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WEEKLY REPORT

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY


KARANGASEM GENERAL HOSPITAL

SEPTEMBER 14nd SEPTEMBER 20th 2015

LAPORAN MINGGUAN
RUANGAN/IRD OBSTETRI RSUD KARANGASEM
NO
1

KETERANGAN
LABOR
- Preterm
- Aterm
- Postterm
TOTAL
MODE OF DELIVERY
2.1 PERABDOMINAL
2.1.1 Cesarean Section
2.1.2 Laparotomy
2.2 PERVAGINAM
2.2.1 Normal Labor
2.2.2.Vacuum Extraction
2.2.3.Forcep Extraction
2.2.4.Bracht

JUMLAH
1
10
5
16

7
5
3
1

2.2.5.Manual Aid
2.2.5.1. Total Extraction
2.2.5.2. Louvset Mauriceau
2.2.6.Cunam Mouzeoux
2.2.7.Others
TOTAL

16
2

KONSERVATIVE
Total

FETAL DEATH
- Antenatal

- Intranatal
- Postnatal

Total

MATERNAL DEATH
- Hemorrhage

- Infection

- Preeclampsia / Eclampsia

Others
Total

ATHOLOGIC CASES
a. Preterm

b. Post term

c. Dystocia

d. Neglected labor

e. Malposition
- Breech presentation

-Transverse lie

- Face persentation

f. Gemelli/multiple pregnancy

g. Hypertension disorders in pregnancy


- Mild PE

- Severe PE

- Gestational hypertension

- Superimposed PE

- Chronic hypertension

- Eclampsia

1
4

h. Antepartum hemorrhage
i. Previous cesarean section
j. Medical and surgical disorder
k. Fetal congenital anomalies
l. PROM
m. Fetal emergency
n. Postpartum hemorrhage
o. IUFD
p. Oligohidramion
q. Makrosomia
r. Others
TOTAL

1
2
5
3
1
2
7
32

LAPORAN MINGGUAN KASUS PATOLOGIS


IRD / VK OBSTETRI RSUD KARANGASEM

A. PRETERM
1. DAG, 25 yo, G2P1001 34-35 weeks, Twin/L-L/head-head
presentation, Threatened Preterm Delivery, EFW : 1957/1767 g
Conservative 1st of labor (failed conservatif) 2nd stage of
labor Spontaneously born 1st Baby , 2100 gram, AS 8-9
Spontaneously born 2nd baby , 1700 gr,AS 8-9 NBS 26~34-36
wks (AGA) Placenta Monochorion-Diamnion

B. POST TERM
1. WIK, 33 yo, G2P1001, 42-43 weeks , S/L, EFW : 2945, PS :
3 misoprostol insertion 1st stage of labor 2nd stage
of labor fetal distress (FHB : 60 bpm) FE born baby
, 3300 g, AS 7-8, Tumor vagina (+),
tight cord
entanglement 1x, AF less, post matur sign grd I
2.
ROS, 25 yo, G2P1001, 41-42 weeks, S/L,
oligohidramnion (AFI 2,1), EFW : 2790, PS 3 misoprostol
insertion 1st stage of labor 2nd stage of labor
spontaneously born baby , 2850 g, AS : 7-8

3. ANA, 26 yo, G1P0000, 41-42 weeks, S/L, oligohydramnion


(AFI : 2,3), EFW : 2766 g, PS : 3 misoprostol insertion
1st stage of labor 2nd stage of labor fetal distress
FE born baby , 3500 gr, AS 7-8, thigh cord
entanglement 1x
4. SUA, 27 yo, G3P1011 41-42 weeks S/L BOH, Secondary old
primi, Oligohidramnion (AFI : 3.6), EFW 3565 g, PS: 5
oxytocin drip 1st stage of labor 2nd stage of labor
spontaneously born baby 3800 g, AS 8-9

5. PAR, 31 yo, G2P1001 42 weeks S/L, Oligohidramnion (AFI:


3.6), EFW 3521 g, PS: 3 misoprostol insertion 1st
stage of labor 1st stage of labor (ROM) 2nd stage of
labor failure of descent CS born baby , 3250 g,
AS: 8-9

C. DYSTOCIA
D. NEGLECTED LABOR
1.SRI, 33 yo, G2P1001, 39-40 weeks, S/L, neglated 2nd stage EFW:
3410 g SC born baby 3300 gr, AS 6-8
E. MALPOSITION
E.1 FACE PERSENTATION
E.2 BREECH PRESENTATION
1. YUL, 19 yo, G1P0000, 37-38 weeks S/L, breech presentation,
PROM, EFW: 2722 g CS cito born baby , 2500 g, AS :
7-8

10

E.3 TRANSVERSE LIE


F. GEMELLI/MULTIPLE PREGNANCY
1. A.1

11

G. HIPERTENSI DALAM KEHAMILAN


G.1 PE RINGAN
G.2 HYPERTENSION DISORDERS IN PREGNANCY
1.WIT, 35 yo, G3P0020, 40 weeks, S/L, BOH, LHM (141 cm),
Gestational hypertension, PROM >12 hours, EFW : 3410, PS : 1
CS cito born baby , 3300 g, AS 8-9
G.3 CHRONIC HYPERTENSION
1.PUT, 25 yo, G1P0000 4041 weeks S/L superimposed
preeclampsia EFW: 3262 g, PS: 4 1st misoprostol insertion
2nd misoprostol insertion 1st stage of labor 2nd stage of
labor, fetal distress (FHB 80 bpm) FE born baby , 3200 g,
AS 6-8, thigh cord entanglement 1x during observation patient
Eclamsia management eclamsia
G.4 SUPERIMPOSED PREECLAMSIA
G.5 ECLAMSIA
1.
G.4.1
12

H. Antepartum hemorrhage
I.Previous cesarean section
1. MAN, 28 yo, G3P2003, 39-40 weeks, S/L, LMR( Previous
CS 1x), 1st stage of labor, EFW: 3255 g 1st stage of labor
(ROM) 2nd stage of labor prolong 2nd stage of labor
CS born baby , 3500 g, AS : 8-9
2.RET, 25 yo, G3P1011, 42 weeks, S/L, LMR
(Previous CS 1x), PROM > 10 hours EFW: 2945 g
CS cito born baby, 2700 g, AS : 8-9

13

J. MEDICAL AND SURGICAL DISORDER


1. MEN, 31 yo, G3P2002, 18-19 weeks, S/L, CKD stage V, mild anemia (Hb:
8,43), EFW : 295 g PS : 0 misoprostol insertion 1st stage of labor
2nd stage of labor spontaneously born baby, , 200 g,
2. SUA, 28 yo, G1P0000 37-38 weeks, S/IUFD, Gestational
trombocytopenia (88.000 /L), EFW : 2945 g, PS :1 PS : 5 drip
ocytoxin 1st stage of labor 2nd stage of labor spontaneously born
baby , 2700 g , congenital anomali (-), placental hematome (-), thigh
cord entanglement 1x

14

K. FETAL CONGENITAL ANOMALY


L. PREMATURE RUPTURE OF MEMBRANE
1.SUR, 19 yo, G2P1000, 37-38 weeks S/L,ROB, PROM,
EFW : 2790 g, PS 4 1st stage of labor (ROM) 2nd stage of
labor spontaneously born baby , 2600 g, AS : 8-9
2.WIR, 37 yo, G5P1031, 40-41 weeks, S/L, BOH, PROM > 12
hours, susp chorioamnionitis, EFW : 3576 CS Cito born
baby 3600 gram, AS: 7-8
3.E.2.1
4.G.2.1

10

M. EMERGENCY OF FETAL
1.B .1
2.B. 3
3.G .5. 1
N. POST PARTUM HEMORRHAGE
1.DAR, 31 yo, P3013 Post SVD, Post Hecting ec Portio
Laceration day 0
O. OLIGOHIDRAMNION
1.YUN, 36 yo, G5P4003, 38-39 weeks, S/L, oligohidramion, EFW:
2637 gr PS: 1 misoprotol insertion PS: 5 oxytocin drip
born baby , 2500 g, AS: 8-9

16

2. SUR, 37 yo, G6P4014, 39-40 weeks, S/ IUGR


oligohydramnion, EFW: 2298 g PS: 2 induction with
ripening misoprostol
3. B.2
4. B.3
5. B.4
6. B.5

17

P. IUFD
1.J.2
Q. MAKROSOMIA
R. OTHER

18

GYNECOLOGY TUMOR
2.1 BENIGN TUMOR
2.1.1. Bartholin cyst
2.1.2. Cervical polyp
2.1.3. Uterine myoma
2.1.4. Ovarial cyst
2.1.5. Solid ovarial tumor
2.1.6. Hydatidiform mole
2.1.7. Endometrioma cyst
2.2. PRECANCER LESSIONS
2.3. MALIGNANT TUMOR
2.3.1. Vulvar carcinoma
2.3.2. Vagina carcinoma
2.3.3. Cervical carcinoma
2.3.4. Uterine carcinoma
2.3.5. Endometrium
carcinoma
2.3.6. Trophoblastic Malignany
Disease
2.3.7. OTHERS

CURRENT
BOOKED
CASES

PREVIOUS
BOOKED
CASES

1
-

1
1
-

Subtotal

Subtotal

ENDOKRINOLOGI DAN
INFERTILITAS
3.1. Amenore Primer
3.2. Amenore Sekunder
3.3. AUB
3.4. Endometriosis
3.5. Lain-lain (Menometroragia)
3.6. Dismenorrhea
3.7. Leukorrhea

19

Subtotal

CURRENT
BOOKED
CASES
-

PREVIOUS
BOOKED
CASES
-

Subtotal

1
1

Subtotal

Complications of pegnant
1st
4.1. Threatened Abortions
4.2. Threatened Abortions
4.3. Incomplete Abortions
4.4. Infectious/septic
Abortions
4.5. complete Abortions
4.6. Ectopic Pregnancy
4.7. Hyperemesis Gravidarum
4.8. Blighted Ovum
4.9. Death Conceptus
OTHER
5.1. Uterine prolapsus
5.2. unwanted pregnant
5.3. IUD transloc ation
5.4. Visum Et Repertum
5.5. Other

OPERASI MINOR
6.1. Biopsy
6.2. Incisi / Eksisi
6.3. Ekstirpasi
6.4. Kuretase
6.5. Ekstraksi IUD

16

7.

FAMILY PLANNING
7.1. Condoms
7.2. Oral contraceptives
7.3. Injectable contraceptives
7.4. IUD
7.5. Implants
7.6. Female sterilization
Subtotal

CURRENT
BOOKED
CASES
1
20
2

PREVIOUS
BOOKED
CASES
-

23

17

WEEKLY REPORT OBSTETRIC OUTPATIENT CLINIC


N
o
1

2
3

CASES DESCRIPTION
Low Risk Pregnancy
1.1 Normal
1.2 Complications
1.2.1 Abortions
Threatened
Inevitable
Incomplete
Missed Abortion
Infectious/septic
1.2.2 Ectopic Pregnancy
1.2.3 Blighted Ovum
1.2.4 Others
High Risk Pregnancy
Post Partum
3.1 Vaginal Delivery
3.2 Abdominal Delivery
Others
TOTAL

CURRENT
BOOKED
CASES

PREVIOU
S
BOOKED
CASES

TOTAL

10
-

3
-

13
-

5
2
-

5
2
-

20

26
22

HIGH RISK PREGNANCY


1.AND 37yo, G4P3003 38-39 wks S/L, LMR (prev CS 2x) (TP:
02/11/15)
2.SIM 37yo, G2P1001 24-25 wks S/L, asma bronchiale mild attack
(TP: 3/1/16)
3.SUA yo,G4P3003 38-39 wks S/L, Sekundary old primy, asma
bronchiale (TP:30/9/15)
4.ATD 31yo,G1P1001 38-39 wks S/L, LMR (prev CS 1x) (TP:
25/9/2015)
5.PAR 32yo,G3P1011 38 wks S/L, HIV invection st I (TP: 22/9/2015)
6.SUC 25yo, G2P0010 32-33 yo S/L, BOH, post tyroidectomy (TP:
7/11/15)
7.SUA 33yo, G3P2002 32-33 wks S/L, LMR (prev CS) F.UP
Gestasional Hypertension(TP: 3/11/15)
8.SUD 37yo, G3P3002 34-35 wks Gemely/head-tranversa/L-L (TP:
20/10/15)
23
9.DWI 32yo, G2P1001 37-38 wks S/L LMR(TP: 3/1-0/2015)

10. DAW 24yo, G2P1001 34-35 wks, Gemeli/H-H (TP:


25/10/2015)
11. JUL 26yo, G1P0000 28 wks S/L, susp fetal anomally (TP:
9/12/15)
12. SAR 20th, G1P0000 32-33 wks S/L polyhidramnion,
kongenital nomally (TP: 7/11/2015)
13. REM 35yo, G3P2002 36-37 wks S/L Gestasional
hypertension, mild anemia (TP: 16/10/15)
14. WAS 22yo, G1P0000 41-42 wks S/L (TP:11/9/2015)
15. WAR 43yo, G6P5004 35-36 wks S/L, SNT eutyroid (TP:
22/10/2015)

24

WEEKLY REPORT GYNECOLOGY OUT PATIENT CLINIC

No

CASES DESCRIPTION

CURRENT
BOOKED
CASES

PREVIOUS
BOOKED
CASES

TOTAL

-25

GYNECOLOGY INFECTION
1.1 UPPER GENITALIA
1.1.1 PID Grade I
1.1.2 PID Grade II
1.1.3 PID Grade III /ATO
1.2 LOWER GENITALIA
1.2.1 Vulvitis
1.2.2 Vaginitis
1.2.3 Bartholinitis
1.2.4 Bartholin Abscess
1.2.5 Cervicitis
1.3 OTHERS

No
2

CASES DESCRIPTION

CURRENT PREVIOUS
BOOKED
BOOKED
CASES
CASES

TOTAL

GYNECOLOGY TUMOR
2.1 BENIGN TUMOR
2.1.1 Bartholin cyst
2.1.2 Cervical polyp
2.1.3 Uterine myoma
2.1.4 Ovarial cyst
2.1.5 Solid ovarial tumor
2.1.6 Hydatidiform mole
2.1.7 Polyp Vagina
2.2 PRECANCER LESSIONS

0
2
2
-

0
2
2
-

2.3 MALIGNANT TUMOR


2.3.1 Vulvar carcinoma
2.3.2 Vagina carcinoma
2.3.3 Cervical carcinoma
2.3.4 Endometrium carcinoma
2.3.5 Corpus carcinoma
2.3.6 Ovarium carcinoma

2.3.7 Trophoblastic Malignancy Disease

2.4 OTHERS

-26

NO

CASES DESCRIPTION

INFERTILITY AND ENDOCRINE

3.1 Primary amenorheae


3.2 Secondary amenorheae
3.3 Primary infertility
3.4 Secondary infertility
3.5 AUB
4
FAMILY PLANNING
4.1 Condoms
4.2 Oral contraceptives
4.3 Injectable contraceptives
4.4 IUD
4.5 Implants
4.6 Female sterilization
5
OTHERS
5.1 Fistula Recto vagina
5.2 Uterine prolaps
5.3 Cryoterapi
TOTAL

CURRENT
BOOKED
CASES

PREVIOUS
BOOKED
CASES

TOTAL

1
6

1
6

27

NO NAME

AGE/
PARITAS

DX PRE
OPERATIF

USG DX PASCA
OPERATIF

PA

Ni
Komang
Sari

42 tahun
(P2-2
tahun)

Uterine
Prolaps grd
III
cystorectoce
le grd III

Post TVHKA-KPR ec
Uterine
Prolaps grd
III
cystorectoc
ele grd III

Ni Nengah
Latri

34 yo/P112 yo

Susp.
Infected
Ovarian Cyst

Post
LaparotomiUSO ec
Ovarian
cyst

28

NO NAME AGE/
PARIT
AS
3

Luh
29
Martini yo/P1-6
yo

DX PRE
USG
OPERATIF
Cervical
polyp

DX PASCA
OPERATIF

PA

Pasca Polip
extirpation
ec cervika
polyp

29

TERIMA KASIH