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Syekh Yusuf Gowa / Annisa Tasya January 9 - 13 2019: TH TH

This document summarizes 9 patient cases from January 9th-13th, 2019 at Syekh Yusuf Gowa / Annisa Tasya. For each case, it includes the patient's details, pre-treatment diagnosis, treatment provided, treatment recommendation which primarily included exclusive breastfeeding for 6 months and family planning counseling/education. The outcome for each pregnancy is also noted including baby's weight, birth length, and Apgar score which were typically normal ranges.

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57 views10 pages

Syekh Yusuf Gowa / Annisa Tasya January 9 - 13 2019: TH TH

This document summarizes 9 patient cases from January 9th-13th, 2019 at Syekh Yusuf Gowa / Annisa Tasya. For each case, it includes the patient's details, pre-treatment diagnosis, treatment provided, treatment recommendation which primarily included exclusive breastfeeding for 6 months and family planning counseling/education. The outcome for each pregnancy is also noted including baby's weight, birth length, and Apgar score which were typically normal ranges.

Uploaded by

Dwicky
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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NO DATE PATIENT DETAIL OF PATIENT TREATMENT RECOMENDATI

ON
1 09.01.1 Mrs. L/20
Syekh Yusuf Gowa / Annisa Tasya
Pre Treatment Diagnosis : - Spontaneous Vertex
9 years old/ G1P0A0 38 weeks 3 days of Gestational
th Age Delivery
th
- Exclusive
LMP 15-04- st January 9 – 13 2019
- Repair of Perineal breastfeeding
Latent Phase 1 Stage of Labor
2018 Laceration for 6 months
RM 569854 Post Treatment Diagnosis : - Family Planning
, Counseling and
Term Delivery + Second Degree Perineal
Laceration Education :
Hormonal
Outcome : Progestin
Male, BW : 3400 gr, BL : 50 cm, AS : 8/10

2 09.01.1 Mrs. K/34 Pre Treatment Diagnosis : - Spontaneous Vertex


9 years old/ G3P2A0 39 weeks of Gestational Age Active Delivery - Exclusive
LMP 11-04- Phase 1st Stage of Labor breastfeeding
2018 for 6 months
RM 558624 Post Treatment Diagnosis : - Family Planning
Term Delivery Counseling and
Education : IUD
Outcome :
Female, BW : 3000 gr, BL : 49 cm, AS : 8/10

3 09.01.1 Mrs. W/32 Pre Treatment Diagnosis : - Spontaneous Vertex


9 years old/ G3P2A0 39 weeks 1 day of Gestational Age Delivery - Exclusive
LMP 10-04- Latent Phase 1st Stage of Labor breastfeeding
2018 for 6 months
RM 549667 Post Treatment Diagnosis : - Family Planning
Term Delivery Counseling and
Education : IUD
Outcome :
Male, BW : 3100 gr, BL : 47 cm, AS : 8/10

4 09.01.1 Mrs. A/27 Pre Treatment Diagnosis : - Spontaneous Vertex


9 years old/ G3P1A1 40 weeks 3 days of Gestational Age Delivery - Exclusive
LMP 01-04- Active Phase 1st Stage of Labor breastfeeding
2018 for 6 months
RM 577650 Post Treatment Diagnosis : - Family
Term Delivery Planning :
Counseling and
Outcome : Education : IUD
1
Female, BW : 3100 gr, BL : 49 cm, AS : 8/10
Syekh Yusuf Gowa / Annisa Tasya
January 9th – 13th 2019

7 11.01.1 Mrs. K/26 Pre Treatment Diagnosis : - Spontaneous Vertex


9 years old/ G1P0A0 40 weeks of Gestational Age Active Delivery - Exclusive
LMP 06-04- Phase 1st Stage of Labor - Repair of Perineal breastfeeding for
2018 Laceration 6 months
RM 581125 Post Treatment Diagnosis : - Family Planning
Term Delivery + Second Degree Perineal Counseling and
Laceration Education :
Hormonal
Outcome : Progestin
Male, BW : 3300 gr, BL : 49 cm, AS : 8/10

8 11.01.1 Mrs. H/33 Pre Treatment Diagnosis :


9 years old/ G3P2A0 40 weeks 1 day of Gestational Age - Spontaneous Vertex - Exclusive
LMP 05-04- Active Phase 1st Stage of Labor Delivery breastfeeding for
2018 6 months
RM 561876 Post Treatment Diagnosis : - Family Planning
Term Delivery Counseling and
Education : IUD
Outcome :
Male, BW : 3000 gr, BL : 48 cm, AS : 8/10

9 11.01.1 Mrs. T/31 Pre Treatment Diagnosis : - Spontaneous Vertex


9 years old/ G4P3A0 38 weeks 4 days of Gestational Age Delivery - Exclusive
LMP 16-04- Latent Phase 1st Stage of Labor breastfeeding for
2018 6 months
RM 580989 Post Treatment Diagnosis : - Family Planning
Term Delivery Counseling and
Education : IUD
Outcome :
Female, BW : 3200 gr, BL : 49 cm, AS : 8/10

2
Syekh Yusuf Gowa / Annisa Tasya
January 9th – 13th 2019

10 12.01.1 Mrs. L/29 Pre Treatment Diagnosis : - Spontaneous Vertex


9 years old/ G1P0A0 38 weeks 2 day of Gestational Delivery - Exclusive
LMP 19-04- Age 2nd Stage of Labor breastfeeding for 6
2018 months
RM 574571 Post Treatment Diagnosis : - Family Planning
Term Delivery Counseling and
Education :
Outcome : Hormonal Progestin
Female, BW : 2700 gr, BL : 50 cm, AS :
8/10

11 12.01.1 Mrs. L/24 Pre Treatment Diagnosis : - Spontaneous Vertex


9 years old/ G3P2A0 40 weeks 3 day of Gestational Delivery - Exclusive
LMP 04-04- Age Latent Phase 1st Stage of Labor breastfeeding for 6
2018 months
RM 580419 Post Treatment Diagnosis : - Family Planning :
Term Delivery Counseling and
Education :
Outcome : Hormonal Progestin
Male, BW : 3100 gr, BL : 49 cm, AS : 8/10

12 12.01.1 Mrs. S/34 Pre Treatment Diagnosis : - Spontaneous Vertex


9 years old/ G3P2A0 39 weeks 4 days of Gestational Delivery - Exclusive
LMP 10-04- Age Latent Phase 1st Stage of Labor breastfeeding for 6
2018 months
RM 542850 Post Treatment Diagnosis : - Family Planning
Term Delivery Counseling and
Education : IUD
Outcome :
Male, BW : 3000 gr, BL : 51 cm, AS : 8/10

3
Syekh Yusuf Gowa / Annisa Tasya
January 9th – 13th 2019

13 12.01.1 Mrs. Y/26 Pre Treatment Diagnosis :


9 years old/ G1P0A0 39 weeks 3 days of Gestational - Spontaneous Vertex - Exclusive
LMP 11-04- Age Active Phase 1st Stage of Labor Delivery breastfeeding for 6
2018 - Repair of Perineal months
RM 580742 Post Treatment Diagnosis : Laceration - Family Planning
Term Delivery + Second Degree Perineal Counseling and
Laceration Education : IUD

Outcome :
Male, BW : 3000 gr, BL : 46 cm, AS : 8/10

14 13.01.1 Mrs. R/36 Pre Treatment Diagnosis : - Spontaneous Vertex


9 years old/ G3P2A0 37 weeks 6 days of Gestational Delivery - Exclusive
LMP 23-04- Age Active Phase 1st Stage of Labor breastfeeding for 6
2018 months
RM 580238 Post Treatment Diagnosis : - Family Planning :
Term Delivery Counseling and
Education : IUD
Outcome :
Female, BW : 3100 gr, BL : 49 cm, AS :
8/10

15 13.01.1 Mrs. P/30 Pre Treatment Diagnosis :


9 years old/ G3P2A0 40 weeks 1 day of Gestational Age - Spontaneous Vertex - Exclusive
LMP 07-04- Latent Phase 1st Stage of Labor Delivery breastfeeding for 6
2018 months
RM 561876 Post Treatment Diagnosis : - Family Planning
Term Delivery Counseling and
Education : IUD
Outcome :
Male, BW : 2900 gr, BL : 48 cm, AS : 8/10

16 10.01.1 Mrs. Y/36 1st C-section in may 2014 due to Fetal - Lower Segment Transverse - Exclusive

4
Syekh Yusuf Gowa / Annisa Tasya
January 9th – 13th 2019

9 years old/ distress Caesarean Section Breastfeeding for 6


LMP 12-04- 2nd C-Section in January 2016 due to 1 - Bilateral Tubectomy months
2018 Previous C-Section Pomeroy Modification -Early Mobilization
RM 588130
Pre-Operative Diagnosis :
G3P2A0 39 weeks of Gestational age not
in labor + 2 Previous C-section + Female
Sterilization Candidate

Post-Operative Diagnosis :
2 Previous C-section + Term Delivery +
Female Sterilization Candidate

Outcome:
Female, BW : 3200 gr, BL : 48 cm, A/S :
8/10

17 12.01.1 Mrs. P/25 G1P0A0 - O2 8 Liters/minute - Exclusive


9 years old/ Headache (+) - 4 gr MgSo4 40% in NaCl Breastfeeding for 6
LMP 11-04- 100 ml 73 drops/minute months
2018 BP : 170/100
intravena - Control for
RM 508232 Proteinurine : + 2 - 6 gr MgSo4 40% in 500 cc operation suture
RL 28 drops/minute until 24 Control for IUD
-
hours post delivery position
Pre-Operative Diagnosis :
- Nifedipin 10 mg / 8 hours / Subsequent
-
G1P0A0 39 weeks 3 days of Gestational delivery should be
oral
age not in Labor + Severe Preeclampsia
- Lower Segment Transverse at least more than
+ IUD Acceptor Candidate 18 months
Caesarean Section
- IUD Insertion - Control for the
Post-Operative Diagnosis : blood pressure until
Severe Preeclamsia + Term Delivery + IUD 12 weeks
Acceptor

5
Syekh Yusuf Gowa / Annisa Tasya
January 9th – 13th 2019

Outcome:
Female, BW : 3000 gr, BL : 50 cm, A/S :
8/10
18 12.01.1 Mrs.E/27 G2P1A0 - Lower Segment Transverse - Exclusive
9 years old/ 1st C-section in August 2017 due to fetal Caesarean Section Breastfeeding for 6
LMP 14-04- Distress - IUD insertion months
2018 - Control for
RM 580212 Pre-Operative Diagnosis : operation suture
G2P1A0 39 weeks of Gestational Age Not - Subsequent
in Labor + 1 previous C-Section + IUD delivery should be
Acceptor Candidate at least more than
18 months
Post-Operative Diagnosis : - Control for IUD
1 previous Cesarean Section + Term position
Delivery + IUD Acceptor

Outcome:
Male, BW : 3300 gr, BL : 48 cm, A/S : 8/10
19 12.01.1 Mrs. H/27 G1P0A0 - Lower Segment Transverse - Exclusive
9 years old/ EFW 3780 gr Caesarean Section Breastfeeding for 6
LMP 13-04- - IUD Insertion months
2018 Pre-Operative Diagnosis : - Control for
RM 586646 G1P0A0 39 weeks 1 day of Gestational operation suture
age not in labor + breech presentation + - Subsequent
IUD Acceptor Candidate delivery should be
at least more than
Post-Operative Diagnosis : 18 months
Frank Breech Presentation + Term Delivery - Control for IUD
+ IUD Acceptor position

Outcome:
Female, BW : 3650 gr, BL : 48 cm, A/S :

6
Syekh Yusuf Gowa / Annisa Tasya
January 9th – 13th 2019

8/10

7
Syekh Yusuf Gowa / Annisa Tasya
January 9th – 13th 2019

8
Syekh Yusuf Gowa / Annisa Tasya
January 9th – 13th 2019

Makassar, 14 / 01 / 2019

Known By

Supervisor

dr. Anggrainy Kouwagam, Sp.OG, M.Ke

Family Planning :
Hormonal Combination : Female
Natural :- - Sterilization :1
Barrier :- Hormonal Progestin : - IUD :3
Implant :-

9
Syekh Yusuf Gowa / Annisa Tasya
January 9th – 13th 2019

10

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