WEEKLY PERIOD 17th-23rd FEBRUARY_28 Feb_08.02.pptx

obstetric case per week

1. WEEKLY REPORT PERIOD F EBRUARY 17th - FEBRUARY 23rd, 2025 Delivery Room Rooming In Care Unit Operating Room Gynecological Care Unit Obstetrical Care Unit Oncology Care Unit Family Planning Outpatient Care Unit Obstetrical Outpatient Care Unit Gynecological Outpatient Care Unit FER Outpatient Care Unit Oncology Outpatient Care Unit Emergency Care Unit Program Pendidikan Dokter Spesialis-1 Obstetri-Ginekologi FK Unibraw / RSU Dr. Saiful Anwar Malang 1

2. ROOMING IN CARE UNIT 2

3. 3 DIAGNOSE NUMBER Normal Delivery - TOTAL - ANTENATALCARE NUMBER Primary Midwife - General Practitioner - TOTAL - LENGTH OF STAY ( DAY ) NUMBER 1 - 2 1 TOTAL 1

4. 4 PARITY NUMBER Prime - Multi - TOTAL - BREASTFEEDING ( DAY ) NUMBER 1 - 2 - TOTAL - CONTRACEPTION NUMBER IUD - TOTAL -

5. OPERATING ROOM 5

6. Mrs. Sriyati / 54 y.o / Married 1x, 25 years/ P2002Ab000/ LC : 19 y.o / Contraception : -/ LMP : November 11 th , 2024 DPO : Cervical carcinoma IIB + Post NACT Carboplatin – Fancopage 3 series (January 21 st , 2025) Good Respons DDO : Cervical carcinoma IIB + Post NACT Carboplatin – Fancopage 3 series (January 21 st , 2025) Good Respons OP : Radical hysterectomy 2. Mrs. Sari Ariyanti / 43 y.o / Married 1x, 16 years/ P2002Ab000/ LC : 10 y.o / Contraception : -/ LMP : January 27 th , 2025 DPO : Solid ovarial tumor susp. malignant DDO : Giant myoma cystic degeneration OP : Supravaginal histerectomy + Salpingooophorectomy sinistra 6

7. 3. Mrs. Katmi / 52 y.o / Married 1x, 37 years/ P2002Ab100/ LC : 17 y.o / Contraception : Tubectomy pomeroy / LMP : menopause since 1 year ago DPO : CIN III + Previous CS (2007) DDO : CIN III + Previous CS (2007) OP : Loop Electrosurgical Excision Procedure   4. Mrs. Ayu Kristanti / 26 y.o / Married 2x, I : 1 year, II : 1 year/ P0000Ab000/ LC : -/ Contraception : -/ LMP : May 26 th , 2024 ~ 38W0D DPO : G1P0000Ab000 gr 38-39 weeks S/L + HIV newly diagnosed (September 2 nd , 2024) + Underweight DDO : G1P0000Ab000 gr 38-39 weeks S/L + HIV newly diagnosed (September 2 nd , 2024) + Underweight OP : Lower Segment Caesarean Section + IUD 7

8. 5 . Mrs. Intan Mustika / 58 y.o / Married 2x, I : 20 years, II : 10 years/ P0000Ab000/ LC : -/ Contraception : -/ LMP : Menopause since 3 years ago DPO : Cystoma ovarii + Multiple abdominal abscess DDO : Bilateral tubo -ovarian abscess + Appendicitis + Adhesion gr III-IV ( omentum – peritoneum – ileum – jejunum - mass) OP : Partial cystectomy + Abscess drainage + Adhesiolysis + Appendectomy   6 . Mrs. Krida / 56 y.o / Married 3x, I : 14 years, II : 11 years, III : 2 months/ P3003Ab000/ LC : 29 y.o / Contraception : -/ LMP : menopause since 6 years ago DPO : Cervical carcinoma IIB + Post kemo NACT Carboplatin – Fancopage 3 series ( January 20 th , 2025) Good Response + Hypertension st II on treatment + Cardiomegaly DDO : Cervical carcinoma IIB + Post kemo NACT Carboplatin – Fancopage 3 series ( January 20 th , 2025) Good Response + Adhesion gr II (uterus – colon ) + Hypertension st II on treatment + Cardiomegaly OP : Radical Hysterectomy 8

9. 7. Mrs. Anik Iftitah / 36 y.o / Married 1x, 13 years/ P3003Ab000/ LC : 2 y.o / Contraception : -/ LMP : Post surgical staging (December 4 th , 2023) DPO : Ovarian carcinoma advance stage post Bilateral salpingooophorectomy (December 4 th , 2023) + Post chemotherapy adjuvant BEP 6x (June 29 th , 2024) Poor response + Post chemotherapy BEP 6x (December 21 st , 2024) Poor response + Post chemotherapy adjuvant BEP 6x (June 29 th , 2024) Poor response + Post chemotherapy gemcitabine – docetaxel 1 series (February 3 rd , 2025) Partial Response DDO : Ovarian carcinoma advance stage post Bilateral salpingooophorectomy (December 4 th , 2023) + Post chemotherapy adjuvant BEP 6x (June 29 th , 2024) Poor response + Post chemotherapy BEP 6x (December 21 st , 2024) Poor response + Post chemotherapy adjuvant BEP 6x (June 29 th , 2024) Poor response + Post chemotherapy gemcitabine – docetaxel 1 series (February 3 rd , 2025) Partial Response + Adhesion gr IV (mass – colon – ileum – rectum – VU - peritoneum) OP : Laparotomy debulking 9

10. 8. Mrs. Umi Nisfatul / 25 y.o / Married 1x, I : 4 years/ P0000Ab000/ LC : -/ Contraception : -/ LMP : May 26 th , 2024 ~ 38W1D DPO : G1P0000Ab000 gr 38-39 weeks S/L + Congenital anomaly (Hydrocephalus) DDO : G1P0000Ab000 gr 38-39 weeks S/L + Congenital anomaly (Hydrocephalus) OP : Lower Segment Caesarean Section + IUD   9. Mrs. Winda Safitri / 35 y.o / Married 2x, I : 1 year, II : 15 years/ P3002Ab100/ LC : 6 y.o / Contraception : -/ LMP : June 2 nd , 2024 ~ 37W1D DPO : G5P3002Ab100 gr 37-38 weeks S/L + Total Placenta Previa + Susp. Placenta accreta (prob 69%) + Previous CS 2x (2017, 2018) + Age > 35 y.o DDO : G5P3002Ab100 gr 37-38 weeks S/L + Total Placenta Previa + PASD diffuse S2 + Previous CS 2x (2017, 2018) + Age > 35 y.o OP : Lower Segment Caesarean Section + Supravaginal hysterectomy 10

11. 10. Mrs. Asniyati / 48 y.o / Married 3x, I : 2 years, II : 16 years, III : 2 years/ P3003Ab000/ LC : 15 y.o / Contraception : implant (2013)/ LMP : 5 Months Ago DPO : Cervical carcinoma IIB + Post NACT carboplatin – fancopage 3 series (February 10 th , 2025) Good response DDO : Cervical carcinoma IIB + Post NACT carboplatin – fancopage 3 series (February 10 th , 2025) Good response OP : Radical Hysterectomy + Hipogastric artery ligation 11

12. Mrs. Suziani / 35 y.o / Married 1x, 15 years/ P0000Ab000/ LC : -/ Contraception : -/ LMP : February 4 th , 2025 DPO : Adenomyosis + Ovarian cyst + Mild - moderate hydronephrosis DDO : Adenomyosis + Frozen Pelvic Dextra + Adhesion gr IV ( omentum – colon – right adnexa) + Right paratubal cyst + Bilateral non patent tuba OP : Adhesiolysis laparoscopic + Cystectomy + Ossadda + LHCT Mrs. Mutmainah / 48 y.o / Married 1x, 30 years/ P4004Ab000/ LC : 8 y.o / Contraception : -/ LMP : January 10 th , 2025 DPO : Ovarian cyst susp . Malignant + Cholelitiasis + Reactive hepatitis C + Ascites + Massive pleural effusion sinistra + History of nephrolithiasis surgery (2023) DDO : Susp . Tuberculosis Intestinal + Susp . Bilateral Tuberculosis salphing + Cholelitiasis + Reactive hepatitis C + Ascites + Massive pleural effusion sinistra + History of nephrolithiasis surgery (2023) OP : Exploration laparotomy + Salphingooophorectomy sinistra + Omentectomy 12

13. Mrs. Katemi / 78 y.o / Married 1x, 61 years/ P6006Ab000/ LC : 31 y.o / Contraception : -/ LMP : Menopause since 20 years ago DPO : Solid ovarial tumor dextra susp . Malignant + Ascites DDO : Solid ovarial tumor dextra susp . Malignant + Adhesion gr IV (bowel – peritoneum) OP : Exploration laparotomy + Biopsy Mrs. Husnul Hotima / 42 y.o / Married 1x, 20 years/ P0000Ab000/ LC : -/ Contraception : -/ LMP : December 27 th , 2024 DPO : Endometrial carcinoma + Hypertension stage II on treatment DDO : Endometrial carcinoma + Hypertension stage II on treatment OP :  Surgical Staging (Total Abdominal Hysterectomy - Bilateral Salpingo Oophorectomy) 13

14. Mrs. Ernie/ 65 y.o / Married 1x, 47 years/ P7007Ab000/ LC : 31 years/ Contraception : -/ LMP : menopause since 10 years ago (post Total Abdominal Hysterectomy) DPO : Rectocele gr II + Post Total Abdominal Hysterectomy dt uterine prolase (2017) DDO : Rectocele gr II + Post Total Abdominal Hysterectomy dt uterine prolase (2017) OP : Posterior colporraphy Mrs. Anis Yulianti / 31 y.o / Married 1x, 28 years/ P3003Ab000/ LC : 19 y.o / Contraception : -/ LMP : menopause since 4 years ago DPO : Ovarian carcinoma advanced stage + Post chemotherapy NACT carboplatin – docetaxel 4 series (January 18 th , 2025) Good response DDO : Ovarian carcinoma advanced stage + Post chemotherapy NACT carboplatin – docetaxel 4 series (January 18 th , 2025) Good response + Adhesion gr II – III (uterus – rectum) OP : Surgical staging (Total Abdominal Hysterectomy - Bilateral Salpingo Oophorectomy - Omentectomy ) + Adhesiolysis 14

15. 17. Mrs. Kristin/ 44 y.o / Married 1x, 20 years/ P2002Ab300/ LC : 9 y.o / Contraception : -/ LMP : February 12 th , 2025 DPO : Ovarian cyst susp . Malignant + Previous CS 2x DDO : Ovarian cyst dextra susp . Malignant + Previous CS 2x + Adhesion gr III – IV (anterior uterus – bladder) OP : Surgical staging (Total Abdominal Hysterectomy - Bilateral Salpingo Oophorectomy - Omentectomy ) + Adhesiolysis 18. Mrs. Septarianingtyas / 35 y.o / Married 1x, 11 years/ P2002Ab000/ LC : 5 y.o / Contraception : Tubectomy pomeroy / LMP : December 10 th , 2024 DPO : AUB E dd AUB O + Lung carcinoma on treatment + Previous CS 2x DDO : AUB E dd AUB O + Lung carcinoma on treatment + Previous CS 2x OP : Fractional Curettage 15

16. 19. Mrs. Suwarli / 52 y.o / Married 2x, I : 3 years, II : 27 years/ P2002Ab000/ LC : 19 y.o / Contraception : -/ LMP : Menopause since 2 years ago DPO : Uterine prolaps gr IV + Cystocele gr III + Rectocele gr IIII DDO : Uterine prolaps gr IV + Cystocele gr III + Rectocele gr IIII OP : Total Vaginal Hysterectomy + Anterior – Posterior Colporraphy 16

17. GYNECOLOGICAL CARE UNIT 17

18. No Diagnose Number   - -   Total - 18

19. OBSTETRICAL CARE UNIT 19

20. 20 CONCLUSION A. POST PARTUM - VAGINAL DELIVERY REGULER - VAGINAL DELIVERY INCOVIT - FORCEP EXTRACTION - VACUM EXTRACTION - MANUAL AID   - ABDOMINAL DELIVERY - CITO DELIVERY ROOM REGULER - CITO DELIVERY ROOM INCOVIT - CITO EMERGENCY ROOM REGULER - CITO EMERGENCY ROOM INCOVIT - ELECTIVE 1. Mrs. Ayu Kristanti / 26 y.o G1P0000Ab000 gr 38-39 weeks S/L + HIV newly diagnosed ( September 2 nd , 2024) + Underweight 2. Mrs. Umi Nisfatul / 25 y.o G1P0000Ab000 gr 38-39 weeks S/L + Fetal hydrocephalus   1 - - - - - - 4 - 3

21. 21 3. Mrs. Winda Safitri / 35 y.o G5P3002Ab100 gr 37-38 weeks S/L + Total Placenta Previa + Susp. Placenta accreta ( prob 69%) + Previous CS 2x (2017,2018) + Age > 35 y.o   HIGH RISK PREGNANCY 1. Mrs. Nur Azizah / 32 y.o G2P1001Ab000 gr 34-36 weeks S/L + Antepartum Bleeding dt Total Placenta Previa + Susp. Placenta Accreta ( Probability 19%) + Previous CS (2016)   1 C. MISCELLANEOUS - T O T A L 9

22. ONCOLOGY CARE UNIT 22

23. DIAGNOSIS SURGICAL SITOS GENERAL IMPROVEMENT TOTAL 1. Cervical Carcinoma 3 47 1 51 2. Ovarian Carcinoma 2 10 - 12 3. Endometrial Carcinoma 1 3 - 4  TOTAL 6 60 1 67 23

24. FAMILY PLANNING OUTPATIENT

25. REMARKS : Implant : - Inserting : - - Removal : - - Reinserting : -   I U D : - Inserting : - - Removal : 1 - Reinserting : - CONTRACEPTIVE METHODE INITIAL VISITING FOLLOW UP NEW ACCEPTOR NUMBER OF ACCEPTOR Oral Contraceptive - Combined - Progestin Only - - - - Injection Contraceptive 3 Monthly Inject 1 Monthly Inject - - - - Implant - - - - I U D - T Cu 380 A   1 - - 1 T O T A L 1 - - 1

26. OBSTETRICAL OUTPATIENT CARE UNIT 26

27. Total Visit : 15 High risk pregnancy : 15 Low risk pregnancy : - Hospitalization : - High risk pregnancy : 3 Low risk pregnancy : 3   HIGH RISK PREGNANCY INITIAL FOLLOW UP NUMBER Total placenta previa - 1 1 Placenta accreta 2 2 4 Congenital Anomaly - 3 3 Previous CS - 2 2 Hepatitis B infection - 1 1 Epilepsy 1 - 1 HIV - 1 1 Systemic Lupus Erythematous 1 1 2 TOTAL 4 11 15

28. Hospitalization 1. Mrs. Nur Azizah / 32 y.o G2P1001Ab000 gr 34-36 weeks S/L + Antepartum Bleeding dt Total Placenta Previa + Susp. Placenta accreta (Probability 19%) + Previous CS (2016) 2. Mrs. Umi Nisfatul / 25 y.o G1P0000Ab000 gr 38-39 weeks S/L + Fetal hydrocephalus 3. Mrs. Winda Safitri / 35 y.o G5P3002Ab100 gr 37-38 weeks S/L + Total Placenta Previa + Susp. Placenta accreta (Prob 69%) + Previous CS 2x (2017, 2018) + Age > 35 y.o  

29. GYNECOLOGICAL OUTPATIENT CARE UNIT 29

30. PROCEDURES NUMBER TOTAL   CASES INITIAL VISIT REVISITING NUMBER Uterine Myoma 1 4 5 Ovarian Cyst 1 3 4 Susp. Cervical Carcinoma 1 1 Uterine Prolapse 2 1 3 T O T A L 4 9 13

31. 31 DIAGNOSTIC PROCEDURE INITIAL VISIT REVISITING RESULT : CLASS I II III IV - - - - - - - HOSPITALIZATION NUMBER - - Total -

32. FER OUTPATIENT CARE UNIT 32

33. 33 INFERTILITY CAUSA PRIMARY SECONDARY INITIAL REVISIT INITIAL REVISIT A. FEMALE FACTOR -   -  -  -  1.Cervical Factor - - - - 2.Uterine Factor - - - - 3.Tubal Factor - - - - 4.Ovarial Factor - - - - 5. Basic Examination - - - - B. MALE FACTOR - - - - Sperm Analysis - - - - T O T A L - - - -

34. 34 ENDOCRINOLOGY DIAGNOSE INITIAL REVISIT TOTAL Primary amenorrhea - 3 3 Secondary amenorrhea - 1 1 Endometriosis - 22 22 Adenomyosis - 20 20 T O T A L - 46 46

35. ONCOLOGY OUTPATIENT CARE UNIT 35

36. DIAGNOSE STG RTX SITOS P.-OP POST RTX RESIDIF POST SITOS TOTAL Cervical Ca IA - - - - - - - - IB - - - - - - - - IIA - - - - - - - - IIB 3 - 18 - 1 7 29 III - - - - - - - - IIIB 4 13 17 2 7 - - 43 IVA - - 1 - - - - 1 IVB - - 2 - - - - 2 Ovarial Ca - - 11 5 - - - 16 Endometrial Ca - - 2 1 - 1 - 4 T O T A L 7 13 51 8 7 2 7 95

37. INPATIENT DIAGNOSIS SURGICAL SITOS GENERAL IMPROVEMENT TOTAL 1. Cervical Carcinoma 3 62 1 66 2. Ovarian Carcinoma 2 11 - 13 3. Endometrial Carcinoma 1 2 - 3 TOTAL 6 75 1 82

38. EMERGENCY CARE UNIT 38

39. CASES PROCEDURE OUTCOME OUT PATIENT HOSPITAL IZED NUMBER OBSTETRICAL CASE S 1. Mrs. Suhaima / 37 y.o G3P2002Ab000 gr 32-34 weeks S/L + Shortness of breath dt Acute Lung Oedema Cardiogenic dd Non Cardiogenic + Preeclampsia with Severe Features + Cardiomegaly + Pneumonia + Age > 35 y.o   Pro Emergency CS and Tubectomy Pomeroy On February 18 th , 2025 at 07.26 a.m , male baby was born/ 2.410 gr/ 47 cm/ AS 7/8     Mother and baby were discharged - 1 1 2. Mrs. Etik / 31 y.o G3P0101Ab100 gr 34-36 weeks S/L + Impending Eclampsia + Emergency Hypertension + Obesity grade II + Severe hypoalbuminemia + IUGR   Pro Emergency CS with IUD insertion On February 21 st 2025 at 03.00 p.m , female baby was born/ 1.860 gr/ 45 cm/ AS 6/7, BS 25 ~ 34 weeks     Mother was discharged and baby at Perinatology room - 1 1

40. 3. Mrs. Nova/ 19 y.o G1P0000Ab000 gr 39-40 weeks S/L + Fetal Compromised + PROM >12 hours + Thrombocytopenia susp. ITP + Severe Oligohidramnios Pro Emergency CS with IUD insertion On February 22 nd , 2025 at 00.05 a.m , male baby was born/ 2.950 gr/ 49 cm/ AS 7/8     Mother and baby were discharged   - 1 1 4. Mrs. Putri/ 21 yo G1P0000Ab000 gr 32-34 weeks S/L + PROM >12 hours + Fetal compromised + Breech Presentation + Oligohydramnios Pro Emergency  CS On February 21 st , 2025 at 11.00 p.m. female baby was born/1.886 gr/35 cm/ AS 1/3   Mother was discharged and baby passed  away   - 1 1 CASES PROCEDURE OUTCOME OUT PATIENT HOSPITAL IZED NUMBER OBSTETRICAL CASE S

41. 5. Mrs. Bawon / 21 y.o G1P0000Ab000 gr 26-28 weeks S/L + Partus Immaturus Imminent   Pro conservative treatment à Failed conservative Treatment à Pro expectative pervaginam On February 23 rd . 2025, at 04.56 a.m , male baby was born with BW 1.030, BL 31 cm and AS 1/3, BS 9 ~ 26-28 weeks     Mother was discharged and baby passed away   - 1 1 6. Mrs. Uun /36 y.o G3P2002Ab000 gr 34-36 weeks S/L + Antepartum Bleeding dt Total Placenta Previa + Susp. Placenta accreta (Probability 19%) + Oligohydramnios + Previous CS (2018) + Transaminitis   Pro Conservative Treatment à Failed Conservative Treatment à Pro Emergency CS + SVH On February 22 nd , 2025, at 08.15 a.m , male baby was born with BW 2.950 gr, BL 50 cm, and AS 1/3/5   Mother at Ranukumbolo Room and baby at perinatology - 1 1 CASES PROCEDURE OUTCOME OUT PATIENT HOSPITAL IZED NUMBER OBSTETRICAL CASE S

42. GYNECOLOGY CASE S - -  - - - - INCOVID OBSTETRICAL CASES - - - - - - MISCELLANEOUS - - - - - - TOTAL 6 6 CASES PROCEDURE OUTCOME OUT PATIENT HOSPITAL IZED NUMBER

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