February 18th – February 24th 2018

CHIEF OBSTETRIC / GYNECOLOGIC EMERGENCY UNIT : PSG

CHIEF CEMPAKA OBSTETRIC / OBSTETRIC CENTRAL OPERATING ROOM : JTS
CHIEF CEMPAKA GYNECOLOGYC / GYNECOLOGIC CENTRAL OPERATING ROOM : GYS/PJP
CHIEF OBSTETRIC OUT PATIENT CLINIC : RAI
CHIEF GYNECOLOGIC OUT PATIENT CLINIC : BAM
CHIEF FERTILITY OUT PATIENT CLINIC : GSK
CHIEF ONCOLOGY OUT PATIENT CLINIC : STN
CHIEF UROGYNECOLOGIC OUT PATIENT CLINIC : SRY

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 WEEKLY REPORT OF OBSTETRIC EMERGENCY ROOM

NO DIAGNOSE TOTAL
1 LABOR IRD / WI
- Preterm 6/-
- Aterm 16/-
- Postterm -/-
TOTAL 22/-
2 MODE OF DELIVERY
2.1 PERABDOMINAL
2.1.1 Cesarean Section 7/-
2.1.2 Laparotomy -/-
2.2 PERVAGINAM
2.2.1 Normal Labor 14/-
2.2.2.Vacuum Extraction -/-
2.2.3.Forcep Extraction -/-
2.2.4.Bracht -/-
2.2.5.Manual Aid
2.2.5.1. Total Extraction 1/-
2.2.5.2. Louvset Mauriceau -/-
2.2.6.Cunam Mouzeoux -/-
2.2.7.Others -/-
TOTAL 22/-
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 WEEKLY REPORT OF OBSTETRIC EMERGENCY ROOM

NO DIAGNOSE TOTAL

3 FETAL DEATH IRD / WI

- Antenatal -/-

- Intranatal -/-

- Postnatal 1/-

TOTAL 1/-

4 MATERNAL DEATH

- Hemorrhage -/-

- Infection -/-

- Preeclampsia / Eclampsia -/-

- Others 1/-

TOTAL 1/-

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NO DIAGNOSE TOTAL
5 PATHOLOGIC CASES
a. Preterm 8
b. Post Term -
c. Dystocia -
d. Neglected Labor -
e. Malposition
I. Breech Presentation 1
II. Transverse Lie 1
f. Gemelli / Multiple Pregnancy 1
g. Hypertension Disorders in Pregnancy
I. Mild PE -
II. Severe PE 3
III. Eclampsia 1
IV. Chronic Hypertension 1
V. Superimposed PE 1
VI. Gestational Hypertension -
h. Antepartum Hemorrhage -
i. Previous Cesarean Section 4
j. Medical and Surgical Disorder 5
k. Fetal Congenital Anomalies -
l. PROM 6
m. Postpartum Hemorrhage -
n. Infection in Pregnancy 3
o. Others -
TOTAL 35
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 WEEKLY REPORT OF PATHOLOGIC CASE
OBSTETRIC EMERGENCY UNIT

A. PRETERM
1. DEW, 28 yo, G2P1001 35 Weeks 5 Days, Single/Life, Secondary Old Primi, Eclampsia, Fetal Distress
EFW : 1550 g,  CS Greencode  Born baby ♀, 1400 g, AS: 1-1-4, FS: 16 ~ 35 weeks (SGA)
2. PAR, 30 yo, G1P0000 32 Weeks 4 days, Single/Life, 1st Stage of labor (ROM), EFW : 1550 g  2nd
Stage of labor  Spontaneously born baby ♂, 1500 g, AS : 7-8, NBS : 22 ~ 32-33 weeks (AGA)
3. IME, 26 yo, G1P0000 31 Weeks 4 days, Twin/Life-Life, Head presentation – Transverse lie, 1st Stage
of labor (ROM), EFW : 1520 g/1752 g  2nd Stage of labor  Spontaneously born baby 1 ♂, 1420
g, AS: 6-7, NBS : 18 ~ 31-32 Weeks (AGA)  Evaluation 2nd baby  Transverse lie  Internal
version  Breech  Total extraction  Born baby 2, ♂, 1620 g, AS: 6-7, NBS : 18 ~ 31-32 Weeks
(AGA)
4. SUK, 33 yo, G4P1201 30 Weeks 1 day, Single/Life, LMR (Previous CS 2x), Superimposed
Preeclampsia, partial HELLP Syndrome, 1st Stage of labor, EFW : 1372 g  CS Cito + Sterile  Born
baby ♀,1000 g, AS : 5-8, , NBS : 15 ~ 30 Weeks (AGA)  At 06.40 (22/2/2018) Baby✝
5. LAI, 35 yo, G3P2002 33 weeks 3 days, Single/Life, Chronic Hypertension, EFW 2184 g 
Conservative
6. SYA, 28 yo, G4P2012 34 Weeks 5 Days, Single/Life, LMR (Previous CS 1x), Observation of Fever Day-3
e.c suspect Urinary Tract Infection, Threatened Preterm Delivery (ROM), CTG Category II, EFW: 1862
g  intrauterine resucitation  Repeated CTG Category II  CS Cito + Sterile  Born baby ♂, 1950
g, AS: 8-9, NBS: 28 ~ 34-35 weeks (AGA), During operation found cord etanglement 2x
7. SAR, 20 yo, G1P0000 27 Weeks 3 Days, Single/Life, Severe Preeclampsia, Hypoalbuminemia (2.7),
EFW: 1019 g  Conservative 5
 WEEKLY REPORT OF PATHOLOGIC CASE
OBSTETRIC EMERGENCY UNIT

8. JUL, 22 yo, G1P0000 28 Weeks 3 days, Single/Life, GEA ec bacterial dd/ viral, severe dehidration,
AKI stage III dd/ ACKD prerenal dd/ Renal on CKD ec susp GNC, Metabolic Acidosis, Severe
Hypokalemia (1,09) e.c Susp Loss + Low Intake, Other Metabolic Disorder e.c Brain Demage and
Dysfunction, 2nd Stage of labor  Born Fetus, 500 g (✝)  Complete Abortion  Sudden Cardiac
& Respiratory Arrest  ✝(at 03.15 am)

B. POST TERM

C. DYSTOCIA

D. NEGLECTED LABOR

E. MALPRESENTATION
E.1. BREECH PRESENTATION
1. MAR, 31 yo, G3P1011 40 Weeks 2 Days, Single/Life, Breech Presentation, PROM, EFW: 3108 g 
CS  Born baby ♀, 3050 g, AS: 8-9
E.2. TRANSVERSE LIE
1. A3
F. GEMELLI/ MULTIPLE PREGNANCY
1. A3

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 WEEKLY REPORT OF PATHOLOGIC CASE
OBSTETRIC EMERGENCY UNIT

G. HYPERTENSIVE DISORDER IN PREGNANCY

G.1. MILD PREECLAMPSIA
G.2. SEVERE PREECLAMPSIA
1. IDA, 32 yo, G3P2002 37 Weeks 1 day, Single/Life, LMR (Previous CS 1x), Severe Preeclampsia,
observation dyspneu ec susp PPCM dd/ Lung Oedem, Obesity grade 2, EFW : 3007 g  CS Cito +
Sterile  Born baby ♂, 3050 g, AS : 6-8
2. PUT, 22 yo, P2002 post Section Cesarean day 1 + Severe Preeclampsia + HELLP Syndrome  Post
Operative and Preeclampsia Management
3. A7
G.3. ECLAMPSIA
1. A1
G.4. CHRONIC HYPERTENSION
1. A5
G.5. SUPERIMPOSED PREECLAMPSIA
1. A4
G.6. GESTATIONAL HYPERTENSION
H. ANTEPARTUM HEMORRHAGE

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 WEEKLY REPORT OF PATHOLOGIC CASE
OBSTETRIC EMERGENCY UNIT

I. PREVIOUS CESAREAN SECTION

1. YAN, 32 yo, G3P0111, 37 Weeks 2 days, Single/Life, LMR (Previous CS 1x), HIV Infection stage IV
(WHO) on HAART, Pulmonary Tuberculosis post treatment, PROM, EFW : 2614 g  CS Cito 
Born baby ♀,2550 g, AS : 8-9
2. A4
3. A6
4. G2.1

J. MEDICAL AND SURGICAL DISORDER

1. ANG, 27 yo, G1P0000 38 Weeks 3 Days, Single/Life, History of Asthma Bronchial, 1st stage of labor,
EFW: 3272 g  2nd Stage of labor  Spontaneously born baby ♀,3150 g, AS : 8-9
2. SUS, 31 yo, G2P1001 39 Weeks 4 days, Single/Life, Mild Anemia (9.25) H-M, 1st Stage of labor
(ROM), EFW : 3565 g  2nd Stage of labor  Spontaneously born baby ♂, 3750 g, AS: 8-9
3. A7
4. A8
5. G2.1

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 WEEKLY REPORT OF PATHOLOGIC CASE
OBSTETRIC EMERGENCY UNIT

K. FETAL CONGENITAL ANOMALY

L. PREMATURE RUPTURE OF MEMBRANE

1. HEL, 23 yo, 38 Weeks 4 days, Single/Life, PROM, EFW : 2991 g, PS : 4  1st Stage of labor (ROM)
 2nd Stage of labor  Spontaneously born baby ♀,2850 g, AS : 8-9
2. WEN, 28 yo, G5P2113 40 Weeks 4 days, Single/Life, PROM, EFW : 3410 g, PS : 4  1st Stage of
labor (ROM)  2nd Stage of labor  Spontaneously born baby ♂, 3420 g, AS: 8-9
3. SIL, 23 yo, G1P0000 38 weeks 1 day, Single/Life, HIV Infection, PROM > 24 hours, EFW : 3092 g 
CS cito  Born baby ♂, 3150 g, AS : 8-9
4. IND, 17 yo, G1P0000 37 weeks 2 days, Single/Life, PROM, EFW : 2412 g, PS : 3  1st Stage of labor
(ROM)  2nd Stage of labor  Spontaneously born baby ♂, 2650 g, AS 8-9, IUD Insertion (+)
5. E1.1
6. I1

M.POST PARTUM HEMORRHAGE

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 WEEKLY REPORT OF PATHOLOGIC CASE
OBSTETRIC EMERGENCY UNIT

N. INFECTION IN PREGNANCY
1. A6
2. I1
3. L3

O. OTHERS

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 WEEKLY REPORT OF OBSTETRIC ROOM
EMERGENCY UNIT AND CEMPAKA WARD

CEMPAKA
EMERGENCY UNIT
OBSTETRI
NO CASES DECSRIPTION
NEW CASE OLD CASE NEW CASE OLD CASE

PRETERM PREGNANCY
1 8 - - -
Subtotal
1.1. Preterm Premature Rupture of the Membrane - - - -
1.2. Preterm Antepartum Hemorrhage - - - -
1.3. Preterm Preeclampsia 3 - - -
1.4. Threatened Preterm Delivery - - - -
1.5. Medical Disorder - - - -
1.6. Others 5 - - -

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 EMERGENCY UNIT CEMPAKA OBSTETRIC
NO CASES DESCRIPTION
NEW CASE OLD CASE NEW CASE OLD CASE

MODE OF DELIVERY
2 22 - - -
Subtotal

2.1. Perabdominal
2.1.1 Caesarean Section 7 - - -
2.1.1 Laparatomy - - - -
2.2. Pervaginam
2.2.1 Normal Labor 16 - - -
2.2.2 Vacuum Extraction - - - -
2.2.3 Forcep Extraction - - - -
2.2.4 Bracht - - - -
2.2.5 Manual Aid - -
2.2.5.1 Total Extraction 1 - - -
2.2.5.2 Louvset Mauriceau - - - -
2.2.6 Cunam Mouzeaux - - - -

COMPLICATION
3 - - - -
Subtotal
3.1. Primary Postpartum Hemorrhage - - - -
3.2. Secondary Postpartum Hemorrhage - - - -
3.3. Puerperal Infection - - - -
3.4. Others - - - -
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 WEEKLY REPORT OF GYNECOLOGY
EMERGENCY ROOM AND CEMPAKA WARD
February 18th – February 24th 2018

IRD CEMPAKA GYN/OBS

NO CASES DESCRIPTION ICD X
NEW PREVIOUS NEW PREVIOUS

1 GYNECOLOGY INFECTION Subtotal - - - -

1.1. Upper Genital

1.1.1 PID Grade I N70.9 - - - -
1.1.2 PID Grade II/ATO N71.9 - - - -
1.1.3 PID Grade III N72 - - - -
1.1.4 Others - - - -
1.2. Lower Genital
1.2.1 Vulvitis N76.2 - - - -
1.2.2 Vaginitis N76.0 - - - -
1.2.3 Bartholinitis N75.8 - - - -
1.2.4 Bartholin Abcess N75.1 - - - -
1.2.5 Others - - - -

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 IRD CEMPAKA GYN/OBS
NO CASES DESCRIPTION
ICD X NEW PREVIOUS NEW PREVIOUS

2 GYNECOLOGY TUMORS Subtotal - 3 - -

2.1. Benign
2.1.1 Bartholin Cyst N75.0 - - - -
2.1.2 Cervical Polyp N84.1 - - - -
2.1.3 Adenomyosis N80 - - - -
2.1.4 Ovarian Cyst N83.2 - - - -
2.1.5 Solid Ovarian Tumor D27 - - - -
2.1.6 Hydatidiform Mole D39.1 - - - -
2.1.7 Leiomyoma D25.9 - - - -
2.2. Precancer Lesion - -
2.2.1 Cervical precancer lesion D06 - - - -
2.3. Malignant
2.3.1 Vulvar Carcinoma C51.9 - - - -
2.3.2 Vaginal Carcinoma C52 - - - -
2.3.3 Cervical Carcinoma C53.9 - 3 - -
2.3.4 Endometrial Carcinoma C54.1 - - - -
2.3.5 Fallopian Tube Carcinoma C57.0 - - - -
2.3.6 Ovarian Carcinoma C56 - - - -
2.3.7 Trophoblastic M90 - - - -
2.4 Others - - - -

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 IRD CEMPAKA GYN/OBS
NO CASES DESCRIPTION
NEW PREVIOUS NEW PREVIOUS
ICD X
ENDOCRINOLOGY AND INFERTILITY
3 - - - -
Subtotal
3.1 Primary Amenorrhea N91.0 - - - -
3.2 Secondary Amenorrhea N91.1 - - - -
3.3 Primary Infertility N97.0 - - - -
3.4 Secondary Infertility N97.0 - - - -
3.5 AUB N93.9 - - - -
3.6 Others - - - -

EARLY PREGNANCY COMPLICATION

4 6 - - -
Subtotal
4.1 Threatened Abortion O20.0 2 - - -
4.2 Inevitable Abortion O07.9 - - - -
4.3 Incomplete Abortion O06.3 4 - - -
4.4 Infectious Abortion O07.5 - - - -
4.5 Septic Abortion O07.5 - - - -
4.6 Ectopic Pregnancy O00.1 - - -
4.7 Hyperemesis Gravidarum O21.1 - - - -
4.8 Dead Conceptus O02.1 - - - -
4.9 Blighted Ovum O02.0 - - - -
4.10 Others - - - -

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 IRD CEMPAKA GYN/OBS
NO CASES DESCRIPTION
NEW PREVIOUS NEW PREVIOUS
ICD X
MINOR OPERATION GYNECOLOGY
5 6 - - -/-
Subtotal
5.1 Biopsy O35.7 - - - -
5.2 Incision 70.1 - - - -
5.3 Excision 70.4 - - - -
5.4 Extirpation 70.29 - - - -
5.5 Uterine Evacuation 69.02 4 - - -
5.6 Colposcopy 70.21 - - - -
5.7 IUD Extraction 97.71 - - - -
5.8 IUD Insertion 69.7 2 - - -
OTHERS
6 - - - -
Subtotal
6.1 Uterine Prolaps N81.2 - - - -
6.2 Unplanned Pregnancy O35 - - - -
6.3 IUD Translocation Z35 - - - -
6.4 Invertio Uteri O71.2 - - - -
6.5 Elongatio Colli N88.4 - - - -
6.6 Susp. Vagina Septa Q52.1 - - - -
6.7 Visum et Repertum Z03 - - - -
6.8 Other - - - -

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 RESUME OF WEEKLY REPORT
NO DIAGNOSA IRD VIP VK Total
I OBSTETRIC & GYNAECOLOGY Total % Total % Total %
1. Labor
<1000 g -
1000 - < 1500 g 3
- Preterm
=> 1500 g 3
SubTotal 6
- Term 16
- Postterm -
Total 22
2. Modes Of Delivery
a. Abdominal
- New Cesarean section 4
- Previous CS 3
Sub Total 7
b. Pervaginam
Spontaneously :
- Head 14
- Bracht -
- Others -
Operative :
- FE -
- VaE -
Manual Aid ( Total Extraction) 1
Louvset Mauriceau -
Cunam Mozeaux -
Sub Total 15
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Total 22
2 2. Minor Operation Gynecology Policlinic ER Total
Total % Total % Total %
- Biopsy (Colposcopy) - -
- Incision - -
- Excision - -
- Extirpation - -
- Uterine evacuation 4
- Cryotherapy -
Total 4
3. Gynecologic Operative
II Policlinic
1.OBSTETRIC
PNC
- New
- Old
Total
2. Gynecologic
-New
-Old
Total
- Gynecologic Infection
- Gynecologic Tumor
- Infertile & Endocrine
- Family Planning
- Others
Total 18
III Neonatal Death ER VIP VK Total

Total % Total % Total %

- Ante natal - - - - - -
- Intra natal - - - - - -
- Post natal 1 - - - - -
Total 1 - - - - -
IV Maternal Death - - - - - -
- Haemorrhagic - - - - - -
- Infection - - - - - -
- PE / Eclampsia - - - - - -
- Other 1 100 - - 1 100
Total 1 100 - - 1 100
V Gynecologic Death ER Cempaka Total
Total - - -

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