
1
1
female
female
male
male
male
female
male
female

1
1
1
1
1
1
1
1
0
1
1
male
male
male
male
male
male
female
male
Undetermin
male
female
without hysterecto yes
1
1
1
1
1
1
1
1
1
1
female
female
male
female
male
female
male
female
female
male
Yes
Neuraxial, spinal
without hysterecto no
None
none
None
1 female
1 male
1 male
1 female
Fetal Characteristics
Weight (grams)
Length (cm)
Pediatric Age (weeks)
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
2950
2950
2950
3500
3300
50
48
49
53
54.5
39-40
39-40
37-38
Uncomplicated
2400
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
2960
2850
2750
2750
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
2200
2300
2850
2850
2400
2750
3350
2850
3450
2600
2750
2250
3300
39-40
38-39
39-40
38-39
40-41
37-38
Uncomplicated
Uncomplicated
2400
2800
39-40
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
2450
3150
3200
3150
3900
3350
37-38
Uncomplicated
Uncomplicated
3450
3300
39-40
37-38
40
38-39
48 39-40
14
37
38
39-40
39-40
40
37-38
37-38
37-38
38
35-36
39
38
39
38-39
38-39
38-39
38
Uncomplicated
Uncomplicated
3350
2800
40
uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
Uncomplicated
2400
3100
3150
3650
2550
3000
2600
3450
47
49
49
50
47
52
48
49
uncomplicated
uncomplicated
uncomplicated
uncomplicated
uncomplicated
uncomplicated
SGA
uncomplicated
Lethal
SGA
uncomplicated
3550
3100
3850
2900
2500
3300
2250
2900
50
51
55
53
46
51
47
52
1700
3200
42 31-32
51
uncomplicated
uncomplicated
LGA
LGA
uncomplicated
uncomplicated
uncomplicated
LGA
uncomplicated
Uncomplicated
2500
3200
4200
4150
3200
3850
2800
4200
3100
2550
51
50
52
49
51
52
50
52
49
48
uncomplicated
uncomplicated
3500
2850
50 38-39
52
38
uncomplicated
uncomplicated
3000
2650
51 37-38
48
39
38-39
39-40
40
39
38-39
39-40
39
37-38
37
38
38
39-40
39-40
37-38
39
35-36
39-40
37
38-39
38-39
39
39
37-38
38-39
37
39
38
36-37
Apgar Score
1min
DISCHARGE STATUS
5min
10min
Neonatal Condition
DISCHARGE DATE
8
9
7
9
8
9
9
9
9
9
Livebirth
Livebirth
Livebirth
Livebirth
Livebirth
Livebirth
9
8
8
8
10
9
9
9
Livebirth
Livebirth
Livebirth
Livebirth
5/21/2014
5/20/2014
5/20/2014
5/21/2014
5/21/2014
6/27/2014
5/21/2014
5/22/2014
5/24/2014
5/25/2014
5/24/2014
5/24/2014
8
8
9
8
8
9
8
8
6
9
7
9
8
9
9
9
9
9
9
9
9
9
10
8
9
9
Livebirth
Livebirth
Livebirth
Livebirth
Livebirth
Livebirth
Livebirth
Livebirth
Livebirth
Livebirth
Livebirth
Livebirth
Livebirth
5/24/2014
5/28/2014
5/29/2014
5/29/2014
5/29/2014
5/29/2014
5/29/2014
5/30/2014
5/29/2014
5/29/2014
6/1/2014
6/1/2014
6/1/2014
9
9
9
10
Livebirth
Livebirth
6/2/2014
6/2/2014
8
8
9
9
8
9
9
9
9
10
9
10
Livebirth
Livebirth
Livebirth
Livebirth
Livebirth
Livebirth
6/25/2014
6/25/2014
6/26/2014
6/26/2014
6/27/2014
6/27/2014
8
8
9
9
Livebirth
Livebirth
6/29/2014
6/30/2014
8
8
9
9
Livebirth
Livebirth
7/2/2014
7/4/2014
5/9/2014
5/12/2014
6/20/2014
8
8
9
9
8
9
9
9
9
9
10
9
9
10
10
10
livebirth
Livebirth
livebirth
livebirth
livebirth
livebirth
livebirth
livebirth
7
9
9
9
9
8
9
9
9
10
9
9
9
9
9
9
4
9
6
9
livebirth
livebirth
livebirth
livebirth
livebirth
livebirth
livebirth
livebirth
Stillbirth
8 livebirth
livebirth
4
9
9
9
9
7
9
9
9
9
8
9
10
10
10
8
9
10
9
9
Livebirth
livebirth
livebirth
livebirth
livebirth
livebirth
livebirth
livebirth
livebirth
livebirth
9
9
10
10
livebirth
livebirth
8
9
9
10
livebirth
livebirth
5/21/2014
5/22/2014
5/21/2014
5/22/2014
5/25/2014
5/25/2014
5/26/2014
5/31/2014
5/31/2014
5/31/2014
5/31/2014
6/1/2014
5/31/2014
5/31/2014
6/1/2014
6/1/2014
6/18/2014
6/18/2014
6/20/2014
6/19/2014
6/18/2014
6/19/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/24/2014
6/27/2014
6/27/2014
6/27/2014
6/30/2004
6/27/2014
Jun-14
6/30/2014
6/30/2014
7/1/2014
Fetal Neonatal Condition

Mother Condition
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Category
Alive
Alive
Alive
Alive
Alive
Alive
alive
alive
alive
alive
Alive
Alive
Alive
Alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
Congenital Anomalies
Condition
Yes/No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Major/Minor
Lethal/Non-lethal
No
No
Pregnancy
Delivered
Yes/No
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
No
No
yes
yes
yes
yes
yes
yes
yes
yes
no
yes
yes
yes
yes
yes
yes
yes
yes
No
yes
yes
no
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
no
yes
yes
no
yes
yes

version 0.12
Gyne Form
Chong Hua Hospital
PATIENT DATA
CASE NO
LASTNAME
FIRSTNAME
Birthday
PTN 729701
PTN 715188
PTN 715421
PTN 715222
PTN 714473
Sinining
Gonzales
Permalino
Magallanes
Senining
Ma. Carla
Lucilla
Jenny
Jenny
Diosdida
5/24/1984
10/31/1968
9/3/1968
2/19/1983
8/10/1968
30
46
46
31
46
Private
Private
Private
Private
Private
PTN 718333
PTN 718872
PTN 718773
PTN 718832
PTN 719041
Cadavos
Delantar
Lerias
Niere
Dela Cruz
Farah Theysa
Gina
Lesley Ann
Fredycel
Michelle May
11/11/1984
2/17/1964
1/23/1991
5/8/1974
10/22/1989
30
50
23
40
25
Private
Private
Private
Private
Private
PTN 722376
PTN 722415
Along
Quijano
Lanie
Girlou
2/8/1959
4/20/1974
55 Private
40 Private
PTN 721308
PTN 722255
PTN 722377
Montecillo
Dela Cerna
Baguio
Sofia
Josephine
Shielo
9/18/1974
4/21/1962
5/12/1990
40 Private
52 Private
24 Private
PTN 725952
PTN 726164
PTN 726206
PTN 725947
PTN 726327
PTN 725658
PTN 726575
PTN 726226
PTN 744223
PTN 744152
PTN 743558
PTN 744496
PTN 748400
PTN 747682
Arriola
Penafiel
Magno
Mosch
Sombelon
Temonio
Grengia
Mendoza
Asis
Pilapil
Chavez
Ilagan
Honrado
Silvano
Eduardita
Khristine Marie
Aileen
Maria Alona
Eufemia
Fely
Pilarica
Jocel
Eufelia
Marietta
Avelina
Anne Clarraine
Evonie
Melanie
PTN 754903
PTN 754909
PTN 754970
Villano
Maurecio
sanchez
Elvira
Liza
Marlene
5/28/1948
12/11/1982
9/28/1981
4/25/1966
12/11/1966
11/4/1979
10/12/1970
10/6/1992
6/13/1971
2/21/1972
1/9/1944
10/23/1985
6/22/1989
12/28/1972
8/15/1977
3/13/1959
3/3/1974
Age
Service
66
32
33
48
48
35
44
22
43
42
71
29
25
42
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
37 Private
55 Private
40 Private
PTN 719342
PTN 719788
PTN 719782
PTN 719737
PTN 722918
PTN 721842
PTN 722932
PTN 727281
PTN 727425
PTN 745437
PTN 748462
PTN 748686
PTN 751475
PTN 752612
Lim
Bastillan
Sibonghanoy
Senolos
Mitchell
Murillo
Igay
Pacillan
Rabor
Bedania
Mararon
Galonio
Lavides
Senerapida
Muncada
Orsua
Uy
Jennifer
Elane
Ann Gayle
Leonor
Irma
Christina
Wilma
Gemma
Lourgen
Geranda
Herchel
Anacita
Mae Alma
Maria April
Aurora
Concepcion
Jeanette
4/22/1969
4/2/1984
7/10/1982
4/24/1974
9/12/1968
11/27/1982
4/20/1979
45
30
32
40
46
32
35
3/25/1976
10/30/1950
38
64
9/21/1972
11/14/1986
9/17/1970
12/8/1950
7/15/1982
42
28
44
64
32
Private
Private
private
Private
Private
Private
Private
private
Private
Private
Private
Private
Private
Private
Private
Private
Private
OGICAL SOCIETY
HISTORY
ADMIT DATE
FINAL DIAGNOSIS
Gravidity
Parity
Category
Condition
5/19/2014
5/2/2014
5/2/2014
5/2/2014
5/2/2014
3
0
1
5
8
3
0
0
3
6
5/6/2014
5/6/2014
5/6/2014
5/6/2014
5/6/2014
0
4
0
5
2
0 Endometriosis
Pelvic peritoneum, endometriosis
3
0 Menstrual Disorders
Intermenstrual bleeding
4 Malignant Neoplasm of the OvaMucinous adenocarci
1
5/10/2014
5/10/2014
3
4
3 Menopause and Infertility

4
5/10/2014
5/10/2014
5/10/2014
7
3
1
6 Benign Neoplasm of the Uterus Leiomyoma

1
5/14/2014
5/14/2014
5/14/2014
5/14/2014
5/14/2014
5/14/2014
5/15/2014
5/15/2014
6/3/2014
6/3/2014
6/3/2014
6/3/2014
6/7/2014
6/7/2014
6
0
1
3
6
1
2
1
3
0
2
0
1
3
5
0
1
3
5
1
2
0
3
0
2
0
1
3
6/15/2014
6/15/2014
6/15/2014
0
4
1

1 Menstrual Disorders
Meno-metrorrhagia
Endometriosis
Pelvic peritoneum, e
Benign Neoplasm of the Uterus Leiomyoma
Atrophic vaginitis
Malignant Neoplasm of the CervOther neoplasm type,

Malignant Neoplasm of the OvaMucinous adenocarci
Other Benign Conditions of the Ovary
Pelvic Inflammatory Disease Pelvic inflammatory diseases, prob. Bacteria

Menstrual Disorders
Meno-metrorrhagia
Other Inflammation of Vagina and Vulva
Other Benign Conditions of the Paratubal serous cyst,
5/7/2014
5/7/2014
5/7/2014
5/7/2014
5/11/2014
5/11/2014
5/11/2014
5/15/2014
5/15/2014
5/15/2014
6/4/2014
6/4/2014
6/4/2014
6/8/2014
6/8/2014
6/12/2014
6/12/2014
0
2
0
1
0
2
3
3
2
3
1
6
2
1
1
3
0
0
2
0
1
0
2
3
3
2
3
1
6
2
1
1
3
0

Other Benign Conditions of the Paratubal serous cyst, fallopian tube
Benign Neoplasm of the Uterus Cystic hyperplasia, uterus
Epithelial Neoplasm of the OvarCystadenoma not specified, ovary
Benign Neoplasm of the Uterus Adenomatous or atypical hyperplasia, uterus
Menstrual Disorders
Benign Neoplasm of the Uterus Adenomatous or atypical hyperplasia, uterus
Menstrual Disorders
Other Benign Conditions of the Fibro-thecoma, ovary
Congenital Anomalies of GenitaCyst of the oophoron or fimbriae, congenital
Pelvic Inflammatory Disease Pelvic inflammatory diseases, prob. Bacteria
Menstrual Disorders
Benign Neoplasm of the Uterus Endometrial hyperplasia, unspecified
Malignant Neoplasm of the RestRest of female genital tract, malign
Menstrual Disorders
For Malignancy For Genital

Only
Prolapse Only
OPERATIONS
Stage
Elective/Emergency
Approach
Organ
Emergency
Elective
Elective
Elective
Vaginal
Laparotomy
Laparotomy
Vaginal
Uterus
Uterus
Uterus
Uterus
toneum, endometriosis
Elective
Laparotomy Ovary
rual bleeding
Right
Elective
Laparoscopic Ovary
Elective
Elective
Elective
Elective
Laparotomy
Laparotomy
Laparotomy
Laparotomy
Ovary
Uterus
Ovary
Uterus
Elective
Vaginal
Uterus
Elective
Laparoscopic Fallopian
Elective
Elective
Elective
Laparoscopic Uterus
Vaginal
Uterus
Vaginal
Uterus
Laterality
Both
Degree
NA
NA
NA
Left
NA
right
NA
IV
mmatory diseases, prob. Bacterial

Right
I
Left
serous cyst, fallopian tube

erplasia, uterus
ma not specified, ovary

ous or atypical hyperplasia, uterus
rual bleeding
ous or atypical hyperplasia, uterus
rual bleeding
oma, ovary
oophoron or fimbriae, congenital anomaly
mmatory diseases, prob. Bacterial
rual bleeding
al hyperplasia, unspecified
male genital tract, malign IV
rual bleeding
elective
elective
elective
elective
elective
elective
elective
Vaginal
uterus
Vaginal
uterus
Vaginal
Fallopian
Laparoscopic uterus
Vaginal
uterus
Laparoscopic Ovary
laparotomy uterus
elective
elective
elective
elective
laparotomy uterus
Vaginal
uterus
laparotomy ovary
Hysteroscopicovary
elective
vaginal
uterus
elective
vaginal
uterus
DISCHARGE
Procedure
Laterality
Hysterectomy
Status
Simple curetta NA
TAHBSO (total NA
TAHBSO (total NA
Endometrial biopsy
Without hysterect Alive

With hysterectomy Alive
Alive
Salpingo-ooph Right
Oophorectomy Right
Alive
Alive
Alive
Alive
Alive
Alive
Alive
Salpingo-ooph left
without hysterecto Alive
Myomectomy
Salpingo-ooph right
TAHBSO (total abdominal hysWith hysterectomy Alive
Alive
Alive
Alive
Alive
Simple curettage
Alive
Alive
Alive
Alive
Salpingectomy right
Myomectomy
Simple curettage
Endometrial biopsy

Alive
Alive
Myomectomy
Without hysterect
Myomectomy
Without hysterect
Salpingostomy
Without hysterect
Endometrial biopsy
Without hysterect
Myomectomy
Without hysterect
Ovarian cystectomy/oophoro Without hysterect
Total abdominal hysterectom with hysterectomy
TAHBSO (total abdominal hyswith hysterectomy
Fractional curettage
without hysterecto
Ovarian cystec right
Without hysterect
Without hysterect
Simple curettage
Without hysterect
Fractional curettage
Without hysterect
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive
alive

version 0.12
Maternal Mortality Form
Chong Hua Hospital
PATIENT DATA
CASE NO
HISTORY
LASTNAME
FIRSTNAME
Birthday
Age
ADMIT DATE
GICAL SOCIETY
AOG
Weeks
Days
ANTECEDENT AND UNDERLYING CAUSE

Type
Antecedent
Underlying
COMPLICATIONS AND DEATH

Timing of Death
Specific
Immediate Cause
Onset of Complications
Specific

version 0.12
GTD Form
Chong Hua Hospital
PATIENT DATA
CASE NO
LASTNAME
FIRSTNAME
Birthday
Age
HISTORY
ADMIT DATE
GICAL SOCIETY
Gravidity
Parity
OB Score
Term
Preterm
Abortion
Alive
ADMISSION AOG
Weeks
Days
Last Year of Pregnancy
Diagnosis
HYDATIDIFORM MOLE
Type
Complications
Metastasis
Chemoprophylaxis
Drug
High Risk Factor
Mode of Evacuation
Condition on Discharge
Present Status
Cause of Death
GTN/PSTT/ETT
Histopathology
Antecedent Pregnancy
Baseline hCG levels (mIU/mL)
FIGO Anatomic Stage
Modified WHO Score
Risk
Combined FIGO-WHO Score

Age
Combined FIGO-WHO Score

Antecedent Pregnancy
Interval Months from Index Pregnancy
Pretreatment hCG (mIU/mL)
Largest Tumor Size (cm)
Metastasis
Site of Metastasis
Number of Metastases Identified
Previous Failed Chemotherapy
Total Score
ADDITIONAL TREATMENT
Other Surgical Intervention
Chemotherapy
Radiotherapy
CONDITION
Present Condition
Cause of Death

version 0.12
Obstetric Diseases and Procedures Report
Chong Hua Hospital
SECTIONS
ONE
TWO
THREE
FOUR
FIVE
SIX
SEVEN
EIGHT
NINE
CONTENTS
ADMISSIONS DATA
DATA ON DELIVERED PATIENTS
OBSTETRIC AND MEDICAL COMPLICATIONS IN DELIVERED PATIENTS
PROBLEMS DURING LABOR
PROBLEMS AMNIOTIC FLUID AND PLACENTA
COMPLICATIONS DURING DELIVERY
COMPLICATIONS DURING POST-PARTAL PERIOD
PROCEDURES
ABORTIONS, ECTOPIC PREGNANCIES, TROPHOBLASTIC DISEASES
SECTION ONE: ADMISSIONS DATA

TOTAL NUMBER OF OBSTETRIC ADMISSIONS
DELIVERED PATIENTS
ANTEPARTAL PATIENTS DISCHARGED NOT DELIVERED
ABORTIONS
ECTOPIC PREGNANCIES
TROPHOBLASTIC DISEASES
AGE RANGE OF PATIENTS

LESS THAN 20
20 TO 34
35 AND ABOVE
PARITY
Nullipara
Para 1-5
MORE THAN 5
MATERNAL OUTCOME
Prepare Maternal Mortality Forms for All Maternal Deaths, Submit forms with this summary
DISCHARGED ALIVE
DISCHARGED ALIVE BUT MORIBUND
DIRECT MATERNAL DEATHS
INDIRECT MATERNAL DEATHS
NONMATERNAL DEATHS
TOTAL
FETAL OUTCOME - BASED ON OBSTETRIC AGE OF GESTATION
LIVE-BIRTHS
STILL BIRTHS
NEONATAL DEATHS
SECTION TWO: OBSTETRIC AND MEDICAL COMPLICATION IN DELIVERED PATIENTS

( using FIGO Committee on Perinatal Health-simplified ICD 10 coding,April 2000)
HYPERTENSIVE DISORDERS in PREGNANCY
010.9
Pre-existing (chronic hypertension with BP 140/90)
011.9
Pre-existing (chronic hypertension with superimposed preeclampsia)
012.1
HELLP Syndrome
012.2
Proteinuria (>0.30 gms/24 hr)
013.x
Edema with proteinuria
Gestational hypertension
014.0
Mild preeclampsia (BP 140/90, protein 0.3 gms/24 hr)
014.1
Severe preeclampsia (BP > 160/110, protein > 0.3gms/24 hr)
014.9
Preeclampsia unspecified
015.9
Eclampsia
Maternal Disorders predominantly related to pregnancy
020.9
Hemorhage in Early Pregnancy (< 22 weeks)

ABORTIONS
Threatened abortion
Incomplete abortion
Inevitable abortion
Imminent abortion
Missed abortion
Blighted ovum
Septic abortion
Induced abortion
Ectopic Pregnancy
Tubal ectopic pregnancy
Abdominal ectopic pregnancy
Ovarian ectopic pregnancy
Ectopic pregnancy, unspecified
021.1
022.0
022.1
022.3
Hyperemesis gravidarum, severe

(demanding treatment in hospital)
Venous complications
Varicose veins of lower extremity
Genital varicose veins
Deep vein thrombosis
022.4
Hemorrhoids
023.0
Urinary Tract Infection

Kidney
Urinary Tract Infection
Acute pyelonephritis
Chronic pyelonephritis
023.1
Bladder
Acute cystitis
Chronic cystitis
Renal or ureteral calculus
Urinary tract infection
Asymptomatic bacteriuria
Other
023.2
098.1
Genital Tract Infection
098.2
Syphilis
Gonorrhea
Z21.x
098.3
098.6
Herpes simplex
Chlamydia
Group B Streptococcus
Bacterial Vaginosis
HIV or AIDS
Other sexually transmitted diseases
Malaria
Herpes gestationalis
Diabetes mellitus
024.0
Diabetes mellitus Insulin dependent
024.1
024.4
Diabetes mellitus non-Insulin dependent
025.x
026.5
026.6
Malnutrition (BMI less than 19.8)

Supine Hydrotensive syndrome
Liver Disorders
Hepatitis B
Hepatitis A
Acute Fatty Liver
Multiple gestation
Twin
Triplet
030.0
030.1
Gestational diabetes mellitus
030.x
Other
Malpresentation
032.1
032.1
Frank breech
Complete breech
Footling Breech
Transverse Lie
032.2
032.2
032.3
Oblique Lie
Face
032.3
032.3
Brow
Chin
Prolapsed Arm
032.5
Multiple gestation with malpresentation for one or more fetus
033.9
Disproportion (known or suspected)
034.2
Previous Caesarian Section
034.3
034.9
035.9
036.0
036.2
036.3
036.4
Cervical Incompetence
Abnormalities of pelvic organs (see later)
Fetal Abnormality and Damage
Rhesus Isoimmunization
Hydrops Fetalis
Fetal Hypoxia
Intrauterine Death (<22 weeks)
Intrauterine Death (>22 weeks)
Poor Fetal Growth
036.5
036.6
040.x
041.0
041.1
042.0
042.1
042.9
044.0
044.1
045.0
045.9
046.8
047.9
Excessive Fetal Growth
Polyhydramnios
Oligohydramnios
Chorioamnionitis
Premature rapture of membranes
Onset of Labor w/in 24 hours
Onset of Labor after 24 hours
Unspecified
Placenta Previa without Hemorrhage
Placenta Previa with Hemorrhage
Abruptio placenta with coagulation defect
Abruptio placenta (only)
Placenta accreta
Placenta percreta
Placenta increta
Other antepartum hemorrhage
False Labor
Preterm Labor
048.x
Post Term >= 42 weeks

TROPHOBLASTIC DISEASES
Complete Mole
Partial Mole
Invasive Mole
Choriocarcinoma
Gestational trophoblastic neoplasia

Placental site trophoblastic tumor
Epithelioid trophoblastic tumor
SECTION THREE: COMPLICATIONS OF LABOR AND DELIVERY
Preterm Delivery (up to 36 weeks)
ABNORMALITIES OF FORCES OF LABOR
Failure of Cervical Dilatation (<1 cm/hr in active phase)

Arrested active phase of labor
(no progress during 2 hrs after initially normal progress)
Precipitate labor
(nulli=<1 hours from 3 cm to delivery; multi=<0.5 hr)
Hypertonic uterine contraction

Long labor
Prolonged first stage
(for nulli > 15 from 3 cm to fully dilated, for multi > 11 h)
Prolonged second stage
(> 2 h from full dilated to delivery)
064.9
065.4
065.9
066.0
066.5
067.9
067.0
068.1
068.9
069.0
Obstructed Labor
Due to malposition or malpresentation
Due to fetopelvic disproportion
Due to maternal pelvic abnormality
Due to shoulder dystocia
Failed forceps or vacuum extraction
Intrapartum hemorrhage
With coagulation defect
Meconium in amniotic fluid
Fetal Distress
Prolapsed Cord
069.4
Vasa previa
070.0
Perineal Laceration
Unspecified
First Degree
( involving fourchette, labia, skin, vagina, vulva)
070.1
070.2
070.3
Second Degree
(involving 1st plus pelvic floor, perineal muscle, vaginal muscle)
Third Degree
(involving 2nd plus anal sphincter, rectovaginal septum)
Fourth Degree
(involving 3rd plus anal mucosa , rectal mucosa)
071.0
071.1
071.2
071.3
071.7
Other Obstetric Trauma

Rupture of uterus before onset of labor
Rupture of uterus during labor
Uterine inversion
Laceration of Cervix
Pelvic, vaginal, or vulvar hematoma
Uterine Dehiscence
072.0
072.1
Postpartum Hemorrhage
Due to Uterine Atony
Due to Retained Placenta
Due to other causes
073.0
074.9
Retained placenta without hemorrhage

Anesthetic complications, postpartum hemorrhage
075.9
Other complications of Labor and Delivery, not elsewhere classified
SECTION FOUR: DELIVERY AND OTHER PROCEDURES

080.0
080.1
Spontaneous breech delivery
080.9
Spontaneous delivery, unspecified
081.0
Low forceps delivery
081.1
Mid cavity forceps delivery
081.2
Mid cavity forceps delivery with rotation
081.3
Other and unspecified forceps delivery
Elective outlet forceps delivery
081.4
Vacuum extractor delivery
081.5
Combination forceps/vacuum extractor
VBAC
082.0
082.1
082.2
Caesarean Section
Elective
Low Segment
Classical
Emergency
Low Segment
Classical
Cesarean Hysterectomy
082.9
083.0
083.1
084.0
084.1
084.2
084.8
Unspecified
Breech extraction
Breech Assisting
Multiple delivery, all spontaneous
Multiple delivery, all by forceps and vacuum extractor
Multiple delivery, all by Caesarean section
Other multiple delivery
084.9
Multiple delivery, unspecified

Other Procedures
Completion Curettage
Suction Curettage
Induction by prostaglandins
Total hysterectomy
Subtotal hysterectomy
Removal of extra-peritoneal embryo
Others
Salpingectomy
Salpingo-Oophorectomy
Manual extraction of placenta
SECTION FIVE:
085.X
086.0
087.1
087.2
088.1
090.0
090.1
090.2
091.0
COMPLICATIONS PREDOMINANTLY RELATED TO PUERPERIUM

Puerperal Sepsis
Wound Infection
Deep Phlebothrombosis
Hemorrhoids
Obstetric Air Embolism
Disruption of Caesarean Section Wound
Disruption of Perineal Obstetric Wound
Hematoma
Breast Infection
Nipple Infection
091.1
Breast abscess
SECTION SIX: OTHER MATERNAL DISEASES CLASSIFIABLE ELSEWHERE

BUT COMPLICATING PREGNANCY
099.0
099.1
Anemia
Disease of blood and immune mechanism
Leukemia
Megaloblastic Anemia
Anti-Phospolipid Antibody Syndrome
Other
Dengue
099.2
Endocrine, nutritional and metabolic diseases
Hyperthyroidism
Hypothyroidism
Nodular Nontoxic Goiter
Diffuse Nontoxic Goiter
Other
Diabetes (see above)
099.3
Mental Disorders and Diseases of the Nervous System

Seizure Disorders
Meningioma
Schizophrenia
Brief Reactive Psychosis
Drug Abuse and Dependency
Other
099.5
Diseases of the Respiratory System

Bronchial Asthma in Remission
Bronchial asthma in acute asthmatic attack
Pneumonia
Pulmonary Tuberculosis
Other
099.4
Diseases of the Circulatory System

Rheumatic heart disease (RHD), mitral stenosis
Rheumatic heart disease (RHD), mitral regurgitation
Rheumatic heart disease (RHD), mitral stenosis with regurgitation
Rheumatic heart disease (RHD), atrial stenosis
Rheumatic heart disease (RHD), atrial regurgitation
Rheumatic heart disease (RHD), others
Congenital Heart Disease, atrial septal defect
Congenital heart disease, ventricular septal defect
Congenital heart disease, patent ductus arteriosus
Congenital heart disease, others
Mitral valve prolapse
Coronary Artery Disease
Others
099.6
Diseases of the Digestive System

Acid Peptic Disease
Other
Surgical Condition
Acute Appendicitis
Acute Cholecystitis
Stab wound
Gun Shot Wound

Others
Gynecological Conditions
Uterine Myoma
Ovarian new growth (ONG), benign
Ovarian new growth (ONG), malignant
Other
Cervical Cancer
SECTION SEVEN: OTHER PROCEDURES
ANTENATAL PROCEDURES
(NUMBER OF PATIENTS, NOT NUMBER OF PROCEDURES)
Electronic Fetal Monitoring
Non-stress testing
Contraction stress testing
Biophysical Profile Scoring
Sonographic biometry
Chronic villi sampling
Amniocentesis
Intrapartal and post-partal procedures
Artificial Rupture of the Membranes
Internal Version
Failed/Trial forceps
Repair of cervical laceration
Reposition of inverted uterus
Evacuation of vulvar hematoma in Pregnancy
GICAL SOCIETY
CHARITY
PRIVATE
0
0
0
0
0
N/A
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
0
0
0
0
0
N/A
0
0
0
0
0
0
IMMATURE
PRETERM
0
0
0
VAGINAL
TERM
0
0
0
ABDOMINAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
POST-TERM
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
VAGINAL
ABDOMINAL
0
0
0
VAGINAL
TOTAL
0
0
0
ABDOMINAL
0
0
0
0
0
VAGINAL
TOTAL
0
0
0
0
0
ABDOMINAL
0
0
0
0
0
0
0
0
0
0
VAGINAL
TOTAL
ABDOMINAL
0
0
0
0
0
0
0
0
0
0
TOTAL
0
0
0
ABDOMINAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
VAGINAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
VAGINAL
0
0
0
0
0
0
0
0
0
0
0
0
ABDOMINAL
0
0
0
0
0
0
0
0
0
0
0
0
VAGINAL
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
ABDOMINAL
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
WITH METS
0
0
NO METS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

version 0.12
Perinatal Report
Chong Hua Hospital
PERINATAL STATISTICS BASED ON MANNER OF DELIVERY
Normal
CS
Forceps
Breech
Others
LIVEBIRTHS
-
STILLBIRTHS
-
NEONATAL DEATH
-
DELIVERIES
###
###
###
###
###
NEONATAL DEATH
-
DELIVERIES
###
###
###
###
###
###
###
###
NEONATAL DEATH
-
DELIVERIES
###
###
###
###
###
###
PERINATAL STATISTICS BASED ON BIRTH WEIGHT

500-999
1000-1499
1500-1999
2000-2499
2500-2999
3000-3499
3500-4000
>4000
LIVEBIRTHS
-
STILLBIRTHS
-
PERINATAL STATISTICS BASED ON AGE OF GESTATION

20-21
22-27
28-31
32-36
37-42
>42
LIVEBIRTHS
-
STILLBIRTHS
-
PERINATAL STATISTICS BASED ON FETAL CHARACTERISTICS

Uncomplicated
SGA
LGA
Lethal
LIVEBIRTHS
-
STILLBIRTHS
-
NEONATAL DEATH
-
DELIVERIES
###
###
###
###
GICAL SOCIETY
STILLBIRTH RATE
###
###
###
###
NEONATAL MORTALITY
-
PERINATAL MORTALITY
STILLBIRTH RATE
###
###
###
###
###
###
###
NEONATAL MORTALITY
-
PERINATAL MORTALITY
STILLBIRTH RATE
###
###
###
###
###
NEONATAL MORTALITY
-
PERINATAL MORTALITY
STILLBIRTH RATE
###
###
###
NEONATAL MORTALITY
-
PERINATAL MORTALITY
SURVIVAL RATE
-
SURVIVAL RATE
-
SURVIVAL RATE
-
SURVIVAL RATE
-

version 0.12
Gynecologic Diseases and Procedures Report
Chong Hua Hospital
SECTIONS
ONE
TWO
THREE
FOUR
FIVE
SIX
SEVEN
CONTENTS
ADMISSIONS AND DISCHARGE DATA
SIGNS AND SYMPTOMS
INFLAMMATORY CONDITIONS
CONGENITAL ANOMALIES
BENIGN CONDITIONS
BENIGN NEOPLASMS
MALIGNANT NEOPLASMS
EIGHT
OPERATIONS
SECTION ONE: ADMISSIONS AND DICHARGE DATA

OPERATED PATIENTS
PATIENTS ADMITTED NOT OPERATED
OTHER PATIENTS
DISCHARGED ALIVE
DISCHARGED ALIVE BUT MORBID
MORTALITIES
TOTAL NUMBER OF GYNECOLOGIC ADMISSIONS
AGE RANGE OF PATIENTS

LESS THAN 20
20 to 34
35 to 50
51 and above
PARITY
0
1-5
MORE THAN 5
CHARITY
PRIVATE
###
SECTION TWO: SIGNS AND SYMPTOMS

PATIENT CHARACTERISTICS AND COMPLAINTS UPON HOSPITAL ADMISSION (DO NOT INCLUDE OUT-PATIENT)
MENSTRUAL DISORDERS
626
Primary Amenorrhea
626.1
Secondary Amenorrhea
Menorrhagia
626.2
Polymenorrhea
Metrorrhagia
626.6
Meno-metrorrhagia
Intermenstrual Bleeding
MENOPAUSE
627.1
Post-Menopausal Bleeding
627
Atrophic/ Senile Vaginitis
628
INFERTILITY
Primary
Secondary
628.0
Ovarian
628.1
Pituitary-Hypothalamic
628.2
Tubal
628.3
Uterine/ Cervix
Male Factor
628.9
Unspecified
PELVIC SYMPTOMS
625.4
Premenstrual Tension Syndrome
SECTION THREE: INFLAMMATORY CONDITIONS

FOR ADMMITTED PATIENTS ONLY, EXCLUDES THOSE ASSOCIATED WITH PREGNANCY
DISEASES OF BARTHOLIN'S GLAND
N76
N75.0
Cyst of Bartholin's Gland
N75.1
Abscess of Bartholin's Gland
N75.8
Other Diseases of Bartholin's Gland
Bartholinitis
N75.9
Diseases of Bartholin's Gland, Unspecified
PELVIC INFLAMMATORY DISEASE

N73
Pelvic Inflamatory Diseases, Prob. Bacterial
Salpingo-Oophoritis
Endometritis
Parametritis
Pelvic Cellulitis
Pelvic Abscess
N74
Other Pelvic Inflammatory Disorders
N74.0
Cervical Tuberculosis (A18.1)
N74.1
Tuberculosis Pelvic Inflammatory Disease (A18.1)
Tuberculosis Endometritis
N74.2
Syphilitic Pelvic Inflammatory Disease (A51.4, A52.7)
N74.3
Gonococcal Pelvic Inflammatory Disease (A54.2)
N74.4
Chlamydial Pelvic Inflammatory Disease (A56.1)
N76
N76.5
OTHER INFLAMMATION OF VAGINA AND VULVA

Ulceration of Vagina
N76.6
N77.1
N77.2
Ulceration of Vulva, Bacterial

Ulceration of Vulva, Herpes
Ulceration of Vulva, Tuberculosis
Vulva Condyloma Acuminata
Vulvovaginitis, Non-bacterial
Vulvovaginitis, Herpes
Vulvovaginitis, Candidiasis
Vulvovaginitis, Foreign Body
SECTION FOUR: CONGENITAL ANOMALIES OF GENITAL ORGANS

ICD NO.
Absence/ Agenesis of the Ovary
Streak Ovary
Cyst of the Oophoron/ Fimbriae
Parovarian Cyst
Gartner's Duct Cyst
Doubling of Uterus
Bicornuate Uterus
Uterus Unicornis
Imperforate Hymen
Congenital Cyst of Canal of Nuck
Embryonal Cyst of the Vagina
Congenital Cyst of the Vulva

ANOMALIES OF VAGINA, CERVIX AND EXTERNAL FEMALE GENITALIA
Agenesis
Uterine Corpus
Cervix
Clitoris
Vagina
Vulva
SECTION FIVE: BENIGN CONDITIONS OF THE FEMALE GENITAL TRACT

ENDOMETRIOSIS
Uterus
Adenomyosis
Ovary
Fallopian tube
Pelvic peritoneum
Rectovaginal septum
Unspecified
Others
STAGE 1
Aplasia
STAGE 2
STAGE 3
UNSPECIFIED STAGE
GENITAL PROLAPSE
FIRST
SECOND
Cystocoele alone
Rectocoele alone
Cysto-rectocoele
Urethrocoele
Enterocoele
Unspecified
Prolapse of vaginal vault after hysterectomy

Old laceration of muscle of pelvic floor
Others (specify)
Vulvar Hematoma
TOTAL
Relaxed vaginal vault
FISTULA
Female Genital Tract Fistula
specify types vaginal polyp
clitoral mass
SECTION SIX: BENIGN NEOPLASM OF THE GENITAL TRACT
UTERINE
M8890/0
Leiomyoma
N84.0
Endometrial Polyp
N85.0
Endometrial Hyperplasia, Unspecified
Cystic Hyperplasia
Complex Hyperplasia
N85.1
Adenomatous/ Atypical Hyperplasia
N85.4
Malposition of Uterus
N85.5
Uterine Inversion, Non-Obstetric
N85.6
Intrauterine synechiae
N85.7
Hematometra
Chronic Cervicitis
Polyp of Cervix Uteri
Erosion and Ectropion of Cervix Uteri
Dysplasia of Cervix Uteri, Not Specified
Mild cervical dysplasia or CIN I
Moderate cervical dysplasia or CIN II
CERVIX
N84.1
N86
N87
N87.0
N87.1
N87.2
N88.2
N88.3
Severe Cervical Dysplasia, Not Elsewhere Classified (Cin lll,

Not Cis)
Stricture and Stenosis of Cervix Uteri
Incompetence of Cervix Uteri
N88.4
Hypertrophic elongation of cervix uteri
SECTION SEVEN: MALIGNANT NEOPLASM OF GENITOURINARY ORGANS

OVARY
Serous Adenocarcinoma
Mucinous Adenocarcinoma
Endometrioid Adenocarcinoma
Other epithelial
Germ Cell Type
Other Type
UNILATERAL BILATERAL
Metastatic
CERVIX
STAGE I
Squamous Cell, Large Cell, NK
Squamous Cell, Large Cell, Keratinizing
Squamous Cell, Small Cell
Other squamous cell type
Adenocarcinoma
Other Type
FALLOPIAN TUBE
Adenocarcinoma, Specify
Other Type, Specify
ENDOMETRIOD
STAGE II
TUBAL CYST
Endometrial carcinoma
Other Endometrial neoplasm
Leiomyosarcoma
CORPUS
Other
MALIGNANCIES OF THE REST OF FEMALE GENITAL TRACT
Vagina
Greater Vestibular (Bartholin's Gland)
Vulva
Labia Majora
Labia Minora
Clitoris
Other
Site Unspecified
FALLOPIAN TUBE
Paratubal serous cyst
OVARY
EPITHELIAL
M8440/0
Cystadenoma Not Specified
M8441/0
Serous Cystadenoma
M8450/0
Papillary Cystadenoma
M8460/0
Papillary Serous Cystadenoma
M8470/0
Mucinous Cystadenoma
M8471/0
Papillary Mucinous Cystadenoma
M8480/0
Pseudomyxoma peritonei
Endometrial Cyst
GERM CELL TUMORS
M9080/0
Mature cystic teratoma
M9084/0
Dermoid Cyst
M9090/0
Struma Ovarii
OTHER BENIGN CONDITIONS
M8600/0
Fibro-Thecoma
M9000/0
Brenner Tumor
N83.0
Follicular Cyst of Ovary
N83.1
Corpus Luteum Cyst
N83.5
Torsion of Ovary/ Ovarian Pedicle
OTHER PELVIC ORGANS

VAGINA
N89.0
Mild vaginal dysplasia or VAIN I
N89.1
Moderate vaginal dysplasia or VAIN II
N89.2
Severe vaginal dysplasia or VAIN III
N89.3
Dysplasia of Vagina, Unspecified
N89.4
Leukoplakia of Vagina
N89.5
Stricture and Atresia of Vagina
N89.7
Hematocolpos
N89.8
VULVA
N90.0
N90.1
N90.2
N90.3
N90.4
N90.5
Others
Mild vulvar dysplasia or VIN I

Moderate vulvar dysplasia or VIN II
Severe vulvar dysplasia or VIN III
Vulvar Dysplasia, Unspecified
Leukoplakia of Vulva
Atrophy of Vulva
N90.6
N90.7
N90.8
Hypertrophy of vulva
Vulvar Cyst
Other Specified Noninflammatory Disorders of
Vulva and Perineum

SECTION EIGHT: OPERATIONS ON FEMALE GENITAL ORGANS
OPERATIONS ON THE UTERUS
Myomectomy
Subtotal Hysterectomy
Total Abdominal Hysterectomy
Vaginal Hysterectomy
Uterine Suspension
Fractional Curettage
Simple Curettage
Radical Abdominal Hysterectomy
Radical Vaginal Hysterectomy
Pelvic Exenteration
Diagnostic Curettage
TAHBSO
Endometrial biopsy
OPERATIONS ON OVARY
Oophorectomy
Salpingo-Oophorectomy
Ovarian cystectomy/oophoro-cystectomy
Partial Oophorectomy
Wedge Resection
Repair of the Ovary
Adhesiolysis of Ovary
OPERATIONS ON THE CERVIX
Cervical biopsy
Endocervical Curettage
Conization of the Cervix
Excision of Cervical Polyp
Amputation of Cervix
Cervicectomy
Encirclement Suture or Cerclage
Other Repair of Cervix
Late Repair of Obstetric Laceration
Repair of Non-Obstetric Laceration
LEEP
OPERATIONS ON FALLOPIAN TUBE

Salpingectomy
Salpingostomy
Fimbriectomy
Cornual Resection
Repair of Fallopian Tube
Insufflation
Tubal Ligation, Interval
Reanastomosis of ligated tubes
Endoscopic Destruction or Occlusion
By Culdoscopy
By Laparoscopy
Unspecified
OPERATIONS ON VAGINA
Culdocentesis
Incision of the Vagina
Colpotomy
Culdotomy
Hymenotomy
Hymenectomy
Obliteration and Total Excision of the Vagina
Colpectomy
Colpocleisis
Repair of Cystocoele
Repair of Rectocoele
Repair of Enterocoele
OPERATIONS ON VULVA AND PERINEUM
Incision of Vulva and Perineum
Drainage of Vulvar Abscess
Removal of Foreign Body from Vulva
Marsupialization of Bartholin's Gland
Excision of Bartholin's Gland
Radical Vulvectomy
Simple Vulvectomy
Perineorrhaphy
Other Operations on Female Genital Organs
OTHER OPERATIONS AND PROCEDURES
Partial Omentectomy
Peritoneal Biopsy
Peritoneal Fluid Sampling
Hartman's Procedure
Exploratory Laparotomy Alone
Other operations
LAPAROSCOPIC PROCEDURES
Video Laparoscopic
Diagnostic
Operative
Hysterograms or hysterosalpingography
Hysteroscopy
Colposcopy
Bilaterial pelvic lymph node dissection

Bilateral Groin Node Dissection
Chemotherapy
Others
CAL SOCIETY
TOTAL
COMPLETE
WITHOUT
###
###
###
###
###
###
###
BORDERLINE
STAGE III
STAGE IV
###
###
###
###
###
###
TOTAL
WITH
HYSTERECTOMY
TOTAL

version 0.12
Maternal Mortality Report
Chong Hua Hospital
0%
0
0
MATERNAL MORTALITY RATE

AVERAGE AGE (years)
AVERAGE AOG (weeks)
CAUSE OF DEATH
I. DIRECT MATERNAL DEATHS
VALUE
-
A. HEMORRHAGE
1. Spontaneous abortion
2. Induced abortion
3. Retained secundiness
4. Ectopic pregnancy
5. Abruptio placenta
6. Placenta previa
7. Placenta accreta
8. Uterine rupture
9. Cervico-vaginal lacerations
10. Uterine inversion
11. Uterine atony
12. Postop from surgical procedure
13. Trophoblastic disease
14. Abdominal pregnancy
15. Coagulopathy
16. Other hemorrhage
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
B. HYPERTENSION
1. Preeclampsia
2. Eclampsia
3. Preexisting hypertension
4. Combination
5. HELLP syndrome
0%
0%
0%
0%
0%
0%
C. INFECTION
1. Induced abortion
2. Pelvic abscess
3. Puerperal infection
4. Chorioamnionitis
5. Adnexal infection
6. Pelvic thrombophlebitis
7. Septic embolism
0%
0%
0%
0%
0%
0%
0%
0%
D. VASCULAR ACCIDENTS
1. Amniotic fluid embolism
2. Puerperal nonseptic embolism
3. Air embolism
0%
0%
0%
0%
E.
1.
2.
3.
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
A. CARDIAC
1. Rheumatic heart disease
2. Hypertensive heart disease
3. Congenital heart disease
4. Atherosclerotic heart disease
5. Undiagnosed
6. Other cardiac
0%
0%
0%
0%
0%
0%
0%
0%
B. VASCULAR
1. Preexisting hypertension
2. Vascular thrombosis/embolism
3. Thrombophlebitis
0%
0%
0%
0%
C. REPRODUCTIVE TRACT
1. Uterine anomalies
2. Uterine myoma
3. Ovarian cysts
4. Reproductive tract malignancy
5. Other reproductive tract
0%
0%
0%
0%
0%
0%
D. URINARY TRACT
1. Glomerulonephritis
2. Urinary tract infection
3. Hydronephrosis
4. Renal malignancy
5. Other urinary tract
0%
0%
0%
0%
0%
0%
ANESTHESIA
Neurogenic cardiac arrest
Post-aspiration asphyxia
Respiratory insufficiency
F. OTHERS
1. Peri/postpartum cardiomyopathy
2. Transfusion hemolysis
3. Electrolyte imbalance
4. Pregnancy anemia
5. Others (specify)
II. INDIRECT MATERNAL DEATHS
E.
1.
2.
3.
4.
5.
HEPATIC
Infectious hepatitis
Liver cirrhosis
Hepatic abscess
Hepatic malignancy
Other hepatic
0%
0%
0%
0%
0%
0%
F. PULMONARY
1. Tuberculosis
2. Pneumonia
3. Bronchial asthma
4. Lung cancer
5. Malignancy, with lung metastasis
6. Other pulmonary
0%
0%
0%
0%
0%
0%
0%
G. METABOLIC
1. Diabetes mellitus
2. Thyroid storm
3. Adrenal dysfunction
4. Other metabolic
0%
0%
0%
0%
0%
H. HEMATOLOGIC
1. Leukemia
2. Aplastic anemia
3. Other hematologic
0%
0%
0%
0%
I. GASTROINTESTINAL
1. Acute gastroenteritis
2. Appendicitis
3. Gastrointestinal tract malignancy
4. Other gastrointestinal
0%
0%
0%
0%
0%
J. OTHER CAUSES
0%
A. ACCIDENTS
1. Stab wound
2. Gunshot wound
3. Vehicular accident
4. Accidental poisoning
0%
0%
0%
0%
0%
0%
B. SUICIDE/MURDER
1. Suicide
2. Murder
0%
0%
0%
III. NONMATERNAL DEATHS
MORTALITY BASED ON
I. TIMING OF DEATH
A. TRIMESTER
1. First trimester
2. Second trimester
3. Third trimester
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
B. SPECIFIC
1.
2.
3.
4.
Antepartal
Intrapartal
Postpartal
Puerperal
II. IMMEDIATE CAUSE OF DEATH

A. Shock
B. Congestive heart failure
C. Respiratory failure
D. Hepatic failure
E. DIC
F. Intracranial bleeding
G. Multiorgan failure
H. Others (specify)
III. ONSET OF COMPLICATIONS
A. TRIMESTER
1. First trimester
2. Second trimester
3. Third trimester
B. SPECIFIC
1.
2.
3.
4.
Antepartal
Intrapartal
Postpartal
Puerperal
NO. OF LIVE BIRTHS

NO. OF MATERNAL DEATHS
MATERNAL MORTALITY RATE
0%
CAL SOCIETY

version 0.12
Gestational Trophoblastic Disease Report
Chong Hua Hospital
SECTIONS
ONE
TWO
THREE
FOUR
FIVE
CONTENTS
CASE BY DIAGNOSIS
HYDATIDIFORM MOLE
GESTATIONAL TROPHOBLASTIC TUMOR
PLACENTAL SITE TROPHOBLASTIC TUMOR
CROSS TABULATION OF VARIOUS CLINICAL CHARACTERISTICS OF GTT
SECTION ONE: CASE BY DIAGNOSIS
Hydatidiform Mole
Complete
Partial
No data
Gestational Trophoblastic Neoplasia
Invasive mole
Choriocarcinoma
Unspecified
No data
Placental Site Trophoblastic Tumor
Epithelioid Trophoblastic Tumor
TOTAL
SECTION TWO: HYDATIDIFORM MOLE

AGE GROUP
15-19
20-29
30-39
40-49
>= 50
No data
TOTAL
GRAVIDITY
01
25
6 10
11 16
No data
TOTAL
AOG AT DIAGNOSIS (in weeks)
<= 12 weeks
12-26 weeks
> 26 weeks
No data
TOTAL
COMPLICATIONS
Anemia
Hyperemesis gravidarum
Pre-eclampsia
Hyperthyroidism
Theca lutein cyst
Pulmonary embolism
Infectious
No data
TOTAL
HIGH RISK FACTOR
Age > 35 years
Uterus > AOG
Recurrent mole
Uterus >= 5 months AOG size
Precurettage hCG >= 100,000 mIU/mL
Theca lutein cyst >= 6cm
Others (specify)
No data
TOTAL
MODE OF EVACUATION
Suction curettage
Hysterectomy
D and C
Others (specify)
No data
TOTAL
USE OF CHEMOPROPHYLAXIS
No
Yes
No data
TOTAL
PROPHYLACTIC AGENT
Methotrexate (oral + parenteral)
Actinomycin D
No data
TOTAL
CONDITION ON DISCHARGE
No evidence of disease
Partial response
Progressive disease
Death
No data
TOTAL
PRESENT STATUS
OPD followup with no evidence of disease
Unknown/Lost to followup
Readmitted/Referred with evidence of malignant degeneration
No data
TOTAL
CAUSES OF DEATH
SECTION THREE: GESTATIONAL TROPHOBLASTIC NEOPLASIA

AGE GROUP
15-19
20-29
30-39
40-49
>= 50
No data
TOTAL
GRAVIDITY
01
25
6 10
11 16
No data
TOTAL
ANTECEDENT PREGNANCY
Term
Abortion
Ectopic pregnancy
Molar (complete + partial)
No data
TOTAL
BASELINE bHCG TITER (mIU/ML)
< 100
100 1,000
1,001 10,000
10,001 100,000
100,001 1,000,000
> 1,000,000
No data
TOTAL
WHO PROGNOSTIC SCORE
Low risk
High risk
No data
TOTAL
FIGO ANATOMIC STAGE
Stage I
Stage II
Stage III
Stage IV
No data
TOTAL
SURGICAL PROCEDURE
Curettage
TAH
Others (thoracotomy + craniotomy + others)
No data
TOTAL
CHEMOTHERAPY
Single agent (oral methotrexate + parenteral methotrexate + actinomycin D

MAC
EMACO (true + modified)
Others
No data
TOTAL
RADIOTHERAPY
Yes
No
No data
TOTAL
Partial response
Progressive disease
Death
No data
TOTAL
CAUSES OF DEATH
SECTION FOUR: PLACENTAL SITE TROPHOBLASTIC TUMOR

AGE GROUP
15-19
20-29
30-39
40-49
>= 50
No data
TOTAL
GRAVIDITY
01
25
6 10
11 16
No data
TOTAL
ANTECEDENT PREGNANCY
Term
Abortion
Ectopic pregnancy
Molar (complete + partial)
No data
TOTAL
BASELINE bHCG TITER (mIU/ML)

< 100
100 1,000
1,001 10,000
10,001 100,000
100,001 1,000,000
> 1,000,000
No data
TOTAL
Low risk
High risk
No data
TOTAL
FIGO ANATOMIC STAGE
Stage I
Stage II
Stage III
Stage IV
No data
TOTAL
SURGICAL PROCEDURE
Curettage
TAH
Others (thoracotomy + craniotomy + others)
No data
TOTAL
CHEMOTHERAPY
Single agent (oral methotrexate + parenteral methotrexate + actinomycin D

MAC
EMACO (true + modified)
Others
No data
TOTAL
RADIOTHERAPY
Yes
No
No data
TOTAL
Partial response
Progressive disease
Death
No data
TOTAL
SECTION FIVE: CROSS TABULATION OF VARIOUS CLINICAL CHARACTERISTICS OF GTN

FIGO ANATOMIC STAGE/CONDITION ON DISCHARGE
FIGO ANATOMIC STAGE

Stage I
Stage II
Stage III
Stage IV
No data
TOTAL
FIGO ANATOMIC STAGE/SURGICAL PROCEDURE
FIGO ANATOMIC STAGE

Stage I
Stage II
Stage III
Stage IV
No data
TOTAL
FIGO ANATOMIC STAGE/WHO PROGNOSTIC SCORE
FIGO ANATOMIC STAGE

Stage I
Stage II
Stage III
Stage IV
No data
TOTAL
WHO PROGNOSTIC SCORE/SURGICAL PROCEDURE

Low risk
High risk
No data
TOTAL
WHO PROGNOSTIC SCORE/CONDITION ON DISCHARGE

Low risk
High risk
No data
TOTAL
WHO PROGNOSTIC SCORE/CHEMOTHERAPY

Low risk
High risk
No data
TOTAL
DIAGNOSIS/CONDITION ON DISCHARGE
DIAGNOSIS
Invasive mole
Choriocarcinoma
Unspecified
No data
TOTAL
SECTION SIX: CROSS TABULATION OF VARIOUS CLINICAL CHARACTERISTICS OF PSTT

FIGO ANATOMIC STAGE/CONDITION ON DISCHARGE
FIGO ANATOMIC STAGE

Stage I
Stage II
Stage III
Stage IV
No data
TOTAL
FIGO ANATOMIC STAGE/SURGICAL PROCEDURE
FIGO ANATOMIC STAGE

Stage I
Stage II
Stage III
Stage IV
No data
TOTAL
FIGO ANATOMIC STAGE/WHO PROGNOSTIC SCORE
FIGO ANATOMIC STAGE

Stage I
Stage II
Stage III
Stage IV
No data
TOTAL
WHO PROGNOSTIC SCORE/SURGICAL PROCEDURE

Low risk
High risk
No data
TOTAL
WHO PROGNOSTIC SCORE/CONDITION ON DISCHARGE

Low risk
High risk
No data
TOTAL
WHO PROGNOSTIC SCORE/CHEMOTHERAPY

Low risk
High risk
No data
TOTAL
DIAGNOSIS/CONDITION ON DISCHARGE
DIAGNOSIS
Invasive mole
Choriocarcinoma
Unspecified
No data
TOTAL
GICAL SOCIETY
FREQUENCY
PERCENT
-
Partial response
0
0
0
0
0
0
Progressive
0
0
0
0
0
0
Dead
0
0
0
0
0
0
No data
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
SURGICAL PROCEDURE
Curettage
TAH
0
0
0
0
0
0
Others
0
0
0
0
0
0
No data
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0

Low risk
High risk
0
0
0
0
0
0
No data
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
SURGICAL PROCEDURE
Curettage
TAH
0
0
0
0
Others
0
0
0
0
No data
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Partial response
0
0
0
0
Progressive
0
0
0
0
Dead
0
0
0
0
No data
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
CHEMOTHERAPY
Single
Triple
0
0
0
0
EMACO
0
0
0
0
Others
0
0
0
0
No data
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
Partial response
0
0
0
0
0
Progressive
0
0
0
0
0
Dead
0
0
0
0
0
No data
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
Partial response
0
0
0
0
0
0
Progressive
0
0
0
0
0
0
Dead
0
0
0
0
0
0
No data
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
SURGICAL PROCEDURE
Curettage
TAH
0
0
0
0
0
0
Others
0
0
0
0
0
0
No data
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Low risk
High risk
0
0
0
0
0
0
No data
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
SURGICAL PROCEDURE
Curettage
TAH
0
0
0
0
Others
0
0
0
0
No data
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
Partial response
0
0
0
0
Progressive
0
0
0
0
Dead
0
0
0
0
No data
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
CHEMOTHERAPY
Single
Triple
0
0
0
0
EMACO
0
0
0
0
Others
0
0
0
0
No data
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
Partial response
Progressive
0
0
0
0
0
Dead
0
0
0
0
0
No data
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0

ISIS May 2014 OB

Hochgeladen von

Dokumentinformationen

Originaltitel

Copyright

Verfügbare Formate

Dieses Dokument teilen

Dokument teilen oder einbetten

Freigabeoptionen

Stufen Sie dieses Dokument als nützlich ein?

Sind diese Inhalte unangemessen?

Copyright:

Verfügbare Formate

ISIS May 2014 OB

Hochgeladen von

Copyright:

Verfügbare Formate

PHILIPPINE OBSTETRICAL AND GYNECOLOGICAL SOCIET

ic Disease Form STILL HAVE TO BE SUBMITTED.

PHILIPPINE OBSTETRICAL AND GYNECOLOGICAL SOCIET

Last Year of Pregnancy

2010 Endocrine, Nutritional, Metabolic

Bronchial asthma in remission

Mitral valve prolapse

Electronic fetal monitoring

Electronic fetal monitoring

Electronic fetal monitoring

Electronic fetal monitoring

Electronic fetal monitoring

Electronic fetal monitoring

Electronic fetal monitoring

Electronic fetal monitoring

VAGINAL DELIVERY - Only for the CURRENT pregnancy.

Spontaneous vertex delivery

Spontaneous vertex delivery

Spontaneous vertex delivery

Spontaneous vertex delivery

Spontaneous vertex delivery

Spontaneous vertex delivery

Spontaneous vertex delivery

Spontaneous vertex delivery

Spontaneous vertex delivery

Spontaneous vertex delivery

Spontaneous vertex delivery

Spontaneous vertex delivery

INFANT FETAL DATA

Neuraxial, combined spi

Without hysterect Yes

Neuraxial, combined spi

Neuraxial, combined spi

Neuraxial, combined spi

Neuraxial, combined spi

without hysterecto yes

Neuraxial, combined spi

Neuraxial, combined spi

Pediatric Age (weeks)

Fetal Neonatal Condition

PHILIPPINE OBSTETRICAL AND GYNECOLOGICAL SOCIET

3 Menopause and Infertility

6 Benign Neoplasm of the Uterus Leiomyoma

0 Benign Neoplasm of the Uterus Leiomyoma

Malignant Neoplasm of the CervOther neoplasm type,

Pelvic Inflammatory Disease Pelvic inflammatory diseases, prob. Bacteria

Benign Neoplasm of the Uterus Leiomyoma

For Malignancy For Genital

mmatory diseases, prob. Bacterial

serous cyst, fallopian tube

ma not specified, ovary

Without hysterect Alive

Without hysterect Alive

without hysterecto Alive

PHILIPPINE OBSTETRICAL AND GYNECOLOGICAL SOCIET

ANTECEDENT AND UNDERLYING CAUSE

COMPLICATIONS AND DEATH

PHILIPPINE OBSTETRICAL AND GYNECOLOGICAL SOCIET

Last Year of Pregnancy

High Risk Factor

Baseline hCG levels (mIU/mL)

FIGO Anatomic Stage

Modified WHO Score