Khadijah I Hospital / Rizky A Ramadhani

Period February 11th – February 14th, 2018

Date of Date of Patient Name

No Detail of Patient Treatment Recommendation
Admission Discharge (Age/LMP/RM)

1 11/2/18 13/2/18 Mrs R G2P1A0 38 weeks 1 days of Gestational - Spontaneous Vertex Contraception :
(28 y.o/ Age 1st stage of labor Active phase Delivery IUD Insertion
17/05/2017/ - Early Initiation
075611) Breastfeeding

2 11/2/18 14/2/18 Mrs N - Lower Segment - Early

(38 y.o/ EFW 3700 gr Transverse breastfeeding
12/5/2017/ USG EFW : 3650 gr Caesarean Section - Exclusive
076951) Breastfeeding
Pre-Op : G1P0A0 38 weeks 5 days of for 6 month
Gestational Age 1st stage of labor latent - Moblization
- Control
phase + Breech Presentation
Operation
Suture
Post-Op: Term Delivery + Frank Breech - Family planning
Presentation : IUD Insertion

Outcome: Female, BW 3600 gr, BL 48 cm,

APGAR score 7/9
3 11/2/18 13/2/18 Mrs K G1P0A0 39 weeks 4 days of Gestational - Spontaneous Vertex Contraception :
(22 y.o/ Age 1st stage of labor latent phase + Delivery Progestin
7/5/2017 Perineal Tear Grade II - Early Initiation Injection
076948) Breastfeeding
- Perineorrhaphy
 Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018

4 12/2/18 15/2/18 Mrs Y History of 1st Caesarean in September 2016 - Lower Segment - Control for
(29 y.o/ due to Breech Presentation Transverse operation
11/5/2017 Caesarean Section suture
076953) Pre Operation Diagnosis: - IUD Insertion - Control for
G2P1A0 39 weeks 1 days of Gestational IUD
Age not in labor + 1 Previous Caesarean -Exclusive
Section + IUD Acceptor Candidate Breastfeeding
for 6 months
Post Operation Diagnosis:
1 Previous Caesarean Section + Term
Delivery + IUD Acceptor

Outcome : Female, 3350 g, 50 cm, A/S 8/10

5 12/2/18 15/2/18 Mrs NM P0A1 -Adhesiolysis - Control for
(49 y.o/ - Total Hysterectomy operation suture
15/1/2018/ History of Abdominal Enlargement since 5 - care
076903) years ago. Salphingoooforectom -Follow up the
History of Left Cystectomy in 2009 y Bilateral Histopathology
Result
Pre-Op : Uterine Myoma -Consult to FER
division
Post-Op: Suspected Adenomyosis +
Intarmural Uterine Myoma + Right
Chocolate Ovarian Cyst + Adhesion uterus,
tuba, ovarium, bladder with rectum,
omentum, and peritoneum (Endometriosis
Stage IV)

Histopathology : No result yet

Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018
 Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018

6 11/2/18 14/2/18 Mrs N USG : SDP 15 cm - Dexamethasone 6 -Control for

(37 y.o/ mg/ 6 hours/ IM operation suture
26/6/2017/ History of 1st C-Section in August 2009 due - Lower Segment -Breast bandage
076954) to Fetal Distress Transverse -Oral Hormonal
History of 2nd C-Section in February 2011 Caesarean Section Combination
due to 1 Previous Caesarean Section - Bilateral Tubectomy
History of 3rd C-Section in February 2014 Pomeroy
due to 2 Previous Caesarean Section Modification

Pre Operation Diagnosis:

G4P3A0 32 weeks 6 days of Gestational Age
1st stage of labor active phase + 3 Previous
Caesarean Section + Polyhidraamnion +
Female Sterilization Acceptor Candidate

Post Operation Diagnosis:

3 Previous Caesarean Section +
 Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018

Polyhidraamnion + Multiple Congenital

Anomaly + Preterm Delivery + Female
Sterilization Acceptor

Neonatal Outcomes : Female, 1200 g, 31

cm, A/S 1/2 ,Preterm /AGA

Micronathia Atresia
Esophagus

Phocomelia

Talipes
Equinovarus

7 12/2/18 14/2/18 Mrs M G1P0A0 39 weeks 5 days of Gestational - Spontaneous Vertex Contraception :
(25 y.o/ nd
Age 2 stage of labor + Perineal Tear Grade Delivery Progestin
10/05/2017/0 II - Early Initiation Injection
76947) Breastfeeding
- Perineorrhaphy
 Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018

8 12/2/18 15/2/18 Mrs P History of 1st C-Section in March 2013 due - 02 8 liter/minute via -Control for
(23 y.o/ to Severe Preeclampsia Non Rebreathing blood Preasure
11/05/2017/ Mask the next 7 days
072463) Headache (+), Epigastric pain (+) - 4 gr 40% MgSO4 in - Control for IUD
BP : 170/110 mmHg , Proteinuria: (++), 100 cc NaCl 0,9% 72 Insertion
drops/minute - Control for
Pre Operation Diagnosis: - 6 gr 40% MgSO4 in operation suture
G2P1A0 39 weeks 4 days of Gestational 500 cc RL 28 - -Exclusive
Age not in labor + 1 Previous Caesarean drops/minute until Breast Feeding
Section + Severe Preeclampsia + IUD 24 hours After for 6 months
Acceptor Candidate Delivery.
- Nifedipine
Post Operation Diagnosis: 10mg/8h/oral
1 Previous Caesarean Section + Severe - Lower segment
Preeclamsia + Term Delivery + IUD transverse
Acceptor Caesarean section
- IUD Insertion
Neonatal Outcomes : Female, 3000 g, 49
cm, A/S 8/10
9 12/2/18 15/2/18 Mrs S.H. History of 1st C-Section in November 2016 - Lower Segment - Control for
(29 y.o/ due to Fetal Distress Transverse operation
13/5/2017/ Caesarean Section suture
053564) Pre Operation Diagnosis: - IUD Insertion - Control for
G3P2A0 39 weeks 2 days of Gestational Age IUD
not in labor + 1 Previous Caesarean Section -Exclusive
+ IUD Acceptor Candidate Breastfeeding
for 6 months
Post Operation Diagnosis:
1 Previous Caesarean Section + Term
Delivery + IUD Acceptor
 Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018

Outcome : Male, 3400 g, 50 cm, A/S 8/10

10 12/2/18 15/2/18 Mrs F G1P0A0 39 weeks 5 days of Gestational - Spontaneous Vertex - Contraception
(25 y.o/ Age 1st stage of labor latent phase Delivery : Progestin
10/05/2017/0 + Perineal Tear Grade II - Early Initiation Injection
76958) Breastfeeding
- Perineorrhaphy
11 12/2/18 13/2/18 Mrs A.I Vaginal Bleeding 5 days before admission - Curettage - Family
(25 y.o/ Pregnancy Test (+) Planning
14/12/2017/ ICO/ECO : Open/ Open Counseling : -
072470)
Incomplete Abortion
12 12/2/18 15/2/18 Mrs N G2P1A0 39 weeks 1 days of Gestational - Spontaneous Vertex - Contraception
(29 y.o/ Age 1st stage of labor active phase Delivery : Progestin
15/05/2017/0 + Perineal Tear Grade II - Early Initiation Injection
76970) Breastfeeding
- Perineorrhaphy
13 12/2/18 15/2/18 Mrs N G3P2A0 40 weeks of Gestational Age 1st - Spontaneous Vertex - Contraception
(30 y.o/ stage of labor latent phase Delivery : Progestin
9/5/2017/076 - Early Initiation Injection
771) Breastfeeding
 Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018

14 13/2/18 16/2/18 Mrs EPS G3P2A0 40 weeks of Gestational Age 1st - Spontaneous Vertex - Contraception
(33 y.o/ stage of labor active phase Delivery : IUD Insertion
10/5/2017/05 - Early Initiation
0446) Breastfeeding

15 13/2/18 16/2/18 Mrs N History of 1st C-Section in December 2016 - Low Segment - Control for
(26 y.o/ due to Transverse Lie Transverse operation
10/5/2017/ Caesarean Section suture
059186) Pre-Op : G2P1A0 39 weeks 6 days of - IUD Insertion - Control for
Gestational Age 1st stage of labor Latent IUD
Phase + 1 Previous Caesarean Section + IUD - -Exclusive
acceptor Candidate Breastfeeding
for 6 months
Post-Op: 1 Previous Caesarean Section +
Term Delivery + IUD Acceptor

Outcome: Male, BW 3500 gr, BL 51 cm,

APGAR score 8/10

16 13/2/18 16/2/18 Mrs E 1st C-Section August 2014 due to Fetal - Lower Segment - Exclusive
(27 y.o/ Distress Transverse Breastfeeding
13/5/2017/ Caesarean Section for 6 months
History of Amniotic Fluid Leakage since 5
075724) - Insertion IUD - Wound
hours before admission
hygiene
Nitrazine test (+), Amniotic Fluid Volume - Mobilization
SDP 1,0 cm - Control for
operation
suture
Pre-Op Diagnosis : - Control for
G2P1A0 39 Weeks Of Gestasional Age + IUD
Premature Rupture Of Membranes + 1
 Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018

Previous C-Section + IUD Acceptor

Candidate

Post-op Diagnosis :
1 Previous C-Section + Premature
Rupture Of Membranes + Term
Delivery + IUD Acceptor

Outcome :
Male , BW 3300 gr, BL 49 cm, A/S 8/10
17 13/2/18 14/2/18 Mrs R Vaginal Bleeding 5 days before admission - Curettage - Family
(31 y.o/ Pregnancy Test (+) Planning
14/12/2017/ ICO/ECO : Open/ Open Counseling :
076912) Planning for
Incomplete Abortion IUD Insertion
18 13/2/18 15/2/18 Mrs A.S G1P0A0 39 weeks 5 days of Gestational - Spontaneous Vertex Contraception :
(26 y.o/ Age 1st stage of labor laten phase + Perineal Delivery Progestin
10/05/2017/0 Tear Grade II - Early Initiation Injection
76987) Breastfeeding
- Perineorrhaphy
19 13/2/18 16/2/18 Mrs S EFW 3700 gr - Lower Segment -Control for
(23 y.o/ USG EFW : 3650 gr Transverse operation suture
12/05/2017/ Caesarean Section -Exclusive
076998) Pre-Op : G1P0A0 39 weeks 1 days of - IUD Insertion Breast Feeding
Gestational Age 1st stage of labor latent for 6 months
phase + Breech Presentation
 Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018

Post-Op: Term Delivery + Frank Breech

Presentation

Outcome: Female, BW 3600 gr, BL 48 cm,

APGAR score 7/9
20 13/2/18 16/2/18 Mrs N History of 1st C-Section in August 2010 due - Lower Transverse -Control for
(36 y.o/ to Fetal Distress Cesarean Section operation suture
20/5/2017/ History 2nd C-Section in February 2012 due - Bilateral Tubectomy - -Exclusive
076584) to 1 Previous Caesarean Section Pomeroy Breast Feeding
Modification for 6 months
Pre Operation Diagnosis:
G3P2A0 38 weeks 3 days of Gestational Age
not in labor + 2 Previous Caesarean Section
+ Female Sterilization Candidate

Post Operation Diagnosis:

2 Previous Caesarean Section + Term
Delivery + Female Sterilization Acceptor

Neonatal Outcomes : Male, 3100 g, 48 cm,

A/S 8/10
21 13/2/18 15/2/18 Mrs D G2P1A0 39 weeks 4 days of Gestational - Spontaneous Vertex Contraception :
(27 y.o/ Age 1st stage of labor laten phase Delivery Progestin
12/05/2017/0 - Early Initiation Injection
76709) Breastfeeding
 Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018

22 13/2/18 14/2/18 Mrs S Vaginal Bleeding 3 days before admission - Curettage - Family
(30 y.o/ Pregnancy Test (+) Planning
20/12/2017/ ICO/ECO : Open/ Open Counseling :
076754) Planning for
Incomplete Abortion IUD Insertion
23 13/2/18 16/2/18 Mrs W 1st Caesarean in August 2009 due to Fetal -Control for
(33 y.o/ Distress - Lower Segment operation suture
14/05/2017/ 2nd Caesarean in September 2011 due to 1 Transverse -Exclusive
076759) previous C Section Caesarean Section Breast Feeding
- IUD Insertion for 6 months
Pre Operation Diagnosis: - Control for IUD
G3P2A0 38 weeks 6 days of Gestational Age
not in labor + 2 Previous Caesarean Section
+ IUD Acceptor Candidate

Post Operation Diagnosis:

2 Previous Caesarean Section + Term
Delivery + IUD Acceptor

Neonatal Outcomes : Female, 3200 g, 49

cm, A/S 8/10
24 13/2/18 15/2/18 Mrs O G3P2A0 39 weeks 4 days of Gestational - Spontaneous Vertex Contraception :
(34 y.o/ Age 2nd stage of labor Delivery IUD Insertion
9/5/2017/ - Early Initiation
076783) Breastfeeding
 Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018

25 13/2/18 15/2/18 Mrs. RA G1P0A0 40 weeks 4 days of Gestational - Spontaneous Vertex Contraception :
(22 y.o/ Age 1st stage of labor latent phase + Delivery Progestin
5/5/2017/ Perineal Tear Grade II - Early Initiation Injection
076785) Breastfeeding
- Perineorrhaphy
26 13/2/18 16/2/18 Mrs B EFW 3800 gr - Lower Segment -Control for
(26 y.o/ USG EFW : 3750 gr Transverse operation suture
10/05/2017/ Caesarean Section -Exclusive
076782) Pre-Op : G1P0A0 38 weeks 5 days of Breast Feeding
Gestational Age 1st stage of labor latent - IUD Insertion for 6 months
phase + Breech Presentation + IUD - Control for IUD
Acceptor Candidate

Post-Op: Term Delivery + Frank Breech

Presentation + IUD Acceptor

Outcome: Female, BW 3650 gr, BL 48 cm,

APGAR score 7/9
27 14/2/18 16/2/18 Mrs MA G3P20 40 Weeks 1 days Of Gestasional Age - Spontaneous Vertex Family planning :
(33 y.o/ 1st stage of labor Active Phase Delivery IUD Insertion
8/5/2017/ - Early Initiation
076752) Breastfeeding

28 14/2/18 17/2/18 Mrs DA Headache (+), Epigastric pain (+) - 02 8 liter/minute - Control for the
(22 y.o/ BP : 170/110 mmHg , Proteinuria: (+++), via Non blood Pressure
15/05/2017/ Rebreathing Mask the next 7
076778) Pre Operation Diagnosis: - 4 gr 40% MgSO4 in days
G1P0A0 39 weeks 1 days of Gestational 100 cc NaCl 0,9% 72 - Control for
Age Not in Labor + Severe Preeclampsia + drops/minute operation
IUD Acceptor Candidate - 6 gr 40% MgSO4 in suture and
 Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018

500 cc RL 28 IUD position

Post Operation Diagnosis: drops/minute until - Exclusive
Severe Preeclampsia + Term Delivery + IUD 24 hours After Breastfeeding
Acceptor Delivery. for 6 months
- Nifedipine
Outcome : Female, 3100 g, 50 cm, A/S 8/10 10mg/8h/oral
- Lower Segment
Transverse
Caesarean section
- IUD Insertion
29 14/2/18 16/2/18 Mrs L G2P1A0 39 weeks 1 day of Gestational Age - Spontaneous Vertex - Contraception
(30 y.o/ 1st stage of labor Active phase Delivery : Progestin
13/5/2017/ - Early Initiation Injection
076789) Breastfeeding

30 14/2/18 16/2/18 Mrs RM G1P0A0 39 weeks 2 day of Gestational Age - Spontaneous Vertex - Contraception
(26 y.o/ 1st stage of labor Laten phase + Perineal Delivery : Progestin
14/5/2017/07 Tear Grade II - Early Initiation Injection
6783) Breastfeeding
- Perineorrhaphy
31 14/2/18 17/2/18 Mrs MS 1st C-Section August 2013 due to Fetal - Lower Segment - Exclusive
(28 y.o/ Distress Transverse Breastfeeding
14/5/2017/ Caesarean Section for 6 months
History of Amniotic Fluid Leakage since 6
076744) - Insertion IUD - Wound
hours before admission
hygiene
Nitrazine test (+), Amniotic Fluid Volume - Mobilization
SDP 1.1 cm - Control for
operation
suture
Pre-Op Diagnosis : - Control for
 Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018

G2P1A0 39 Weeks 4 days Of Gestasional IUD

Age + Premature Rupture Of Membranes +
1 Previous C-Section + IUD Acceptor
Candidate

Post-op Diagnosis :
1 Previous C-Section + Premature
Rupture Of Membranes + Term
Delivery + IUD Acceptor

Outcome :
Male , BW 3600 gr, BL 51 cm, A/S 8/10
32 14/2/18 16/2/18 Mrs KA G2P1A0 40 weeks 1 days of Gestational - Spontaneous Vertex - Contraception
(27 y.o/ Age 1st stage of labor Active phase Delivery : Progestin
10/5/2017/ - Early Initiation Injection
076757) Breastfeeding

33 14/2/18 16/2/18 Mrs G G1P0A0 40 weeks 6 days of Gestational - Spontaneous Vertex - Contraception
(24 y.o/ Age 1st stage of labor latent phase + Delivery : Progestin
5/5/2017/ Perineal Tear Grade II - Early Initiation Injection
076755) Breastfeeding
- Perineorrhaphy
34 14/2/18 16/2/18 Mrs R G3P2A0 38 weeks 5 days of Gestational - Spontaneous Vertex - Contraception
(31 y.o/ Age 2nd stage of labor Delivery : IUD Insertion
20/5/2017 - Early Initiation
/076772) Breastfeeding
 Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018

35 14/2/18 16/2/18 Mrs L G4P3A0 39 weeks 4 days of Gestational - Spontaneous Vertex - Contraception
(29 y.o/ Age 1st stage of labor Latent phase Delivery : IUD Insertion
14/05/2017/ - Early Initiation
075635) Breastfeeding

36 14/2/18 16/2/18 Mrs K G1P0A0 40 weeks 1 days of Gestational - Spontaneous Vertex - Contraception
(21 y.o/ Age 1st stage of labor latent phase + Delivery : Progestin
8/05/2017/ Perineal Tear Grade II - Early Initiation Injection
077651) Breastfeeding
- Perineorrhaphy
37 14/2/18 16/2/18 Mrs D G2P1A0 39 weeks 1 day of Gestational Age - Spontaneous Vertex - Contraception
(29 y.o/ 1st stage of labor latent phase Delivery : Progestin
13/5/2017/ - Early Initiation Injection
076790) Breastfeeding

38 14/2/18 16/2/18 Mrs F G1P0A0 39 weeks 2 day of Gestational Age - Spontaneous Vertex - Contraception
(23 y.o/ 1st stage of labor Laten phase + Perineal Delivery : Progestin
14/5/2017/ Tear Grade II - Early Initiation Injection
076795) Breastfeeding
- Perineorrhaphy
39 14/2/18 16/2/18 Mrs T Vaginal Bleeding 2 days before admission - Curettage - Family
(22 y.o/ Pregnancy Test (+) Planning
10/12/2017/ ICO/ECO : Open/ Open Counseling :
076798) Progestin
Incomplete Abortion Injection
40 14/2/18 16/2/18 Mrs S.A G1P0A0 39 weeks 4 days of Gestational - Spontaneous Vertex - Contraception
(27 y.o/ Age 1st stage of labor latent phase + Delivery : Progestin
8/5/2017/ Perineal Tear Grade II - Early Initiation Injection
076948) Breastfeeding
- Perineorrhaphy
 Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018

Total Miscarriage Total

Total Cases : 40
Vaginal Delivery : 23 Incomplete : 4
Induction Delivery : - Dilatation & Curettage : 4
Lower Segment Transverse Caesarean Section 13 Missed Abortion : -
Hysterectomy Sub Total/Total : 1 Blighted Ovum : -
Cystectomy/Myomectomy :
Salpingectomy : -
Mortality/Nearmiss Total
Maternal : -
Perinatal : -
Family Planning :
Natural :- Hormonal Combination :- Female Sterilization : 2
Barrier :- Hormonal Progestin Injection : 16 IUD : 14

Makassar 19/02/2018
Acknowledege By
Chief Resident For St Khadijah I Hospital Supervisor

dr. Ahmat Riyanto dr. Yashinta S dr. Septian Sima dr. H. Armyn A. Oesman, SpOG (K)
Khadijah I Hospital / Rizky A Ramadhani
Period February 11th – February 14th, 2018