DEMPO

PUBLIC HEALTH CENTRE

Monday, January 7th 2019 - Saturday, January 12th 2019

RESIDENT ON DUTY:
Dr. Inez Wijaya

SUPERVISOR:
Dr. Hj. Hartati, OBGYN (C)
 January January January January January January
Date 7th 8th 9th 10th 11th 12th Total

KIA Mother 9 10 6 5 2 - 32
(mother Neonatus - - - - - - -
and baby
Child - - - - - - -
health)
Levonorgestrel-
- - - - - - -
Ethynil Estradiol
Condom - - - - - - -
Family
Depo-Provera Inj - 1 - - - - 1
Planning
Cyclofem Inj - - - - - - -
Implant - 1 - - - - 1
IUD - - 1 - - - 1
Gynaecology 3 3 1 2 - - 9
N 3 2 2 1 1 - 9
Physiology
O - 2 1 2 1 - 6
N - 1 1 - - - 2
High Risk Pregnancy
O 3 - - - - - 3
 HIGH RISK PREGNANCY
Date No Name Age Address Diagnosis ICD 10 Therapy Residen

1 Mrs. DWI 37 Sei Selayur G5P2A2 26 weeks Z3A.2 CIE IZY

gestational age SLF US examination
intrauterine
Jan 7th Calcium Lactate 3 x 500 mg
Ferrous Sulphate 1 x 300 mg

2 Mrs. RITA 42 15 Ilir G3P2A0 36 weeks Z3A.3 CIE IZY

gestational age SLF US examination
Cephalic presentation
Jan 7th Calcium Lactate 3 x 500 mg
Ferrous Sulphate 1 x 300 mg

3 Mrs. MEL 25 9 Ilir G4P2A1 20 weeks Z3A.2 CIE IZY

gestational age SLF US examination
intrauterine
Jan 7th Calcium Lactate 3 x 500 mg
Ferrous Sulphate 1 x 300 mg

4 Mrs. EMA 43 Jl. Perintis G9P8A0 16 weeks Z3A.1 CIE IZY

Kemerdekaan gestational age SLF US examination
intrauterine
Jan 8th Ferrous Sulphate 1 x 300 mg
 HIGH RISK PREGNANCY
Date No Name Age Address Diagnosis ICD 10 Therapy Residen

5 Mrs. IST 31 Sukabangun G5P3A1 6 weeks gestational Z3A.0 CIE IZY

age SLF intrauterine US examination
Jan 9th Folic acid 1 x 400 mcg
Ferrous Sulphate 1 x 300 mg
 Patient Obstetri Physiology

No Name Age Address Diagnosis ICD 10 Therapy Residen

Date
1 Mrs. DWI 32 Ilir Timur 3 G3P2A0 29 weeks Z3A.3 CIE IZY
gestational age SLF US examination
Transverse Lie Calcium Lactate 3 x 500 mg
Ferrous Sulphate 1 x 300 mg
2 Mrs. SRI 27 Ilir Barat 1 G1P0A0 34 weeks Z34.03 CIE IZY
gestational age SLF US examination
Cephalic Presentation Ferrous Sulphate 1 x 300 mg
Jan 7th
Calcium Lactate 3 x 500mg

3 Mrs. DIN 21 Sako G1P0A0 26 weeks Z34.01 CIE IZY

gestational age SLF US examination
intrauterine Calcium Lactate 3 x 500 mg
Ferrous Sulphate 1 x 300 mg
 Patient Obstetri Physiology
No Name Age Address Diagnosis ICD 10 Therapy Residen
Date
1 Mrs. NAN 27 Jl. Musi Raya G2P1A0 15 weeks Z3A.3 CIE IZY
gestational age SLF US examination
intrauterine Ferrous Sulphate 1 x 300 mg

2 Mrs. RIC 24 15 Ilir G1P0A0 30 weeks Z34.03 CIE IZY

gestational age SLF US examination
cephalic presentation Ferrous Sulphate 1 x 300 mg
Calcium Lactate 3 x 500mg
Jan 8th
3 Mrs. SOP 34 8 Ilir G2P1A0 26 weeks Z34.01 CIE IZY
gestational age SLF US examination
intrauterine Calcium Lactate 3 x 500 mg
Ferrous Sulphate 1 x 300 mg
4 Mrs. DWI 31 20 Ilir G3P2A0 26 weeks Z34.01 CIE IZY
gestational age SLF US examination
intrauterine Calcium Lactate 3 x 500 mg
Ferrous Sulphate 1 x 300 mg
 Patient Obstetri Physiology
No Name Age Address Diagnosis ICD 10 Therapy Residen
Date
1 Mrs. MER 29 Kel. Srijaya G3P2A0 26 weeks Z3A.3 CIE IZY
gestational age SLF US examination
intrauterine Calcium Lactate 3 x 500 mg
Ferrous Sulphate 1 x 300 mg
2 Mrs. RAT 34 15 Ilir G1P0A0 18 weeks Z34.03 CIE IZY
gestational age SLF US examination
Jan 9th intrauterine Ferrous Sulphate 1 x 300 mg
Calcium Lactate 3 x 500mg
3 Mrs. SIT 22 20 Ilir G1P2A0 10 weeks Z34.01 CIE IZY
gestational age SLF US examination
intrauterine Folic acid 1 x 400 mcg
Ferrous Sulphate 1 x 300 mg
 Patient Obstetri Physiology
No Name Age Address Diagnosis ICD 10 Therapy Residen
Date
1 Mrs. ROH 31 Ilir Barat 1 G2P1A0 32 weeks Z3A.3 CIE IZY
gestational age SLF US examination
Cephalic Presentation Calcium Lactate 3 x 500 mg
Jan 10th Ferrous Sulphate 1 x 300 mg
2 Mrs. CAR 27 Kemuning G2P1A0 26 weeks Z34.03 CIE IZY
gestational age SLF US examination
Intrauterine Ferrous Sulphate 1 x 300 mg
Calcium Lactate 3 x 500mg
3 Mrs. BELL 18 Bukit Lama G1P0A0 36 weeks Z3A.3 CIE IZY
gestational age SLF US examination
Cephalic Presentation Calcium Lactate 3 x 500 mg
Ferrous Sulphate 1 x 300 mg
 Patient Obstetri Physiology

No Name Age Address Diagnosis ICD 10 Therapy Residen

Date
1 Mrs. ANI 29 14 Ilir G3P2A0 34 weeks Z3A.3 CIE IZY
gestational age SLF US examination
Cephalic Presentation Calcium Lactate 3 x 500 mg
Ferrous Sulphate 1 x 300 mg
Jan 11th
2 Mrs. DIN 22 Ilir Timur 1 G3P2A0 32 weeks Z34.03 CIE IZY
gestational age SLF US examination
cephalic presentation Ferrous Sulphate 1 x 300 mg
Calcium Lactate 3 x 500mg
 FAMILY PLANNING
Date No Name Age Address Management ICD 10 Residen
1 Mrs. EFR 22 Ilir Barat I Implant Z30.017
Jan 8th IZY

2 Mrs. SIT 34 Ilir Timur I IUD Insertion Z30.433

Jan 9th IZY

3 Mrs. MSY 25 18 Ilir Depo-Provera Inj Z30.42

Jan 8th IZY
 ICD 10
Supervision First Pregnancy
•Z34.00 = Supervision of normal first pregnancy, unspecified trimester
•Z34.01 = Supervision of normal first pregnancy, 1st trimester
•Z34.02 = Supervision of normal first pregnancy, 2nd trimester
•Z34.03 = Supervision of normal first pregnancy, 3rd trimester

Supervision First Pregnancy

•Z34.81 = Supervision of other normal pregnancy, first trimester
•Z34.82 = Supervision of other normal pregnancy, second trimester
•Z34.83 = Supervision of other normal pregnancy, third trimester

Physiology
•Z3A.0 = Weeks of gestation of pregnancy, unspecified or < 10 weeks
•Z3A.1 = Weeks of gestation of pregnancy, weeks 10-19
•Z3A.2 = Weeks of gestation of pregnancy, weeks 20-29
•Z3A.3 = Weeks of gestation of pregnancy, weeks 30-39
•Z3A.4 = Weeks of gestation of pregnancy, weeks 40 or greater
 ICD 10
Mild to moderate pre-eclampsia
•O14.00 = Mild to moderate pre-eclampsia, unspecified trimester
•O14.02 = Mild to moderate pre-eclampsia, second trimester
•O14.03 = Mild to moderate pre-eclampsia, third trimester

Twin pregnancy
•O30.0 = Twin pregnancy
•O30.00 = Twin pregnancy, unspecified number of placenta and of amniotic sacs
•O30.01 = Twin pregnancy, monochorionic/monoamniotic
•O30.02 = Conjoined Twin pregnancy
•O30.03 = Twin pregnancy, monochorionic/diamniotic
•O30.04 = Twin pregnancy, dichorionic/diamniotic
•O30.09 = Twin pregnancy, unable to determine number of placenta and number of
amniotic sacs
FAMILY PLANNING COUNSELING