ILOCOS TRAINING AND REGIONAL MEDICAL CENTER

Department of Obstetrics and Gynecology

Parian, San Fernando City, La Union

OBSTETRICS ADMISSION
November 19, 2017
Dr. Lubiano/ Fongana/ Lauigan/ Eslao

Total Number of Consults

Total Number of Admissions 24
Total Number of Deliveries 23
Total Number of Undelivered Cases
Total Number of Abortion 1
Total Number of Ectopic Pregnancy
Total Number of Death
Total Number of Interdepartmental Referral
Non-Institutional Delivery
Delivery from other Institutions

Vaginal Deliveries 21
Without Episiotomy 9
1st and 2nd degree laceration 2
3rd and 4th degree laceration
With Right Mediolateral Episiotomy and Repair 11
1st and 2nd degree laceration
3rd and 4th degree laceration
With Median Episiotomy and Repair
1st and 2nd degree laceration
3rd and 4th degree laceration
Assisted Vaginal Delivery 1
Outlet Forceps Extraction
Vacuum Extraction 1
Vaginal Birth after Cesarean
Outlet Forceps Extraction
Vacuum Extraction
Vacuum with Bilateral Tubal Ligation
Partial Breech Extraction
Abdominal Deliveries 2
Primary Low Transverse Cesarean Section
Primary Low Transverse Cesarean Section + 1
Salpingectomy
Primary Classical Cesarean Section
Primary Classical Cesarean Section + BTL
Repeat Low Transverse Cesarean Section
Repeat Low Transverse Cesarean Section + BTL
Repeat Low Transverse Cesarean Section + 1
Salpingectomy
Cesarean Hysterectomy
Hysterotomy
Hysterotomy + BTL
Abortion/ IUFD
Completion Curettage 2
Completion Curettage + BTL
Dilatation and Curettage
Suction Curettage
Total Abdominal Hysterectomy H-mole in situ
Manual Vacuum Aspiration (OPD)
Manual Vacuum Aspiration (Admitted)
Salpingectomy
 Electrocautery of Genital Warts 1
TOTAL NUMBER OF PROCEDURES 26

Pre-Natal Check-ups
City Health Office 1
Private OB-GYN 2
Candon City Health Office 1
Bacnotan RHU 2
Tubao RHU 1
GRAND MULTIPARA (1)
11-19-2017 G6P5 (5005) PU 39 weeks AOG, CIL; Female
Aplise, Maricel Grand Multipara BW 3.0 kg
32 BL 50 cm
G6P5 (5005) G6P6 (6006) PU delivered term cephalic to a live baby girl via AS 8,9
City of San Fernando, La Union Normal Spontaneous Delivery with Perineal Support; PA 39 weeks
PNCU: City Health Office Grand Multipara; AGA
Family Planning Acceptor (DMPA)
Dr. Lubiano/ Fongana/ Lauigan/ Eslao/ JI Robeniol

MULTIPLE GESTATION (1)

11-19-2017 G3P2 (2002)Twin Pregnancy 37 weeks AOG, breech in labor I II
Cavite, Nery Male Male
27 G3P3 (4004) Twin Pregnancy delivered to a live set of term twin BW 2.9 kg 3.0 kg
G3P2 (2002) baby boy via Emergency Low Transverse Cesaraean Section + BL 50 cm 50 cm
Tubao, La Union Bilateral Salpingectomy under Subarachnoid Block for AS 8,9 8,9
PNCU: Tubao RHU Malpresented 1st Twin, Breech Breech, Monochorionic PA 39 weeks 38 weeks
Diamnionic; AGA AGA
Dr. Lubiano/ Fongana/ Lauigan/ Eslao/ JI Daet Family Planning Acceptor (Surgical Sterilization)

SCARRED UTERUS (1)

11-19-2017 G2P1 (1001) PU 38 2/7 weeks AOG, CIL; Female
Sanchez, Preming Previous CS 1x for Dysfunctional Labor (Tagudin, 2010) BW 3.6 kg
31 BL 53 cm
G2P1 (1001) G2P2 (2002) PU delivered term cephalic to a live baby girl via AS 8,9
Candon, Ilocos Sur Emergency Low Transverse Cesarean Section under PA 38 weeks
PNCU: Candon City Health Office Subarachnoid Block for Scarred Uterus; AGA
Previous LTCS 1x for Dysfunctional Labor (Tagudin, 2010);
Dr. Lubiano/ Fongana/ Lauigan/ Eslao/ JI Crissanthi Family Planning Acceptor (DMPA)

PREMATURE RUPTURE OF MEMBRANES (1)

11-19-2017 G1P0 PU 40 3/7 weeks AOG, CIBL; Female
Bambao, Roxanne Premature Rupture of Membranes x 3 hours BW 3.3 kg
30 BL 52 cm
G1P0 G1P1 (1001) PU delivered term cephalic to a live baby girl via AS 8,9
Bauang, La Union Normal Spontaneous Delivery with Right Mediolateral PA 40 weeks
PNCU: Private OB-GYN Episiotomy and Repair AGA

Dr. Lubiano/ Fongana/ Lauigan/ Eslao/ JI Crissanthi

YOUNG PRIMIGRAVIDA (1)
11-19-2017 G1P0 PU 38 3/7 weeks AOG, CIL; Female
Montemayor, Wenna Babe Young Primigravida BW 2.4 kg
15 BL 47 cm
G1P0 G1P1 (1001) PU delivered term cephalic to a live baby girl via AS 8,9
Bacnotan, La Union Normal Spontaneous Delivery with Right Mediolateral PA 38 weeks
PNCU: Bacnotan RHU Episiotomy and Repair; AGA
Family Planning Acceptor (Progestin Subdermal Implant)
Dr. Lubiano/ Fongana/ Lauigan/ Eslao/ JI Williams

INTRAUTERINE FETAL DEMISE (1)

11-19-2017 G1P0 IUFD 30 weeks AOG, CIPTL; Male
Tome, Juvelyn Genital Warts; BW 1.9 kg
21 T/C Urinary Tract Infection
G1P0 Amoxicillin 500 mg 1 cap TID x 7 days
San Fabian, Pangasinan G1P1 (0100) IUFD delivered preterm to a dead baby boy via Metronidazole 500 mg 1 tab TID x 7 days
PNCU: Private OB-GYN Normal Spontaneous Delivery with Perineal Support; Miconazole 100 mg 1 supp ODHS x 7 days
Vulvovaginal Candidiasis
Dr. Lubiano/ Fongana/ Lauigan/ Eslao/ JI Daet s/p Completion Curettage;
s/p Electrocautery of Genital Warts

ABORTION (1)
11-19-2017 G4P2 (2012) Incomplete Abortion 16 3/7 weeks AOG, non- MGH
Valmonte, Rowena septic, non-induced;
39 Chronic Hyperterension; BP on discharge 130-140/70-90
G4P2 (2012) Overt DM Amlodipine 10 mg 1 tab OD in AM
Bacnotan, La Union Losartan 50 mg 1 tab OD in PM
PNCU: Bacnotan RHU G4P2 (2022) Incomplete Abortion, late, non-septic, non-
induced; CBG 117-396 mg/dl
Dr. Lubiano/ Fongana/ Lauigan/ Eslao/ JI Robeniol s/p Completion Curettage; Metformin 500 mg 1 tab TID
Chronic Hypertension; Glimepiride 1 mg 1 tab OD
Overt DM