Case Reports of

Pertiwi Hospital
¶ November 16th – November 20th, 2017
INDRAYANI IRWAN

No Dated Patient Detail of Patient Treatment Recommenda

tion
1 16/11/2017 Mrs.H/35 Diagnosis Pre Treatment : - Spontaneous Vertex Delivery -Exclusive Breast
yo/G4P2A G4P2A138weeks 3 days of Gestational Age First Stage of Feeding for 6
1/ Labor Latent Phase months
LMP:20-2- Diagnosis Post Treatment : -Vaginal Hygiene
2017/RM: Term Delivery -Family Planning
100613 for Hormonal
Outcome:Male, BW2800 gr, BL 47cm, APGAR score8/10 Progestin

2 16/11/2017 Mrs.A/32 Diagnosis Pre Treatment : - Spontaneous Vertex Delivery -Exclusive Breast
yo/G4P3A G4P3A0 39weeks 2dayof Gestational Age First Stage of Labor Feeding for 6
0/ Latent Phase months
LMP:14-2- Diagnosis Post Treatment : -Vaginal Hygiene
2017/RM: Term Delivery -Family Planning
100639 for IUD Insertion
Outcome:Female, BW3050gr, BL 48cm, APGAR score8/10

3 17/11/2017 Mrs.H/36 Diagnosis Pre Treatment : - Spontaneous Vertex Delivery -Exclusive Breast
yo/G4P3A G4P3A0 40 weeks 1 days of Gestational Age First Stage of Feeding for 6
0/ Labor Active Phase months
LMP:09-2- Diagnosis Post Treatment : -Vaginal hygiene
2017/RM: Term Delivery -Family Planning
100643 for Hormonal
Outcome: Male, BW2900 gr, BL 46cm, APGAR score8/10 Progestin
4 17/11/2017 Mrs.R/29 Diagnosis Pre Treatment : -Exclusive Breast
yo/G3P2A G3P2A0 38 weeks 2 days of Gestational Age First Stage of - Spontaneous Vertex Delivery Feeding for 6
0/ Labor ActivePhase months
LMP:22-2- Diagnosis Post Treatment : -Vaginal Hygiene
2017/RM: Term Delivery -Family Planning
100656 for Hormonal
Outcome:Male, BW3050 gr, BL 48cm, APGAR score8/10 Progestin

5 17/11/2017 Mrs.NA/30 Diagnosis Pre Treatment : - Left Mediolateral Episiotomy -Exclusive Breast
yo/G1P0A G1P0A0 39weeksof Gestational Age First Stage of Labor - Spontaneous Vertex Delivery Feeding for 6
0/ Latent Phase - Repair perineal tear months
LMP:17-2- Diagnosis Post Treatment : -Vaginal Hygiene
2017/RM: Term Delivery + Grade II perineal tear -Family Planning
676417 for Hormonal
Progestin

Outcome: Female, BW2850 gr, BL 46cm, APGAR score8/10

6 17/11/2017 Mrs.M/32 Diagnosis Pre Treatment : - Spontaneous Vertex Delivery -Exclusive Breast
yo/G3P2A G3P2A0 38 weeks2 Daysof Gestational Age First Stage of Feeding for 6
0/ Labor Active Phase months
LMP:22-2- Diagnosis Post Treatment : -Vaginal Hygene
2017/RM: Term Delivery -Family Planning
100696 for IUD Insertion
Outcome: Female, BW2950 gr, BL 48 cm, APGAR score8/10
7 18/11/2017 Mrs.M/29 Diagnosis Pre Treatment : - Spontaneous Vertex Delivery -Exclusive Breast
yo/G2P1A G2P1A040weeks 1 days of Gestational Age First Stage of Feeding for 6
0/ Labor Latent Phase months
LMP:10-2- Diagnosis Post Treatment : -Vaginal hygiene
2017/RM: Term Delivery -Family Planning
100670 for Hormonal
Outcome:Female, BW3100 gr, BL 48cm, APGAR score8/10 Progestin

8 18/11/2017 Mrs.A/31 Diagnosis Pre Treatment : - Spontaneous Vertex Delivery -Exclusive Breast
yo/G2P1A G2P1A0 39weeks 3 Weeksof Gestational Age First Stage of Feeding for 6
0/ Labor Active Phase months
LMP:15-2- Diagnosis Post Treatment : -Vaginal Hygene
2017/RM: Term Delivery -Family Planning
090868 for IUD Insertion
Outcome: Male, BW2900 gr, BL 47cm, APGAR score8/10

9 19/11/2017 Mrs.N/29 Diagnosis Pre Treatment : - Spontaneous Vertex Delivery -Exclusive Breast
yo/G3P2A G3P2A0 38 weeks 6 days of Gestational Age First Stage of Feeding for 6
0/ Labor Active Phase months
LMP:20-2- Diagnosis Post Treatment : - Vaginal Hygene
2017/RM: Term Delivery -Family Planning
100689 for IUD Insertion
Outcome: Female, BW2980 gr, BL 48cm, APGAR score8/10
10 19/11/2017 Mrs.A/22 Diagnosis Pre Treatment : - Spontaneous Vertex Delivery -Exclusive Breast
yo/G2P1A G2P1A0 40 weeks 5 days of Gestational Age First Stage of Feeding for 6
0/ Labor Active Phase months
LMP:07-2- -Vaginal hygiene
2017/RM: Diagnosis Post Treatment : -Family Planning
100690 Term Delivery for IUD Insertion

Outcome:Female, BW2950 gr, BL 48cm, APGAR score8/10

11 19/11/2017 Mrs.RS/ 24 Diagnosis Pre Treatment : -Exclusive Breast

yo/G4P3A G4P3A0 39 weeks 2 days of Gestational Age First Stage of - Spontaneous Vertex Delivery Feeding for 6
0/ Labor Latent Phase months
LMP:17-2- Diagnosis Post Treatment : -Vaginal Hygene
2017/RM: Term Delivery -Family Planning
100691 for IUD Insertion
Outcome: Female, BW2700gr, BL 46cm, APGAR score8/10

12 19/11/2017 Mrs.M/27 Diagnosis Pre Treatment : -Left Mediolateral Episiotomy -Exclusive Breast
yo/G1P0A G1P0A0 39 weeks 2 Days of Gestational Age First Stage of - Spontaneous Vertex Delivery Feeding for 6
0/ Labor Active Phase - Repair perineal tear months
LMP:17-2- Diagnosis Post Treatment : -Vaginal Hygene
2017/RM: Term Delivery+ Grade II perineal tear -Family Planning
100465 for Hormonal
Progestin

Outcome: Female, BW3200 gr, BL 47 cm, APGAR score8/10

13 19/11/2017 Mrs.R/27 Diagnosis Pre Treatment : - Mediolateral Episiotomy -Exclusive Breast
yo/G1P0A G1P0A0 39 weeks 1 day of Gestational Age First Stage of - Spontaneous Vertex Delivery Feeding for 6
0/ Labor Active Phase - Repair perineal teartaneous Vertex months
LMP:18-2- Diagnosis Post Treatment : Delivery -Vaginal Hygene
2017/RM: Term Delivery+ Grade II perineal tear -Family Planning
098660 for Hormonal
Progestin

Outcome: Male, BW2800 gr, BL 46 cm, APGAR score8/10

14 19/11/2017 Mrs.M/21 Diagnosis Pre Treatment : - Left Mediolateral Episiotomy Exclusive Breast
yo/G1P0A G1P0A0 38 weeks 1 day of Gestational Age First Stage of - Spontaneous Vertex Delivery Feeding for 6
0/ Labor Active Phase - Repair perineal tear months
LMP:25-2- Diagnosis Post Treatment : -Vaginal Hygene
2017/RM: Term Delivery+ Grade II perineal tear -Family Planning
100 for IUD Insertion

OutcomeFemale, BW3150 gr, BL 46 cm, APGAR score8/10

15 19/11/2017 Mrs.KL/23 Diagnosis Pre Treatment : - Left Mediolateral Episiotomy -Exclusive Breast
yo/G1P0A G1P0A0 38 weeks 3 day of Gestational Age First Stage of - Spontaneous Vertex Delivery Feeding for 6
0/ Labor Active Phase Repair perineal tear months
LMP: 23-2- Diagnosis Post Treatment : - Vaginal Hygene
2017/RM: Term Delivery +Grade II perineal tear -Family Planning
100703 for IUD Insertion

OutcomeFemale, BW3150 gr, BL 46 cm, APGAR score8/10

16 16/11/2017 Mrs.Y/26y BP : 160/110 MMHG - O2 8 Liters/minute via NRM -Exclusive Breast
o/G1P0A0 ClinicL Finding ; headache (+) -Urine Chateterization Feeding for 6
/ Proteinurin +2 -4 gr MgSO4 (40 %)in NaCl 100 cc,72 months
LMP:14-2- PreOP-Diagnosis : drops/minute - Vaginal Hygene
2017/RM: G1P0A0 39 weeks 2 days of Gestational Age First Stage of -6 grMgSO4(40%) in Ringer Lactat 500 - Control for
100562 Labor Latent Phase +Severe Preeclampsia cc 28 drops/minute until 24 hours post surgical wound
delivery -Family Planning
Post Op-Diagnosis : -Nifedipine10mg/8jam /oral for IUD Insertion
Severe Preeclampsia + Term Delivery
-Low Transverse Caesarean Section

Outcome:Female,BW 3200 grams, LB : 49 cm AS 8/10

17 16/11/2017 Mrs.MR/ G4P3A0 - Low Transverse Caesarean Section -Exclusive Breast

36 Feeding for 6
yo/G4P3A History of 1st C-section on 2014 due to Breech Presentation -Tubectomy Bilateral Pomeroy months
0/ Modification - Vaginal Hygene
LMP:21- History of amnion leakage 4 hours. Nitrazine test (+), - Control for
02- AFI : 1,8 cm (SDP) surgical wound
2017/RM:
100570 Pre Op Diagnosis : G4P3A0 Gravid 38weeks 2 days of
Gestational Age Not inLabor + PrematurRuptur Of Membran
+ 1 Previous C section + Candidate for female sterilization

Post Op Diagnosis :1 Previous C section+ PrematurRuptur Of

Membran+Term Delivery + Female Sterilization Acceptor

Outcome:Female,BW 3100 grams, LB : 48 cm AS 8/10

18 17/11/2017 Mrs.R/34 G3P2A0 - Low Transverse Caesarean Section - Exclusive Breast
yo/G3P2A EFW : 3840 Grams Feeding for 6
0/ Pre Op Diagnosis : G4P3A0 Gravid 38weeks 2 days of - IUD Insertion months
LMP:22-2- Gestational Age Not in Labor + Breech Presentation - Vaginal Hygene
2017/RM: +Candidate for IUD - Control for
058563 surgical wound

Post Op Diagnosis :Frank Breech Presetation+ Term Delivery

+ IUD Acceptor

Outcome:Female,BW 3700 grams, LB : 50 cm AS 8/10

19 18/11/2017 Mrs.S/34 History of 1st C-section on June,2016 due toFetal Distreess - Low Transverse Caesarean Section - Exclusive Breast
yo/G2P1A Feeding for 6
0/ - IUD insertion months
LMP:16-2- Pre-Op Diagnosis : - Vaginal Hygene
2017/RM: G2P1A0 39 weeks 2 days of Gestational AgeNot in Labor+ 1st - Control for
098653 C-section +Breech Presentation+ Candidate for IUD surgical wound
Post-Op Diagnosis:
1st C-section + Term Delivery +Frank Breech Presentation +
IUD Acceptor

Outcome:Male, BW 3100 gr, BL 47 cm, APGAR score 8/10

 IndrayaniIrwan/ Pertiwi Hospital
16th – 20thNovember, 2017

Total
Vaginal Delivery 15 Miscarriage Total
Dilatation & Curettage - Incomplete
Low transverse Caesarean Section 4
Missed Abortion -
Hysterectomy Sub Total/Total -
Blighted Ovum -
Conservative -

Mortality/ Nearmiss Total

Maternal -
Perinatal -

Family Planning

Natural : - Hormonal Combination : Female sterilization : 1

 Barrier : - Hormonal Progestin :7 IUD : 11

Known By

Makassar,20/11/2017

(Consulent) (Chief of Resident)

(Dr.dr.Hj.NurRakhmah, Sp.OG(K)Mkes) (dr. Dyah Permatahayyu) (dr. Fujiningsih)