Scribd Logo
Upload

Welcome to Scribd!

  • 45 views

    INTRAUTERINE DEATH Widya

    Uploaded by

    Nabila
    This document summarizes the antenatal and postnatal care of a 39-year-old woman who experienced an intrauterine death at 35 weeks and 5 days of gestation. She had a history of thyroid issues including thyrotoxicosis and thyroid surgery. During her antenatal visits, her thyroid levels were monitored and she received steroid injections to mature the baby's lungs. On June 17th, she delivered a stillborn baby girl via spontaneous vaginal delivery with a first degree tear. She was discharged from the hospital the next day and followed up with home visits on subsequent days, reporting that she felt well with no complaints.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    INTRAUTERINE DEATH Widya

    Uploaded by

    Nabila
    45 views11 pages
    This document summarizes the antenatal and postnatal care of a 39-year-old woman who experienced an intrauterine death at 35 weeks and 5 days of gestation. She had a history of thyroid issues including thyrotoxicosis and thyroid surgery. During her antenatal visits, her thyroid levels were monitored and she received steroid injections to mature the baby's lungs. On June 17th, she delivered a stillborn baby girl via spontaneous vaginal delivery with a first degree tear. She was discharged from the hospital the next day and followed up with home visits on subsequent days, reporting that she felt well with no complaints.

    Original Title

    INTRAUTERINE DEATH widya.pptx

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document summarizes the antenatal and postnatal care of a 39-year-old woman who experienced an intrauterine death at 35 weeks and 5 days of gestation. She had a history of thyroid issues including thyrotoxicosis and thyroid surgery. During her antenatal visits, her thyroid levels were monitored and she received steroid injections to mature the baby's lungs. On June 17th, she delivered a stillborn baby girl via spontaneous vaginal delivery with a first degree tear. She was discharged from the hospital the next day and followed up with home visits on subsequent days, reporting that she felt well with no complaints.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    45 views11 pages

    INTRAUTERINE DEATH Widya

    Uploaded by

    Nabila
    This document summarizes the antenatal and postnatal care of a 39-year-old woman who experienced an intrauterine death at 35 weeks and 5 days of gestation. She had a history of thyroid issues including thyrotoxicosis and thyroid surgery. During her antenatal visits, her thyroid levels were monitored and she received steroid injections to mature the baby's lungs. On June 17th, she delivered a stillborn baby girl via spontaneous vaginal delivery with a first degree tear. She was discharged from the hospital the next day and followed up with home visits on subsequent days, reporting that she felt well with no complaints.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 11

    INTRAUTERINE DEATH

    KD SEDENAK
    B/O WIDYAWINA BINTI ABD GHANI
    PERIHAL IBU
    • NAMA :WIDYAWINA BINTI ABD GHANI
    • IC :801101-01-6504
    • UMUR :39 THN
    • PEKERJAAN: SRT
    • ALAMAT RUMAH:E2 LADANG SEDENAK,81000
    KULAI.
    • KUMP.DARAH :0 POSITIVE
    PERIHAL ANTENATAL
    • GR 5, Para 3+1
    • 1ST BOOKING @16/52 DI KPJ JOHOR SPECIALIST
    • MEDICAL HISTORY
    -THYROIDTOXICOSIS ON RX
    -THYROIDECTOMY BILATERAL IN 2015 UNDER KPJ KLUANG
    RIGHT PAPILARY CARCINOMA RIGHT TYROID
    -RADIOIODINE COMPLETED 2015 UNDER KPJ JOHOR

    FAKTOR RISIKO:
    • THYROIDTOXICOSIS ON RX
    • LCB> 5 YEARS
    PERIHAL ANTENTAL
    • PADA 10/6/2019 open pink book @ KD SEDENAK
    dengan POA 34/52 + 3/7
    • d/w DR IRNA dan plan to review pt today
    • Pt pergi ke KK KULAI dan dr plan
    1)Refer FMS
    2)Refer HOSPITAL KLUANG
    3)Cont L-Thyroxine 150mg OD
    4)Tca KPJ JOHOR – 14/6/2019
    5)Tca stat if sign and symptom of labour/less fetal
    movement
    6)Tca 1/52 after KPJ follow up
    PERIHAL ANTENATAL
    • 12/6/2019 POA 34/52 +6/7 @O&G HOSPITAL KLUANG
    • Plan
    1) Increase TAB L-tyroxine 200mg OD
    2) Tca ANC 3/52 or combine clinic if available
    3) TFT 1/52 prior to TCA
    4) Tca stat if LL/less fetal movement/contraction pain
    5) To review TFT/symptom and get medical opinion on
    next TCA
    6) Tca ANC 2/7/[email protected] am
    • 14/6/2019 POA 35/52 + 1/7@O&G KPJ JOHOR
    Well,FMF,no liquor leaking
    Bp:135/90mmhg
    Pr :100bpm
    Urinalysis –nil
    Wt :78 kg
    TAS
    Growth slowimg down,AFI 6,FHHR,cephalic
    Plans:steroids today and tomorrow
    Monday 17/6/2019-CTG and USS on labour room
    Medication:
    PENATONE 8mg/2ml INJ(2ML)(DEXAMETHASONE 1.5 stat)
    • Menurut ibu pada 15/6/2019 ibu ke KPJ
    JOHOR untuk completekan INJ
    DEXAMETHASONE
    • Menurut ibu pada 16/6/2019 ibu mengalami
    leaking liquor di rumah pada waktu
    petang.ibu terus ke KPJ JOHOR for further
    management
    • Ctg reactive,ibu dibenarkan balik
    • 17/6/2019 KPJ JOHOR for appointment
    • Menurut ibu CTG done,FHR not seen.
    • Disahkan IUD oleh DR sharifah shahirah syed
    hashim
    PERIHAL KELAHIRAN

    • Tarikh bersalin : 17/6/2019@KPJ JOHOR


    • Delived svd@ 35/52 + 4/7 With 1st degree
    tear.
    • Wt baby :2.48 kg
    • length :50 cm
    • Coh :32cm
    • Apgar score : 0
    POSTNATAL DISCHARGE
    • DISCHARGE 18/6/2019
    • PLAN:
    • ACRIFLAVINE 0.4% LOTION -100ML 1 OD 7/7
    • CELECOXIB 200MG CAP(CeleBrex) 30pcs 1 bd
    5/7
    • Appt review 22/6/2019 di KPJ JOHOR
    PERIHAL POSTNATAL DI RUMAH
    • CASE NOTIFIED 17/6/2019
    • HOME VISIT DONE 19/6/2019(DAY 3) ibu sihat
    dan penyiasatan di lakukan.
    • HOME VISIT DONE 20/6/2019(DAY 4) ibu sihat
    dan no c/o
    • HOME VISIT DONE 22/6/2019(DAY 6)-ibu pergi ke
    KPJ untuk postnatal review dan wound inspection
    • HOME VISIT DONE 24/6/2019(DAY 8)-ibu sihat
    dan no c/o.ibu beritahu next appt di KPJ JOHOR
    pada 19/7/2019 for TSH

    You might also like