tambahn rina
Post on 10-Apr-2016
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• 07.45S) Pervaginam bledding (+)
contraction (+)O) GCS : 4 5 6 A/I/C/D (-)
BP : 130/70 HR : 102 x/minuteRR : 20x/minute T: 38,9
STOContraction : (+)FHR : 17-16-17VT Ɵ 8 cm/75%/amnion (+)/ head/H II +A)G3P1011 28/29 WoP + head presentation +in labor stage 1 active phase+ EFW 1000 g+
post laparatomy exploration adhesiolisis + jejenum resection + anastomosis side to end due to (ileus obstruction + jejunum perforation)+ febris + susp. Sepsis
P) Move to Vk Observation 2 hour pro spontaneousInformed consent about fetal condition
Reporting current condition with dr. Renny, Sp.OGACC
• 08.15S) contraction (+)O) GCS : 4 5 6 A/I/C/D (-)
BP : 130/80 HR : 102 x/minuteRR : 20x/minute T: 38,7
STOContraction : (+)FHR : 17-17-17VT Ɵ 8 cm/75%/amnion (+)/ head/H II +A)G3P1011 28/29 WoP + head presentation +in labor stage 1 active phase+
EFW 1000 g+ post laparatomy exploration adhesiolisis + jejenum resection + anastomosis side to end due to (ileus obstruction + jejunum perforation)+ febris + susp. Sepsis
P) Observation of labor observation 2 hour pro spt bkTherapy from surgery department continue
• 08.30S) Pain of labour (+)O) GCS : 4 5 6A/I/C/D (-)
BP : 100/60 HR : 86 x/minuteRR : 20x/minute T: 37,8
STOContraction : (+)FHR : VT Ɵ complete/amnion (-)/ head/H III +A)G3P1011 28/29 WoP + head presentation +in labor stage 1 active
phase+ EFW 1000 g+ post laparatomy exploration adhesiolisis + jejenum resection + anastomosis side to end due to (ileus obstruction + jejunum perforation)+ febris + susp. Sepsis
P) Oxytosin drip 1 amp in NaCl 500 cc
10.00• Baby was born, gender : female, weight : 1100
g/length 37 cm/AS 0 10.00Placenta was born completely
• 11.00s) Decrease of consiousnessO) GCS : 3-4-5 BP ; 90/60 HR : 120 x/minute
T: 36,6STOFH ~umbilicus Contraction (+)V/V fluxus (-)A) P1111 pp spontaneous +post laparatomy exploration adhesiolisis +
jejenum resection + anastomosis side to end due to (ileus obstruction + jejunum perforation)+ febris + susp. Sepsis
P) O2 masker 8 lpminfusion double line HES , RLDCobservation VS/uterus contraction
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