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History of
History of labor:
1.Male, 3200 gr, Aterm, SVD, Hospital, Midwife, 1,5 yo, Healthy
2.This pregnancy
Present State
Sens
BP
HR
RR
Temp
: Alert
: 120/70 mmHg
: 80 times/min
: 20 times/min
: 36,7 C
Obstetrical state
Abdomen
Fundal Height
Tension part
Lowest part
Fetal movement
Uterine contraction
FHR
EBW
Vaginal examination
Hand glove
Anemic
Icteric
Cyanotic
Dispnoe
Oedem
:
:
:
:
(-)
(-)
(-)
(-)
: Asymmetrical enlarged
: 3 fingers below Procesus Xyphoideus
:
:
: (+)
: (+) 2 x 10/10'
: (+) 138 x/i, reguler
: 3000-3200 gr
: Cx Closed
: Mucous blood (-), amniotic fluid (-)
: (-)
USG TAS
USG TAS
: 8,10 gr/dl
N: 12-14/gr/dl
Leukocyte
: 9.060/mm3
N: 4000-11000/uL
Hematocrit
: 26,10 %
Trombocyte
: 261.000 /mm3
MCV
: 72,70
N : 85-95 fL
MCH
: 22,60
N : 28-32 pg
MCHC
: 31,00
N : 33-35 g %
: 28,9
PT
: 11,6
INR
: 0,84
TT
: 15,3
N: 36,0-42,0/%
N: 150.000-400.000/Ul
By grasping the legs baby girl with BW 3100 gr, BL 50 cm, AS 8/9,
anal ( + ) was born. The umbilical cord was clamped in two places and cut
inbetween. The placenta was born with an emphasis on the corpus anterior
and traction on the umbilical cord
Uterine cavity was cleaned with gauze and cleaned from residual amniotic
fluid and blood.
The ends of the incision on the uterus were clamped by the oval clamp ,Tip
of the uterine incision sutured with hemostatic sutures figure of eight,
Then the incision of the uterus was sutured by continuous interlocking
stitches, following overhecting, and reperitonealisation.
Observation of uterine incision scar, suggesting that the bleeding was
under controlled
Abdominal cavity was cleaned from blood and Stoll cell.
Uterine was contracted adequately.
Peritoneum sutured with no. 0 continuously, then do muscle approximation
, suturing the abdominal wall with Catgut plain no. 0 by simple suture.
Both ends of the fascia is clamped with a Kocher, then stitched
continuously with a vicryl no. 1
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