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    Supervisor: Dr. Edy Prasetyo, Spog: Medical Student: Novi, Suwika, Hery

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    Anonymous L3q7yHhh
    1. This is a case report of a 25 year old pregnant woman, G1P0A0L0 at 41-42 weeks, who presented with normal labor. 2. Over the course of 17 hours, the woman's labor was induced with oxytocin and progressed from 1 cm dilation to 4 cm dilation. 3. By 5:00 the next morning, the woman was in active labor during the first stage and was preparing for a spontaneous vaginal delivery. Fetal heart rate and mother's vitals remained stable throughout labor induction and progression.

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    Supervisor: Dr. Edy Prasetyo, Spog: Medical Student: Novi, Suwika, Hery

    Uploaded by

    Anonymous L3q7yHhh
    38 views12 pages
    1. This is a case report of a 25 year old pregnant woman, G1P0A0L0 at 41-42 weeks, who presented with normal labor. 2. Over the course of 17 hours, the woman's labor was induced with oxytocin and progressed from 1 cm dilation to 4 cm dilation. 3. By 5:00 the next morning, the woman was in active labor during the first stage and was preparing for a spontaneous vaginal delivery. Fetal heart rate and mother's vitals remained stable throughout labor induction and progression.

    Original Title

    18 Maret 2014 Serotinus Drip

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    1. This is a case report of a 25 year old pregnant woman, G1P0A0L0 at 41-42 weeks, who presented with normal labor. 2. Over the course of 17 hours, the woman's labor was induced with oxytocin and progressed from 1 cm dilation to 4 cm dilation. 3. By 5:00 the next morning, the woman was in active labor during the first stage and was preparing for a spontaneous vaginal delivery. Fetal heart rate and mother's vitals remained stable throughout labor induction and progression.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    38 views12 pages

    Supervisor: Dr. Edy Prasetyo, Spog: Medical Student: Novi, Suwika, Hery

    Uploaded by

    Anonymous L3q7yHhh
    1. This is a case report of a 25 year old pregnant woman, G1P0A0L0 at 41-42 weeks, who presented with normal labor. 2. Over the course of 17 hours, the woman's labor was induced with oxytocin and progressed from 1 cm dilation to 4 cm dilation. 3. By 5:00 the next morning, the woman was in active labor during the first stage and was preparing for a spontaneous vaginal delivery. Fetal heart rate and mother's vitals remained stable throughout labor induction and progression.

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    Supervisor : dr.

    Edy Prasetyo, SpOG



    Medical Student:
    Novi, Suwika, Hery



    .
    Cases resume :
    1 Pathologies
    1
    - Normal Labor/
    12
    Name: Mrs. S
    Age: 25 yo
    Adress: Aramanis
    No RM: 098169
    Admitted: 17
    th
    March 2014 at
    13.00 WITA
    Time Subjective Objective Assestment Planning
    17/03/
    2014
    13.00
    WITA
    Patient came to poly
    Obstetric with G1P0A0L0
    41-42 wks S/L/IU head
    presentation mother and
    fetal well being.
    Patient confessed post
    date, abdominal pain (-)
    and history rupture of
    membrane (-). Bloody slim
    (-). FM (+).

    History of DM (-), HT (-),
    Asthma (-).

    LMP : 29/05/2013
    EDD : 05/03/2014

    History of ANC : >9x, at
    Posyandu
    Last ANC : 17/02/2014,
    result : BP: 110/70, BW: 64,
    TFU 32 cm, 41-42 weeks.
    History of USG: 2x Klinic
    and hospital
    Last USG : (17-03-2014)
    Result : Fetal S/L/IU head
    presentation, placenta
    fundus anterior grade III
    clasification, amnion less.
    General status :
    GC : well GCS : E4V5M6
    BP : 110/70 mmHg
    RR : 22x/mnt
    Pulse : 86 x/mnt
    T : 36,8 C
    Eyes : an (-/-) ikt (-/-)
    Cor : S1S2 single regular,
    M (-), G (-)
    Pulmo : vesiculer (+/+), rh
    (-/-), wh (-/-)
    Abd : scar (-), striae (+)
    Extremity edema (-/-),
    warm (+/+)

    Obstetric status :
    L1 : head UFH: 32 cm
    L2 : back on left side
    L3 : breech L4 : 4/5
    EFW : 3255 gr
    FHB: 12-12-11 (140 x/min)
    UC : -
    VT : 1 cm, effacement 10%,
    amnion (+), head palpable
    HI, denominator unclear,
    impalpable small part and
    umbilical cord.

    G1P0A0L0 41-42
    wks/S/L/IU head
    presentation mother
    and fetal in well
    condition with
    oligohidramnion

    DM co to GP pro
    CTG and
    termination with
    misoprostol
    GP co to SPV
    about result CTG
    SPV advice: CTG
    reactive pro labor
    induction with
    oxytocin drip
    observation
    mother & fetal well
    being
    Time Subjektive Objective Assessment Planning
    Obstetrical history :
    1. This


    History of family planning:
    Next family planning: -


    Chronologist : -
    PE:
    Sacrum convexity normal
    Spina ischiadica not
    prominent
    Os coccygeus mobile
    Arcus pubis > 90

    PS: 4
    cerviks dilatation 1 cm= 1
    Cerviks length 2 cm=1
    cerviks consistency
    moderate: 1
    Cerviks position
    posterior: 0
    Station H I: -2=1

    Lab exam
    HGB : 11,1
    RBC: 4,35
    Hct: 34,7
    WBC : 13,1
    PLT : 261
    HBsAg : +
    Time Subjektive Objective Assestment Planning
    14.30


    UC: -
    FHB: 12-11-12
    (140 bpm)
    CTG done. Result:
    reactive
    Oxytocin drip started
    from 8 dpm
    15.00 UC: -
    FHB: 12-11-12
    (140 bpm)
    Oxy drip: 12 dpm
    15.30 UC: -
    FHB: 12-12-12
    (144 bpm)
    Oxy drip: 16 dpm
    16.00 UC: 1x10-20
    FHB: 11-12-12
    (140 bpm)
    Oxy drip: 20 dpm
    16.30 UC: 2x10-25
    FHB: 12-12-12
    (140 bpm)
    Oxy drip: 24 dpm

    17.00 GC : well GCS : E4V5M6
    BP : 120/70 mmHg
    RR : 20x/mnt
    Pulse : 80x/mnt
    T : 36,8 C
    VT : 2 cm, effacement 10%,
    amnion (+), head palpable HI,
    denominator unclear, impalpable
    small part and umbilical cord.
    UC: 3x10-30
    FHB: 13-13-13

    G1P0A0L0 41-42
    wks/S/L/IU head
    presentation Laten
    phase.

    Oxy drip: 28 dpm

    17.30 UC: 3x10-30
    FHB: 13-12-13

    Oxy drip: 32 dpm

    Time Subjektive Objective Assestment Planning
    18.00


    UC: 4x10-30
    FHB: 12-12-12
    144 bpm
    Oxy drip: 36dpm , maintenance

    18.30 UC: 4x10-30
    FHB: 13-14-14
    164 bpm
    Oxy drip: 36 dpm

    19.00 UC: 4x10-30
    FHB: 13-14-14
    164 bpm
    Oxy drip: 36 dpm
    DM do CTG
    19.30 UC: 4x10-30
    FHB: 13-14-14
    164 bpm

    Oxy drip: 36 dpm
    DM co to GP about result CTG,
    pro resusitation, GP advice : do
    resusitation and then do CTG
    again.
    GP co to SPV, SPV advice :
    stop drip, SC tomorrow at 07.30
    wita.
    20.00 UC: 4x10-30
    FHB: 13-14-14
    164 bpm

    -Stop drip oxy
    - Do resusitation

    21.00 GC : well GCS : E4V5M6
    BP : 110/70 mmHg
    RR : 21x/mnt
    Pulse : 84 x/mnt
    T : 36,7 C
    VT : 2 cm, effacement 25%, amnion
    (+), head palpable HI, denominator
    unclear, impalpable small part and
    umbilical cord.
    UC: 4x10-30
    FHB: 13-13-14
    160 bpm

    G1P0A0L0 41-42
    wks/S/L/IU head
    presentation with
    arrested Laten phase.

    Time Subjektive Objective Assestment Planning
    21.30


    UC: 4x10-30
    FHB: 12-11-12
    140 bpm

    22.00 UC: 4x10-30
    FHB: 12-12-12

    23.00 UC: 4x10-30
    FHB: 12-12-12
    18/03/2014
    00.00
    UC: 4x10-30
    FHB: 12-12-12

    01.00 GC : well GCS : E4V5M6
    BP : 110/80 mmHg
    RR : 22x/mnt
    Pulse : 80 x/mnt
    T : 36,7 C
    VT : 3 cm, effacement 25%,
    amnion (+), head palpable
    HI, denominator unclear,
    impalpable small part and
    umbilical cord.
    UC: 4x10-30
    FHB: 12-13-12
    148 bpm
    G1P0A0L0 41-
    42 wks/S/L/IU
    head
    presentation
    with Laten
    phase

    Obs. Mother and
    fetal well being
    Obs. Progress of
    labor
    02.00 UC: 4x10-30
    FHB: 12-12-12

    Time Subjektive Objective Assestment Planning
    03.00


    UC: 4x10-30
    FHB: 12-12-12
    140 bpm

    04.00 UC: 4x10-30
    FHB: 12-12-12

    .
    05.00 GC : well GCS : E4V5M6
    BP : 110/80 mmHg
    RR : 22x/mnt
    Pulse : 80 x/mnt
    T : 36,7 C
    VT : 4 cm, effacement 25%,
    amnion (+), head palpable
    HI, denominator unclear,
    impalpable small part and
    umbilical cord.
    UC: 4x10-30
    FHB: 12-13-12
    148 bpm
    G1P0A0L0 41-42
    wks/S/L/IU head
    presentation
    active phase 1
    st

    stage of labor.

    Do CTG
    DM co to GP about
    CTG result, GP
    06.00 UC: 4x10-30
    FHB: 12-12-12
    Time Subjektive Objective Assestment Planning
    07.00


    GC : well GCS : E4V5M6
    BP : 110/80 mmHg
    RR : 22x/mnt
    Pulse : 80 x/mnt
    T : 36,7 C
    UC: 4x10-30
    FHB: 12-12-12
    140 bpm

    Prepare to SC

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