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IBNU SINA HOSPITAL / NAENY FAJRIAH

October 21th – 24th 2018

DATE PATIENT DETAIL OF PATIENT TREATMENT RECOMENDATION


NO

Pre Treatment Diagnosis : Exclusive


Breastfeeding for 6
G3P2A0 38 weeks 2 days of Gestational age in months
Active Phase 1st stage of Labor
 Spontaneous vertex delivery 

Family Planning
Mrs. K/32 Post Treatment Diagnosis : counseling and
1 21-10-2018 y.o/LMP 26-01-  Early breastfeeding 
 education: IUD
2018 Term Delivery
Insertion
Outcome :
Explain the advantages
Male, Body weight : 2750 g, and disadvantages of
Body Length : 48 cm, Apgar Score : 8/10 the IUD contraceptives

Exclusive
Breastfeeding for 6
Pre Treatment Diagnosis : months
G1P0A0 39 weeks 2 day of Gestational age in
Latent Phase 1st stage of Labor Spontaneous vertex delivery
Family Planning
Mrs. A/28 counseling and
Post Treatment Diagnosis : Early breastfeeding
2 22-10-2018 y.o/LMP 20-01- education:
Term Delivery
2018 progesterone
Injection
Outcome:
Female, BW : 2800 gr, BL : 48 cm, A/S : 8/10 Explain the
advantages and
disadvantages of the
IBNU SINA HOSPITAL / NAENY FAJRIAH

October 21th – 24th 2018


Progesteron
contraceptives

Vaginal Bleeding Since 3 days before admission

Pregnancy test (+)


Observation of general
External Os/Internal Os : condition, vital sign,
Mrs. H/28 vaginal bleeding
Dilated/Dilated Curettage
3 22-10-2018 y.o/LMP 20-7- Counseling for the
2018 Pre-Treatment Diagnosis :
next pregnancy
Incomplete abortion

Post-operative diagnosis :

Incomplete abortion

Total Miscarriage Total


Vaginal Delivery :2 Incomplete :1
Dilatation & Curretage :1 Missed Abortion :-
Lower Segment Transverse Caesarean Section :- Molahidatidosa :-
Hysterectomy Sub Total/Total :- Cystectomy/Salphyngooforectomy :-
IBNU SINA HOSPITAL / NAENY FAJRIAH

October 21th – 24th 2018

Mortality/Nearmiss Total
Maternal :-
Perinatal :-

Family Planning :
Natural :- Hormonal Combination :- Female Sterilization : -
Barrier :- Hormonal Progestin :- IUD :-
Implant :-

Makassar, 24/10/2018
Known By
Chief Resident,

dr. Yashinta Sampeliling

Supervisor,

dr. Abdul Rahman, Sp. OG (K)

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