PERPETUAL SUCCOUR HOSPITAL

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

VISION AND MISSION

PSH VISION

Privileged to share God’s saving and healing action, we envision PSH as a Christ-centered, dynamic and socially
responsible global health care institution providing holistic quality healthcare services.

PSH MISSION

1. Faithfully proclaim God’s love through compassionate care

2. Uphold bio-ethical principles and the teachings of the Catholic Church

3. Develop competencies of health care professionals for integral growth and strengthen partnerships in
education, training and research

4. Pursue value innovation and socially responsive health care services at par with global standards for
sustainability

5. Assure that Christian stewardship and good governance are practice

DEPARTMENT OBJECTIVES

A. Service

1. To provide quality patient care consistent with local and global medical and ethical standards of care to
Obstetrics and Gynecology patients seen in our institution

B. Teaching and Training

1. To train medical graduates to become Obstetrics and Gynecology specialists who are imbued with the
competence, Christian values and willingness to serve the health needs of the Filipino people and all
people regardless of race, ethnicity and religious affiliation

2. To train medical graduates to become health care educators in the field of Obstetrics and Gynecology

3. To train medical graduates to become social and community leaders and mobilizers in the field of
Obstetrics and Gynecology

C. Research

1. To stimulate enthusiasm in the conduct of research studies that will address relevant clinical questions in
our setting

2. To train medical graduates to publish research studies in the field of Obstetrics and Gynecology

2. To produce Obstetrics and Gynecology specialists who will continuously publish research works that will
address solutions to health problems in the community
 PERPETUAL SUCCOUR HOSPITAL

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

DAILY CENSUS

Date: March 9-10, 2020 Service Team: C COC: Dr. Cambonero

SROD: Dr. Etang GROD: Dr. Gonzales OBROD: Dr. Sia
POD: AM: Badilla, Baterna, Laya, Vasnani PM: Caliso, Costanos, Moreno, Uy
IOD: Alcordo, Cascabel

Admissions: 1 OB: 1 Deliveries: 1 NSD: CS: 1 VBAC: 0

Co-managements: 0 GYNE: Mortality: 0

Received: 2

OB ADMISSIONS:

Admitting Diagnosis/
Case No. General Data Plan/Procedure/Outcome
Final Diagnosis
Hosp#: J. Thompson Admitting Dx: S: Pain on post-op site (PS 6-7/10). No
fever, headache, nausea/vomiting. Well
Adm#: 32/G1P0 G1P0 PU 37 2/7 weeks AOG,
contracted uterus. Able to void. No BM.
cephalic, in labor; pre-
38 weeks AOG by LMP
eclampsia w/o severe O: alert, oriented, NIRD
37 2/7 weeks AOG by
MSP features (wiz pay labs ani
eUTZ BP: 110/70 PR: 74
nga tym); GDM-on
Metformin treatment Temp: 36.4 RR: 20

CC: elevated BP
RIC: Dr. Sia Final/Working Dx: Skin: warm, good turgor and mobility
PIC: Baterna
IE: 4cm, 70%, -3, I/C, HEENT: pink palpebral conjunctiva;
mid, med, BS:5 moist lips and mucous membranes;

Category I C/L: clear breath sounds

Baseline FHT of 130, CVS: normal rate, regular rhythm, (-)

Moderate beat – beat murmurs
variability, with 2
Abd: round, soft, NABS, nontender
Uterine Contraction in
20 minutes, strong GUT: well contracted uterus
intensity lasting 30-40
 seconds , MVU :180 A: Post-op day 1

P: Repeat CBC in AM
Encourage breastfeeding
Antibiotic coverage
Pain reliever
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GYNE ADMISSIONS:

CO-
MANAGEMENTS:

RECEIVED: 2
Hosp# MB Admitting Dx: S: Complains of occasional nausea and
headache relieved with rest. Had 3
Adm# 28/ G1P0 G1P0 Pregnancy Uterine 38
episodes of vomiting, previously
1/7 weeks AOG, Cephalic in
ingested food approximately 500cc in
labor, chronic HPN w/
total. No other subjective complaints.
MSP superimposed pre-
eclampsia; GDM-diet O: alert, oriented, NIRD
Room 38 3/7 weeks AOG by controlled
LMP BP: 120-160/70- PR: 85-95
110
38 1/7 weeks AOG by
RIC: Dr. Sia Final/Working Dx: Temp: 36.4 RR: 22
EUTZ
PIC: Badilla G1P1 (1001) PU 38 1/7
weeks AOG, cephalic,
CC: labor pain Skin: warm, good turgor and mobility
delivered via primary LSTCS
sec to NRFHR pattern HEENT: pink palpebral conjunctiva;
(recurring variable moist lips and mucous membranes;
deceleration) Cat. II, to a live
C/L: clear breath sounds
IE: 4cm, 60%, -3, R/C female neonate, AS 5,8,9; BS
(amniotomy at 7:20am, 38 weeks, BW 2900g (6lbs CVS: normal rate, regular rhythm, (-)
thickly meconium 6oz) AGA; chronic HPN w/ murmurs
stained) superimposed pre-
eclampsia; GDM-diet Abd: round, soft, NABS, nontender
controlled IE: 8cm, 70%, -3, I/C
 A: Clinically stable

P: For induction of labor to start today

Hosp# J. Montemar Admitting Dx: S: Patient complains of painful perineal

area PS 5-6/10. No fever, headache
Adm# 22/ G1P0 (0000) G3P2 (1102) Pregnancy
noted. Patient was able to pass flatus
Uterine 36 weeks AOG,
and able to void spontaneously.
Cephalic, in labor, chronic
MSP 37 4/7 weeks AOG by HPN (di ko sure if diet or O: alert, oriented, NIRD
LMP medication contolled),
BP: 110/70 PR: 70
GDM-diet controlled
36 weeks AOG by eUTZ
RIC: Dr. Sia Temp: 36.0 RR: 19

IIC: Cascabel
CC: elevated BP
Skin: warm, good turgor and mobility
Final/Working Dx:
HEENT: pink palpebral conjunctiva; dry
IE: 4cm, 60%, -3, I/C, lips and moist mucous membranes;
mid, med, BS: 5
C/L: clear breath sounds

CVS: normal rate, regular rhythm, (-)

CTG: murmurs

GUT: well contracted uterus, minimal

lochia

A: Postpartum day 1, stable

P: Encourage breastfeeding
For antibiotic coverage
Continue vitamins