Duty Report Wednesday, February 6th 2013

Consultant: dr. Djoni Taher , OBGYN

Resident: Dini / Yuwono / Budi / Wita

Reporting
4 vaginal deliveries 1 forcep extraction 1 sectio cesaria 1 laparotomy exploration

Procedure No
1

Case
Mrs. Pitriawati , 33 yo MR 204 09 08

Outcome
Born baby girl 3100 g, 48 cm, AS 9/10 Greenish amniotic fluid Placenta born completely Perineal exploration rupture grade 1

FP
IUD PP

NBC/ BC
BC

Triawa

G3P2 40-41 wga, singleton live head presentation, not in labor

Process : Not in labor rippened cervix titration with oxytocin 5 IU/500 cc RL until 12mIU for 12 hours PS 3 misoprostol 25 mcg (I) observation 4 hours active phase of labor ( 7 cm) observation 2 hour second stage of labor

Now the mother and the baby are in good condition in the ward, rooming in ready to be discharged

Procedure No
2

Case
Mrs. Tini Sisilawati, 34 yo MR 131 75 45

Outcome
Born baby girl 2750 g, 50 cm, AS 9/10 Clear amniotic fluid Placenta born completely Perineal exploration Intact.

FP
IUD PP

NBC/ BC
BC

Triawa

G5P4 term, singleton live head presentation, active phase of labor

Process : Active phase of labor ( 7 cm) observation 2 hour second stage of labor

Now the mother and the baby are in good condition in the ward, rooming in ready to be discharged

Procedure No
3

Case
Mrs. Kurniasih, 30 yo MR 139 06 39

Outcome
On C-section preparation Born baby boy 3500 g, 50 cm, AS 9/10 Clear amniotic fluid Placenta born completely Perineal exploration Ruptur perineum gr II

FP
IUD PP

NBC/ BC
BC

Triawa

Active phase of labor on G3P1A1 38 wga, singleton live head presentation History of laparatomy myomectomy (2010)

Now the mother is in a good condition in ward Baby is in Perina level I

Procedure No
4

Case
Mrs. Siti Walimah, 36 yo MR 14 68 35

Outcome
Born baby girl 3100 g, 48 cm, AS 7/8 Clear amniotic fluid Placenta born completely Perineal exploration Ruptur perineum gr II

FP
DMPA

NBC/ BC
NBC

Triawa

G2P1 37 wga, singleton live head presentation, latent phase of labor Mild Preeclampsia

Process : Latent phase of labor induction with misoprostol 25 mcg (I) Active phase of labor ( 7 cm) observation 2 hour second stage of labor

Now the mother and the baby are in good condition in the ward, rooming in ready to be discharged

Procedure No
1

Case
Fetal distress on prolonged 2nd stage of labor Mrs. Winda , 23 yo MR 139 06 16

Outcome
Born baby girl 3100 g, 51 cm, AS 4/6 Greenish scanty thick amniotic fluid Placenta born completely Eksploration perineal rupture grade II perineorafi

FP
DMPA

NBC/ BC
NBC

Triawa

G1 38-39 wga, singleton live head presentation, fetal hypoxia on prolonged 2nd stage of labor.

Process : Prolonged second stage of labor FHR 70-80 bpm with and without contraction VT : fully dilated, head HIII-IV fetal distress in second stage of labor forcep extraction

Now mother is in good condition in the ward. Baby is in the perinatology NICU, with manual ventilation, Sat 82 %

Procedure

No Case
1 Eclampsia gravidarum

Outcome

FP
TP

NBC/ BC
NBC

Mrs. Dewi Kania, 36 yo 139 06 17 Sectio Cesaria

Triawa

ICD X O.82.1 Z. 30.2

G3P2 41 wga, singleton live head presentation, not in labor, previous SC 1x

Born baby boy 3250 gr, AS 8/9 Clear diminished amniotic fluid Bleeding 400 cc, urine 100cc

Now mother is in good condition in ER controlled BP 130/80, and baby is in perinatology level I, spontaneous breathing

Procedure

No Case
1 Acute abdomen due to susp ruptured ectopic pregnancy Mrs. Widya, 30 yo G3P1A1 9 wga, acute abdomen due to susp ruptured ectopic preganancy, on MTX treatment

Outcome

FP

NBC/ BC
BC

Triawa

Laparotomy salpingect omy dextra ICD X O00.1

On exploration: Blood and blood clot 100 cc Mass size 5x3x2 cm at right ampulla ruptured, bleeding (+) salphingectomy Uterus, left tube and both ovaries are wnl Bleeding during operation minimal, urine 100cc

Now mother is in good condition in ER

Thank you