WEEKLY REPORTPERIOD June 18th – 24th 2013

Delivery roomRooming in care unit

Operating roomGynecological care unit

Obstetrical care unitFamily planning out patient care unit

Obstetrical out patient care unitGynecological out patient care unit

FER out patient care unitOncology out patient care unit

Emergency care unit

Program Pendidikan Dokter Spesialis -1Obstetri- Ginekologi

FK Unibraw/RSU dr. Saiful AnwarMalang

ROOMING IN CARE UNITPERIOD June 18th – 24th, 2013

DIAGNOSE NUMBER Normal Delivery 27 Bracht Delivery -

T O T A L 27

ANTENATAL CARE NUMBER Private Doctor - Private Midwife 12 Saiful Anwar Hospital 2 Primary Health Care (Doctor) - Primary Health Care (Midwife) 13 Posyandu - Other Hospital (Doctor) - Other Hospital (Midwife) - None -

T O T A L 27

CONTRACEPTIVE PLANNING NUMBER Oral contraception - Injection 23 IUD 4 Tubectomy (post delivery) - Tubectomy (Interval) : Laparoscopy Mini Laparatomy

3-

Implant - None -

TOTAL 30

LENGTH OF STAY (DAY) NUMBER1 18

2 9T O T A L 27

BREAST FEEDING (DAY) NUMBER1 262 1

TOTAL 27

PARITAS NUMBERPrimi 9Multi 18

TOTAL 27GYNECOLOGICAL CARE UNIT

PERIOD January 1th – 7st, 2013

No Diagnose Number1 Incomplete Abortion 52 Menorrhagia e.c Myoma Uteri + Anemia -4 Suspect Cervical Ca + Anemia -

T O T A L 5

OPERATING ROOMPERIOD January 1th -7st 2013

1. Mrs. S/ 37 y.o/ Married 1x, 17 y/ P4004Ab000/ LC: 2 doDPO : P4004Ab000 Post Partum Spt Brach day-2 + Pro Tubectomy Post

PartumDDO : P4004Ab000 Post Partum Spt Brach day-2 + Post Tubectomy PomeroyOP : Tubectomy Pomeroy

2. Mrs. H/ 35 y.o/ Married 1x, 7 y/ P0000Ab000/ LC: - / Contraception - / LMP 11-8-2012 ~ 20-22 weeksDPO : G1P0000Ab000 20-22 weeks S/L + Ovarian Cyst + Primary Old Prime + age > 35 y.o DDO : G1P0000Ab000 20-22 weeks S/L + Left Renal Cyst + Primary Old Prime + age > 35 y.o OP : Laparatomy Exploration

3. Mrs. R/ 28 y.o/ Married 1x, 8 y/ P0000Ab000/ LC: -/ Contraception -DPO : Ovarian Cyst (D) + Post Drainage Laparatomy ec TOA (D) + Primary infertilDDO : Chocolate Cyst (D)OP : Cystectomy (D) VC + Adhesiolysis

4. Mrs. M/ 80 y.o/ P2002Ab000/ LC -/ Menopause 22 years ago DPO : Ovarian Cyst (D)DDO : Mucinosum Non Papileporum Non Carcinomatosum Ovarian Cyst (D) OP : Cystectomy (D)

OBSTETRICAL CARE UNITPERIODE JUNE 18th – 24th 2013

CONCLUSION

POST PARTUM

1. VAGINAL DELIVERY - FORCEPS EXTRACTIE - VACUM EXTRACTIE - MANUAL AID

2. ABDOMINAL DELIVERY - CITO ~ Delivery Room

- ELECTIVE 1. Ny / 41 yo G4P3003Ab000 gr 37-38 weeks S/L + Breech Presentation + Head deflection + Previous CS + Age > 35 y.o

2. Ny / 28 yo G2P1001Ab000 gr 40-41 weeks S/L + Previous CS + Relative Contracted Pelvic HIGH RISK PREGNANCY

1. G2 P1001 Ab000 gr 32-34 weeks S/L+ PPROM2. G1 P0000 Ab000 gr 32-34 weeks S/L+ PPROM3. G2 P1001 Ab000 gr 20-22 weeks S/L+ PPROM

MISCELLANEOUS

1. P2002Ab000 SptB day-0 + Early HPP ec Atonia Uteri + Anemia

---

18

21

1

111

1

T O T A L 24

FAMILY PLANNING OUTPATIENT PERIOD January 1th - 7st 2013

A. Ambulatory

CONTRACEPTIVEMETHODE

INITIALVISITING

FOLLOWUP

NEWACCEPTOR

NUMBER OFACCEPTOR

Oral Contraceptive- Combined- Progestin Only

Injection Contraceptive- 3 Monthly Inject- 1 Monthly Inject

2 2

Implant- Indoplant- Norplant

1 1

I U D - T Cu 380 A - Nova T

1 2 1 4

Tubectomy- Post Delivery- Laparoscopic- Mini

LaparatomyT O T A L 1 5 1 7

REMARKS :Implant : - Inserting : -

- Removal : - - Reinserting : -

I U D : - Inserting : - - Removal : 5 - Reinserting : -

OBSTETRICAL OUTPATIENT CARE UNITPERIOD January 1th - 7st 2013

• Total Visit : 78• High risk pregnancy : 45• Low risk pregnancy : 33• Hospitalization : - High risk pregnancy : 2

- Low risk pregnancy : -

HIGH RISK PREGNANCY INITIAL FOLLOW UP NUMBER

Previous CS 6 4 10

Age > 35 y.o 6 3 9

Breech presentation 3 2 5

Secondary old prime 2 3 5

Primary old prime 1 - 1

Placenta Previa Totalis - 1 1

Astma Bronchiale 3 1 4

Relative Contracted Pelvic 8 2 10

TOTAL 29 16 45

Hospitalization

1. Mrs / 41 yo G4P3003Ab000 gr 37-38 weeks S/L + Breech Presentation + Head deflection + Previous CS + Age > 35 y.o

2. Mrs / 28 yo G2P1001Ab000 gr 40-41 weeks S/L + Previous CS + Relative Contracted Pelvic

GYNECOLOGICAL OUT PATIENT CARE UNITPERIODE JUNE 18th-24th 2013

CASES INITIAL VISIT REVISITING NUMBER

NORMAL GYNECOLOGY 10 - 10PREGNANCY Early Pregnancy 5 - 5Incomplete Abortion 4 - 4Threatened Abortion 2 - 2TUMOR

Uterine myoma 2 2 4 Bartholine cyst - - - Cystoma Ovarii 3 2 5

Susp.Cervical Ca 4 - 4INFECTIONS Vulvovaginitis : Candidiasis Nonspecific

12-

7 -

19 -

MISCELLANEOUSUterine prolapse 4 10 14POST OP REVISITING Curettage 4 - 4SVH - - -TAH 1 - 1SOD 1 - 1

T O T A L 42 21 63

PROCEDURES NUMBER Biopsy 4TOTAL 4

HOSPITALIZATION Incomplete Abortion 4

Menorrhagia + Anemia -Susp Cervical Ca + Anemia -Hiperemesis gravidarum -

TOTAL 5

DIAGNOSTICPROCEDURE INITIAL VISIT REVISITING

RESULT : CLASS

I II III IV

PAP SMEAR 4 2 - 2 - -

TOTAL 4 2 - 2 - -

ONCOLOGY OUTPATIENT CARE UNITPERIODE 12th–March 18th, 2013

DIAGNOSE STGPost

Curet-tage

RTX SITOS P.O

PPOS

TRTX

RESIDIF

POST SITOS Total

Cervical Ca IA IB 1 1 IIA 2 2 IIB 7 4 11 IIIA - IIIB 6 14 10 15 11 52 IVB 1 1

Ovarial Ca IA - IIA - IIIB 1 1 1 3 IIIC 2 2 4 IVA 2 2Endometrial Ca 2 2Hydatidiform Mole 1 2 1

T O T A L 6 1 21 20 0 15 1 21 79

INPATIENT

DIAGNOSE STAGING SITOS SURGICAL CURRETAGE RTX Total

Cervical Ca 1 14 15Cervical Ca + Anemia 3 3Ca Ovarium 2 2T O T A L 1 19 20

FER OUTPATIENT CARE UNIT PERIOD January 1th - 7th 2013

INFERTILITY

CAUSA PRIMARY SECONDARYINITIAL REVISIT INITIAL REVISIT

A. FEMALE FACTOR

1.Cervical Factor - - - - 2.Uterine Factor - - - 3.Tubal Factor - - - - 4.Ovarial Factor - - - - 5. Basic Examination 2 - - -B. MALE FACTOR

Sperm Analysis 2 - - -

T O T A L 4 - - -

ENDOCRINOLOGY

DIAGNOSE INITIAL REVISIT1. DUB 2 -2. Hyperplasia gland. - 43. Endometrioma - 14. Primary Amenorrhea - -5. Secondary Amenorrhea 2 -6. Menopause - -7. Adenomyosis - -

T O T A L 4 5

EMERGENCY CARE UNIT PERIOD January 1th - 7st 2013

OUTPATIENT HOSPITALIZED NUMBER

OBSTETRICAL CASE

1. G1P0000Ab000 Part 40-41 weeks

S/L + Second Stage + Eclampsia +

decrease of conciousness + ALO

2. P2002Ab000 SptB day-0 + Early

HPP ec Atonia Uteri + Anemia

3. G4P2001Ab100 gr 12-14 weeks +

Hiperemesis Gravidarum

4. G1P0000Ab000 gr 38-39 weeks S/L

+Chronic Hypertension Superimosed

Preeklamsia

+ALO

+HF St C Functional Class IV

+Unfavorable Cervix

-

-

-

-

1

1

1

1

1

1

1

1

GYNECOLOGICAL CASE

1. Threatened abortion

2. Incomplete abortion

3. Susp. Cervical Ca + anemia

4. Normal gynecology

5. Gravida Mola + hyperthyroid

6. AUBL + Anemia

1

-

-

2

-

-

-

5

2

-

1

1

1

5

2

2

1

1

MISCELLANEOUS - - -

T O T A L 3 13 16