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Duty Report

Wednesday, February 6th2013

Consultant:dr. Djoni Taher , OBGYN

Resident:

Dini / Yuwono / Budi / Wita

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Reporting

4 vaginal deliveries

1 forcep extraction

1 sectio cesaria 1 laparotomy exploration

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TriawaProcedure No

Case Outcome FP NBC/ BC

1 Mrs. Pitriawati , 33 yo

MR 204 09 08

G3P2 40-41 wga, singleton live

head presentation, not in labor

Process :

Not in laborrippened cervix

titration with oxytocin 5

IU/500 cc RL until 12mIU for 12

hoursPS 3misoprostol 25

mcg (I)observation 4 hoursactive phase of labor ( 7 cm)

observation 2 hoursecond

stage of labor

Born baby girl 3100 g, 48 cm,

AS 9/10

Greenish amniotic fluidPlacenta born completely

Perineal exploration

rupture grade 1

Now the mother and the

baby are in good condition in

the ward, rooming in ready to

be discharged

IUD PP BC

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TriawaProcedure No

Case Outcome FP NBC/ BC

2 Mrs. Tini Sisilawati, 34 yo

MR 131 75 45

G5P4 term, singleton live head

presentation, active phase of

labor

Process :

Active phase of labor ( 7 cm)

observation 2 hoursecond

stage of labor

Born baby girl 2750 g, 50 cm,

AS 9/10

Clear amniotic fluidPlacenta born completely

Perineal exploration

Intact.

Now the mother and the

baby are in good condition in

the ward, rooming in ready to

be discharged

IUD PP BC

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TriawaProcedure No

Case Outcome FP NBC/ BC

4 Mrs. Siti Walimah, 36 yo

MR 14 68 35

G2P1 37 wga, singleton live head

presentation, latent phase of

labor

Mild Preeclampsia

Process :

Latent phase of laborinduction

with misoprostol 25 mcg (I)

Active phase of labor ( 7 cm)observation 2 hoursecond

stage of labor

Born baby girl 3100 g, 48 cm,

AS 7/8

Clear amniotic fluidPlacenta born completely

Perineal exploration

Ruptur perineum gr II

Now the mother and the

baby are in good condition in

the ward, rooming in ready tobe discharged

DMPA NBC

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TriawaProcedure No Case Outcome FP NBC/ BC

1 Fetal distress on prolonged 2nd

stage of labor

Mrs. Winda , 23 yo

MR 139 06 16

G1 38-39 wga, singleton live head

presentation, fetal hypoxia on

prolonged 2ndstage of labor.

Process :

Prolonged second stage of labor

FHR 70-80 bpm with and

without contraction VT : fullydilated, head HIII-IVfetal

distress in second stage of labor

forcep extraction

Born baby girl 3100 g, 51 cm,

AS 4/6

Greenish scanty thickamniotic fluid

Placenta born completely

Eksploration perineal

rupture grade II

perineorafi

Now mother is in good

condition in the ward.Baby is in the perinatology

NICU, with manual

ventilation, Sat 82 %

DMPA NBC

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TriawaProcedure No Case Outcome FP NBC/ BC

SectioCesaria

ICD X

O.82.1

Z. 30.2

1 Eclampsia gravidarum

Mrs. Dewi Kania, 36 yo

139 06 17

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 goodcondition in ER controlled

BP 130/80, and baby is in

perinatology level I,

spontaneous breathing

TP NBC

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TriawaProcedure No Case Outcome FP NBC/ BC

Laparotomysalpingect

omy

dextra

ICD X

O00.1

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

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

BC

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Thank you