A 26-year-old woman presented to the emergency room with waist and groin pain that had been ongoing for 8 hours. She was 9 months pregnant with her first child. Due to a contracted pelvis, she was diagnosed with contracted pelvis primary cesarean section. She underwent an emergency cesarean section, delivering a healthy baby boy weighing 2900 grams. Both mother and baby recovered well following the surgery.
A 26-year-old woman presented to the emergency room with waist and groin pain that had been ongoing for 8 hours. She was 9 months pregnant with her first child. Due to a contracted pelvis, she was diagnosed with contracted pelvis primary cesarean section. She underwent an emergency cesarean section, delivering a healthy baby boy weighing 2900 grams. Both mother and baby recovered well following the surgery.
A 26-year-old woman presented to the emergency room with waist and groin pain that had been ongoing for 8 hours. She was 9 months pregnant with her first child. Due to a contracted pelvis, she was diagnosed with contracted pelvis primary cesarean section. She underwent an emergency cesarean section, delivering a healthy baby boy weighing 2900 grams. Both mother and baby recovered well following the surgery.
A 26-year-old woman presented to the emergency room with waist and groin pain that had been ongoing for 8 hours. She was 9 months pregnant with her first child. Due to a contracted pelvis, she was diagnosed with contracted pelvis primary cesarean section. She underwent an emergency cesarean section, delivering a healthy baby boy weighing 2900 grams. Both mother and baby recovered well following the surgery.
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Case Report n0 31
IDENTITY Name
: Mrs. A Age : 26 years old MR No. : 91 05 25 Date : april 16th, 2015 Address : Raden Saleh, Padang A 26 years old patient was admitted to the Emergency Room of Dr. M. Djamil Central General Hospital on april 16th, 2015 at 03.51 am with chief complain pain from waist region which referred to the groin was felt since 8 hours ago
Present Illness History
Pain from waist region which referred to the
groin was felt since 8 hours ago
Bloody show from the vagina was (+) since 8 hours ago There was no fluid leakage from the vagina There was no massive vaginal bleeding Amenorrhea since 9 months ago
Present Illness History
First date of last menstrual period was forgotten Estimation date of delivery was hard to
determine Fetal movement was felt since 4 months ago No complain of nausea, vomiting, or vaginal bleeding neither during early nor late pregnancy Prenatal care to midwife, 2 times (2 and 8 months of pregnancy) , said the pregnancy was normal Menstrual history : menarche at 11 years old, irregular cycle with the amount of 2-3 times pad change/day without any menstrual pain.
Previous Illness History
There was no previous history of heart, liver,
kidney disease, DM, hypertension and allergy
Family Illness History
There was no history of any hereditary disease, contagious and psychological illness in the family.
Occupation, Socioeconomics, Psychiatry, and Habitual
Occupation, Socioeconomics, Psychiatry, and Habitual
History:
History of education: Senior High
School History of Employment: Housewife History of Habitual : smoking (-), alcohol (-), drug abuse (-)
Physical Examination GA
: Mdt Cons : CMC BP: 120/80 HR : 86 RR : 20 T : 37 BW : 43 kg BH : 143 cm BMI : 21,03 UAC : 25,8 cm
Eyes : Conjunctiva wasnt anemic, Sclera
wasnt icteric
Neck : JVP 5-2 cmH2O, no enlargement of
tyroid gland
Chest : H/L within normal limit
Extremity : Edema -/-, Physiological Reflex
+/+, Pathological Reflex -/-
Obstetric Record Abdomen
Inspection : Abdomen seems enlarged
according to term pregnancy, mid line hyperpigmentation (+), striae gravidarum (+), cicatrix (-) Palpation L1: Uterine fundal height was 2 fingers below xiphoideus processus. A large, soft, nodular mass was palpated.
Obstetric Record L2: hard and resistance structure was palpated on the right side. Numerous small, irregular structure were palpated on the left side L3 : A hard and round mass was palpated, floating L4 : not performed UFH: 32 cm; EBW: 2945 gr; Uterine contraction : 2-3x/30 / Moderate Osborn test : (+)
limit Internal examination 2-3 cm Amniotic sac was (+) Head palpated, floating
Pelvic Inlet: Promontory was reachable (CD:9
cm; CV:7,5 cm)
All of Innominate line was palpated Sacrum bone : concave Pelvic side wall : straight Ischiadic spine : not protruded Coccygeus bone : moveable Arc of pubic : >90
Outlet Pelvic : Inter tuberous distance couldnt be passed through by normal adult fist (< 10,5 cm) Impression: contracted pelvic primary cs
IVFD : maintenance RL antibiotics Informed consent Consult to anesthesiologist report to OR Plan : CS
04.50 pm TPPCS was performed A male baby was born with TPPCS with Birth
Weight: 2900 gr, Birth Length: 49 cm, APGAR
score 7/8. Placenta was delivered with a mild traction on umbilical cord, complete, 1 piece. Size was 17 x 16 x 2,5 cm, weight 520 gram, umbilical cord length 60 cm. Paracentral insertions. IUD was inserted Blood loss during surgery 250 cc
Diagnosis : P1A0L1 post TPPCS on indication contracted
pelvic primary CS Mother & child were in care
Management : Post surgery observation
Thank you
Post op laboratory Haemoglobin : 11,7 gr% Leukocyte
