Weekly 21 February – 27 February 2021

OBSTETRI

♂♀

Minggu, 21 Februari 2021

1. Ni Komang Ari, 26 th
21005525
G1P0000 37 minggu 0 hari T/H, Fetal Congenital Anomaly
(Megacolon, Hidronefrosis Bilateral), PK I, PBB: 2848 gr --> SC
Cito + IUD --> pk. 12.30 lahir bayi perempuan, BBL 3080 gr, AS 5-
Pagi
7, congenital anomaly (+) malformasi anorectal + CTEV bilateral
JKS
ARI, 26 yo, G1P0000 37 Weeks 0 Day, Single/Life, Fetal
Congenital Anomaly (Megacolon, Hydronephrosis Bilateral), 1st
Stage of Labor, EFW : 2848 g  Emergency CS + IUD Insertion
 Born Baby ♀, 3080 g, AS 5-7, Congenital Anomaly (+)
Anorectal Malformation + Bilateral CTEV

1. Astari Mardiana, 39th

00993471
G3P2002 33 minggu 4 hari, T/H, APB (plasenta previa totalis),
perdarahan aktif, fetal distress —> SC green code + MOW --> pkl
Sore
00.29 Wita, lahir bayi laki-laki, 1860 g, AS 5-6, NBS 22 ~ 32-33
FAM
minggu (AGA), kelainan kongenital (-)
AST, 39 yo, G3P2002 33 Weeks 4 Days, Single/Life, Antepartum
Bleeding (Placenta Previa Total), Active Bleeding, Fetal Distress
 Greencode CS + Sterile  Born baby ♂, 1860 g, AS 5-6, NBS
22 ~ 32-33 Weeks (AGA), Congenital Anomaly (-)
Senin, 22 Februari 2021

1. Elin Nor Syafitri, 22 th

21007148
G1P0000 37 minggu 1 hari T/H, Partus Kala I, PBB 2568 g --> PK II
Pagi
--> pk 16.14 lahir bayi laki-laki, BB 2740 gr, AS 8-9, kelainan
FAM
kongenital (-)

ELI, 22 yo, G1P0000 37 Weeks 1 Day, Single/Life, 1st Stage of

Labor, EFW : 2568 g  2nd Stage of Labor  Born baby ♂, 2740
g, AS 8-9, Congenital Anomaly (-)
 1. Ni Wyn Suarini, 35 th
13017313
G1P0000 31 minggu 0 hari T/H, presentasi bokong, preeklampsia
dengan gambaran berat, Hipoalbuminemia (2.8). PBB : 1730 gr -->
Perawatan konservatif --> Lapor DPJP --> Konsul Divisi
Sore
Fetomaternal --> Alih DPJP fetomaternal
FAM
SUA, 35 yo, G1P0000 31 Weeks 0 Day, Single/Life, Breech
Presentation, Preeclampsia With Severe Features,
Hypoalbuminemia (2.8), EFW : 1730 g  Conservative
Management  Consult to Maternal-Fetal Department

Selasa, 23 Februari 2021

-
Pagi
HYS

Sore
HYS 1. Ummunuha, 27 th
21007307
G2P1001 38 minggu 1 hari T/H, Preeklampsia dengan gambaran
berat, Obesitas gr II, PK II dengan syarat VaE dan FE tidak
terpenuhi, PBB: 3565 gr —> SC Cito + IUD —> Pkl 19.30 lahir bayi
perempuan, 3410 gr, AS 8-9, kelainan kongenital (-)

UMM, 27 yo, G2P1001 38 Weeks 1 Day, Single/Life,

Preeclampsia With Severe Features, Obesity Grade II, 2nd Stage
of Labor (Failed Indication for VaE and FE), EFW : 3565 g 
Emergency CS + IUD Insertion  Born Baby ♀, 3410 g, AS 8-9,
Congenital Anomaly (-)

2. Ni Putu Sri Wahyuni, 23 th

21007338
G1P0000 39 minggu 1 hari, T/H, Preeklampsia dengan gambaran
berat, Partial HELLP Syndrome, PK I (keluar air), PBB : 2945 g -->
ekspektatif pervaginam, percepat kala II dengan VaE/FE --> PK II
(MAP <125 mmHg) --> Pkl 01.36 lahir bayi laki-laki, 2800 gr, AS 8-
9, kelainan kongenital (-)
WAH, 23 yo, G1P0000 39 Weeks 1 Day, Single/Life,
Preeclampsia With Severe Features, Partial HELLP Syndrome,
 1st Stage of Labor (Rupture of Membrane), EFW : 2945 g 
Expectative Vaginal Delivery, Accelerated 2nd Stage of Labor
with VaE/FE  2nd Stage of Labor (MAP < 125 mmHg)  Born
Baby ♂, 2800 g, AS 8-9, Congenital Anomaly (-)

Rabu, 24 Februari 2021

1. Putu Anggila Ristiani, 20 th

21007428
G1P0000 34 minggu 4 hari T/H, PPI (keluar air), PBB : 1894 g —>
Perawatan konservatif
RIS, 20 yo, G1P0000 34 Weeks 4 Days, Single/Life, Threatened
Premature Delivery (Rupture of Membrane), EFW : 1894 g 
Pagi
Conservative Management
SNR
2. Ni Made Rai Ani, 35th
21007464
G3P1011 27 minggu 6 Hari T/H, Presentasi Bokong, KPD, PBB :
859 gram --> Perawatan Konservatif
RAI, 35 yo, G3P1011 27 Weeks 6 Days, Single/Life, Breech
Presentation, Preterm Premature Rupture of Membrane, EFW :
859 g  Conservative Management

1. Marince Gita Malo, 23 th

21007519
G1P0000 32 minggu 6 hari T/H, Fetal Kongenital Anomali
(Biventrikulomegali Susp. Hidrosefalus), Excluded COVID-19, PK I
(Keluar Air), PBB 2412 g --> SC Cito + IUD --> pK. 03.02, lahir
bayi perempuan, 2390 gr, AS 3-5-5, kelainan kongenital multipel (+)
Sore
MAR, 23 yo, G1P0000 32 Weeks 6 Days, Single/Life, Fetal
SNR
Congenital Anomaly (Biventriculomegaly Suspect
st
Hydrocephalus), Excluded Covid-19, 1 Stage of Labor (Rupture
of Membrane), EFW 2412 g  Emergency CS + IUD Insertion
 Born baby ♀, 2390 g, AS 3-5-5, Multiple Congenital Anomaly
(+)

Kamis, 25 Februari 2021

Pagi -
DST

1. Farila Sari, 22 th
21007646
G2P1001 39 minggu 0 hari T/H, PK I, PBB 2945 g —> PK II —>
Sore pukul 02.38 WITA lahir bayi laki-laki, 2760 g, AS 8-9, kelainan
DST kongenital (-)
FAR, 22 yo, G2P1001 39 Weeks 0 Day, Single/ Life, 1st Stage of
Labor, EFW 2945 g  2nd Stage of Labor  Born Baby ♂, 2760
g, AS 8-9, Congenital Anomaly (-)

Jumat, 26 Februari 2021

1. Ni Komang Ariasih, 21th

21007712
G1P000 33 minggu 3 hari T/H, Preeklampsia dengan Gambaran
berat, KPD, NST non reaktif. PBB: 2255g —> SC Cito + IUD —>
pukul 15.42 lahir bayi perempuan, 2230 gr, AS 8-9, kelainan
kongenital (-), NBS : 33~36-37 minggu (AGA)

KOM, 21 yo, G2P1001 33 Weeks 3 Days, Single/ Life,

Pagi Preeclampsia With Severe Features, Premature Rupture of
FJM Membrane, Non Reactive NST, EFW : 2255 g  Emergency CS
+ IUD  Born Baby ♀, 2230 g, AS 8-9, NBS 33~36-37 Weeks
(AGA), Congenital Anomaly (-)

2. Ni Nyoman Budinaksa, 34 th
21007728
G3P2002 30 minggu 5 hari T/H, LMR (bekas sc 2x), infeksi covid-
19, PBB : 1453 gr —> Perawatan konservatif
BUD, 34 yo, G3P2002 30 Weeks 5 Days, Single/ Life, Locus
Minoris Resistantiae (Previous CS 2x), Covid 19 Infection, EFW
1453 g  Conservative Management
Sore
FJM 1. Eprodia Mesah, 23 th
21007746
G1P0000 38 minggu 3 hari, T/H, KPD, Anemia Sedang (6.98) H-M,
PBB 2626 g, PS 3 --> Observasi 12 jam tanda persalinan --> PK I
(keluar air)

EPR, 23 yo, G1P0000 38 Weeks 3 Days, Single/ Life, Premature

 Rupture of Membrane, Moderate Anemia (6.98) H-M, EFW 2626
g, PS 3  12 Hours Observation of Labor Sign  1st Stage of
Labor (Rupture of Membrane)

Sabtu, 27 Februari 2021

1. Luh Kadek Nipiani, 27 th,
Pagi 01474228
BYM dikonsulkan dari TS Paru dengan diagnosis Terkonfirmasi COVID 19
sedang + G1P0000 20-21 minggu T/H --> Jawab Konsul -->
G1P0000 19 minggu 5 hari T/H, Terkonfirmasi covid-19 sedang,
PBB: 359 g --> Saat ini tidak kami temukan kegawatdaruratan di
bidang obstetri, Terapi sesuai TS Paru, Obgin mengikuti
--> Pro Konsul Divisi Fetomaternal

NIP, 27 yo, Consulted from Pulmonary Department with

G1P0000 19 weeks 5 days Single/Life, Confirmed moderate
COVID-19 Infection, EFW: 359 g  Consult reply -> Currently
do not find any emergency in the Obstetrics, Treatment
according to Pulmonary Departement
-> Pro Consult to Fetomaternal Division

2. Alviana Ndajo, 21 th
21007813
G1P000 38 minggu 6 hari T/H, Infeksi Hepatitis B, Anemia Ringan
(9.61) H-M, PK I (Keluar Air), PBB : 3255 g --> Expectative
Pervaginam --> PK II --> Pkl 02.35 wita Lahir Bayi Laki-Laki 3370
g, AS 8-9, Kelainan Kongenital (-)

NDA, 21 yo,G1P000 38 weeks 6 days Single/Life, Hepatitis B

infection, Mild anemia (9.61) H-M, 1st Stage of Labor (rupture of
membrane), EFW: 3255 g -> Expectative Vaginal Delivery -> 2nd
Stage of Labor -> 02.35 WITA Born Baby Boy -Male 3370 g,
AS 8-9, Congenital Abnormalities (-)

3. Sarah Maria Ulfah, 28 th

21007821
G2P1001 39 minggu 6 Hari T/H, Presentasi Bokong, Preeklampsia
Dengan Gambaran Berat, HELLP Syndrome Class II, KPD, PBB
2881 g --> SC Cito + IUD --> Pukul 07.52 lahir bayi laki-laki, 2650
g, AS 7-8, kelainan kongenital (-)

SAR, 28 yo, G2P1001 39 weeks 6 days Single/ Life, Breech

 Presentation, Severe Preeclampsia, Class II HELLP Syndrome,
PROM, EFW 2881 g -> Emergency Cesarean Section + IUD ->
07.52 Born a baby boy, 2650 g, AS 7 -8, Congenital abnormalities
(-)

4. Resa Sulastini, 33th

G4P3003 36 minggu 2 Hari T/H, LMR (Bekas SC 3x), Anemia
Ringan (9.86) N-N, Placenta Previa Totalis susp. Plasenta Adhesiva,
PAI Score 8.35, Probability Of Invasion 96 ℅, Susp COVID-19
( IgM & IgG Reaktif), PBB : 3080 g --> Pro Konsul Divisi
Fetomaternal

RES, 33 yo, G4P3003 36 weeks 2 days Single/Life, LMR

(Previous CS 3x), Mild anemia (9.86) N-N, Placenta Previa
Totalis susp. Placenta Adhesiva, PAI Score 8.35, Probability Of
Invasion 96 ℅, Susp COVID-19 (IgM & IgG Reactive), EFW:
3080 g -> Pro Consult to Fetomaternal Division
5. Ni Putu Ayu Cinthya Arya Putri, 23 th
21007823
Syok Hipovolemik e.c HPP Primer e.c Laserasi Jalan Lahir, P1001
PsptB Post Partum hari 0, Anemia Sedang (7.31) N-N --> Primary
Survey + Primary Hecting --> Perawatan Post Partum

CIN 23 yo, Hypovolemic shock e.c Primary Post Partum Bleeding

e.c Perineal laceration P1001 PsptB Post Partum day 0, moderate
anemia (7.31) N-N -> Primary Survey + Primary Hecting -> Post
Partum Care

Sore