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General Data

This document summarizes the normal spontaneous deliveries that occurred from May 4-13, 2019 at a hospital. It includes the patient information, examination findings, diagnosis, family planning method, and disposition for each delivery. The deliveries involved women of varying ages, parities, gestational ages, and baby outcomes. Procedures included normal spontaneous vaginal deliveries, episiotomies, and intrauterine device insertions. All patients recovered well after their deliveries.
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0% found this document useful (0 votes)
236 views6 pages

General Data

This document summarizes the normal spontaneous deliveries that occurred from May 4-13, 2019 at a hospital. It includes the patient information, examination findings, diagnosis, family planning method, and disposition for each delivery. The deliveries involved women of varying ages, parities, gestational ages, and baby outcomes. Procedures included normal spontaneous vaginal deliveries, episiotomies, and intrauterine device insertions. All patients recovered well after their deliveries.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Normal Spontaneous Delivery

General Data Internal OB Score Final Diagnosis Family Planning Method Disposition
Examination
5-4-19

Pedro, Crisel F. 2 cms dilated G1P0 G1P1 (1001) COC Recovered


20/F Beginning LMP: ? Pregnancy Uterine, Term,
Penablanca, Cagayan effacement AOG by UTZ: 38 Cephalic delivered
#428889 Cephalic 5/7 wks Normal Spontaneous Delivery
(-) BOW FH: 28cms Early Rupture of Membranes
Station -2 FHT: 140’s for 4 hours
To a live baby boy, BW 2778g,
AGA, AS 8/9, BS 38-39weeks

Median Episiotomy And


Repair

Asuncion, Regielyn L. 3cms dilated G2P1 G1P1 (1001) IUD Recovered


22/F 50% effaced LMP: ? Pregnancy Uterine, Term,
Tuguegarao City, Cagayan Cephalic AOG: ? Cephalic delivered
#329915 (+) BOW FH: 27cms Normal Spontaneous Delivery
Station -2 FHT: 140’s followed by Intrauterine
Device Insertion
To a live baby girl, BW 2949g,
AGA, AS 8/9, BS 39weeks

5-7-19 3cms dilated G1P0 G1P1 (1001) IUD Recovered


60% effaced LMP: 7-24-18 Pregnancy Uterine, Term,
Dao-sen, Angelina S. Cephalic AOG: 41 weeks Cephalic delivered
17/F (+) BOW FH: 31cms Normal Spontaneous Delivery
Tuao, Cagayan Station -2 FHT: 140’s followed by Intrauterine
#431826 Device Insertion
Young Primipara
To a live baby boy, BW 2892g,
AGA, AS 8/9, BS 39-40weeks

Calayag, Geraldine A. 3cms dilated G2P1 (1001) G2P2 (2002) COC Recovered
24/F beginning LMP: 7-30-18 Pregnancy Uterine, Term,
Solana, Cagayan effacement AOG: 41 Cephalic delivered
#256406 Cephalic 1/4weeks Normal Spontaneous Delivery
(-) BOW FH: 28cms Early Rupture of Membranes
Station -2 FHT: 140’s for 4 hours
To a live baby girl, BW 2949g,
AGA, AS 8/9, BS 39weeks

Columna, Sherilyn J. 4cms dilated G1P0 G1P1 (1001) IUD Recovered


19/F 50% effaced LMP: 8-7-18 Pregnancy Uterine, Term,
Penablanca, Cagayan Cephalic AOG: 39weeks Cephalic delivered
#424023 (+) BOW FH: 30cms Normal Spontaneous Delivery
Station -2 FHT: 140’s followed by Intrauterine
Device Insertion
To a live baby boy, BW 2778g,
AGA, AS 8/9, BS 39weeks

Median Episiotomy and


Repair

Gonzales, Lourdes T. 6cms dilated G3P2 (2002) G3P3 (3003) IUD Recovered
26/F 60% effaced LMP: ? Pregnancy Uterine, Term,
Solana, Cagayan Cephalic Cephalic delivered
#431918 (+) BOW AOG: 40 3/7 Normal Spontaneous Delivery
Station -2 weeks by UTZ followed by Intrauterine
FH: 30cms Device Insertion
FHT: 140’s To a live baby girl, BW 3221g,
AGA, AS 8/9, BS 38-39weeks

Sumagay, Ludmina V. 8cms dilated G2P1 (1001) G2P2 (2002) COC Recovered
18/F 80% effaced LMP: 8-1-18 Pregnancy Uterine, Term,
Amulung, Cagayan Cephalic AOG: 40 1/7wks Cephalic delivered
#329915 (+) BOW FH: 30cms Normal Spontaneous Delivery
Station -1 FHT: 140’s To a live baby girl, BW 2949g,
AGA, AS 8/9, BS 38-39weeks

Gaban, Lyka Mae V. 4cms dilated G2P1 (1001) G2P1 (2002) COC Recovered
21/F 50% effaced LMP: ? Pregnancy Uterine, Term,
Tuguegarao City, Cagayan Cephalic AOG: ? Cephalic delivered
#430143 (+) BOW FH: 30cms Normal Spontaneous Delivery
Station -2 FHT: 140’s followed by Intrauterine
Device Insertion
To a live baby boy, BW 3005g,
AGA, AS 8/9, BS 39-40weeks

Median Episiotomy and


Repair

5-10-19 5cms dilated G8P7 (7007) G8P8(8008) BTL Recovered


50% effaced LMP: ? Pregnancy Uterine, Term,
Castro, Emily L. Cephalic AOG: 40 1/7wks Cephalic delivered
42/F (+) BOW by UTZ Normal Spontaneous Delivery
Amulung, Cagayan Station -2 FH: 33cms followed by Bilateral Tubal
#432263 FHT: 140’s Ligation
Elderly Grand Multipara
To a live baby boy, BW 3856g,
AGA, AS 8/9, BS 39-40weeks

Cabarangao, JudyAnn A. fully dilated G2P1 (1001) G1P1 (1001) IUD Recovered
22/F fully effaced LMP: 8-6-18 Pregnancy Uterine, Term,
Penablanca, Cagayan Cephalic AOG: 39 2/7wks Cephalic delivered
#230555 (-) BOW FH: 30cms Normal Spontaneous Delivery
Station +1 FHT: 140’s followed by Intrauterine
Device Insertion
To a live baby boy, BW 3050g,
AGA, AS 8/9, BS 39-40weeks

Soriano, Jennifer B. 3cms dilated G2P1 (1001) G1P1 (1001) None Recovered
29/F 50% effaced LMP: 7-25-18 Pregnancy Uterine, Term,
Tuguegarao City, Cagayan Cephalic AOG: 41 2/7wks Cephalic delivered
#432339 (+) BOW FH: 31cms Normal Spontaneous Delivery
Station -2 FHT: 140’s To a live baby girl, BW 3029g,
AGA, AS 8/9, BS 39-40weeks

SanBuenaventura, Krizia T. 7cms dilated G1P0 G1P1 (1001) IUD Recovered


21/F 70% effaced LMP: 7-28-18 Pregnancy Uterine, Term,
Penablanca, Cagayan Cephalic AOG: 41 weeks Cephalic delivered
#230555 (+) BOW FH: 34cms Normal Spontaneous Delivery
Station -1 FHT: 150’s followed by Intrauterine
Device Insertion
To a live baby boyl, BW
3969g, AGA, AS 8/9, BS
40weeks

Median Episotomy and Repair


of 4th Degree Perineal
Laceration
Labang, Lea M. 8cms dilated G2P1 (1001) G1P1 (1001) IUD Recovered
23/F fully effaced LMP: 8-18-18 Pregnancy Uterine, Term,
Penablanca, Cagayan Cephalic AOG: 38 weeks Cephalic delivered
#230555 (+) BOW FH: 32cms Normal Spontaneous Delivery
Station 0 FHT: 140’s followed by Intrauterine
Device Insertion
To a live baby girl, BW 3345g,
AGA, AS 8/9, BS 39-40weeks

5-13-19 IUD Recovered

Culangan, Wella A. 7cms dilated G1P0 G1P1 (1001)


19/F/S 70% effaced LMP: 8-30-18 Pregnancy Uterine, Term,
Penablanca, Cagayan Cephalic AOG: 36 4/7 wks Cephalic delivered
# 363358 (-) BOW FH: 28cms Normal Spontaneous Delivery
Station 0 FHT: 140’s followed by Intrauterine
Device Insertion
To a live baby girl, BW 2949g,
AGA, AS 8/9, BS 39weeks

Median Episiotomy and


Repair of 4th Degree
Laceration

Coming, Ma.Angelica B. 5cms dilated G1P0 G1P1 (1001) IUD Recovered


22/F/S 60% effaced LMP: ? Pregnancy Uterine, Term,
Sto Tomas, Isabela Cephalic AOG: 36 6/7wks Cephalic delivered
# 432618 (-) BOW by UTZ Normal Spontaneous Delivery
Station -2 FH: 28cms followed by Intrauterine
FHT: 140s Device Insertion
To a live baby boy, BW 2664g,
AGA, AS 8/9, BS 38-39weeks
Median Episiotomy and
Repair of 3rd Degree
Laceration

Cagayan Valley Medical Center


OB Census (May-June 2019)

Dr. Carla S. Barsabal-Mateo


3rd Year Family Medicine Resident

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