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Morning Report

6 Januari 2017
RSKB Sayang Ibu
Jum’at, 30 Desember 2016
No Jam Identitas Diagnosis Tindakan Keterangan
1. 11.45 Ny. Ardiyanti, 32 G4P1A2 uk 39 Ivfd RL 20 tpm R.VK
th minggu inp kala I Partus
fs laten Pk 15.35
AS 7/9
BB 3.090 g
2. 22.35 Ny. Noor G5P3A1 uk 39-40 Ivfd RL 20 tpm R.VK
hasanah,41 th minggu inp kala I Partus
fs laten 05.55
AS 7/9
BB 3.420 g
Sabtu, 31 Desember 2016
No Jam Identitas Diagnosis Tindakan Keterangan
1. 13.20 Ny. yuliana G3P2A0 uk 38-39 Partus normal R.VK
minggu inp kala I Partus 13.43
fs aktif AS 8/10
BB 2.530 g
2. 13.30 Ny. Noor zainah, G2P1A0 uk 39 NST  Kat 1 R.VK
32 th minggu inp kala I Partus 22.35
fs laten + KPD AS 8/10
BB 3.320 g
3. 18.30 Ny. Nur Cahaya, G1P0A0 uk 37-38 Partus Normal R.VK
18 th minggu inp kala ii Partus 18.35
AS 7/9
BB 2.680 g
Minggu ,01 Januari 2017
No Jam Identitas Diagnosis Tindakan Keterangan
1. 00.45 Ny. Cynthia G3P2A0 uk 39-40 Partus normal R.VK
febriani, 26 th minggu inp kala I Partus 04.00
fs laten AS 8/10
BB 2.010 g
2. 04.00 Ny. Desiana, 37 G4P3A0 uk 38-39 NST  Kat I R.VK
th minggu inp kala I Ivfd rl 20 Tpm Partus 04.50
fs laten + KPD < Amoksisilin 3x500 AS 8/10
6jam + PER mg po BB 2.540 g
3. 04.20 Ny. Radi, G3P1A1 uk 34-35 Co/ dr. Rujuk RSKD
hastutik, 38 th minggu inp kala I Aspian,Sp.OG adv
fs laten + KPD < 6 : rujuk
jam + Riw SC 7 th
+ susp CPD
Minggu , 01 Januari 2017
No Jam Identitas Diagnosis Tindakan Keterangan
4. 11.25 Ny. Siti jumriah, G3P1A1 uk 37-38 NST  Kat II R.VK
31 th minggu inp kala I Adv Partus 14.00
fs laten + PEB dr.Aspian,Sp.OG: AS 7/9
Resusitasi BB 3.310 g
intrauterin
MgSO4 full dose
Nifedipin 3x10 mg
5. 18.10 Ny. Nur Haini, 27 G1P0A0 uk 11-12 Adv dr. R.Perawatan
th minggu + BO Aspian,Sp.OG:
IVFD RL 20 tpm
Duphaston 10 mg
Pro curet
06. 20.25 Ny. Nur Haeni, G3P2A0 uk 38-39 Pimpin persalinan Partus di IGD
45 th minggu inp kala II Pukul 20.30
AS 7/ 9
BB 3000gr
Senin , 02 Januari 2017
No Jam Identitas Diagnosis Tindakan Keterangan
01. 06.20 Ny. Norma, 22 th G2P1A0 uk 38-39 Partus normal R.VK
minggu inp kala I Partus: 08.40
fs aktif AS 7/9
BB 3.190 g
02. 15.35 ny. Mila annisa, G2P1A0 uk 37-38 Adv dr. SC o/
23 th minggu inp kala I Aspian,Sp.OG: dr.Aspian,Sp.OG
fs laten + RIW SC< Pro SC pk : 19.27
2 th + KPD < 6jam AS 8/10
BB 2.960 g
03. 19.35 Ny. Haslinda, 18 G2P0A1 uk 37-38 Partus normal R.VK
th minggu inp kala I Partus 06.37
fs laten AS 7/9
BB 3.370 g
Senin , 02 Januari 2017
No Jam Identitas Diagnosis Tindakan Keterangan
04. 20.20 By. Noor Zaenah, Neonatus aterm, Adv dr. R. Perinatologi
2 hari SMK, dg susp early Rumiris,Sp.A:
onset sepsis + obs ASI 8X30 cc
febris Cefixime 5
mg/KgBB
Cek DL, Bil T,D,I
Selasa, 03 Januari 2017
No Jam Identitas Diagnosis Tindakan Keterangan
1. 12.00 An Muh.Zaky J, 6 GEA dehidrasi Adv. Rumiris,Sp.A: Rujuk RSUD
th ringan-sedang Rujuk
IVFD KAEN 3B
1250cc/3 jam
Ondancentron 3x5
mg (iv)
Cek DL
2. 16.45 Ny. Rusliati, 23 th G1P0A0 uk aterm Rujukan poli obgyn SC dg
+ let-su + PJT Adv dr.Aspian,Sp.OG
dr.Aspian,Sp.OG pk 06.15
adv: pro sc AS 5 / 7
tgl 4-1-17 pk 05.30 BB 2270gr
3. 19.20 Ny. hernawati, G4P3A0 uk aterm Rujukan poli obgyn SC dg
29 th pro SC + MOW Adv dr.Aspian,Sp.OG
dr.Aspian,Sp.OG: pk 07.12
Tgl 4-1-17 pk 06.30 AS 7/9
BB 4270 gr
Selasa, 03 Januari 2017
No Jam Identitas Diagnosis Tindakan Keterangan
04. 23.30 Ny. Megawati, 17 G1P0A0 Hamil 38- Adv Rujuk RSKD
tahun 39mgg Inp Kala I dr.Aspian,Sp.OG:
fase laten + KPD > Inf RL 20 tpm
36 jam + PER + Inj. Ceftriaxone 2x
B20 (+) 1gr
Nifedipin 3 x 10mg
Rujuk
Rabu , 04 Januari 2017
No Jam Identitas Diagnosis Tindakan Keterangan
1. 01.00 Ny. Marwah, 30 G4P3A0 uk 39- Inf RL 20 tpm R.VK
th 40mgg inp kala II + Nifedipin 3x10mg Partus pukul
PER Pimpin persalinan 01.20
Inj. Oxytocin 2x IM AS 8 /10
Drip Oxytocin BB 2600 gr
2amp dalam RL
500cc 28 tpm
Manual Placenta
USG
2. 09.00 Ny. Heni S G3P2A0 uk 11 Adv dr. DC o/ dr.
minggu dg ab Aspian,Sp.OG: Pro Aspian,Sp.OG
inkomplit DC Pk 11.45

3. 16.30 Ny. Rida, 43 th G4P3A0 uk 13-14 IVFD RL Rujuk RSKD


minggu dg Adv dr.
intoksikasi bahan Aspian,Sp.OG:
kimia Rujuk
Rabu , 04 Januari 2017
No Jam Identitas Diagnosis Tindakan Keterangan
4. 20.50 Ny. Desi rasna S, G4P3A0 uk 13-14 Adv R. Perawatan
29 th minggu dg ab dr.Aspian,Sp.OG:
imminens Ivfd RL
Dupaston 2 tab
Pronalges supp

5. Ny. Siti G1P0A0 Hamil 39- Drip oxytocin 5 UI R.VK


Nurhidayah, 23 40mgg + Inp kala I dalam RL 500cc  Lahir pukul
thn fase laten 20tpm 05.00
AS 8 /10
BB 3650 gr
Kamis , 05 Januari 2017
No Jam Identitas Diagnosis Tindakan Keterangan
1. 00.30 Ny. Desi Andini, G2P1A0 Hamil 37- Partus normal R.VK
23 tahun 38mgg + Inp kala I Lahir pukul
fase laten 03.20
AS 8 /10
BB 3570 gr

2 07.30 Ny. Nyamiati, 42 G3P2A0 hamil 38- Adv dr. SC


tahun 39mgg + Inp kala I Aspian,Sp.OG: Pk 11.35
fase laten + CPD + Inf RL 20 tpm AS 8/10
Polihydramnion + Cek DL + UL + BB 4.205 gram
susp bayi besar Albumin
Drip MgSO4 40%
10cc dalam RL 28
tpm
Pro SC
Kamis , 05 Januari 2017
No Jam Identitas Diagnosis Tindakan Keterangan
3. 10.15 Ny. Marthina D, Blighted ovum Adv Kuretage o/
39 th dr.Aspian,Sp.OG: dr.Aspian,Sp.OG
Pro kuretage Pk.
Misoprostol 1 tab
per vag
4. Ny. Erniariawati, G3P2A0 uk 38-39 Adv dr.Alia,SpOG: R.VK
27 th minggu inp kala I Nifedipin 3x10 Partus : 02.30
dg PEB + KPD < 6 mg AS 8/10
jam Protab PEB BB 3000 g
Misoprostol ¼ tab
per vag
5. 20.15 Ny. Risnawati, 24 G1P0A0 uk 37-38 Partus normal R.VK
th minggu inp kala I Partus: 21.00
fs aktif AS 8/10
BB 2.510g
kamis, 05 Januari 2017
No Jam Identitas Diagnosis Tindakan Keterangan
6. 20.40 Ny. GB. G5P4A0 uk 37-38 Rujukan SC o/ dr.
Purnamasari, 38 minggu dg gemelli dr.Aspian,Sp.OG Aspian,Sp.OG
th pro SC pk 06.30 Pk 06.57
tgl 05-01-17 By I : AS 8/10
BB 2.525 g
B II : AS 8/10
BB 2.710 g
PERAWATAN
1. Ny nyamiati S/ 42 th / P3A0 Post SC hari 1

2. Ny risnawati / 24 th / P1A0 post partum H-0


by ny risnawati / 11 jam / P / 2510 g
Neonatus aterm / SMK

3. Ny desi rasna S / 29 th / G4P3A0 uk 13-14 minggu dg ab


imminens

4. Ny. Desi andini / 23 th / P2A0 post partum H-1


By. Ny. Desi / 1 hari / L / 3.420 g
Neonatus aterm SMK
5. Ny Hernawati / 29 th/ P4A0 Post SC Hari 2 + MOW
by ny Hernawati / 2 hari / L / 4.000 gr
Neonatus aterm + BMK + distress napas (membaik) + susp
eos

6. Ny Rusliati / 23 th / P1AO Post SC Hari 1


by ny Rusliati / 1 hari / L / 2.070 g
Neonatus aterm + KMK BBLR + distress napas (membaik) +
susp eos

7. Ny. Rusmila / th / G3P2A0 uk 14-15 minggu dg ab imminens

8. Ny. Siti nurhidayanti / th / P1A0 post partum H 1


By. Ny. Siti H/ 1 hari / P / 3.490 g
neonatus aterm / SMK
9. ny. Erniariawati/ 27 th / P3A0 post partum H-0 +
PEB
by. Ny. Erniariawati / 6 jam / P / 3000 g
neonatus aterm SMK
10. Ny. GB Purnamarasi / 38 th / P6A0 post SC H-0
by. Ny. GB Purnamasari I / 1 jam / 2.525 g
neonatus aterm SMK
by. Ny. GB Purnamasari II / 1 jam / 2.710 g
Neonatus aterm SMK
PERINATOLOGI
1. By ny Nyamiati / 1 hari / neonatus Aterm +
BMK dg distress napas + obs hematin
HR= 127 RR= 54 T=37 BB 4.095 g
2. By. Aisyah / 10 hari / hiperbilirubinemia + obs
vomiting + poor intake + oral thrust
HR 140x RR 45x T 37 BB 3.195 g
VK

• -
KESIMPULAN
no tanggal Rawat inap Rawat jalan rujuk
1 30 des 2016 2 6 -
2 31 des 2016 3 8 -
3 01 Jan 2017 6 5 1
4 02 Jan 2017 4 13 -
5 03 Jan 2017 4 7 2
6 04 Jan 2017 5 6 1
7 05 Jan 2017 6 6 -
8 06 Jan 2017 0 1 -
kesimpulan 30 52 4

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