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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 (-)


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 (-)


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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