Khadijah I Hospital / Naeny Fajriah

November 4th – 7th, 2018

25 04/11/2018 Mrs. S (40 y.o/ P2A0 Myomectomy Observation of

13/10/2018 / Abdominal enlargment since 1 year ago. general condition, vital
023623) Abdominal pain and menometroragia since 4 sign
months ago
USG : Uterine size 8,2 x 7,8 x 7,9 cm Wound
Hygiene and
Pre-Op Diagnosis : Uterine Myoma control

Post-Op Diagnosis : Intramural Uterine Myoma Histopathology follow up

Histopatology : Awaiting result

Mobilization
 Khadijah I Hospital / Naeny Fajriah
November 4th – 7th, 2018

26. 06/11/2018 Mrs AL (27 y.o/ Vaginal Bleeding (+) since 3 hours before Lower Segment Transverse Exclusive Breast Feeding
07/02/2018 / admission Caesarean Section for 6 months
084720) Inspekulo : active bleeding from ostium uteri
internum IUD insertion Mobilization

Control for Surgical Wound

Pre Operative Diagnosis :
G1P0A0 38 weeks 6 days of Gestational Age Not Control for IUD position
in labor + Complete Placenta Previa + IUD
Acceptor Candidate Inform to the patient
about the risk of next
Post Operative Diagnosis : pregnancy due to 1 x
Complete Placenta Previa + Term Delivery + IUD Previous Caesarean
Acceptor. Section, Placenta Accreta
Risk, Mother age, Next
Outcome: Female, BW 2900 gr, BL 47 cm, APGAR pregnancy planning.
score 8/10
 Khadijah I Hospital / Naeny Fajriah
November 4th – 7th, 2018

27 4/11/2018 Mrs M (30 y.o/ History of Previous Caesarean Section in April Lower Segment Transverse Exclusive Breast Feeding
04/02/2018 / 2017 due to Fetal Distress Caesarean Section for 6 months
085187)
IUD Insertion. Mobilization
Pre Operative Diagnosis :
Control for Surgical Wound
G3P2A0 39 weeks of Gestational Age 1 st Stage
of Labor Latent Phase + 1 st Previous Caesarean Control for IUD position.
Section + IUD Acceptor Candidate
Inform to the patient
Post Operative Diagnosis : about the risk of next
1 st Previous Caesarean Section + Term Delivery pregnancy due to 2 x
+ IUD Acceptor Previous Caesarean
Section, Placenta Accreta
Risk, Next pregnancy
Outcome: Female, BW 3050 gr, BL 50 cm, APGAR planning.
score 8/10
 Khadijah I Hospital / Naeny Fajriah
November 4th – 7th, 2018

28 04/11/2018 Mrs R (26 y.o/ History of Previous Caesarean Section 1 st : May Lower Segment Transverse Exclusive Breast Feeding
01/02/2018 / 2017 due to Fetal Distress Caesarean Section for 6 months
085187)
Pre Operative Diagnosis : IUD Insertion. Mobilization
G3P2A0 39 weeks 3 days of Gestational Age
Control for Surgical Wound
Not in Labor Latent Phase + 1 st Previous
Caesarean Section + IUD Acceptor Candidate Control for IUD position.

Post Operative Diagnosis : Inform to the patient

1 st Previous Caesarean Section + Term Delivery about the risk of next
+ IUD Acceptor pregnancy due to 2 x
Previous Caesarean
Section, Placenta Accreta
Outcome: Female, BW 3200 gr, BL 50 cm, APGAR Risk, Next pregnancy
score 8/10 planning.
 Khadijah I Hospital / Naeny Fajriah
November 4th – 7th, 2018

29 05/11/2018 Mrs R (31 y.o/ History of Previous Caesarean Section 1 st : April Lower Segment Transverse Exclusive Breast Feeding
04/11/2018 / 2017 due to Breech Presentation. Caesarean Section for 6 months
019187)
Pre Operative Diagnosis : IUD insertion Mobilization
G2P1A0 39 weeks 1 day of Gestational Not in
Control for Surgical Wound
Labor + 1 st Previous Caesarean Section + IUD
Acceptor Candidate Control for IUD position

Post Operative Diagnosis : Inform to the patient

1 st Previous Caesarean Section + Term Delivery about the risk of next
+ IUD Acceptor. pregnancy due to 2 x
Previous Caesarean
Section, Placenta Accreta
Outcome: Male, BW 3050 gr, BL 50 cm, APGAR Risk, Next pregnancy
score 8/10 planning.
 Khadijah I Hospital / Naeny Fajriah
November 4th – 7th, 2018

30 05/11/2018 Mrs NR (29 y.o/ History of Previous Caesarean Section 1 st : July Lower Segment Transverse Exclusive Breast Feeding
02/02/2018 / 2014 due to Fetal Distress Caesarean Section for 6 months
084291) 2 nd Caesarean Section : Previous Caesarean
Section in November 2016 IUD insertion Mobilization

Control for Surgical Wound

Pre Operative Diagnosis :
G4P2A1 39 weeks 3 days of Gestational Age Not Control for IUD position
in Labor + 2 Previous Caesarean Section + IUD
Acceptor Candidate. Inform to the patient
about the risk of next
Post Operative Diagnosis : pregnancy due to 3 x
Previous Caesarean Section 2x + Term Delivery + Previous Caesarean
IUD Acceptor. Section, Placenta Accreta
risk and Mother’s age.

Outcome: Male, BW 3300 gr, BL 48 cm, APGAR

score 7/10
 Khadijah I Hospital / Naeny Fajriah
November 4th – 7th, 2018

31 05/11/2018 Mrs L (36 y.o/ History of Previous Caesarean Section 1 st : June Lower Segment Transverse Exclusive Breast Feeding
07/02/2018 / 2014 due to Tranverse Lie Caesarean Section for 6 months
089743) 2 nd Caesarean Section : Previous Caesarean
Section in February 2017 IUD Insertion Mobilization

Control for Surgical Wound

Pre Operative Diagnosis :
G3P2A0 38 weeks 5 days of Gestational Age 1 st Control for IUD position
stage of labor Latent Phase
+ 2 Previous Caesarean Section + IUD Acceptor Inform to the patient
Candidate. about the risk of next
pregnancy due to 3 x
Post Operative Diagnosis : Previous Caesarean
Previous Caesarean Section 2x + Term Delivery + Section, Placenta Accreta
IUD Acceptor. risk and Mother’s age.

Outcome: Male, BW 3150 gr, BL 48 cm, APGAR

score 8/10
 Khadijah I Hospital / Naeny Fajriah
November 4th – 7th, 2018

32 05/11/2018 Mrs K (40 y.o/ Pre Operative Diagnosis : Lower Segment Transverse Exclusive Breast Feeding
04/02/2018 / G4P3A0 39 weeks1 days of Gestational Age 1 st Caesarean Section for 6 months
089791) stage of labor Latent Phase
+ Transverse Lie + Female Sterilization Modified Pomeroy Bilateral Mobilization
Candidate. Tubectomy
Control for Surgical Wound
Post Operative Diagnosis :
Transverse Lie + Term Delivery + Female
Sterilization Acceptor.

Outcome: Female, BW 3550 gr, BL 49 cm, APGAR

score 7/10
 Khadijah I Hospital / Naeny Fajriah
November 4th – 7th, 2018

33 05/11/2018 Mrs T (29 y.o/ EFW PE : 3960 gr Lower Segment Transverse Exclusive Breast Feeding
06/02/2018 / EFW USG : 3815 gr Caesarean Section for 6 months
084769)
Pre Operative Diagnosis : IUD Insertion. Mobilization
G1P0A0 38 weeks 6 days of Gestational Age 1 st
Control for Surgical Wound
stage of Labor Latent Phase + Breech
Presentation + IUD Acceptor candidate. Control for IUD position.

Post Operative Diagnosis : Inform to the patient

Complete Breech + Term Delivery + IUD Acceptor. about the risk of next
pregnancy due to 1 x
Previous Caesarean
Outcome: Male, BW 3900 gr, BL 51 cm, APGAR Section, Placenta accret a
score 8/10 risk.
 Khadijah I Hospital / Naeny Fajriah
November 4th – 7th, 2018

34 06/11/2018 Mrs N (29 y.o/ Lower Segment Transverse Exclusive Breast Feeding
10/02/2018 / History of Amion Leakage 2 hours before Caesarean Section for 6 months
083929) admission
SDP : 0.8 cm IUD Insertion Mobilization
EFW on PE : 3944 gr
Control for Surgical Wound
EFW on USG : 3850 gr
Control for IUD Position
Pre Operative Diagnosis :
G2P1A0 38 weeks 3 days of Gestational 1st
stage Latent Phase of Labor +
+ Breech Presentation + IUD Acceptor
Candidate.

Post Operative Diagnosis :

Frank Breech Presentation + 1 st Previous
Caesarean Section + Term Delivery + IUD
Acceptor

Outcome: Female, BW 3700 gr, BL 49 cm, APGAR

score 7/10
 Khadijah I Hospital / Naeny Fajriah
November 4th – 7th, 2018

35 07/11/2018 Mrs NA (38 y.o/ History of 1 st Caesarean Section in 2014 due to Lower Segment Transverse Exclusive Breast Feeding
04/02/2018 / transverse lie. Caesarean Section for 6 months
084854) History of 2nd Caesarean Section in 2016 due to
Fetal Distress Bilateral Tubectomy Pomeroy Mobilization
Modification
Control for Surgical Wound
Pre Operative Diagnosis :
G3P2A0 39 weeks 3 days of Gestational Age not
in labor + 2 Previous Caesarean Section +
Female Sterilization Candidate

Post Operative Diagnosis :

2 st Previous Caesarean Section + Term Delivery +
Female Sterilization Acceptor.

Outcome: Female, BW 2800 gr, BL 48 cm, APGAR

score 8/10
 Khadijah I Hospital / Naeny Fajriah
November 4th – 7th, 2018

36 04/11/2018 Mrs. A (30 y.o/ Pre Operative Diagnosis : Lower Segment Transverse Exclusive Breast Feeding
3/03/2018 / 055623) G3P1A1 35 weeks 3 days of Gestational 1st Caesarean Section for 6 months
stage Latent Phase of Labor + Gemelli + 2
Previous Caesarean Section + Severe Anemia + Bilateral Tubectomy Pomeroy Mobilization
Female Sterilization Candidate Modification
Control for Surgical Wound
Post Operative Diagnosis :
Gemelli (F1 : breech, F2 : head) + 2 st Previous
Caesarean Section + Term Delivery + Severe
Anemia + Female Sterilization Acceptor

Outcome:
Fetal 1 : Female, BW 2400 gr, BL 48 cm, APGAR
score 8/10
Fetal 2 : Male, BW 2250 gr, BL 47 cm, APGAR
score 8/10
 Khadijah I Hospital / Naeny Fajriah
November 4th – 7th, 2018

37 06/11/2018 Mrs A (34 y.o/ 04/08/2018 / G4P2A1 Curettage Vaginal Hygiene

083854) Vaginal Bleeding 1 day before admission
Plano test (+) Family Planning counseling and
External Os/ Internal Os : Dilated/Dilated education : IUD

Pre-Treatment Diagnosis :
Incomplete Abortion

Post-Treatment Diagnosis:
Incomplete Abortion

38 07/11/2018 Mrs K (24 y.o/ 16/08/2018 / G2P1A0 Dilatation Vaginal Hygiene

010954) Vaginal Bleeding since 3 days before admission Curettage
Plano test (+)
External Os/ Internal Os : Closed/closed

Pre-Treatment Diagnosis :
Incomplete Abortion

Post-Treatment Diagnosis:
Incomplete Abortion

39 06/11/2018 Mrs G (26 y.o/ 12/08/2018 / G2P1A0 Curettage Vaginal Hygiene

083854) Vaginal Bleeding 3 day before admission
Plano test (+)
External Os/ Internal Os : Dilated/Dilated

Pre-Treatment Diagnosis :
Incomplete Abortion

Post-Treatment Diagnosis:
Incomplete Abortion