PELAMONIA HOSPITAL/ ARSYI ADLIAH A.

JANUARY 6th – 9th 2019

NO DATE PATIENT DETAIL OF PATIENT TREATMENT RECOMENDATION

1 06-01-2019 Mrs. W Pre-Treatment diagnosis : - Spontaneous vertex delivery - Exclusive
33 y.o G3P2A0 gravid 39 weeks 4 days in latent phase of first - Early Breastfeeding Breastfeeding for 6
LMP 10-03-2018 stage of labor months
MR : 183133 Post-Treatment diagnosis: - Vaginal hygiene
Term delivery - Family planning: IUD
Neonatal outcome :
Female, 3200 g, 48 cm, AS 8/10
2 09-01-2019 Mrs. N Referred from Tamamaung Primary Health Care - Lower Segment Transverse - Exclusive
30 y.o. History of complete cervical dilatation 3 hours before Caesarean Section breastfeeding
LMP 09-04- 2018 FHR : 90x/minutes - IUD insertion - For 6 months
MR : 641427 - Mobilization
Pre-Operative diagnosis : - Wound hygiene
G1P0A0 gravid 39 Weeks 2 Days Latent Phase Prolonged - Control IUD position
Second Stage of Labor + Persistent Occiput Transverse
Position + Fetal Distress + IUD acceptor candidate

Post-Operative diagnosis:
Persistent Occiput Transverse Position + Asphyxia of the
Newborn + Term Delivery + IUD acceptor

Neonatal outcome :
Male, 2900 g, 47 cm, AS 6/9
3 09-01-2019 Mrs. IB History of 1st cesarean section in October 2017 due to - Lower Segment Transverse - Exclusive
30 y.o. Fetal Distress Caesarean Section breastfeeding
LMP 16-04- 2018 - IUD insertion - For 6 months
MR : 644187 Pre-Operative diagnosis : - Mobilization
G2P1A0 gravid 38 Weeks 3 Days Latent Phase First Stage - Wound hygiene
of Labor + 1 Previous Cesarean Section + IUD acceptor - Educate about risk of
candidate subsequent pregnancy
- Control IUD position
 PELAMONIA HOSPITAL/ ARSYI ADLIAH A.
JANUARY 6th – 9th 2019

Post-Operative diagnosis:
1 Previous Cesarean Section + Term Delivery + IUD
acceptor

Neonatal outcome :
Male, 3000 g, 49 cm, AS 8/10
4 07-01-2019 Mrs. NA BP : 160/110 mmHg - Oxygen 8 lpm/NRM - Educate about the
37 y.o Protein urine : ++ - MgSO4 40% 4 gr in 100 cc NaCl complication of Severe
LMP: 24/05/2018 Sonography EFW : 2045 gr 72 dpm continued with MgSO4 Preeeclampsia
MR: 644167 40% 6 gr in 500 cc RL 28 dpm - Educate about
Pre-Treatment Diagnosis: until 24 houRs impending symptom of
G3P2A0 32 weeks 4 days of Gestational Age Not in - Nifedipine 10 mg/8h/oral Eclampsia
Labor+ Severe Preeclampsia - Dexamethasone 6 mg/12h/IM - Routine control of blood
- Observation of FHR pressure.

5 08-01-2019 Ny. F History of amnion leakage since 2 hours before - Dexamethasone 6 mg/12h/IM - Educate about the risk
22 y.o SDP : 5.3 cm - Bed rest factor of PPROM
LMP : 22/05/2018 Nitrazine test : + - Observation of FHR - Educate about the
MR : 644289 complication of PPROM
Pre-treatment diagnosis :
G1P0A0 33 weeks of Gestational Age + Preterm
Premature Rupture of Membrane
 PELAMONIA HOSPITAL/ ARSYI ADLIAH A.
JANUARY 6th – 9th 2019

Total Miscarriage Total

Vaginal Delivery 1
Incomplete -
Dilatation & Curettage -
Missed Abortion -
Low transverse Caesarean Section 2
Blighted Ovum -
Conservative 2

Mortality/ Nearmiss Total

Family Planning
Maternal -
Natural : - Hormonal Combination : - Female sterilization : -
Perinatal -
Barrier : - Hormonal Progestin : - IUD :2
Referral -
 PELAMONIA HOSPITAL/ ARSYI ADLIAH A.
JANUARY 6th – 9th 2019

Makassar 10/01/2019

Known by,

(Consulent) (Chief)

Dr. dr. Samrichard Rambulangi, Sp.OG dr. Shandy Suwato P.

PELAMONIA HOSPITAL/ ARSYI ADLIAH A.
JANUARY 6th – 9th 2019