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    This document is a report on a delivery that took place at STIKES Panakkukang Makassar Hospital. It includes observations from before and after delivery, as well as details of the delivery and conditions of both the mother and baby. The report notes the date and time of admission, membrane rupture, and birth. It also documents vital signs of the mother before and after delivery, as well as the placenta's appearance and status of the umbilical cord. For the baby, it records details like gender, measurements, and any abnormalities, as well as APGAR scores and eventual cause of death if applicable. The document is signed by the attending doctor and midwife.

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    This document is a report on a delivery that took place at STIKES Panakkukang Makassar Hospital. It includes observations from before and after delivery, as well as details of the delivery and conditions of both the mother and baby. The report notes the date and time of admission, membrane rupture, and birth. It also documents vital signs of the mother before and after delivery, as well as the placenta's appearance and status of the umbilical cord. For the baby, it records details like gender, measurements, and any abnormalities, as well as APGAR scores and eventual cause of death if applicable. The document is signed by the attending doctor and midwife.

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    6 views1 page

    Sodapdf

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    Luminous Valentines
    This document is a report on a delivery that took place at STIKES Panakkukang Makassar Hospital. It includes observations from before and after delivery, as well as details of the delivery and conditions of both the mother and baby. The report notes the date and time of admission, membrane rupture, and birth. It also documents vital signs of the mother before and after delivery, as well as the placenta's appearance and status of the umbilical cord. For the baby, it records details like gender, measurements, and any abnormalities, as well as APGAR scores and eventual cause of death if applicable. The document is signed by the attending doctor and midwife.

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    RUMAH SAKIT STIKES PANAKKUKANG MAKASSAR

    Jl. Adhiyaksa No. 5 Makassar, Telp (0411) 444133-449574-5058660; Fax. (0411)4662561-430614


    Homepage : rumahsakit-stikespanakkukang.ac.id, Email : rumahsakitstikespanakkukang@gmail.com

    NO. RM :……………………….
    NAMA :……………………….
    TGL LAHIR :……………………….
    Hari / Tanggal : …………………. , ……./..……/……………
    LAPORAN PERSALINAN Jam :............................WIB
    OBSERVASI PRA PERSALINAN (Diisi oleh Bidan)
    Masuk kamar bersalin : …………………………………… Jam........................WIB
    tanggal

    Tanggal / Jam Nadi Tensi Suhu HIS DJJ Keadaan Umum dan Lain-lain

    IKHTISAR PERSALINAN
    KK Pecah : Tanggal : …………………………………… Jam........................WIB
    Bayi Lahir : Tanggal : …………………………………… Jam........................WIB
    Macam : ……………………………………………………………………………………………………………………………………………
    Persalinan
    Indikasi : ……………………………………………………………………………………………………………………………………………
    Lama : ……………………………………………………………………………………………………………………………………………
    Persalinan
    KEADAAN IBU PASCA PERSALINAN
    Keadaan : ……………………………………………………………………………………………………………………………………………
    Umum
    Tanda-tanda : Nadi : …………. x/menit Suhu :.......................˚C
    Vital
    : Tekanan Darah : …… /…… mmHg Hb : ………….
    Uterus : ……………………………………………………………………………………………………………………………………………
    Perdarahan : ………………………… cc Perdarahan kala IV :..............................................cc
    kala III
    Keadaan : Bentuk / Ukuran : …………………………………………………………………………………………………………
    Placenta
    : Tali Pusat : …………………………………………………………………………………………………………
    : Kulit Ketuban : …………………………………………………………………………………………………………
    KEADAAN ANAK
    Jenis Kelamin : Laki-laki Perempuan Keadaan Lahir : Hidup Mati
    Antropometri :Berat Badan : …………. x/menit Panjang Badan :.........................cm
    :Lingkar Kepala : …… /…… mmHg Lingkar Dada :.........................cm
    Kelainan :……………………………………………………………………………………………………………………………………………
    Kongenital ……………………………………………………………………………………………………………………………………………
    Untuk bayi keadaan jelek, lahir hidup kemudian meninggal : Jam........................WIB
    Penyebab : ……………………………………………………………………………………………………………………………………………
    Kematian ……………………………………………………………………………………………………………………………………………
    APGAR Skor : 1 menit : ………………………… 5 menit : ………………………… 10 menit : …………………………
    Catatan lain-lain :

    Dokter Penanggung Jawab, Penolong Persalinan,

    ( ) ( )
    Tanda Tangan dan Nama Terang Tanda Tangan dan Nama Terang

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