Nurkamilawati Arista / Maternal Fetal Division

Period June 1st – 4th, 2018

Date of Patient Name Recommen

No. Detail of Patient Treatment
Admission (Age/LMP/RM) dation

1 29/06/18 Mrs. L G3P2A0 Induction of labor Vaginal Hygiene

(34y.o/LMP : Abdominl pain (+) 1 day before admission Vertex delivery
16/11/2017/ Discharge of mucus and blood (+) Breast Compression
MR: 846392) History of negative fetal movement since 3 days ago
Fetal heart rate : negative
EFW based USG : 2697 gram

Pre-Treatment Diagnosis:
G3P2A0 32 weeks 1 days of Gestational age in
Active Phase 1st stage of Labor + Multiple
Congenital Anomaly + IUFD

Post-Treatment Diagnosis:
Multiple Congenital Anomaly + IUFD + Partus
Preterm

Outcome :
Female, Body weight : 1310 gr, Body Length : 46
cm, Apgar Score : 0/0
Nurkamilawati Arista / Maternal Fetal Division
Period June 1st – 4th, 2018
 Nurkamilawati Arista / Maternal Fetal Division
Period June 1st – 4th, 2018

2 02/07/18 Mrs. IU G3P2A0 Spontaneous vertex Early breast feeding

(32 y.o/LMP : Headache (+) delivery
08/10/2017/ Epigastic pain (+) Exclusive Breast
MR: 736414) Abdominl pain (+) 1 day before admission Feeding for 6 months
Discharge of mucus and blood (+)

Blood pressure : 150/100 mmHg

EFW based on physical examination : 2790 gram
EFW based on USG : 2816 gram
HGB : 12.0 gr/dL

Pre-Treatment Diagnosis:
G3P2A0 38 weeks 1 day of Gestational age in Latent
Phase 1st stage of Labor + Severe Preeklampsia + 1
previous Caesarean section

Post-treatment diagnosis :
Preterm Delivery + Severe Preeklampsia + 1 previous
Caesarean section

Outcomes :
Male, 2470 g, 47 cm, A/S 8/10. BS 35 (AGA)

Cardiotocography :
Category 1
 Nurkamilawati Arista / Maternal Fetal Division
Period June 1st – 4th, 2018

3 02/07/18 Mrs. SH G3P2A0 - O2 8 Liters/Minute Observation of vital sign,

(35 y.o/LMP : Referred from Obstetrician via NRM his and fetal heart rate
?/10/2017/ Nyeri kepala sejak 1 minggu terakhir - 4 gr MgSO4 40% in
MR: 715040) Blood pressure : 210/138 mmHg 100 cc NaCl 0,9% 73 Referred to Labuang Baji
Abdominl pain (+) Drops/Minute Hospital
Discharge of mucus and blood (+) - 6 gr MgSO4 40% in
EFW based USG : 1380 gram 500 cc RL 28
HGB 13.9 gr/dL Drops/Minute Until
24 Hours Post
Pre-Treatment Diagnosis: Delivery
G3P2A0 28-29 weeks of Gestational Age latent phase - Urinary
first stage of labor + Severe Preeklampsia + 1 previous Catheterization
Caesarean section - Nifedipine 10 mg/8
h/oral
Cardiotocography :
Category 1
 Nurkamilawati Arista / Maternal Fetal Division
Period June 1st – 4th, 2018

4 02/07/18 Mrs. AV G1P0A0 Spontaneous vertex Early breastfeeding

(27 y.o/LMP : Abdominl pain (+) delivery
19/12/2018/ Discharge of mucus and blood (+) Exclusive Breastfeeding
MR: 844881) History of amnioon leakage since 2 weeks ago for 6 months
EFW based : 2470 gram
HGB 11.8 gr/dL

Pre-Treatment Diagnosis:
G1P0A0 28 weeks of Gestational Age latent phase first
stage of labor

Post Treatment Diagnosis :

Preterm Delivery

Outcome :
Male, BW 840 gram. BL 36 cm, AS 7/9, BS 11 (AGA)

Cardiotocography :
Category 1
 Nurkamilawati Arista / Maternal Fetal Division
Period June 1st – 4th, 2018

5 02/06/18 Mrs. HP/(37 G3P2A0 Lower Segment Wound Hygiene

y.o/LMP : Abdominl pain (+) since 2 weeks ago Transverse
?/10/2017/ Discharge of mucus and blood (+) Caesarean Section Early Mobilization
MR: 840143) History of amnioon leakage since 10 hours ago
History of weight lose
Bilateral Tubectomy Control for operation
EFW based USG : 2080 gram suture
Pomeroy
HGB 11.9 gr/dL
Modification
Explain the advantages
and disadvantages of
Pre-Treatment Diagnosis: the Sterilization
G3P2A0 36-38 weeks of Gestational Age latent phase contraceptives
first stage of labor + Carcinoma Recti + Female
Sterilization Acceptor Candidate

Histopatology Result :
Adenocarcinoma

Post Treatment Diagnosis :

Preterm Delivery + Carcinoma Recti + Female
Sterilization Acceptor

Outcome :
Male, BW 1900 gram. BL 42,5 cm, AS 8/10, BS 36
(AGA)
 Nurkamilawati Arista / Maternal Fetal Division
Period June 1st – 4th, 2018

Total Cases :5
Vaginal Delivery :1 Incomplete :-
Dilatation & Curettage :- Missed Abortion :-
Lower Segment Transverse Caesarean Section :2 Hydatidiform Mole :-
Hysterectomy :- Cystectomy/Salphyngooforectomy : -
Conservative :1

Mortality/Nearmiss Total
Maternal :-
Perinatal :1

Family Planning :
Natural :- Hormonal Combination : - Female Sterilization :1
Barrier :- Hormonal Progestin : - IUD :-
Implant :-
 Nurkamilawati Arista / Maternal Fetal Division
Period June 1st – 4th, 2018

Makassar 04/07/2018

Known By

(Consulent) (Chief of Resident)

(Dr. dr. Efendi Lukas, Sp.OG-K) (dr. Indrayani irwan)