July 10-11, 2016

COD: Dr. Pastrana

ROD: Drs. Pratama/Jalog/Abuluyan

TOTAL OBSTETRIC ADMISSIONS = 13

OB Normal = 7
OB Abnormal =4
Abortion= 2
TOTAL GYNECOLOGIC ADMISSIONS = 1

TOTAL ADMISSIONS
OBSTETRIC PROCEDURES Service Private
Vaginal Deliveries:
Spontaneous vaginal delivery with Perineal Support - -

Spontaneous vaginal delivery with Perineal Support and Repair - -

Spontaneous vaginal delivery with median/right mediolateral episiotomy 6
and repair
Vaginal Birth After Cesarean Section - -
Outlet forceps extraction, perineal support, cervical inspection, repair of - -
laceration
Partial breech extraction - -
Abdominal deliveries:
Primary low segment transverse cesarean section 2
Primary low segment transverse cesarean section with BTL 1 -
Repeat low segment transverse cesarean section
Repeat low segment transverse cesarean section with BTL 1 -
Repeat low segment transverse cesarean section with unilateral TL -
Others:
Completion curettage 1 1
Suction curettage 1 -

PERINATAL MORBIDITY -
PERINATAL MORTALITY -
MATERNAL MORBIDITY -
MATERNAL MORTALITY -

1. Munoz, Janet 33yo Admitting Diagnosis: LTCS I/MID/SAB

720729(service) G1P0 G1P0 Pregnancy uterine 38
Dingras, IN 3/7weeks AOG, cephalic in Male
Pas/Pra/Jal/Abu early labor;prelabor rupture BW: 2600 g
Birthdate: 6/8/83 of membrane x 10 hours BL: 46 cm
DOAd: 7/10/16 AS: 8,9
DODe: 7/10/16 Preoperative Diagnosis: BS: 38-39 weeks
DODc: 7//16 G1P0 Pregnancy uterine 38 Clear amniotic fluid
PMHx: U/R 3/7weeks AOG, cephalic in
PNCU: PMD x5, OPD 2x labor;prelabor rupture of
FH: 30cm membrane x 10 hours; Dr. Pratama/Abuluyan
EFW:2900g Dysfunctional labor as arrest
 of cervical dilatation 20 to
pelvic inlet contraction

Final Diagnosis:
G1P1 (1001) Pregnancy
uterine delivered term
cephalic to a livebirth baby
boy AGA(3000g, 46cm, AS
8,9, BS 38-39 weeks) clear
amniotic fluid via emergency
LTCS I under subarachnoid
block for dysfunctional labor
as arrest of cervical
dilatation secondary to
pelvic inlet contraction
2. Ruiz, Julie 19yo Admitting Diagnosis: NSD/RMLE/Repair
631070(service) G1P0 G1P0 Pregnancy uterine 40
Laoag, IN 1/7weeks AOG, cephalic in Male
Pas/Pra/Jal/Abu early labor; teenage BW: 3200 g
Birthdate: 7/6/97 primigravida BL: 50 cm
DOAd: 7/10/16 AS: AS 8,9
DODe: 7/10/16 Final Diagnosis: Thinly meconium stained
DODc: 7/11/16 G1P1 (1001) Pregnancy amniotic fluid
PMHx: U/R uterine delivered term
PNCU: PMD x3, OPD 7x cephalic to a livebirth baby
FH: 31cm boy AGA (3200g, 50cm, AS Dr. Jalog
EFW:2900g 8,9) thinly meconium
stained amniotic fluid via
normal spontaneous
delivery; teenage primipara
3. Ganiron, Ma Karina 32yo Admitting Diagnosis: NSD/RMLE/Repair
663512(service) G2P1(1001) G2P1(1001) Pregnancy
Laoag, IN uterine 40 1/7weeks AOG, Male
Pas/Pra/Jal/Abu cephalic in early labor BW: 2600 g
Birthdate: 7/27/84 BL: 47 cm
DOAd: 7/10/16 Final Diagnosis: AS: 8,9
DODe: 7/10/16 G2P2 (2002) Pregnancy BS: 38 weeks
DODc: 7/11/16 uterine delivered term Clear amniotic fluid
PMHx: U/R cephalic to a livebirth baby
PNCU: PMD x4 boy AGA (2600g, 47cm, AS
FH: 29cm 8,9) clear amniotic fluid via Dr. Abuluyan
EFW:2700g NSD
LD: 2013

4. Paje, Twinkle Ann 18yo Admitting Diagnosis: NSD/RMLE/Repair

398678(service) G1P0 G1P0 Pregnancy uterine 38
Badoc, IN weeks AOG, cephalic in Male
Pas/Pra/Jal/Abu labor; teenage primigravida BW: 2800 g
Birthdate: 12/21/97 BL: 49 cm
DOAd: 7/10/16 Final Diagnosis: AS: 8,9
DODe: 7/10/16 Clear amniotic fluid
DODc: 7/11/16 G1P1 (1001) Pregnancy
PMHx: U/R uterine delivered term
PNCU: PMD x2 OPDx4 cephalic to a livebirth baby Dr. Abuluyan
FH: 29cm boy AGA (2800g, 49cm, AS
EFW:2700g 8,9) clear amniotic fluid via
normal spontaneous
delivery; teenage primipara
5. Hernando, Rhea 37yo Admitting Diagnosis: Completion curettage/IV
() G5P2(2022) G5P2(2022) Embryonic sedation
, IN demsise 9 weeks
Dr. Pastrana
Birthdate: Final Diagnosis:
DOAd: 7/10/16 G5P2(2032) Embryonic
DOPr: 7/10/16 demsise 9 weeks; s/p
DODc: 7/11/16 completion curettage; poor
PMHx: U/R OB score for 3 abortions Dr. Pastrana
PNCU: PMD x2
FH: 29cm
EFW:2700g
6. Mamuad, Melanie 25yo Admitting Diagnosis: LTCS III +BTL/MID/SAB
600767(service) G4P3(3003) G4P3(3003) Pregnancy
Marcos, IN uterine 39 weeks AOG, Male
Pas/Pra/Jal/Abu cephalic in labor;2 previous BW: 3600 g
Birthdate: 3/14/91 CS G1 for dysfunctional BL: 50 cm
DOAd: 7/10/16 labor(2011, MMMH) G2 for AS: 8,9
DODe: 7/10/16 RCS (2012, MMMH); s/p BS: 41 weeks
DODc: 7//16 VBAC for G3 Thinly meconium stained
PMHx: U/R amniotic fluid
PNCU: RHU x5 Final Diagnosis:
FH: 31cm G4P4 (4004) Pregnancy
EFW:2900g uterine delivered term Dr. Pratama
LD: 2014 cephalic to a livebirth baby
boy AGA(3600g, 50cm, AS
8,9, BS 41weeks) thinly
meconium stained amniotic
fluid via emergency LTCS III
with BTL under
subarachnoid block; 2
previous CS G1 for
dysfunctional labor(2011,
MMMH) G2 for RCS (2012,
MMMH); s/p VBAC for G3
7. Rubia, Roxanne 31yo Admitting Diagnosis: Medical management
525517(service) G1P0 G1P0 Pregnancy uterine 26
Batac, IN 5/7 weeks AOG, not in labor; Dexamethasone 6mg IM
Pas/Pra/Jal/Abu acute gastritis; hypokalemia q 12hours x 4 doses
Birthdate: 11/27/1984 secondary Omeprazole 40mg IV OD
DOAd: 7/10/16 AlMg tab every after
DODe: 7/10/16 Working Diagnosis: meal
DODc: 7/11/16 K correction
PMHx: admitted 1 month prior
due to the same symptoms Dr. Pratama
PNCU: OPDx5
FH: 25cm
EFW:2200g
8. Quinay, Ivy Gaye 33yo Admitting Diagnosis: LTCS I/Pfannenstiel/SAB
525519(service) G2P1 (1001) G2P1 (1001) Pregnancy
Badoc, IN uterine 37 5/7weeks AOG, Male
Pas/Pra/Jal/Abu cephalic in labor BW: 3500 g
Birthdate:1/13/99 BL: 53 cm
DOAd: 7/10/16 Preoperative Diagnosis: AS: 8,9
DODe: 7/11/16 G2P1 (1001) Pregnancy BS: 40 weeks
DODc: 7//16 uterine 37 5/7weeks AOG, Clear amniotic fluid
PMHx: U/R cephalic in labor;
PNCU: OPD x4 dysfunctional labor as
FH: 35cm failure of descent probably 2 Dr. Pratama
EFW:3400g to fetal head malposition
LD: 2013
Final Diagnosis:
G2P2 (2002) Pregnancy
uterine delivered term
cephalic to a livebirth baby
boy AGA(3500g, 53cm, AS
8,9, BS 40 weeks) clear
amniotic fluid via emergency
LTCS I under subarachnoid
block for dysfunctional labor
as failure of descent
secondary to fetal head
malposition as posterior
asynclitism
9. Ganiron, Ma Karina 32yo Admitting Diagnosis: NSD/RMLE/Repair
663512(service) G2P1 (1001) G2P1 (1001)Pregnancy
Laoag City uterine 37 5/7weeks AOG, Male
Pas/Pra/Jal/Abu cephalic in labor BW: 2600 g
Birthdate: 3/27/1984 BL: 47 cm
DOAd: 7/10/16 Final Diagnosis: AS: 8,9
DODe: 7/10/16 G2P2 (2002) Pregnancy Clear amniotic fluid
DODc: 7/11/16 uterine delivered term
PMHx: U/R cephalic to a livebirth baby
PNCU: PMD x4 boy AGA (2600g, 47cm, AS Dr. Abuluyan
FH: 29cm 8,9) clear amniotic fluid via
EFW:2700g normal spontaneous
LD: 2013 delivery
10. Javier, Irene 28yo Admitting Diagnosis: NSD/RMLE/Repair
728029(service) G4P3 (3003) G4P3 (3003)Pregnancy BTL/IV sedation
Banna, IN uterine 40 weeks AOG,
Pas/Pra/Jal/Abu cephalic in labor Male
Birthdate: 10/27/87 BW: 2900 g
DOAd: 7/10/16 Final Diagnosis: BL: 49 cm
DODe: 7/11/16 G4P4 (4004) Pregnancy AS: 8,9
DODc: 7/11/16 uterine delivered term Clear amniotic fluid
PMHx: U/R cephalic to a livebirth baby
PNCU: RHU x8 boy AGA (2900g, 48cm, AS
FH: 30cm 8,9) clear amniotic fluid via Dr. Jalog
EFW:2900g normal spontaneous
delivery; s/p postpartum
Bilateral tubal ligation under
IV sedation
11. Alones, Marisheil 34yo Admitting Diagnosis: LTCS I/Pfannenstiel/SAB
497722(service) G3P2 (2002) G3P2 (2002)Pregnancy
Badoc, IN uterine 38 4/7weeks AOG, Male
Pas/Pra/Jal/Abu cephalic in labor; GDM-diet BW: g
Birthdate: 8/8/81 controlled BL: cm
DOAd: 7/11/16 AS: 8,9
DODe: 7/11/16 Preoperative Diagnosis: Thinly meconium stained
DODc: 7//16 G3P2 (2002)Pregnancy amniotic fluid
PMHx: GDM-diet controlled uterine 38 4/7weeks AOG,
PNCU: RHU x3 OPD x5 cephalic in labor; GDM-diet
FH: 31cm controlled; dysfunctional Dr. Pratama
EFW:2900g labor as arrest of cervical
LD: 2009 dilatation

Final Diagnosis:
G3P3 (3003) Pregnancy
uterine delivered term
cephalic to a livebirth baby
AGA (2800g, 49cm, AS 8,9,
BS of 39-40 weeks) thinly
meconium stained amniotic
fluid with triple nuchal cord
loop via emergency low
transverse caesarean
section I under SAB for
arrest of cervical dilatation
secondary to fetopelvic
disproportion
12. Alon, Irish May 28yo Admitting Diagnosis: Suction curettage/ spinal
728941(service) G3P2 (2002) G3P2 (2002) t/c molar anesthesia
Badoc, IN pregnancy 19 4/7 weeks
Pas/Pra/Jal/Abu AOG BHCG 10,000
Birthdate:2/14/87 Dr. Abuluyan
DOAd: 7/11/16 Final Diagnosis:
DOPr: 7/11/16 G3P2 (2012) completed
DODc: 7//16 abortion by curettage, late,
PMHx:UR non-septic, non-induced; r/o
PNCU: OPD 1x partial H Mole
FH: 12 weeks size
EFW:2900g
LD: 2014
13. Acob, Virgie 36yo Admitting Diagnosis: Completion curettage/ IV
729532(service) G2P1 (1001) G2P1 (1001)Incomplete sedation
Batac, IN abortion, late, non-septic,
Pas/Pra/Jal/Abu non-induced; chronic
Birthdate:23/1/80 hypertension Dr. Abuluyan
DOAd: 7/11/16
 DOPr: 7/11/16 Final Diagnosis:
DODc: 7/12/16 G2P1 (1011) completed
PMHx:chronic hypertension abortion, late; non-septic,
PNCU: none non-induced; s/p
FH: 14 weeks size completion curettage;
chronic hypertension; t/c
myoma uteri
14. Rivel, May Ann 21yo Admitting Diagnosis: NSD/RMLE/Repair
729334(service) G1P0 G1P0 Pregnancy uterine 38
Marcos, IN 5/7weeks AOG, cephalic in Female
Pas/Pra/Jal/Abu early labor; preeclampsia BW: 2500 g
Birthdate: 5/17/95 with severe features BL: 48 cm
DOAd: 7/11/16 AS: 8,9
DODe: 7/11/16 Final Diagnosis: BS: 38 weeks
DODc: 7/12/16 G1P1 (1001) Pregnancy Clear amniotic fluid
PMHx: Manila x5 uterine delivered term
FH: 28cm cephalic to a livebirth baby
EFW:2500g girl AGA (2500g, 48cm, AS Dr. Jalog
8,9, BS 38 weeks) clear
amniotic fluid via normal
spontaneous delivery;
preeclampsia with severe
features

Gyne:

1. Tapia, Maria 63 yo Admitting Diagnosis: For EL, PFC, TAHBSO,

IN G4P4 (4003) G4P4 (4003) t/c ONG prob BLND
Dr. Cristobal malignant
Birthdate:12/13/1959 Final Diagnosis:
DOAd: 7/10/16
DOPr: 7/11/16
DODc: 7//16
PMHx:
Dr. Cristobal