MATERNAL FETAL DIVISION/ YUNITA INDAH CAHYANI

PERIOD FEBRUARY 08th – 12th 2023

NO DATE OF PATIENT DETAIL OF PATIENT TREATMENT RECOMMENDATION

ADMISSION
1. 08/02/2023 Mrs. R G1P0A0  Intrauterine Resuscitation:  Monitoring of general
28 years old - Oxygen 10 lpm via NRM condition, vital sign
DOB: Referred from Permata Hati Hospital with - Rapid infusion 1000  Inform the family about
02/01/1995 G1P0A0 38 weeks 4 days of gestational age + mL ringer lactate the patient and baby
LMP: Severe Preeclampsia + IUGR + - Left Lateral Position condition
12/05/2022 MR:  Plan regular follow up to
Oligohydramnios  Urinary catheter insertion
200782
 4 gr MgSO4 40% in 100 cc maintain and monitor
Payment: blood pressure until 12
Physical Examination: NaCl 73 dpm, continued with 6
Governmental weeks after delivery
BP: 170/11 mmHg gr MgSO4 40% in 500 cc RL
Insurance
FHR : 145 bpm 28 dpm until 24 hours post  Educate the patient and
Education: Junior
delivery family about the risks
High School
Ultrasonography :  Dopamet 10 mg/ 8 hours/ and complications in
Referral: Permata
EFW : 1700 gram orally subsequent pregnancies
Hati Hospital
AFI : 2 cm  Lung Maturation:  Control at obstetrician
Dexamethasone 6 mg/ 12 for the next pregnancy
Urinalysis (06/02/2023) hours/IM and preventive
Proteinuria: ++  Lower segment Transverse treatment for
cesarean section preeclampsia
Pre-operative Diagnosis:  IUD Insertion  Control for surgical
G1P0A0 38 weeks 2 days of gestational age + wound and IUD
Severe Preeclampsia + IUGR +
Oligohydramnios + IUD acceptor candidate

Post-operative Diagnosis:
Severe Preeclampsia + IUGR + Term
Delivery + IUD acceptor

Outcome:
Male, BW: 1450 gr, BL: 41 cm, AS: 3/5/8
NBS : 40 similar with 40 weeks Of
gestational age
 MATERNAL FETAL DIVISION/ YUNITA INDAH CAHYANI
PERIOD FEBRUARY 08th – 12th 2023

Pre-Resuscitation :

Post-Resuscitation :
 MATERNAL FETAL DIVISION/ YUNITA INDAH CAHYANI
PERIOD FEBRUARY 08th – 12th 2023
2. 09/02/2023 Mrs. FL G3P2A0  Classic Caesarean Section  Exclusive
26 years old  Adhesiolysis breastfeeding for 6
DOB: 1st Caesarean section in May 2017 due to months
 Unilateral Fimbrectomy
02/07/1999 Fetal Distress  Early mobilization
LMP: 2nd Caesarean section in June 2022 due to  Inform the patient
26/05/2022 previous caesarean section about the risk
MR: 1005981 pregnancy
Payment: Physical Examination:  Family planning
Government BP: 140/90 mmHg Counseling and
al Insurance education: IUD
Education: Ultrasonography:  Regular follow up to
Senior High EFW 1: 2790 gr maintain Blood
School EFW 2: 2875 gr Pressure until 12
Referral : AFI: 6,3 cm weeks after delivery
Outpatient  Control surgical
Urinalysis: wound
Proteinuria: +

Pre operative Diagnosis:

G3P2A0 37 Weeks + Preeclampsia + Twin
Pregnancy + 2 Previous Caesarean Sections
+ Female sterilization acceptor candidate

Post operative Diagnosis:

2 Previous Caesarean Sections + Twin Pregnancy
+ Preeclampsia + Term Delivery + Adhesion Of
Uterine with Omentum, Peritoneum and Right
Fallopian tube.

Outcome:
F1: Male, BW 3020 gram, BL: 47 cm, AS: 7/9

F2: Male, BW 2920 gram, BL: 46 cm, AS: 8/10

 MATERNAL FETAL DIVISION/ YUNITA INDAH CAHYANI
PERIOD FEBRUARY 08th – 12th 2023

3. 12/02/2023 Mrs. AS G4P2A1  Induction of labor with  Monitoring of general

32 years old Misoprostol 25 mcg condition, vital sign
DOB: Physical examination intravaginal  Exclusive
30/09/1990 BP: 140/90 mmHg  Augmentation of labor with 5 iu breastfeeding for 6
LMP: oxytocin in 500 cc RL started 8 months
17/05/2022 Urinalysis: dpm titrated until adequate  Early Mobilization
MR: 192025 Proteinuria: + contraction/40 dpm  Regular follow up to
Payment:  Emergency Lower segment maintain blood
Government Ultrasonography: transverse caesarean section pressure until 12
al Insurance EFW: 2700 grams  Bilateral Tubectomy weeks after delivery
Education: SDP: 5,1 cm Pomeroy Modification  Control for surgical
Senior High
wound
School Pre operative Diagnosis:
Referral: G4P2A1 38 weeks 5 days + Preeclampsia +
Outpatient Failed Induction of Labor + Female Sterilization
Acceptor Candidate

Post operative Diagnosis:

Failed Induction Of Labor + Preeclampsia +
Term Delivery + Female Sterilization

Outcome:
Female, BW 2755 gram, BL: 48 cm, AS: 7/10
 MATERNAL FETAL DIVISION/ YUNITA INDAH CAHYANI
PERIOD FEBRUARY 08th – 12th 2023

Total Cases : 3
Vaginal delivery : -
Lower Segment Transverse Caesarean Section 3

Family Planning 2
IUD 1
Female Sterilization 1

Makassar, February 13th 2023

Known by,

Supervisor,

Dr. dr. St. Maisuri T. Chalid, Sp.OG, Subsp. KFm