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MORNING REPORTAUGUST,11TH 2014
CASE RESUME
NORMAL LABOR 0
PATHOLOGIES
LABOR1. G1P0A0L0 39-40 weeks/S/L/IU head presentation w
Oligohidramnion
2. Dgsg
3. Gf4. Dsg
5. Hdjfh
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Name : Mrs.N
Age : 30 years oldAddress : Taliwang, Sumbawa
Admitted : 12-07-2014
No. RM : 11-26-40
G1P0A0L0 41-42 weeks/S/L/IU head
presentation with history of C.S
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Time Subject Object Assessment Plan
12-07-
2014
12.30
Patient come to NTB GH
with G4P2A1L2 41-42
weeks/S/L/IU head
prsentation.
Patient confessed
abdominal pain since 04.00
(08-07-2014) with water
come out from her vaginasince 11 (08-07-2014) ,
bloody slim (-), and FM (+).
History of DM (-), HT (-),
asthma (-).
LMP : 26-09-2013EDD : 03-07-2014
History ANC : 11x at PHCLast ANC : 09-06-2014
result: BP : 90/60, 37
weeks, FHB (+) 136 x/min,
mothers and fetals
condition is well
General status
GC : well
GCS: CM (E4V5M6)
BP : 120/80 mmHg
HR: 84 x/m
RR: 22 x/m
T: 36,7 C
Local statusEye : an (-/-), ict (-/-)
Pulmo: ves (+/+), rh (-/-), wh (-/-
)
Cor : S1S2 single regular, M(-),
G(-)
Abd : striae gravidarum (+),
linea nigra (+), scar (-)Ext : edema (-/-), warm (+/+)
Obstetric statusL1 : breech
L2 : back on the right side
L3 : head
L4 : 4/5
UFH: 33 cm
EFW : 3410 gram
UC : -
FHB : 12-11-11 (136x/min)
G4P2A1L2 41-
42 weeks
A/S/L/IU head
presentation
with faild
inductiction
Obs. Mot
fetal well
DM co to
CTG and
inj.accele
GP co to
acc and a
Accelera
Inj. Ampi
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Time Subject Object Assessment Plan
History of USG : 2 times
Last USG: 12 July 2014
Result: G4P2A1L2 S/L/IU
EFW : 3600 grams.
Amnion (+)
History of family planning
: inj. Three month
Next family planning : -
History of obstetric :
I . Aterm/ 3000 grams /
normal / midwife/ life
II. Aterm / 3600 grams /
C.S / GH Saudi
Arabia / LifeIII. Abortus / 19 weeks
IV. This
VT : 1 cm, eff. 15 % amnion
(+), head palpable, HI, denom
unclear, unpalpable small part of
fetus/ umbilikal cord
PS :Cervic dilatation 1 cm : 1
Cerviks length 2 cm: 2
cerviks consistency soft: 1Cerviks position mid: 1
Station H I: 1
Total: 6
Lab:
HGB = 12.3 g/dl
RBC = 4.10 K/ulWBC = 12.37 M/ul
HCT : 34.0 %
PLT = 276 M/ulHBsAg = (-)
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Time Subject Object Assessment Planni
14.30 UC : -
FHB : 12-12-11 (140x/min)
Start drip oxyt
dpm
15.00 UC : -
FHB : 11-12-11 ( 136x/min)
Oxy drip: 1
15.30 UC : -
FHB : 11-12-12 ( 140x/min)
Oxy drip: 1
16.00 Abdominal pain UC : 2 x 10 ~ 20
FHB : 11-12-11 (136 x/min)
Oxy drip: 2
16.30 UC : 2 x 10 ~ 20
FHB : 11-12-11 (136 x/min)
Oxy drip: 2
17.00 UC : 2 x 10 ~ 30
FHB : 11-12-11 (136 x/min)
Oxy drip: 2
17.30 UC : 3 x 10 ~ 30
FHB : 11-12-12 (140 x/min)
Oxy drip: 3
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Time Subject Object Assessment Planni
18.00 UC : 3 x 10 ~ 20
FHB : 12-12-11 (140x/min)
Oxy drip: 3
18.30 UC : 2 x 10 ~ 30
FHB : 11-12-12 ( 140x/min)
Oxy drip: 4
19.00 UC : 2 x 10 x 20
FHB : 11-12-12 ( 140x/min)
Start drip oxyt
dpm flas
19.35 Baby was bo
2500 gram. 4
7-9. Anus
Congenital an19.50 UC : well
UFH : 2 finger bellow
umbilicus
3rd of labor Placenta wa
spontan. Com
300gra
Leukia 15
episiostomy (
rupture gr
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Time Subject Object Assessment Plannin
18.30 Mother wont to
bearing down
UC : 4 x 10 ~ 45
FHB : 12-13-12 ( 148x/min)
Oxy drip: 40
18.40 Mother wont to
bearing down
UC : 4 x 10 ~ 45
FHB : 12-13-12 ( 148x/min)
Inspection : opening of vulva,bulging of perineum, pressure of
anus
2nd stage of labor Conduct mother
down
18.50 Baby was born. fe
gram. 44 cm, AS
(+). Congenital an
18.55 UC : well
UFH : 2 finger bellow umbilicus
3rd of labor Placenta was bor
Complete. 50
Bleeding 2
Time Subject Object Assessment
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Time Subject Object Assessment
21.15 GC: well cons:E4V5M6
BP: 120/80 mmHg
PR: 92x/m
RR: 20x/m
T: 38 0C
UC: (+) well
UFH: 2 fingers below umbilicus
Lab:
Hb : 9,4WBC: 19,53
2 hours post partum Observatio
being
Suggest m
Suggest m
Paracetam
Inj ampi 1
03-08-
2014
07.00
GC: well cons:E4V5M6
BP: 110/70 mmHg
PR: 84x/m
RR: 20x/m
T: 36,4 0C
UC: (+) well
UFH: 2 fingers below umbilicus
Active bleeding: (-)
Lokea rubra + Baby rooming
1 day post post partu Observed
Suggest m
suggest m
Suggest m
04-08-
2014
07.00
GC: well cons:E4V5M6
BP: 110/70 mmHg
PR: 84x/m
RR: 20x/m
T: 36,4 0C
UC: (+) well
UFH: 3 fingers below umbilicus Active bleeding: (-)
Bab roomin
2 day post partum Observed
Suggest m
suggest m
Suggest m
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Name : Mrs.N
Age : 30 years oldAddress : Taliwang, Sumbawa
Admitted : 12-07-2014
No. RM : 11-26-40
G1P0A0L0 41-42 weeks/S/L/IU head
presentation with history of C.S
Time Subject Object Assessment Plan
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Time Subject Object Assessment Plan
12-07-
2014
12.30
Patient come to NTB GH
with G4P2A1L2 41-42
weeks/S/L/IU head
prsentation.
Patient confessed
abdominal pain since 04.00
(08-07-2014) with water
come out from her vaginasince 11 (08-07-2014) ,
bloody slim (-), and FM (+).
History of DM (-), HT (-),
asthma (-).
LMP : 26-09-2013EDD : 03-07-2014
History ANC : 11x at PHCLast ANC : 09-06-2014
result: BP : 90/60, 37
weeks, FHB (+) 136 x/min,
mothers and fetals
condition is well
General status
GC : well
GCS: CM (E4V5M6)
BP : 120/80 mmHg
HR: 84 x/m
RR: 22 x/m
T: 36,7 C
Local statusEye : an (-/-), ict (-/-)
Pulmo: ves (+/+), rh (-/-), wh (-/-
)
Cor : S1S2 single regular, M(-),
G(-)
Abd : striae gravidarum (+),
linea nigra (+), scar (-)Ext : edema (-/-), warm (+/+)
Obstetric statusL1 : breech
L2 : back on the right side
L3 : head
L4 : 4/5
UFH: 33 cm
EFW : 3410 gram
UC : -
FHB : 12-11-11 (136x/min)
G4P2A1L2 41-
42 weeks
A/S/L/IU head
presentation
with faild
inductiction
Obs. Mot
fetal well
DM co to
CTG and
inj.accele
GP co to
acc and a
Accelera
Inj. Ampi
Time Subject Object Assessment Plan
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Time Subject Object Assessment Plan
History of USG : 2 times
Last USG: 12 July 2014
Result: G4P2A1L2 S/L/IU
EFW : 3600 grams.
Amnion (+)
History of family planning
: inj. Three month
Next family planning : -
History of obstetric :
I . Aterm/ 3000 grams /
normal / midwife/ life
II. Aterm / 3600 grams /
C.S / GH Saudi
Arabia / LifeIII. Abortus / 19 weeks
IV. This
VT : 1 cm, eff. 15 % amnion
(+), head palpable, HI, denom
unclear, unpalpable small part of
fetus/ umbilikal cord
PS :Cervic dilatation 1 cm : 1
Cerviks length 2 cm: 2
cerviks consistency soft: 1Cerviks position mid: 1
Station H I: 1
Total: 6
Lab:
HGB = 12.3 g/dl
RBC = 4.10 K/ulWBC = 12.37 M/ul
HCT : 34.0 %
PLT = 276 M/ulHBsAg = (-)
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Time Subject Object Assessment Planni
14.30 UC : -
FHB : 12-12-11 (140x/min)
Start drip oxyt
dpm
15.00 UC : -
FHB : 11-12-11 ( 136x/min)
Oxy drip: 1
15.30 UC : -
FHB : 11-12-12 ( 140x/min)
Oxy drip: 1
16.00 Abdominal pain UC : 2 x 10 ~ 20
FHB : 11-12-11 (136 x/min)
Oxy drip: 2
16.30 UC : 2 x 10 ~ 20
FHB : 11-12-11 (136 x/min)
Oxy drip: 2
17.00 UC : 2 x 10 ~ 30
FHB : 11-12-11 (136 x/min)
Oxy drip: 2
17.30 UC : 3 x 10 ~ 30
FHB : 11-12-12 (140 x/min)
Oxy drip: 3
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Time Subject Object Assessment Planni
18.00 UC : 3 x 10 ~ 20
FHB : 12-12-11 (140x/min)
Oxy drip: 3
18.30 UC : 2 x 10 ~ 30
FHB : 11-12-12 ( 140x/min)
Oxy drip: 4
19.00 UC : 2 x 10 x 20
FHB : 11-12-12 ( 140x/min)
Start drip oxyt
dpm flas
19.35 Baby was bo
2500 gram. 4
7-9. Anus
Congenital an19.50 UC : well
UFH : 2 finger bellow
umbilicus
3rd of labor Placenta wa
spontan. Com
300gra
Leukia 15
episiostomy (
rupture gr
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Time Subject Object Assessment Plannin
18.30 Mother wont to
bearing down
UC : 4 x 10 ~ 45
FHB : 12-13-12 ( 148x/min)
Oxy drip: 40
18.40 Mother wont to
bearing down
UC : 4 x 10 ~ 45
FHB : 12-13-12 ( 148x/min)
Inspection : opening of vulva,bulging of perineum, pressure of
anus
2nd stage of labor Conduct mother
down
18.50 Baby was born. fe
gram. 44 cm, AS
(+). Congenital an
18.55 UC : well
UFH : 2 finger bellow umbilicus
3rd of labor Placenta was bor
Complete. 50
Bleeding 2
Time Subject Object Assessment
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21.15 GC: well cons:E4V5M6
BP: 120/80 mmHg
PR: 92x/m
RR: 20x/m
T: 38 0C
UC: (+) well
UFH: 2 fingers below umbilicus
Lab:
Hb : 9,4WBC: 19,53
2 hours post partum Observatio
being
Suggest m
Suggest m
Paracetam
Inj ampi 1
03-08-
2014
07.00
GC: well cons:E4V5M6
BP: 110/70 mmHg
PR: 84x/m
RR: 20x/m
T: 36,4 0C
UC: (+) well
UFH: 2 fingers below umbilicus
Active bleeding: (-)
Lokea rubra + Baby rooming
1 day post post partu Observed
Suggest m
suggest m
Suggest m
04-08-
2014
07.00
GC: well cons:E4V5M6
BP: 110/70 mmHg
PR: 84x/m
RR: 20x/m
T: 36,4 0C
UC: (+) well
UFH: 3 fingers below umbilicus
Active bleeding: (-)
Bab roomin
2 day post partum Observed
Suggest m
suggest m
Suggest m
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Name : Mrs. A
Age : 24 years oldAddress : Kayangan, KLU
Admitted : 11-08-2014
No. RM : 54-42-92
G2P0A1L0 38-39 weeks/S/L/IU head
presentation with arrested active phase
Time Subject Object Assessment Plan
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11-08-
2014
14.11
Patient come to NTB GH
reffered KLU GH with
G1P0A0L0 A/S/L/IU head
presentation with arrested
active phase + susp
macrosomia + mild
preeclampsia
Patient confessed
abdominal pain since 11-08-2014 (01.00), bloody slim
(+), water come out from her
vagina (-) and FM (+).
History of DM (-), HT (-),
asthma (-).
LMP : 12-11-2013
EDD : 19-08-2014
History ANC : > 5x at PHC
Last ANC : 02-06-2014
result: BP : 110/80, 35-36
weeks, Hb: 9 gr/dl, mothers
and fetalscondition is well
General status
GC : well
GCS: CM (E4V5M6)
BP : 160/90 mmHg
HR: 84 x/m
RR: 20 x/m
T: 36,7 C
Local statusEye : an (-/-), ict (-/-)
Pulmo: ves (+/+), rh (-/-), wh (-/-
)
Cor : S1S2 single regular, M(-),
G(-)
Abd : striae gravidarum (+),
linea nigra (+), scar (-)Ext : edema (-/-), warm (+/+)
Obstetric statusL1 : breech
L2 : back on the right side
L3 : head
L4 : 4/5
UFH: 34 cm
EFW : 3565 gram
UC : 3 x 10 ~ 35
FHB : 11-12-12 (140x/min)
G2P0A1L0 38-
39
weeks/S/L/IU
head
presentation
with protracted
active phase +
mild
preeclampsia+susp
makrosomia
Obs. Mot
fetal well
DM co to
CTG, inj.
Ceftriaxo
to SPV, S
and advic
Accelera
Inj. Ampi
Time Subject Object Assessment Plan
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History of USG :-
History of family planning
: -
Next family planning : IUD
History of obstetric :
I . Abortion/ 3 months
II. This
VT : 7 cm, eff. 75 % amnion
(+), head palpable, HI, denom
unclear, unpalpable small part of
fetus/ umbilikal cord
Pelvic examination:
Promontorium unpalpable
Spina ischiadica not prominent
Os coccygeus mobileArcus pubic > 90 degree
Lab:
HGB = 13,5 g/dl
RBC = 4,43 K/ul
WBC = 20,75 M/ul
HCT :38.5 %PLT = 169 M/ul
HBsAg = (-)
Proteinuria +1
Time Subject Object Assessment Plan
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Time Subject Object Assessment Plan
Chronologist : at Kayangan PHC (11-08-
2014, 08.30)S : Patient confessed flank pain and
abdominal pain (-), Bloody slim (+)
Water come out from her vagina (-), FM
(+).
O : GC : well
Cons : CM
BP : 170/100mmHgHR : 82x/mRR : 20x/m
T : 36,5
UFH : 38cm
L1 : breech
L2 : back on the left side
L3 : head
L4 : 3/5
FHR : 140x/m
UC : 3x10-45VT : 8 cm, eff 75%, amnion (-), head
palpable, HII, unpalpable small part of
fetus/ umbilikal cord
Proteinuria +1
A : G1P0A0L0 A/S/L/IU with inpartu active
phase + mild preeclampsia + susp.
macrosomia
P : RL 20 tpm, inj.cefotaxime, nifedipin 10m
Time Subject Object Assessment Plan
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Chronologist : at KLU GH (11-08-2014
09.00)
S : Patient confessed flank pain and
abdominal pain since 11-08-2014
(01.00) . Bloody slim (+) Water come out
from her vagina (-), FM (+).
O:GC : wellCons : CM
BP : 160/90mmHg
HR : 84x/m
RR : 24x/m
T : 36
UFH : 35 cm
FHR : 132x/m
UC : 3x10-35
VT : 7cm, eff 50%, amnion (+) , head
flooting palpable, denom unclear, HI,unpalpable small part of fetus/ umbilikal
cord
A : G1P0A0L0 A/S/L/IU head presentation
with active phase
P: Obs. Mother and fetal well being
Time Subject Object Assessment Plan
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12.00
S : Patient confessed flank pain and
abdominal pain
O:GC : well
Cons : CM
BP : 160/90mmHg
HR : 82x/mRR : 20x/m
T : 36FHR : 144x/m
UC : 3x10-35
VT : 7cm, eff 75%, amnion (+) , head
flooting palpable, denom unclear, HI,
unpalpable small part of fetus/ umbilikal
cord
A : G1P0A0L0 A/S/L/IU head presentation
with protracted active phase + susp
macrosomnia + mild preeclampsia
P: reffered to NTB GH
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18.10 Abdominal pain UC: 3x10 ~ 45
FHR: 156 bpm
Co CTG to GP
to SPV, advice
15.30 - Co to SPV adpro CS at 18.3
CIE patient anto CS
17.30 - Preoperative:
- Inj. Cefotax(skin test)
- Doing dowe
chatteter fo
18.40 - CS began
Baby was borfemale, AS 7-
gram, 46 cm, congenital an
meconeal (-),
Placenta was b
complete, bleecc
Time Subject Object Assessment Planning
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21.30 Abdominal wound
pain
GC: well
cons:E4V5M6BP: 110/70 mmHg
PR: 68x/m RR: 20x/m
T: 36 0CUC: (+) well
UFH: 2 fingers below
umbilicusActive bleeding: (-)
UO: 70cc/hourLokea rubra +
Baby in NICUPulse : 140 bpm
RR : 56x/mT : 36,5 C
2 hours post
CS
Observation moth
baby well beingSuggest mother to
mobilitation
07-07-2014
07.00
Abdominal woundpain
GC: wellcons:E4V5M6
BP: 120/80 mmHgPR: 88x/m
RR: 20x/m
T: 36,4 0CUC: (+) well
UFH: 2 fingers belowumbilicus
Active bleeding: (-)UO: 60cc/hour
1 day post CS Observed motherwell being
Suggest mother tomobilisation.
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Name : Mrs. A
Age : 18 years oldAddress : Kayangan, KLU
Admitted : 12-07-2014
No. RM : 54-23-13
G2P1A0L1 40-41 weeks/S/L/IU head
presentation
Time Subject Object Assessment Plan
12 07 P ti t t NTB GH G l t t G1P0A0L0 39 Ob M t
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12-07-
2014
14.25
Patient come to NTB GH
reffered KLU GH with
G2P1A0L1 40-41
weeks/S/L/IU head
prsentation with inpartu
latent phase + history C.S3
years ago + Skizoprenia
Patient confessedabdominal pain since 04-07-
2014 (11.00), bloody slim
(+), water come out from her
vagina (-) and FM (+).
History of DM (-), HT (-),
asthma (-).
LMP : 02-10-2013
EDD : 09-07-2014
History ANC : > 5x at PHC
Last ANC : 02-06-2014
result: BP : 110/80, 35-36
weeks, Hb: 9 gr/dl, mothers
and fetalscondition is well
General status
GC : well
GCS: CM (E4V5M6)
BP : 110/70 mmHg
HR: 88 x/m
RR: 22 x/m
T: 36,6 C
Local statusEye : an (-/-), ict (-/-)
Pulmo: ves (+/+), rh (-/-), wh (-/-
)
Cor : S1S2 single regular, M(-),
G(-)
Abd : striae gravidarum (+),
linea nigra (+), scar (-)Ext : edema (-/-), warm (+/+)
Obstetric status
L1 : breech
L2 : back on the right side
L3 : head
L4 : 4/5
UFH: 29 cm
EFW : 2790 gram
UC : 1 x 10 ~ 20
FHB : 12-11-11 (136x/min)
G1P0A0L0 39-
40 weeks
A/S/L/IU head
presentation
with PROM
Obs. Mot
fetal well
DM co to
CTG, inj.
accelerat
GP co to
acc and a
Accelera
Inj. Ampi
Time Subject Object Assessment Plan
Hi t f USG 1 ti VT 1 ff 10 % i (+)
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History of USG : 1 times
Last USG: 04 Juni 2014
Result: G2P1A0L1 31-42
mg S/L/IU, EFW: 1888 gr.
History of family planning
: -
Next family planning :
History of obstetric :
I. This
VT : 1 cm, eff. 10 % amnion (+)
thin, head palpable, HI, denom
unclear, unpalpable small part of
fetus/ umbilikal cord
Pelvic examination:
Promontorium unpalpable
Spina ischiadica not prominent
Os coccygeus mobileArcus pubic > 90 degree
PS :Cervic dilatation 1 cm : 1
Cerviks length 3cm: 1
cerviks consistency soft: 1
Cerviks position mid: 1
Station H I: 1
Total: 5
Lab:
HGB = 9.5 g/dl
RBC = 3.91 K/ul
WBC = 8.80 M/ul
HCT : 30.3 %
PLT = 440 M/ul
HBsAg = (-)
Time Subject Object Assessment Plan
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Chronologist : at (05-07-2014 20.30)
S : Patient confessed flank pain and
abdominal pain since 05-07-2014
(08.00) . Bloody slim (+) Water come out
from her vagina (+) since 05-07-2014
(07.00), FM (+).
O : GC : well
Cons : CM
BP : 110/70mmHgHR : 82x/mRR : 22x/m
T : 36,5
UFH : 25cm
L1 : -
L2 : back on the left side
L3 : head
L4 : -
FHR : 140x/m
UC : 1x10-35VT : 7cm, eff 75%, amnion (-), head
palpable, HII, unpalpable small part of
fetus/ umbilikal cord
A : G1P0A0L0 A/S/L/IU with inpartu active
phase 1ststage of labor + ROM > 12
hours + KEK
P : Obs. Mother and etal well being, CIE
patient and familiy
Time Subject Object Assessment Plan
23 30
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23.30
S :Abdominal pain (+)
O: GC : well
Cons : CMBP : 110/70mmHg
HR : 82x/m
RR : 22x/mT : 36,5
UFH : 25cm
FHR : 140x/m
UC : 1x10-35
VT : 7cm, eff 75%, amnion (-) , head
palpable, H1+, unpalpable small part of
fetus/ umbilikal cord
A : G1P0A0L0 A/S/L/IU with inpartu active
phase 1st
stage of labor + ROM > 12hours + KEK
P:Reffered to Tanjung GH
Time Subject Object Assessment Plan
Chronologist : at Tanjung GH (06-07-
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Chronologist : at Tanjung GH (06-07-
2014 01.20)
S : Patient confessed flank pain and
abdominal pain since 05-07-2014
(07.00) . Bloody slim (+) Water come out
from her vagina (+) since 05-07-2014(11.00), FM (+).
LMP : forget
EDD : -
O:GC : well
Cons : CM
BP : 120/80mmHg
HR : 80x/m
RR : 20x/m
T : 36.8
UFH : 26 cm
FHR : 140x/m
UC : 2x10-25
VT : 5cm, eff 50%, amnion (-) , head
palpable, denom unclear, HII,
unpalpable small part of fetus/ umbilikal
cord
A : G1P0A0L0 A/S/L/IU head presentation
with ROM > 12 hours
P: infuse RL 1 f lash 28 dpm, inj ampicillin
1gr/iv,
Time Subject Object Assessment Plan
03.00
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03.00
Infus RL flash II 28 dpm
05.30
S : -
O : GC : well, BP : 110/80mmHg, HR :80x/m, T : 37 C, RR 20x/m
UC : 2x10-25. FHR : 140x/m
VT : 5 cm , eff. 50 % amnion (-), denom
unclear, HII, unpalpable small part of
fetus/ umbilikal cord
A : G1P0A0L0 A/S/L/IU head presentation
with arrested active phase
P : RL:D5 = 2:1
Adv spOG obs. 1 hour
BELUM SELESAI...!!!
14.00 Abdominal pain UC: (-) Co CTG to SP
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p ( )
FHR: 140 bpm observation
15.30 - Co to SPV adpro CS at 18.3
CIE patient anto CS
17.30 - Preoperative:
- Inj. Cefotax(skin test)
- Doing dowe
chatteter fo
18.40 - CS began
Baby was borfemale, AS 7-
gram, 46 cm, congenital an
meconeal (-),
Placenta was b
complete, bleecc
Time Subject Object Assessment Planning
21 30 Abdominal wound GC: well 2 hours post Observation moth
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21.30 Abdominal wound
pain
GC: well
cons:E4V5M6BP: 110/70 mmHg
PR: 68x/m RR: 20x/m
T: 36 0CUC: (+) well
UFH: 2 fingers below
umbilicusActive bleeding: (-)
UO: 70cc/hourLokea rubra +
Baby in NICUPulse : 140 bpm
RR : 56x/mT : 36,5 C
2 hours post
CS
Observation moth
baby well beingSuggest mother to
mobilitation
07-07-2014
07.00
Abdominal woundpain
GC: wellcons:E4V5M6
BP: 120/80 mmHgPR: 88x/m
RR: 20x/m
T: 36,4 0CUC: (+) well
UFH: 2 fingers belowumbilicus
Active bleeding: (-)UO: 60cc/hour
1 day post CS Observed motherwell being
Suggest mother tomobilisation.