By Name Persalinan.xlsx
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DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : JANUARI 2019 PUSKESMAS NO
NAMA IBU / SUAMI
DESA
UMUR
G.. P....A.. HPHT
TTP
UK
RT
LABORATORIUM
PPIA
GOL Hb Prot GDA Tawar Test Hasil SCOR DA gr% Urin (+)/(-)
BANJAREJO 1 Dewi Lestari-
30
Erfan E 2 Mulyati
28
28
20
A 12,7
-
76
+
+
-
2
Banjarejo
12-4-2018
19-1-2019
G3P1A1
A
-
90
+
+
-
6
8-4-18
15-1-19
G1P0A0
O 11,5
-
72
+
+
-
6
25-4-18
2-1-19
G1P0A0
B 11,8
-
92
+
+
-
2
31-3-18
7-1-19
G1 P0AO
A 11,4
-
100
+
+
-
2
-
73
+
+
-
6
122
V
V
18
80
V
V
2
11
BANJAREJO
BANJAREJO 14/2
22
Imam Mursidi 6 Melisa
G2P1A0
9/2
Edi Fika 5 Diani Rahayu-
27-1-19
6/1
Sartono 4 Teti A.
20-4-18
7/1
Agus 3 Yatmiasih-
BANJAREJO
BANJAREJO 20/3
18
Banjarejo 21/3
24-04-2018
1-2-2019
G1P0A0
O
11
37
CAMPUREJO RT 11
29/3/18
6/1/19
G3P2A0
AB 12,5-
26
CAMPUREJO RT 17
8/3/18
15/12/18
G2P1A0
O
Hasyim
CAMPUREJO 7 SITI RAHAYU ARI WIBOWO
8 CHOIRUNISA
11
-
DIVA JEFRI
9 NUR KHOLIFAH
20
CAMPUREJO RT 26
1/4/18
8/1/19
G1P0A0
B 13,2
-
98
V
V
6
22
CAMPUREJO RT 26
16/4/18
23/1/19
G2P1A0
O
-
80
V
V
-
6
20/3/18
27/12/18
G2P1A0
O 11,2
-
80
V
V
-
2
DITA
10 MUSLIMAH
11
EDI S
11 NITIS SAHPENI
34TH CAMPUREJO RT 8
AGUS KADIPATEN 12 INDRI K
31
RT 3/1
4/20/2018
1/27/2019
GIIIPIIA1
A
12
-
-
√
-
-
2
28
RT 4/2
4/10/2018
1/17/2019
GIP0A0
A
12
-
-
V
-
-
2
AIRLANGGA
13 YENI / DANNIS
KALIREJO 14 NURUL HIDAYAH / DIDIK PRASETYO B
25 th Kalirejo rt 10 / rw 02
23-3-2018
30-12-2018
G1 P0A0
11.5
2
15 SITI RAHAYU GINAWATI/ KHOIRUL ANWAR
24 th Desa Kalirejo rt 09 / rw 02
4/15/2018
1/22/2019
G2 P1A0
O
13
2
16 SITI NUR AISYAH / DARMAWAN
24 th Desa Kalirejo rt 12 / rw 02
5/26/2018
2/2/2019
G1 P0A0
O 11.5
2
KARANGPACAR 17 MARETHA INDAHSARI/ISWANTO
25
KR PACAR 7/1
3/5/2018
12/12/2018
G2P1A0
O
12
_
_
V
V
_
6
18 VINA/SHOLIH
21
KEPATIHAN
10/04/2018
1/17/2019
G2P1A0
A
12
_
_
V
V
_
10
19 DIAN RENI SUSANTI/HENDRA
23
KR PACAR 2/1
3/10/2018
12/17/2018
G1P0A0
O
11
_
_
V
V
_
2
20 JUANITA NOVITASARI/ SYAIFUDDIN N
34
KR PACAR 15/3
15/3/2018
22/12/2019
G2P1A0
A
12
_
_
V
V
_
2
21 MAMA/ LEON
34
KR PACAR 23/3
4/1/2018
1/8/2019
G3P1A0
O
12
_
_
V
V
_
10
22 MERY/NICO
25
KR PACAR 17/3
4/20/2018
1/27/2019
G2P1A0
A
12
_
_
V
V
_
2
23 NINING SUSANTI/ANTON/SUSANTO
30
KR PACAR 23/3
3/18/2018
12/25/2019
G3P2A0
AB 13
_
_
V
V
_
6
28
RT 2 /01
4/21/2018
1/28/2019
G2 P0 A1
6
24
RT 10 /02
4/8/2018
1/15/2019
G1 P0 A0
2
20
RT 12 /02
4/4/2018
1/11/2019
G1 P0 A0
2
27 Rina Faridatus /Rahman Hakim
34
RT 04/01
09/04/2018
16/01/2019
G2P1A0
O 11.5
2
28 Siti R/Imam
35
RT 06/01
16/04/2018
23/01/2019
G3P2A0
B
6
29 Sania Rahayuning/Muntolib
34
RT 14/01
26/03/2018
02/01/2019
G2P1A0
B 11.8
KEPATIHAN 24 Ratna Asmarani
Deny Fajarani
25 Suliyeni
30
Ahmad Rosyid
26 Vinna Ressiani W
Jemmi Apriadna
MOJOKAMPUNG
12
2
30 Devi/
30
RT 03/01
17/04/2018
24/01/2018
G2P1A0
O 12.2
2
31 Yuli Indra/Rian
28
RT 08/02
11/04/2018
18/01/2019
G2P1A0
O 12.4
2
32 Fika Suci/Ujang
34
RT 08/02
12/04/2018
19/01/2019
G2P1A0
O 12.4
2
33 Yunia/Erwin
31
RT 05/01
07/04/2018
14/01/2019
G2P1A0
B 11.8
2
31
rt 13
4/16/2017
1/23/2018
g2p1a0
a
12 neg
28
rt 13
4/24/2018
1/31/2019
g2p1a0
o
11 neg neg
24
rt 15
4/13/2017
1/21/2018
g1poao
v 12.3
37 DIAN W/AHMAD ZUKARNI
24
RT 2
04/04/2018
01/11/2019
G1P0A0
AB 11.9
0
-
V
-
-
2
38 IRMA AYU/ADAM SUKMORO
26
RT 3
29/03/2018
16/01/2019
G3P2A0
O
12
0
-
V
-
-
2
39 LUSI KISWANDINI/YAYAK S
26
RT 19
29-3-18
12/06/2018
G1P0A0
B
12
0
-
V
-
-
6
40 RIRIN W/
38
RT 19
04/10/2018
17-1-19
G3P2A0
O 12.1 0
-
V
-
-
6
41 YANTI/ SAIFUL ARIF
37
RT 9
21-3-18
28-12-2018
G2P1A0
B 12.4
-
-
V
-
-
10
42 siti yuyun /
29
rt.05/rw01
04/03/2018
12/1/2019
G2P1A0
o
(-)
(-)
v
(-)
(-)
2
43 Tawiyati/Patmo
36
RT.1/RW.1
21/05/2018
28/02/2019
G2P1A0
B 11,7 (-)
(-)
V
(-)
(-)
10
MULYOAGUNG 34 sulis mahariyani
neg
neg
2
teguh budi prasetyo 35 linda kristiana
v
2
anwarul 36 enggrit
6
kartono NGROWO
SEMANDING 11
SUKOREJO
DATA IBU BERSALIN KESMAS BOJONEGORO
BULAN : JANUARI 2019 FAKTOR RESIKO / KOMPLIKASI
PENYAKIT
RENCANA
PENANGAN /
PENYERTA
TEMPAT
KOLABORASI
SAAT INI
BERSALIN
DOKTER / dr.Spesialis
BPM
Dokter Puskesmas
PERSALINAN TANGGAL
JENIS
TEMPAT
BUFAS RISTI PENOLONG ( KASUS )
KET
25-1-19
BPM
Normal
Bidan
taa
by. Taa
15-1-19
BPM
Normal
Bidan
taa
by. Taa
10-1-19
BPM
Normal
Bidan
taa
by. Taa
1-1-19
BPM
Normal
Bidan
taa
by. Taa
1-1-19
BPM
Normal
Bidan
taa
by. Taa
19-1-19
RS Fatma
Normal
Bidan
taa
by. Taa
Konsul DSOG abortus
BPM
Dokter Puskesmas Konsul DSOG
lila 23 cm
BPM
Dokter Puskesmas Konsul DSOG
BPM
Dokter Puskesmas Konsul DSOG
BPM
Dr. Puskesmas Konsul DSOG
awal,usia,sinyal PE
RS
Dr. Puskesmas Konsul DSOG
USIA,RWYT SC,TNGGI BADAN<145
RS
DR.PKM
24/12/18
RS
SC
SPOG
BPS
DR.PKM
9/1/19
BPS
N
BIDAN
KEK
BPS
DR.PKM
2/1/19
RS
N
SPOG
JARAK ANAK <2TH
RS
DR.PKM
8/1/19
PD
N
BIDAN
RS
DR.SPOG
27/12/18
RS
N
SPOG
BPS
ANC RUTIN
SPT
BIDAN
-
SPT
BIDAN
-
VAKUM
DOKTER
-
-
25-Jan BPS 2019
-
-
BPS
ANCRUTIN
17-Jan BPS 2019
PKM
dr PKM
30-12-2018
RS FATMA
IBU SEHAT BAYI SEHAT
RS.IBNU SINAdr.PKM
22-1-2019
RS IBNU SINA SPONTAN
DOKTER
dr.OBGYN
PUSKESMAS Dr PKM Dr.OBGYN
IBU SEHAT BAYI SEHAT
31-1-2019
RS FATMA
SPONTAN
DOKTER
IBU SEHAT BAYI SEHAT
IMT >26
BPS
DR SPOG
21/12/2018
RS
N
DR SPOG
RIWAYAT ABORTUS, KEK
RS
DR SPOG
15/1/2019
BPS
N
BIDAN
BPS
BIDAN
10/1/2019 BPS
N
BIDAN
BPS
BIDAN
RS
SC
DR SPOG
RS
DR SPOG
9/1/2019 RS
SC
DR SPOG
BPS
BIDAN
17/1/2019
BPS
N
BIDAN
PKM
DR SPOG
30/12/2018
BPS
N
BIDAN
-
RS Fatma
DSOG
1/16/2019 BPS
N
Bdn
-
Bdn. Dwi
-
BPS
PKM
1/3/2019 BPM
N
Bdn
-
BPS Siti
1/1/2019 BPM
N
Bdn
-
RIWAYAT SC
SINYAL PE
Riwayat Abortus
-
13/1/2019
BPS
Konsul rutin
12/01/2019 BPS
Normal
Bidan
BPS
Konsul rutin
23/01/2019 BPS
Normal
Bidan
BPS
Konsul rutin
04/01/2019 BPS
Normal
Bidan
INDUKSI
kek
BPS
Kontrol rutin
22/01/2019 BPS
Normal
Bidan
BPS
Konsul rutin
16/01/2019 BPS
Normal
Bidan
BPS
Kontrol rutin
18/01/2019 BPS
Normal
Bidan
BPS
Kontrol rutin
10/01/2019 BPS
Normal
Bidan
bps
1/20/2019 BPS
SPT
BIDAN
RS
1/31/2019 RS
SPT
bidan
pk m
1/23/2019 RS
SPT
BIDAN
PD/BPS
DOKTER PUSKESMAS 21-12-18
BPS
NORMAL
BIDAN
PD/BPS
DOKTER PUSKESMAS 22-12-18
BPS
NORMAL
BIDAN
PE(TD 130/80)
PD/BPS
DOKTER PUSKESMAS 27-12-18
RS
SC
DOKTER
USIA 38
PD/BPS
DOKTER PUSKESMAS
NORMAL
BIDAN
JARAK ANAK>10TH
BPS
DOKTER PUSKESMAS 23-12-18
RS F
NORMAL
BPS
konsul rutin
18-01-2019
RS Fatma
SPONTAN
RS
KONSUL SPOG
20-01-2019
RSUD
SC(PLSPREFIA) dokter
usia >35 thn
01/07/2019 BPS
bidan
PE
bayi+ibu sehat
bayi+ibu sehat
jarak anak > 10 thn
DAT PUSKES BULA PUSKESMAS NO
NAMA IBU / SUAMI
UMUR
DESA
G.. P....A.. HPHT
TTP
UK
RT
LABORATORIUM
PPIA
GOL DA
Hb gr%
Prot Urin
GDA
Tawar
Test
BANJAREJO 1
Novitasari-
33
Khoirul 2
Wiji Astutik-
Masrurotin-
46
Ifa Wahyuni
4-2-19
G3 P2AO
BANJAREJO
14-5-18
21-2-19
G3 P2AO
25-4-18
2-2-19
G2 P1AO
B
12,5
-
83
+
+
6-6-2018
13-3-2019
G2P1A0
O
11,5
-
77
+
+
23/3 33
Irhamna 4
27-5-18
21/3
Sakiman 3
BANJAREJO
BANJAREJO 17/3
34
Abdu Syasik
Banjarejo 1/1
CAMPUREJO 5
ETIK P
24
CAMPUREJO RT 32
8/5/18
15/2/19
G2P1A0
A
12,8
-
122
V
V
34
CAMPUREJO RT32
5/6/18
12/3/19
G4P2A1
O
12
-
90
V
V
30
CAMPUREJO RT 13
14/2/18
21/2/19
G2P1A0
A
11,3
-
80
V
V
MARDI 6
LUSIANA AGUS M
7
PINGKAN UPAKARTI ARDY OKTAVIAN
8
RATNA DWI
26
CAMPUREJO RT 24
24/4/18
31/1/19
G1P0A0
AB
13,5
-
87
V
V
28
CAMPUREJO RT 30
25/4/18
2/2/19
G3P1A1
O
11
-
80
V
V
10 RISKY
26
RT 15/1
5/8/2018
2/15/2019
GIIPIA0
O
12
-
-
√
-
DAVID
30
MAHESWARI
29
RT12/3
5/5/2018
2/12/2019
GIP0A0
AB
12
-
-
√
-
12 NOVI/ LEO
31
KR PCAR 5/1
5/10/2018
2/17/2019
G2P1A0
A
11
_
_
V
V
13 MUALIMATUL H. / DISTAN
22
KR PACAR 7/1
5/10/2018
2/17/2019
G1P0A0
AB
11
_
_
V
V
14 LULUK LESTARI/ ARIS WA
26
3/1
5/16/2018
2/20/2019
G2P1A0
AB
12
_
_
V
V
15 SRI MURTIN/LEONARDO
24
KR PACAR 2/2
4/30/2018
2/7/2019
G1P0A0
O
11
_
_
V
V
16 IIN/BUDI
33
KR PACAR 12/2
10/5/218
2/17/2019
G2P1A0
A
12
_
_
V
V
17 YANTI/
38
KR PACAR 2/1
5/20/2018
2/27/2019
G3P2A0
O
12.2
_
_
V
V
18 FIFI/ AGUS SETIAWAN
29
KR PACAR 19/3
5/15/2018
2/22/2019
G3P1A1
O
11.6
_
_
V
V
19 TIRZA OCTAVIA P/ AGOES
25
KR PACAR 19/3
4/15/2018
1/22/2019
G1P0A0
A
11
_
_
V
V
RWIN GUTAWA 9
FENI APRILIA SANDY PRAMUDYA KADIPATEN
11
36-37
HARTANTO KALIREJO NIHIL KARANGPACAR
KEPATIHAN 20 Betty Putri W
RT 2 /01
5/9/2018
2/16/2019
G2 P1 A0
27
RT 12 / 02
9/13/2018
6/20/2019
G3 P2 A0
22 Ariek Yunita/Gaguk
32
rt 02/01
02/05/2018
09/02/2019
G3P2A0
O
11,8
23 Eva Agustinigtyas/Hegki P
24
RT 13/01
10/05/2018
17/02/2019
G1P0A0
O
11.6
24 Endah/Arifin
23
RT 10/02
10/05/2018
17/02/2019
G1P0A0
O
11.8
25 Sari Ambar/Wawan
24
RT 12/02
07/05/2018
14/02/2019
G1P0A0
B
11.8
26 Palupi Ratna/Aziz
25
RT 11/02
12/05/2018
19/02/2019
G1P0A0
O
12
27 Yemi/Faisal
32
RT 13/01
02/05/2018
09/02/2019
G2P1A0
O
12.2
28 Putri/
32
rt 10/02
16/05/2018
23/02/2019
G2P1A0
B
29 Shintia/Agus
26
rt 8/2
22/04/2018
02/01/2019
G2P1A0
30
rt 8
8/1/2018
5/8/2019
g3p2a1
o
11
neg
neg
v
25
RT 10
16-4-18
23-1-19
G1P0A0
O
11.7
0
-
V
Irmansyah Abbas 21 Loeritha Shinta
30 30
Zakarias Agung
MOJOKAMPUNG
MULYOAGUNG 30 wati sutomo NGROWO 31 SELVIA YOLANDA
-
32 KIKI WIJAYANTI/DIDIK
31
RT 3
22-4-18
29-1-19
G2P1A0
A
11
0
-
V
-
33 ATIK PUSPITA /EKO F
21
RT3
14-4-18
21-1-19
G1P0A0
B
11.6
0
-
V
-
34 LUSIANA/ JUNIARTO
35
RT 3
27-4-18
02/04/2019
G3P2A0
O
12
0
-
V
-
35 IKA / JEFRI
35
RT 8
G4P3A0
B
11.2
-
-
V
-
36 RIKA HARIATI/AGUS N
25
RT 20
G2P1A0
B
11.3
-
-
V
-
37 RUTHDIANA/NATANAEL
30
RT 14
G2P1A0
O
11
0
-
V
-
38 FITRI ANGGRAINI
26
RT12
G2P1A0
A
11.2
0
-
V
-
7/6/2018
04/05/2018
14-3-19
01/12/2019
SEMANDING NIHIL SUKOREJO 39 WIWIK SURYANI
36
30/06
08-05-2018
15-02-2018
G2 P1 A0
21
30/06
04-06-2018
11-03-2019
GI P0 A0
FINO NUGROHO
40 DEFVI ANIKA S M. RIFA'I
41 MARITA ANGGRIANA/ ARISONA
10-11 Mg
22
11/03
29-04-2018
06-02-2019
GI P0 A0 36 Mg
42 MARDHIYAH D
30
16/04
20-05-2018
27-02-2019
G2 P1 A0
28
19/08
-05-2018
-02-2019
GIII P1 A1
SUPRIO
43 DIAH TRI WARDANI ILLMUDIN SYAHRIZA
44 TRI NADIA NINGSIH/ ZAENUDIN
12 Mg
28
19/05
21-05-2018
30-02-2019
GIII P2 A0 14-15
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : FEBRUARI 2019 PPIA Hasil
FAKTOR RESIKO /
SCOR
(+)/(-)
KOMPLIKASI
10
riwayat SC
PENYAKIT
RENCANA
PENANGAN /
PENYERTA
TEMPAT
KOLABORASI
SAAT INI
BERSALIN
DOKTER / dr.Spesialis
RS
Dr. Puskesmas
PERSALINAN TANGGAL
TEMPAT
3/2/2019
RS FATMA
18-02-2019
BPS
Konsul DSOG 10
usia, jarak anak 21 th
RS
Dr. Puskesmas Konsul DSOG
-
2
-
14
TB 142 cm, Gemelli,
BPM
Dr. Puskesmas
26-1-2019
RS
RS
Dokter Puskesmas
8-2-19
RS FATMA
TD 140/100
-
2
18
2
RIWAYAT SC,GRANDE,PERNAH ABORTUS
Konsul DSOG
RS
DR.PKM
6/2/2019
RS
RS
DR.PKM
21/2/19
RS
BPS
DR.PKM
118/2/19
BPS
2
-
6
PERNH ABORTUS
2
-
-
RS
DR.PKM
2/2/19
RS
RS
DR.PKM
19/2/19
RS
BPS
ANC RUTIN
15-Feb
BPS
2019 -
2
-
-
BPS
ANC RUTIN
12-Feb
BPS
2019
_
2
BPS
BIDAN
2/15/2019
BPS
_
2
BPS
BIDAN
2/16/2019
BPS
_
2
BPS
BIDAN
2/18/2019
BPS
_
2
BPS
BIDAN
2/5/2019
BPS
_
6
BIDAN
DR SPOG
2/10/2019
BPS
_
6
USIA> 35 TH
BPS
DR SPOG
2/20/2019
BPS
_
6
RIWAYAT ABORTUS
PKM
DR SPOG
2/20/2018
RS
_
2
BPS
BIDAN
1/20/2019
BPS
2
-
-
-
RS Fatma
dr. Wafi OG
2/8/2019
BPM
-
-
BPM
dr. Askan
2/20/2019
BPM
2
BPS
Kontrol rutin
07/02/2019
BPS
2
BPS
Kontrol rutin
04/02/2019
BPS
2
BPS
Konsul Dokter
15/02/2019
BPS
2
BPS
Konsul rutin
12/02/2019
BPS
2
BPS
Konsul rutin
18/02/2019
BPS
2
BPS
Konsul rutin
07/01/2019
BPS
2
BPS
Konsul Dokter
20/02/2019
BPS
BPS
Konsul Dokter
01/02/2019
BPS
2/18/2019
rsf
22-1-19
RS F
2
pkm
2
PD/BPS
DOKTER PUSKESMAS
-
2
PD/BPS
DOKTER PUSKESMAS
23-1-19
BPS
-
2
PD/BPS
DOKTER PUSKESMAS
21-1-19
BPS
-
6
USIA 35
PD/BPS
DOKTER PUSKESMAS
28-1-19
BPS
-
14
USIA35. JARAK ANAK 8 BLN, GRANDE
BPS
DOKTER PUSKESMAS
21-1-19
BPS
-
2
BPS
DOKTER PUSKESMAS
19-2-19
BPS
-
2
PD/BPS
DOKTER PUSKESMAS
18-2-19
BPS
-
2
PD/BPS
DOKTER PUSKESMAS
28-1-19
BPS
14
- USIA>35
HT
RS
- HT
ANC RUTIN
10-02-2019
RS FATMA
KONSUL PKM
- RWYT PE
2
-
-
RS
ANC RUTIN
21-02-2019
RMH BIDAN
6
- KEK
-
RMH BIDAN
ANC RUTIN
01-02-2019
RMH BIDAN
10
- BEKAS SC
-
RS
ANC RUTIN
12-02-2019
RS FATMA
6
- RWYT AB
-
BPM
ANC RUTIN
23-02-3019
RSA
6
- HT
- HT
RS
ANC RUTIN
15-02-2019
RS FATMA
PERSALINAN JENIS
PENOLONG
BUFAS RISTI ( KASUS )
KET
SC
Dokter
taa
by taa
normal
Bidan
taa
by taa
normal
Bidan
taa
By taa
SC
Dokter
Bumil post sc
bblr, bblr+asfiksia
SC
SPOG
SC
SPOG
N
BIDAN
N
SPOG
SC
SPOG
SPT
BIDAN
-
SPT
BIDAN
-
N
BIDAN
N
BIDAN
N
BIDAN
N
BIDAN
N
BIDAN
N
BIDAN
N
BIDAN
N
BIDAN
N
Bdn
-
BPM Dwi
N
Bdn
HPP
Nur Fat
sisa Plas Curret
Normal
Bidan
Normal
Bidan
Normal
Bidan
Normal
Bidan
Normal
Bidan
NormalBidan NormalBidan NormalBidan
spt
bidan
NORMAL
DOKTER
NORMAL
BIDAN
NORMAL
BIDAN
NORMAL
BIDAN
NORMAL
BIDAN
NORMAL
BIDAN
NORMAL
BIDAN
NORMAL
BIDAN
SC
DSOG
PE
-
NORMAL
BIDAN
-
-
NORMAL
BIDAN
-
-
SC
DSOG
-
-
NORMAL
DSOG
-
-
SC
DSOG
PE
-
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : MARET 2018 PUSKESMAS
G.. P....A..
LABORATORIUM
PPIA
PENYAKIT
RENCANA PENANGAN /
PERSALINAN
FAKTOR RESIKO / NO
NAMA IBU / SUAMI
UMUR
DESA
HPHT
TTP
UK
RT
1
BANJAREJO Nurjanah-
37
Julianto 2
Any SafitriJuli Danita -
24
Reni Rengga-
32
Fitri -
G4P3A0
A
12,8
-
SCOR
BANJAREJO
PENYERTA
TEMPAT
KOLABORASI
(+)/(-)
88
+
+
-
KOMPLIKASI
SAAT INI
BERSALIN
DOKTER / dr.Spesialis
14
usia, jarak anak,
TANGGAL
RS D0kter Puskesmas 16-3-18
Grande
Konsul DSOG
11-7-2017
18-4-2018
G2P1A0
B
12,2
-
86
+
+
-
2
BPSDOKTER PUSKESMAS 2-3-18
BANJAREJO
15-6-17
13-3-18
G2 P1A0
B
11,8
-
88
+
+
-
2
BPSDOKTER PUSKESMAS 22-3-18
10-6-17
17-3-18
G1P0AO
-
6
KEK lila 23cm
13-6-17
20-3-18
G2 P1AO
-
6
jarak anak > 10 th
2-Nov 25
Moh Yusuf 5
16-3-2018
Hasil
9/2
Dudi Susilo 4
9-6-2017
Tawar Test GDA
7/1
Sunarto 3
BANJAREJO
GOL Hb gr Prot DA % Urin
BANJAREJO
BPSDOKTER PUSKESMAS 15-3-18
9/02 34
Asmari
BANJAREJO
B
11,6
-
94
+
+
PKM
15/03
Dr. Puskesmas
17-3-18
Konsul DSOG
CAMPUREJO 6
AJENG DIYAH
31CAMPUREJO RT 19 8/6/17
15/3/18
G3P2A0
O
11
-
80
V
V
2
5/4/2017
2/11/2018
G3P2A0
O
11
_
81
v
v
6
umur >35 th
22/6/17
29/3/18
G1P0A0
O
11,5
-
V
V
6
KEK
23CAMPUREJO RT 19 '28/5/17
5/3/18
G1P0A0
O
11,5
_
V
V
2
BPS
DR.SPOG
5/3/18
RS
dr.PKM
3/3/18
M.SAIFUL 7
sri utami
40
campurejo 6
rusgianto 8
Anik supartiana
22 campurejo rt 31
PKM KONTROL RUTIN
23/3/18
adip m. 9
DWI RETNO N W ACHMAD SYAFIUL
80
RS
KONTROL RUTIN
28/2/18
10
TRIANI
24 CAMPUREJO RT 4
1/6/17
8/3/18
G2P1A0
B
10/6//17
3/17/2018
G2P1A0
AKHIR 1/2018
11
-
80
V
V
6
JARAK ANAK <2TH
BPS
DR.SPOG
3/3/18
AB 11,5
-
82
V
V
6
KEK
BPS
DR.PKM
13/3/18
G2P1A0
O
11,5
_
80
V
V
6
UMUR>35TH
RS
DR.SPESIALIS
8/3/18
31/3/17
G2P1A0
B
6,9
-
98
V
V
10
ANEMIA,JARAK ANAK<2TH
RS
DR.PKM
8/3/18
3/20/2018
G4P3A1
O
12
-
-
√
-
2
-
BPS
ANC RUTIN
20-Mar
TULUS 11
TITIK SIROTIN
27 CMPUREJO 29
EKA DAVID S. 12
IKA AGUSTINA
37 CAMPUREJO RT 9LUPA 4/2017
YUUDA 13
ANITA PRATIWI
TTP:2/3/18 22CAMPUREJO RT 16 24/6/17
TULUS KADIPATEN 14
ELY NUR AZIZAH
35
4/1
6/13/2017
-
-
M ALI MUSTOFA
15
ARUMIATININGSIH
2018
42
RT 2/ RW 1
5/22/2017
29-2-2018
G3P2A0
AB
12
-
-
√
-
-
6
USIA 42 TH
-
BPS
ANC RUTIN
HARTONO
2-Mar 2018
KALIREJO 16
TARBIYAH/ KUSNADI
34Kalirejo rt 09/ rw 027/12/2017
4/19/2018
G2 P1A0
AB
12
10
Jarak anak 11 th
RS
Dr OBGYN
Riwayat abortus 17
SULIKAH/ MUGIK
28Kalirejo rt 11/ rw 0212/06/2017
19/03/2018
G2 P1 A0
O
11.2
2
BPS
Dr PKM
3/12/2018
18
ASTUTIK/ EKO PRASETYO
KALIREJO 28 RT 08/ RW 02 7/14/2017
4/21/2018
G2 P1A0
O
12.5
2
POLINDES
Dr PKM
3/29/2018
19SULISTYOWATI / DIKA CAHYONO 23 KALIREJO th RT 12 / RW 04/06/2017 02
11/03/2018
G1 P0A0
O
12
2
POLINDES dr PKM,dr OBGYN 3/31/2018
PINDAHAN DARI TRUCUK 20 RINAWATI / SLAMET WIDODO 18 KALIREJO th RT 14 / RW 22/07/2017 02
29/04/2018
G1 P0A0
O
11.2
6
6/12/2017
3/19/2018
G2P1A0
O
12
_
_
V
V
_
2
USIA < 20 th
POLINDES dr PKM,dr OBGYN 3/31/2018
PINDAHAN DARI TUBAN KARANGPACAR 21
YULI/ BUDI
30 KR PACAR 5/1 KR PCAR RT 9/2
RIWAYAT ABORTUS,JARAK ANAK <2TH,GRANDE
BPS
BIDAN
3/17/2018
RS
DR SPOG
3/6/2018
22 UMMI KUSMITHA/SHOLIKIN
29
5/25/2017
3/2/2018
G5P2A2
A
12
_
_
V
V
_
14
23
31KR PACAR RT 11/2 8/12/2017
5/19/2018
G1P0A0
O
11
_
_
V
V
_
2
BPS
DR SPOG
3/20/2018
24DESSY AGUSTINA/ GOZA NAFIZA 23 KR PACAR 21/3 13/6/2017
20/3/2018
G1P0A0
B
12
_
_
V
V
_
2
BPS
BIDAN
3/15/2018
PKM
DR SPOG
3/1/2018
-
RSA
Dr. Ika
3/8/2018
25
DITA/MUHAMMAD
WINDANIA/ROFII
22
KR PACAR RT 15/3
5/22/2017
29/2/2018
G1P0A0
O
11
_
_
V
V
_
6
KEK
34
RT1 /01
6/16/2017
3/23/2018
G4 P1 A2
O
11.6
( -)
93
V
V
( -)
10
Riw Abortus
KEPATIHAN 26
Tri Mardiningsih
Grande Multipara Moh. Rifa'i 27
Niyan Selvi Mey
34
Rohmad Ismail
31
RT 12 / 02
7/27/2017
4/3/2018
G3 P2 A0
O
12
( -)
89
V
V
(-)
2
-
-
BPS
dr. Didik
08/03/18
MOJOKAMPUNG 28
Catur Widya / Wibowo
34
RT. 13 RW. 01
13/06/2017
20/03/2018
G2P1A0
O
11.8
-
-
-
-
-
2
-
-
BPS
Kontrol rutin
12/03/2018
29
Adinta Maulida / Aang Samsudi
26
RT. 07 RW. 02
23/06/2017
30/03/2018
G1P0A0
O
12
-
-
-
-
-
2
-
-
BPS
Kontrol rutin
23/03/2018
30
Kiki / Indra
24
RT. 09 RW. 02
11/06/2017
18/03/2018
G1P0A0
O
11.8
-
-
-
-
-
2
-
-
BPS
Kontrol rutin
16/03/2018
6/28/2017
4/3/2018
g2p1a0
MULYOAGUNG 31
ratna dewi
25
11.2 neg
v
2
pkm
3/19/2018
32
puji astuti
37
9/16/2017
6/24/2018
g3p2a0
neg
v
6
31
6/14/2017
3/21/2018
g2p1a0
o
11
neg
20
6/10/2017
3/17/2018
g1p0a0
o
11
umur > 35th
pkm
3/15/2018
neg
v
2
bps
3/19/2018
neg
neg
v
2
3/24/2018
andi 33
aprilia siswati abu hoir
34
ida rosanti NGROWO
35
UMBARWATI/ MUKAROM
25
RT2
08/06/2017
15/03/2018
G2P1A0
B
12.7
0
-
V
-
-
2
PD/BPS DOKTER PUSKESMAS 12/03/2018
36
UMBARWATI/ MUKAROM
25
RT2
08/06/2017
15/03/2018
G2P1A0
B
12.7
0
-
V
-
-
2
PD/BPS DOKTER PUSKESMAS 12/03/2018
37
SUNARTI/ YANTO
31
RT 5
5/20/2017
3/27/2018
G2P1A0
O
12
-
-
V
-
-
2
BPS
2/23/2018
38
HAIZATUS S/M. JUPRON
27
RT 8
26-6-17
3/4/2018
G2P1A0
B
11.3
-
-
V
-
-
2
BPS
2/23/2018
39
ALVENIA K/DEDIK EFENDI
24
RT 20
07/06/2017
14/03/2018
G1P0A0
B
13,4
-
-
V
-
-
2
BPS
3/11/2018
40
DELLA / ADI
27
RT 14
17-5-17
24-2-18
G1P0A0
A
12,2
-
-
V
-
-
2
PD/BPS DOKTER PUSKESMAS2/21/2018
SEMANDING 41
Megowati / Lasaji
32
RT 05/01
25/07/2017
1/5/2018
G4P3A0
AB 11,5
-
-
V
-
-
6
-
42
Sri wahyuni /M.Muso
32
RT 05
25/06/2017
02/04/2018
G2P1A0
O
-
-
V
V
-
2
-
-
41
03/01
05-05-2017
12-03-2018
G2 P1 A0
10
- USIA >35
-
RMH BIDAN ANC RUTIN
13-03-2018
11.2
BPS
Konsul SPOG
BPS
3/12/2018 3/25/2018
SUKOREJO 43
LILIK PURWATI N/ M. EKSAN
44
DESI WERDININGSIH
12 MG
- JRK ANAK>10
28
02/01
28-05-2017
05-03-2018
G2 P1 A0
2
-
-
RMH BIDAN ANC RUTIN
01-03-2018
27
24/06
06-07-2017
13-04-2018
G2 P1 A0
2
-
-
RMH BIDAN ANC RUTIN
21-03-2018
AKHMAD KARIS 45
CYNTHIA ZELMY P
NADIAR AJI 46
FAIZATUN NISA
24
26/06
27-05-2017
ANDIK INDRIANTO 47
LENI NOVIANTI
04-03-2017
NIMAS GALUH RORO IVAN ARIF
10
12 MG 34
33/08
06-06-2017
13-03-2018
FIFID SURYO HS 48
G2 P1 A0
- KEK
-
RMH BIDAN ANC RUTIN
03-03-2018
- JRK ANK<2TH G3 P0 A0
2
-
-
RMH BIDAN ANC RUTIN
08-03-2018
2
-
-
RMH BIDAN ANC RUTIN
19-03-2018
12 MG 22
32/08
12-06-2017
19-03-2018
G1 P0 A0 6-8 MG
19
Kepala UPTD Puskesmas Bojonegoro Dr. Bayu Linuwih NIP. 19690214 201001 1 001
PERSALINAN JENIS TEMPAT
BUFAS RISTI PENOL ( KASUS ) ONG
KET
BPM
Normal Bidan
Taa
By taa
BPM
Normal Bidan
taa
bayi taa
BPM
Normal Bidan
taa
bayi taa
BPM
Normal Bidan
taa
bayi taa
-
ibu & by taa
BPS
N
Bidan
BPS
N
BIDAN
RS
N
SPOG
PE
RS
N
SPOG
FASELATEN MEMANJANG
BPS
N
BIDAN
BPS
N
BIDAN
PKM
N
NIDAN
RS
N
SPOG
RS
N
SPOG
BPS
SPT BIDAN
-
BPS
SPT BIDAN
-
RS FATMA
SC DOKTER
IBU SEHAT BAYI ASFIKSIA
BPS
SPONTANBIDAN
IBU SEHAT BAYI SEHAT
RSUD
SPONTANBIDAN
IBU SEHAT BAYI SEHAT
POLINDES SPONTANBIDAN
IBU SEHAT
BAYI SEHAT RSUD
SPONTANBIDAN
IBU SEHAT BAYI SEHAT
RS
N DR SPOG
RS
N DR SPOG
RS
N DR SPOG
RS
N DR SPOG
BPS
N
BIDAN
RSA
N
dr. Ika
INDUKSI
-
DSOG
RSU
N
Bdn
Partus Prematurus
BPS
Normal Bidan
RS
Normal
BPS
Normal
RSF
SPT BIDAN
Anjar
RSU
SPT BIDAN
BPS
SPT BIDAN
BPS
SPT
BPS
NORMAL
BPS
NORMAL
BPS
NORMALBIDAN
BPS
NORMALBIDAN
RS
NORMAL DOKTER
BPS
NORMALBIDAN
BPM
SPONTANBIDAN
BPM
SPONTANBIDAN
PD
N
Bidan
-
BY + IBU SEHAT by+ibu sehat
BIDAN
-
-
RMH BIDAN NORMALBIDAN
-
-
RS FATMA NORMALDSOG
-
-
RMH BIDAN NORMALBIDAN
as Bojonegoro
-
-
RS
NORMALDSOG
-
-
RSA
NORMALDSOG
-
-
PUSKESMAS NO
NAMA IBU / SUAMI
G.. P....A..
DESA
UMUR
HPHT
TTP
UK
RT
LABORATORIUM GOL Hb gr Prot DA % Urin
BANJAREJO 1 Mei WulanEko Budiono 2 NovitasariAhmad Zaki 3 Any SafitriSunarto
33 BANJAREJO
27-6-2017
4-4-2018
G4P0A0
O 10,8
-
19-07-17
26-4-18
G1P0A0
B 11,6
-
11-7-2017
18-4-2018
G2P1A0
B 12,2
-
21-7-17
28-4-18
G2 P1A0
A 12,7
-
?
USG
10-7-17
17-4-18
G1P0A0
9-7-17
16-4-18
G3 P1 A1
O 11,4
-
28-6-17
,5-4-17
G2 P1AO
A 10'5
-
15-7-2017
22-4-18
G3P2A0
O
9,5
-
25 CAMPUREJO RT6
1/6/17
8/3/18
G2P1A0
AB 11,4
-
23 CAMPUREJO11
6/21/2017
3/28/2018
G1P0A0
A 13,6
-
27 CAMPUREJO RT 16 23/6/17
30/3/18
G1P0A0
AB
-
26 CAMPUREJO RT 8 1/7/2017
8/4/2018
G1P0A0
0
32 CAMPUREJO RT 6 17/6/17
24/3/18
G2P1A0
B 11,5 _
6/1 23 BANJAREJO 1/1 24 BANJAREJO 9/2
4 Lia -
26 BANJAREJO
Adi
14/02
5 Sri UtamiDwi Ahmad 6 Endang Budianto 7 Kiki A Fathur R 8 Ririn Atrianawati Ahmad Purnomo
40 BANJAREJO 19/3 34 BANJAREJO 21/03 24 BANJAREJO 20/03 32 Banjarejo 22/2
CAMPUREJO 9 LILIK WASIATUL AGUNG 10 LINA WULANDARI ARKHAM F. 11 ISA YUNITA NOVAN 12 AYU NURUL
11
-
EDI 13 SRI ASIH MUSLIH
KADIPATEN 14 YULIANA KRISTIAWATI
26 RT 7/2
17-72017
24-04-2018
G1P0A0
O
12
_
DIDIK PURWANTO KALIREJO 15 MARINDA SRI R / DEDI IRAWAN
20 th KALIREJO RT 11/ R 23/07/2017
30/04/2018
G1 P0A0
O 11.5
16 DWI SULISTYOWATI / IRAWAN
25 th KALIREJO RT 08 / R 18/07/2017
25/04/2018
G2 P1A0
O 11.2
17 DEWI FITRIANI / HERU
25 th Kalirejo rt 03 / rw 0 12/07/2017
19/04/2018
G2 P1A0
O
12
KARANGPACAR 18 SATENI/MATNIN
24 KR PACAR RT 2/1
8/1/2017
5/8/2018
G1P0A0
O
11
_
19 ANGEL/DERY
28 KR PACAR RT 4/1
7/15/2017
4/22/2018
G1P0A0
A
12
_
20 SALOM/BRIAN
27 KR PACAR RT 3/1/ 7/20/2017
4/27/2018
G1P0A0
O 11.6 _
21 DYAH AYU/ ROHKIM
22 KR PACAR 1/1
4/19/2018
G1P0A0
O
12
_
22 YULI DEVITA 23 SUTARSIH/KUSUMA HADI
27 KR PACAR 10/2 7/9/2017 38 KR PACAR RT19/03 7/8/2017
4/16/2018 4/15/2017
G2P1A0 G2P1A0
O O
11 11
_ _
MOJOKAMPUNG 24 Sri Wahyuni / Novan
26 RT. 01 RW. 01
24/07/2017
01/04/2018
G1P0A0
O 11.8 -
25 Latifah Yuni Nur / M. Ni'am
27 RT. 03 RW. 01
06/08/2017
12/04/2018
G1P0A0
O 11.8 -
26 Dwi Indah Febrianti / Yoyok Dwi
25 RT. 09 RW. 02
16/07/2017
23/04/2018
G1P0A0
O
27 Umi Aisyah / Tomi
30 RT. 08 RW. 02
/07/2017
/04/2018
G2P1A0
O 11.8 -
8/12/2017
5/19/2018
g3p2a0
11 neg
35 rt 17
7/21/2017
4/28/2018
g2p1a0
neg
30 FYOLA NOVALISTA/ EKO P
23 RT2
19/06/2017
26/03/2018
G1P0A0
O 11.3 0
31 FIATA FIDINI/KHOIRUL A
28 RT19
28-6-17
30-3-18
G2P1A0
O 12,6 0
32 DEVI MAULANA/ AGUS G
30 RT 19
07/01/2017
04/08/2018
G3P2A0
0 11.6 0
7/12/2017
KEPATIHAN NIHIL
MULYOAGUNG 28 neti
rt 2
12
-
edi purwanto 29 suntari abd salam
NGROWO
33 NURUL HANDAYANI/TRISNO
32 RT 19
34 SULISTYOWATI/AGUS P
34 RT 9
35 SULIKAH/ WARSO EDI 36 RETNO/ADI EKO
34 RT16
10/16/2017 226-7-17
7/23/2018 05/03/2018
G3P1A1
O 13,3 0
G3P2A0
B
G4P2A1
O 11,5
-
G3P2A0 G2P1A0
O 12,5 O 11,7
-
-
12
-
37 LELI /ENDIK
33 RT 14 29 RT 12
SEMANDING 38 Endang/Aidin
23 RT 03
03/07/2017
10/04/2018
G1P0AO
O
39 SiswiJarti/ Suprapto
26 RT 04
07/07/2017
14/04/2018
G1P0AO
O 11.4 -
40 Arin / Roni
35
3 05/05/2017
12/02/2018
G3P2A0
O
SUKOREJO 41 SUMARSIH
24 03/01
13-07-2017
20-04-2018
G3 P1 A1
ROHMAD HUSIAN 42 TYAS ADINDA SARI
12 12
-
-
4-6 MG 23 01/01
06-07-2017
13-04-2018
G1 P1 A0
30 25/06
01-07-2017
08-04-2018
G1 P0 A0
25 36/07
07-07-2017
14-04-2018
G1 P0 A0
EKA FEBRIANSYAH 43 SHOFI NUR A TRI HADI 44 AYU MIRAWATI CHANDRA ADE 45 ANINDYA RIZKY
4-6 MG 28 27/07
-07-2017
-04-2018
G1 P0 A0
32 27/07
08-06-2017
15-03-2018
G2 P1 A0
31 11/03
30-06-2017
07-04-2018
G3 P2 A0
SEPTIAN 46 INDAH FATMAWATI ABDULLAH 47 NAFIA HARTIYANA MASDUKI 48 DIAN ANISSA
8-10 MG 27 12/04
16-07-2017
23-04-2018
G1 P0 A0
24 08/03
03-08-2017
10-05-2018
G1 P0 A0
AGUS CATUR H 49 SUCI INDAH S HARIYANTO 50 RULIN FAJAR IDA
12 MG 35 10/03
-08-2017
TEGUH HERI W 51 MELISA HANDAYANI
-05-2018 12 MG
28 16/04
15-07-2017
22-04-2018
M. ISMAIL 52 LISTIANA
G4 P3 A0
G1 P0 A0 6-8 MG
38 15/04
20-05-2017
27-02-2018
G3 P2 A0
O 11.5 (-)
WAHYU TRI W 53 NINIK SETYANI
35-36 Mg 29 34/08
25-06-2017
02-05-2018
G1 P0 A0
24 38/06
18-07-2017
25-04-2018
G1 P0 A0
28 17/08
11-08-2017
18-05-2018
G2 P1 A0
MUKHIBBUDIN 54 SASTRAWATI S M. ALIF ROMADHON 55 NORMA BUDI
16 MG
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : APRIL 2018
ORATORIUM GDA
PPIA Tawar Test
Hasil
SCOR
FAKTOR RESIKO /
(+)/(-)
98
+
+
-
KOMPLIKASI
10 Anemia,Grande
PENYAKIT
RENCANA
PENANGAN /
PENYERTA
TEMPAT
KOLABORASI
SAAT INI
BERSALIN
DOKTER / dr.Spesialis
PKM
D0kter Puskesmas
PERSAL TANGGAL
6-4-18
Konsul DSOG 96
+
+
-
6
lila 21,3
BPM
Dokter Puskesmas
24-4 -18
Konsul DSOG 86
+
+
-
2
BPS
DOKTER PUSKESMAS
15-4-18
86
+
+
-
2
BPS
DOKTER PUSKESMAS
25-4-18
14 usia, jarak anak 12 th'
RS
Dr. Puskesmas
13-4-18
DSOG
TB 143 cm 97
+
+
-
10 jarak anak 1 th,
PKM
riwayat abortus 106
+
+
-
14 riwayat abortus,anemia 6
anemia
17-4-18
Konsul DSOG RS
Dr. Puskesmas
8-4-18
BPM
Konsul DSOG Dokter Puskesmas
20-4-18
28/3/18
jarak kehamilan < 2th -
Dr. Puskesmas
92
+
+
80
V
V
2
BPS
DR.PKM
92
V
V
2
BPS
DR.PKM
3/4/2018
80
V
V
10 KEK,PERNAH ABORTUS
RS
DR.PKM
7/4/2018
85
V
V
2
RS
SPOG
6/4/2018
80
V
V
2
RS
DR. SPESIALIS
26/3/18
_
V
_
_
2
_
BPS
ANCRUTIN
20-42018
6
Tinggi Badan 142 cm
RSUD
4/26/2018
2
BPM
4/28/2018
10 LETSU
RS
4/16/2018
BPS
DR SPOG
2/24/2018
_
V
V
_
6
KEK
_
V
V
_
2
RS
DR SPOG
4/10/2018
_
V
V
_
2
RS
DR SPOG
4/14/2018
_
V
V
_
2
BPS
BIDAN
_ _
V V
V V
_ _
2 6
USIA >35 THN
BPS PD
BIDAN DR SPOG
-
-
-
-
2
-
-
BPS
Kontrol rutin
-
-
-
-
2
-
-
BPS
Kontrol rutin
-
-
-
-
2
-
-
BPS
Kontrol rutin
21/04/2018
-
-
-
-
2
-
-
BPS
Kontrol rutin
19/04/2018
neg
v
HT
RS
14 umur > 35th
4/1/2018 4/2/2018 4/19/2018
05/04/2018 10/04/018
4/23/2018
jarak anak >10 th neg
v
2
4/25/2018
-
V
-
-
2
PD/BPS
DOKTER PUSKESMAS
31/03/2018
-
V
-
-
2
PD/BPS
DOKTER PUSKESMAS
23/03/2018
-
V
-
-
2
PD/BPS
DOKTER PUSKESMAS
22/03/2018
-
V
-
-
18 R.SC,R.ABORTUS,HT
PD/BPS
-
V
-
-
2
BPS
-
V
-
-
10 R. ABORTUS,
PD/BPS
DOKTER PUSKESMAS
4/20/2018
-
V
-
-
PD/BPS
DOKTER PUSKESMAS
-
V
-
-
2 2
PD/BPS
DOKTER PUSKESMAS
4/18/2018 4/6/2018
-
V
V
-
2
-
-
BPS
3/4/2018
-
V
V
-
2
-
-
BPS
12/4/2018
-
V
V
-
2
-
-
PKM
-
28/4/2018
6
- RIWAYAT AB
-
RMH BIDAN
ANC RUTIN
19-04-2018
2
-
-
RMH BIDAN
ANC RUTIN
18-04-2018
2
-
-
RMH BIDAN
ANC RUTIN
08-04-2018
2
-
-
RMH BIDAN
ANC RUTIN
09-04-2018
2
-
-
BPS
ANC RUTIN
14-04-2018
6
- JRK ANK>10
-
RMH BIDAN
ANC RUTIN
03-04-2018
6
- JRK ANK<2 TH
-
RMH BIDAN
ANC RUTIN
18-04-2018
2
-
-
RS
ANC RUTIN
27-04-2017
6
- KEK
-
RMH BIDAN
ANC RUTIN
16-04-2018
- HT
RS
ANC RUTIN
05-04-2018
(-)
22 - BEKAS SC - HT
DOKTER PUSKESMAS
17/04/2018 4/2/2018
KONSUL DSOG
- JRK ANK<2TH 2
-
10 - USIA>35
-
RMH BIDAN
ANC RUTIN
24-04-2018
-
BPM
ANC RUTIN
30-03-2018
- JRK>2 Th 2
-
-
RMH BIDAN
ANC RUTIN
06-04-2018
2
-
-
RMH BIDAN
ANC RUTIN
27-04-2018
2
-
-
BPM
ANC RUTIN
23-03-2018
19
Mengetahui Kepala Puskesmas Bojonegoro
Dr. Bayu Linuwih NIP. 19690214 201001 1 001
PERSALINAN JENIS
TEMPAT
BUFAS RISTI ( KASUS )
PENOLONG
KET
RSIS
induksi
dokter
post date
by asfiksia
BPM
Normal
Bidan
Taa
By taa
BPM
Normal
Bidan
taa
bayi taa
BPM
Normal
Bidan
taa
bayi taa
RSUD
Normal
Bidan
-
Ibu taa by asfiksia
BPS
N
Bidan
-
ibu & by taa
BPS
N
Bidan
-
ibu & by taa
BPS
N
Bidan
-
ibu & by taa
BPS
N
BIDAN
BPS
N
BIDAN
RS
N
SPOG
RS
N
SPOG
BPS
N
BPS
SPT
BIDAN
RSUD
SPONTAN BIDAN
-
IBU SEHAT BAYI ASFIKSIA
BPM
SPONTAN BIDAN
RS FATMSC
IBU SEHAT BAYI SEHAT
DOKTER
IBU SEHAT BAYI SEHAT
BPS
N
BIDAN
RS
N
DR SPOG
RS
N
DR SPOG
RS
N
DR SPOG
BPS BPS
N N
BIDAN BIDAN
BPS
Normal
Bidan
BPS
Normal
Bidan
BPS
Normal
Bidan
BPS
Normal
Bidan
rs
spt
spog
bps
spt
bidan
RSUD
INDUKSI
BIDAN
RS.F
NORMAL
BIDAN
RS.A
SC
DR
POST DATE
RS.F
SC
DR
PEB
BPS
BIDAN
RSUD
NORMAL
BIDAN
PEB
BPS BPS
NURMAL
BIDAN
NORMAL
BIDAN
BPM
SPONTAN BIDAN
BPM
SPONTAN BIDAN SPONTAN BIDAN
PKM
-
BY + IBU SEHAT by+ibu sehat BY + IBU SEHAT
RMH BI NORMAL
BIDAN
-
-
RS FATMINDUKSI
DSOG
-
-
RS FATMINDUKSI
DSOG
-
-
RMH BI NORMAL
BIDAN
-
-
PMB
NORMAL
BIDAN
-
-
RSU
INDUKSI
BIDAN
-
POSTDATE
RMH BI NORMAL
BIDAN
-
-
RSU
DSOG
-
-
RMH BI NORMAL
BIDAN
-
-
RSU
NORMAL
BIDAN
-
-
RSU
SC
DSOG
-
PARTUS LAMA
PMB
NORMAL
BIDAN
-
-
SC
RMH BI NORMAL
BIDAN
-
-
RMH BI NORMAL
BIDAN
-
-
RS FATMSC
DSOG
-
-
PUSKESMAS NO NAMA IBU / SUAMI UMUR
G.. P....A..
DESA
HPHT
TTP
UK
RT 1 2 3 4 5
BANJAREJO VikaLuki Ari Dwi R M. Arifin Dwi Andini Vicky Marina SuciTono Rosta-Ahmad Toha
30 31 18 25 27
CAMPUREJO 6 ANIZ ZULAIKAH 38 CUCUCK HARIANTO
BANJAREJO 16/03 BANJAREJO 18/03 BANJAREJO 20/3 BANJAREJO 5/1 BANJAREJO 1/1
6-8-17
13-5-17
G2 P1AO
23-7-17
30-4-18
G2 P1AO
15-8-18
22-5-18
G1P0A0
26-7-17
3-5-18
G1P0A0
18-8-2017
15-5-2018
G2P1A0
CAMPUREJO RT 422/7/17
29/4/18
G3P2A0
7 FONITA EKO IRAWAN
29
CAMPUREJO RT 126/8/17
3/6/18
G3P2A0
8 REZI TRI AJI
23
CAMPUREJO RT 316/8/17
23/5/18
G1P0A0
9 FITRI NURDIANA DIMAS
21
CAMPUREJO 24 8/8/17 85806125151
15/5/18
G1P0A0
10 WIDAYATI SUGIANTO
32
CAMPUREJO RT 213/8/17
20/5/18
G2P1A0
11 NILA DWI R NGATIMIN
22
CAMPUREJO RT 4/16/8/17
23/5/18
G1P0A0
12 SITI MAHMUDAH JUMINTONO
33
CAMPUREJO RT 126/8/17
3/6/18
G2P1A0
13 SANIT YASA HENDRI ADI
27
CAMPUREJO RT 15 7/8/17' 812160234
14/5/18'
G2P1A0
KADIPATEN
14 ARI DWI SUSANTI
30
RT 12/RW 3
8/17/2017
5/24/2018
G2P1A0
26 th KALIREJO RT 02 /13-9-2017
20-6-2018
G2 P1 A0
DANANG KALIREJO 15 NINIK / ALFAN
16 ANITA APRILIA SARI 26 th Kalirejo rt 04 / rw 0 20/07/2017 Pindahan dari mulyoagung
27/04/2018 G1 P0A0
17 IIN RETNO ZUHRO I 29 th Kalirejo rt 06 / rw 0 9/20/2017
6/27/2018
G2 P1A0
18 LASIANA/ IMAM ARIF 27
5/14/2018
G2 P1A1
KALIREJO RT 03 / 8/7/2017
19 MUNTIYAH / M.JON 22 th Kalirejo rt 09 / rw 0 01/09/2017
08/06/2018 G1 P0A0
KARANGPACAR DINA 20 MAGFIROH/KHUSN UL
3/30/2018
G2P1A0
28
KRPACAR RT14/2 6/23/2017 KR PACAR RT 12/2 8/12/2017
5/19/2018
G2P1A0
38 32
KR PACAR 14/2 KR PACAR 10/2
13/8/2017 3/7/2017
20/5/2018 4/14/2018
G1P0A0 G4P3A0
23
KRPACAR RT 23/3/
6/16/2017
3/23/2018
G1A0P0
27
KRPACAR RT 16/3
8/20/2017
5/27/2018
G1A0P0
21
KR PACAR 21/3
9/22/2017
6/29/2018
G1P0A0
27
Jl. Pangsud Gg. Telpon RT 8 /02
22-8-17
29-5-18
G1 P0 A0
20
RT 12 / 02
?
? - 5 - 18
G1 P0 A0
21
FINA/SANDI
22 RIKA AMBARWATI/ M.EFFENDI 23 ULIYA DINA 24 SEPTIANASARI/ARI F SUBAGIO 25 MELISA/STEVE SITI MUAWANAH/MISBA 26 HUL H KEPATIHAN 27 Elfira Hernaningtyas
39
Iwan Surya Aanggara 28 Karmelia susilowati ?
29
MOJOKAMPUNG Eka Diah N / Ika Narti Hidayati / Ali Sobirin Martiah/M.Yahya Lilik Oktavia / M. Efendi Karmini / Solikin MULYOAGUNG lika indartiana bayu marlina guntur yusnita mustakim tutik suparno jami"ah siman nur fatimah s nur ahmad dewi lestari
32
RT. 03 RW. 01
/07/2017
04/2018
G2P1A0
26
RT. 13 RW. 01
/07/2017
04/2018
G1P1A0
44
RT 13/01
?{lupa}
26
RT. 02 RW. 01
/08/2017
05/2018
32
RT.12 RW.02
06/09/2017
13/06/2018 G2P1A0
2
8/10/2017
5/17/2018
g1p0a0
2
7/1/2017
4/8/2018
g2p1a0
5
6/17/2017
9/10/2017
gip0a0
rt 8
8/15/2017
5/22/2018
g2p1a0
2
7/10/2017
4/17/2018
g4p1a2
27
rt 13
8/3/2017
5/10/2018
g1p0a0
26
rt 10
8/13/2017
5/20/2018
g2p1a0
NGROWO 41 LIDIA DESITA/AGUN 28
RT 8
10/10/2017
17/07/2018 G2P1AO
42 LUNGIT/ TAUFIK
39
RT 13
LUPA
43 YENI PURWATI
35
RT 14
20/07/2017
27/04/2018 G2P1A0
RT 06 RT 04/01
07/07/2017 1/7/2017
14/04/2018 G2P1A0 8/4/2018 G3P2A0
29
35/07
23-07-2017
30-04-2018 G2 P1 A0
47 WAHYU ADITYA P AGUM GUMELAR
17
29/07
06-11-2017
13-08-2018 G2 P1 A0
48 IKA NANT NUR H ALI SHOBIRIN
26
25/06
29-07-2017
06-05-2018 G1 P0 A0
49 YESI WIDAYANTI
37
12/04
22-08-2017
29-05-2018 G2 P1 A0
30 31 32 33 34 35 36 37 38 39 40
30
SEMANDING 44 Listina/slamet 32 45 Erni Dwi / Eko Widod 27 SUKOREJO 46 FEBRIANI NUR TRI DWI YAMERDI
G3P2A0 G2P1A0
G6P5A0
GUNARDI
50 WIWIN RAHAYU ABDUL HAKIM
27
08/03
-09-2017
-06-2018 G2 P1 A0
51 NANIK WIDAYANTI NUR YASIN
36
08/03
-08-2017
-05-2018 G7 P4 A2
52 SAWITRIANI YAHYA
32
16/04
13-08-2017
20-05-2018 G4 P2 A1 19-20 Mg
53 INDAH KUMALA S BAGUS SUBAGYO
26
19/05
03-08-2017
10-05-2018 G1 P0 A0
54 RIA SEPTIANI SYAFRUDIN A
27
18/08
04-08-2017
11-05-2018 G2 P1 A0 6-8 MG
55 MUDRIKA AGUS NAVIUDIN
30
17/08
13-10-2017
20-07-2018 G2 P1 A0
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : MEI 2018 LABORATORIUM GOL Hb gr DA %
PPIA
Prot GDA Urin
Tawar Test
Hasil
FAKTOR RESIKO / SCOR
(+)/(-)
KOMPLIKASI
O
10'5
-
88
+
+
-
6
anemia
A
9,8
-
96
+
+
-
10
B
10.8
-
92
+
+
-
10
jarak anak > 10 tahun, anemia usia < 20th, anemia
O
12,2
-
89
+
+
-
6
B
11,8
-
84
+
+
-
2
10,9
-
O
11,7
_
81
V
AB
12,4
-
124
V
B
10
-
108
V
V
6
ANEMIA, KEK
A
11
-
94
V
V
10
RIWAYAT SC
AB
11,5
-
82
V
V
10
LILA 23,5 CM, TB 144CM
A
15
-
100
V
V
10
RIWAYAT SC
O
11,2
-
82
V
V
14
RIWAYAT SC,JARAK ANAK <2TH
V
18
V
lila 23 cm
UMUR>35,JARAK ANAK >10TH,ANEMIA RINGAN 15/2/18 TD NAIK 130/90
2
2
AB
12
-
-
√
-
-
2
-
B
12.5
2
A
13.2
2
AB
12.5
2
B
11.2
6
RIWAYAT ABORTUS
AB
12.5
2 10
PE (1-5-2018)
USIA > 35
A
11
_
_
V
V
_
6
O
11.8
_
_
V
V
_
2
O O
11 11
_ _
_ _
V V
V V
_ _
6 10
B
11.6
_
_
V
V
_
2
O
12.2
_
_
V
V
_
2
A
11
_
_
V
V
_
2
B
13,2
(-)
104
v
v
(-)
2 10
PE (21-5-18)
2+
KEK MBA
USIA > 35 GRANDE MULTI, JARAK HAMIL <2TH
A
12
-
-
-
-
-
2
O
12
-
-
-
-
-
2
B
13.3
A
12
-
-
-
-
O
12.2
-
-
-
-
-
10
usia,riwayat PE
-
2
-
-
2
neg
v
2
11
neg
v
2
a
11.6
neg
v
2
a
11
neg
v
6
jarak anak 11th
v
10
grande multi, umur > 35
neg
neg o
11
neg
neg
v
2
o
12
neg
neg
v
2
O
11
-
-
V
-
-
6
JARAK ANAK 11 BLN
O
9.9
-
-
V
-
-
18
B
11,7
-
-
V
-
-
6
USIA,GRANDE, JARAK ANAK,HB USIA
AB O
11 11,7
-
-
V V
V -
-
6 2
-
6
JRK ANK<2 TH
10
- USIA < 20 - KEK
2
18
-
- USIA>35
- JRK ANK>10 - RWYT SC 14
- ASMA - RWYT SC
14 18
- USIA>35 - GRANDE - RWYT AB - LET-SU
14
- RWYT AB - GRANDE - JRK<2 Th
2
-
2
-
2
-
PENYAKIT RENCANA
PENANGAN /
PENYERTA TEMPAT
KOLABORASI
SAAT INI BERSALIN DOKTER / dr.Spesialis
PERSALINAN JENIS TANGGAL
TEMPAT
PENOLO NG
BPS
Dr. Puskesmas
15-5-2018
BPS
Normal
Bidan
RS
Dr. Puskesmas
3-5-2018
BPS
Normal
Bidan
RS
Dr. Puskesmas 23-5-18 Konsul DSOG Dokter Puskesmas, kosul 3-5-18 DSOG Dokter Puskesmas
RS Fatma
Induksi
Dokter
BPM
Normal
Bidan
BPM
Normal
Bidan
DR.SPOG
28/4/18
BPS
N
BIDAN
RS
DR.SESIALIS
15/5/18
BPS
N
BIDAN
BPS
DR.PKM
9/5/2018
RS
SC
SPOG
BPS
Dr. PKM
30/4/18
RS
SC
S[POG
RS
DR.PKM
14/5/18
RS
SC
SPOG
RS
Dr. PKM
23/5/18
rs
sc
spog
RS
DR.PKM
15/5/18
rs
sc
spog
RS
Dr.PKM
14/5/18
rs
sc
spog
PKM BPM
H,ANEMIA RINGANRS
-
BPS
ANC RUTIN
20-May
BPS
SPT
BIDAN
2018
POLINDES dr PKM
IL <2TH
4/29/2018
POLINDES
SPONTANBIDAN
RS
dr PKM
5/2/2018
RS FATMA SC
DOKTER
PKM
dr PKM
5/13/2018
PKM
POLINDES dr PKM
5/16/2018
POLINDES SPONTANBIDAN
RSUD
5/17/2018
RSUD
SPONTANBIDAN
SPONTANBIDAN
BPS
DRSPOG
5/1/2018
BPS
N
BIDAN
RS
DRSPOG
5/20/2018
BPS
N
BIDAN
BPS RS
DR SPOG DR SPOG
5/18/2018 5/10/2018
RS RS
SC N
DR SPOG BIDAN
BPS
DRSPOG
5/10/2015
RS
N
DR SOG
RS
DRSPOG
5/28/2018
RS
N
DR SPOG
5/7/2018
RS
N
DR SOPOG
5/22/2018
RSU
N
Bdn
5/20/2018
PKM
N
Bdn
-
BPM PKM
-
PKM
dr. Askan
-
BPS
Kontrol rutin
06/05/2018
BPS
Normal
Bidan
-
BPS
Kontrol rutin
25/05/2018
BPS
Normal
Bidan
RSU
kontrol rutin
24/05/2018
RSUD
Normal
Bidan
BPS
Kontrol rutin
11/05/2018
BPS
Normal
Bidan
Kontrol rutin
/05/2018
RSUD
Normal
Dokter
-
rs
12-May
rsf
spt
bps
5/5/2018
bps
spt
bps
4/30/2018
bps
spt
polindes
5/18/2018
pkm
spt
pkm
4/30/2018
pkm
spt
bidan
bps
5/2/2018
bps
spt
bidan
rs
5/23/2018
rs
spt
bidan
BPS
12/5/2018
BPS
NORMAL BIDAN
PD/BPS
DOKTER PUSKESMAS 15-5-18
RSUD
NORMAL BIDAN
PD/BPS
DOKTER PUSKESMAS 27-4-18
RSF
SC
-
BPS BPS
Konsul Dr SPOG kontrol rutin
6/5/2018 10/5/2018
RSUD BPM
SPONTANBIDAN SPONTANBIDAN
-
RMH BIDAN ANC RUTIN
29-04-2018
RMH BIDANNORMAL BIDAN
-
RS
ANC RUTIN
11-05-2018
RSU
-
RMH BIDAN ANC RUTIN
24-05-2018
RS FATMA NORMAL DSOG
-
RS
16-05-2018
RS IBNU SI SC
ANC RUTIN
DOKTER
NORMAL BIDAN
DSOG
ASMA
RS
ANC RUTIN
10-05-2018
RSUD
NORMAL BIDAN
-
RS
ANC RUTIN
07-05-2018
RSUD
SC
-
RS
ANC RUTIN
05-05-2018
RMH BIDANNORMAL BIDAN
-
RMH BIDAN ANC RUTIN
14-05-2018
RMH BIDANNORMAL BIDAN
-
RMH BIDAN ANV RUTIN
14-05-2018
RMH BIDANNORMAL BIDAN
-
BPM
23-08-2018
RSA
ANC RUTIN
DSOG
NORMAL DSOG
BUFAS RISTI ( KASUS )
KET
-
Ibu taa by taa Ibu taa by taa partus tak maju ibu taa by asfiksia Taa By taa Taa
By taa
KPD
pe
-
IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT BAYI SEHAT
R SPOG
PE INDUKSI FASE AKTIF MEMAMNJAN G
R SPOG
R SOPOG PE
-
Pd
IUFD
LETSU
> 10 TH
-
-
-
PREMATUR
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
PUSKESMAS NO NAMA IBU / SUAMI
DESA
UMUR
G.. P....A.. HPHT
TTP
UK
L GOL DA
RT
1
BANJAREJO Anita WahyuniAfif Sulistiyarini Agus Harsono Putri DeviDedy Maslikah Sujatmiko Heni Nur Zaenal IstitoahRiko
BANJAREJO 6/1 BANJAREJO 3/1 Banjarejo 12/2 BANJAREJO 14/02 BANJAREJO 22/03 BANJAREJO 16/3
12-9-2017
20
8 ANIK SIFAUL 9 SITI IFADATUL EDI SUTRISNO
2 3
22 38
10- 6-18
G1P0A0
B
G3 P2 A0
AB
15-9-17
,22-6-18
21-8-17
28-5-18
G2 P1A0
6-9-176
13-6-18
G2 P1AO
O
20-9-17
27-6-18
G3P1A1
B
CAMPUREJO 5
13/9/17
20/6/18
G1P0A0
B
26
CAMPUREJO RT 5
10/9/17
17/6/18
G2P1A0
O
26
CAMPUREJO RT4
6/9/17
13/6/18
G1P0A0
B
10 IRMAYANTI M.NUR K.
20
CAMPUREJO RT 12 23/8/17
30/5/18
G1P0A0
0
11 KISWATI N.ALIMAN
35
CAMPUREJO RT 26 25/8/17
2/6/18
G7P5A1
B
12 HELNA P ILHAM
25
CAMPUREJO RT 7
10/9/17
17/6/18
G2P1A0
O
13 DWI LAILATUL PURNOMO
27
RT 2/1
9/13/2017
6/20/2018
GIIPIA0
A
14 AMALIA / JEFRI
28
RT 7/2
9/14/2017
6/23/2018
GIP0A0
A
4 5 6
CAMPUREJO 7 EKA DEFI SUGIHARTO
25
3- 9-17
19-6-2018
28 32 25
G2P1A0
A
KADIPATEN
15 HAYATI / REZKY
24
RT 8/2
8/30/2017
6/8/2018
GIIPIA0
A
16 EVA ASIH RAMA
32
RT 9/2
9/8/2017
6/7/2018
GIP0A0
A
17 LISA ULFAIDA YUDI
33
RT 12/3
8/29/2017
6/7/2018
GIIPIA0
AB
18 FARIDA / ARI H
23
RT 11 / 3
8/27/2017
6/5/2018
GIIPIA0
AB
19 LIA / HAMBALI
33
RT 1/1
8/25/2017
6/2/2018
G3P1A1
AB
20 FARIDA
28
RT 3/1
9/15/2017
6/25/2018
GIP0A0
AB
21 NURANI / ANTON
35
RT 14/3
9/9/2017
6/18/2018
G3P2A0
AB
KALIREJO 22 DESI RESITA / NUR HUDA
23 th KALIREJO RT 04 / RW42975.00
04/05/2018
23 NGATEMI / SUJIRAN
36 th Kalirejo rt 14 / rw 02 9/18/2017
6/25/2018
G2 P1 A0
A
24 MAYA / MAHMUD
29 th
7/5/2018
G3 P1A1
O
25 SUCIATIK / SUKAMTO
28 th Kalirejo rt 10 / rw 02 05/09/2017
12/06/2018
G2 P1A0
O
26 PUTRI ANDRIYANI / SEPTI
17 th Kalirejo rt 13 / rw 02 ?
?
G1 P0A0
Kalirejo rt 02/ rw 01 10/28/2017
G1 P0 A0
A
KARANGPACAR 30
KR PACAR RT 07/01 8/20/2017
5/27/2018
G2P1A0
A
PUTRI 28 MERDEKA/SUPRIYANTO
31
KRPACAR 9/1
9/20/2017
6/27/2018
G2P1A0
AB
RETA WIDYASTUTI/ 29 M.ABDUL AZIS 30 FITRIA/EDI
23 33
KRPACAR 2/1 RT 09/2
14/9/2017 8/29/2017
21/6/2018 6/6/2018
G1P0A0 G3P1A0
O O
31 ARIEK/ARIF
31
KRPACAR RT 11/2
7/29/2017
5/5/2018
G1P0A0
O
ERVINA KUMALASARI/EKO 32 WAHYUDI
30
KARANG PACAR RT20/03
G4P3A0
A
33 YULIA/FAUZAN ANWAR
31
KRPACAR RT 22/3
G2P1A0
O
27
CITRA/AHMAD
9/12/2017 9/10/2017
6/19/2018 6/17/2018
KEPATIHAN 34 Asih Saraswati
24
RT 10 / 02
8/26/2017
6/2/2018
G2 P1 A0
35 Meinita / Novan
31
RT. 04 RW. 01
?
31/05/2018 (USG)
G2P0A1
A
Agustin / Joko 36 Triana Prihatin
36
RT. 01 RW. 01
/09/2017
/06/2018
G3P2A0
O
37 Shintia/Agus 38 Samini wahyu / Aji S. MULYOAGUNG 39 Arum dwi yudiono 40 pina m dzikron 41 fitri k 42 mahlumatul h tatag 43 holifatul rudi 44 wiwik chrisma 45 raya lantik 46 sumarni budi santoso 47 rostini suprapto
26 35
RT 08/02 RT.12 RW.02
10/09/2017 01/09/2017
17/06/2018 08/06/2018
G1P0A0 G1P0A0
O A
2
8/20/2017
5/27/2018
g2p1a0
o
22 26 20
rt 9 rt11
8/24/2017 9/7/2017 9/13/2017
6/1/2018 6/14/2018 6/20/2018
g1p0a0 g2p1a0 g1p0a0
o o o
24
10
8/28/2017
6/5/2017
g1p0a0
12
9/1/2017
6/8/2018
g2p1a0
11
M Zaeni MOJOKAMPUNG
25 27
rt 17
9/1/2017
6/8/2018
g2p1a0
o
32
rt 17
9/20/2017
6/27/2018
g2p1a0
a
34
rt16
10/20/2017
7/27/2018
G4P2A1
o
NGROWO 48 HEPPY AYU/SEPTIAN FEBY
17
RT 2
10/10/2017
17/07/2018
49 SARI/EKO WAHYUDI
36
RT 12
50 SUMIATUN/WARAS
38
RT 14
09/08/2017
15-6-18
G4P3A0
O
51 FITRIANI/ DEDI IRAWAN
28
RT 17
8/25/2017
6/4/2018
G2P1A0
O
35
07/02
17-09-2017
24-06-2018
G2 P1 A0
34
03/01
20-09-2017
27-06-2018
G1 P1 A0
SEMANDING NIHIL SUKOREJO 52 RAHMATINA ABDUL HANAN 53 KISWATI AHMAD SYAIFUL R.
G1P0A0
B
G4P3A0
O
54 IKA LAILATUS MUCHOIRUL HUDA
29
03/01
22-09-2017
29-06-2018
G1 P0 A0
55 SUCI NURLAILI MANSYUR
26
03/01
28-09-2017
05-07-2018
G1 P0 A0 6-7 Mg
56 ENDANG L SUKARDI
28
31/06
-08-2017
-05-2018
G4 P2 A1
57 SITI IKA WAHYUNI YULI PURNOMO
31
23/06
24-09-2017
01-07-2018
G2 P1 A0
58 MELISA KUMALASARI ADI SETIAWAN
25
29/07
03-09-2017
10-06-2018
G1 P0 A0 20-21 Mg
59 DEWI INDRA SARI
26
08/03
25-08-2017
02-06-2018
G1 P0 A0
B
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : JUNI 2018 LABORATORIUM Hb gr%
Prot Urin
PPIA GDA
Tawar
Test
PENYAKIT Hasil
SCOR
FAKTOR RESIKO /
(+)/(-)
KOMPLIKASI
11,1
-
94
+
+
-
6
10,2
-
107
+
+
-
18
11,6
-
92
+
+
-
6
PENYERTA SAAT INI
lila 21,1 usia,jarak anak > 10 th astma,anemia Jarak anak < 2 th
2 11,2
-
86
+
+
-
2
13,9
-
70
+
+
-
10
Abortus, jarak anak
15,6
-
95
V
V
2 6
PE,TGL 5/5 /2018
11,5
_
80
V
V
10
RIWAYAT SC
10,4
-
97
V
V
6
ANEMIA
13
-
80
V
V
2
11,3
-
81
V
V
18 22
RIWAYAT ASMA,GRANDE MASMA PE,5/5/18
12
-
82
V
V
6
TB TULANG
12
-
-
√
-
-
2
-
-
12
-
-
V
-
-
2
-
-
12
-
-
V
-
-
2
-
-
12
-
-
V
-
-
2
-
-
12
-
-
√
-
-
2
-
-
12
-
-
√
-
-
2
-
-
12
-
-
√
-
-
2
-
-
12
-
-
√
-
-
2
-
-
12
-
-
√
-
-
2
-
-
6
LILA 22 cm
13.3
13.8
10.3
-
-
V
V
V
V
10 USIA TERLALU TUA, JARAK ANAK
-
11.2
6
Riwayat Abortus
2
6
12
_
_
V
V
_
2
11
_
_
V
V
_
14
TB <145,JARAK ANAK <2TH,LILA 22,3
12 12
_ _
_ _
V V
V V
_ _
6 10
PENYAKIT PENYERTA (MIN 12) RIWYAT MOLA
12
_
_
V
V
_
2
12
_
_
V
V
_
6
11.4
_
_
V
V
_
2
GRANDE
2+
IMT
-
12.5
-
-
-
-
-
6
Riwayat abortus
-
12
-
-
-
-
-
6
Usia 36 th
-
13.7 11.5
-
108 -
-
2 6
Primi tua
-
12
neg
v
6
rwyt retensio plasenta
11 12.2 11
neg neg neg
v v v
kek,lila 19,5
-
-
11
neg
v
6 2 2 10 2
11
neg
v
2
11
neg
v
2
12
neg
v
2
12
neg
v
10
perna abortus, hamil ke 4
12
0
-
V
-
-
6
USIA
12,4
-
-
V
-
-
6
11,2
-
-
V
-
-
10
USIA,GRANDE
12,4
-
-
V
-
-
18
R. GEMELLY.R.PEB,LILA 23,TB 143
neg neg
neg
2 6 6 10
GEMELI(20/3/2018)
USIA
PE 04-06-2018 - PRIMI TUA - PLAS PREVIA
-
10
2
-
-
6
- HB<11
-
6
- RWYT AB
-
2
-
-
6
KEK
-
2
-
-
RENCANA
PENANGAN /
TEMPAT
KOLABORASI
BERSALIN
DOKTER / dr.Spesialis
PKM
PERSALINAN TANGGAL
JENIS
TEMPAT
BUFAS RISTI ( KASUS )
PENOLONG
D0kter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG DOKTER PUSKESMAS
22-6-18
BPM
Normal Bidan
Taa
,12-6-18
RSUD
Normal Bidan
taa
22-6-18
RS Fatma SC
1-6-18
BPM
Normal Bidan
taa
27-6-18
RSUD
Induksi
Partus ta
RS
Dr. Puskesmas Konsul DSOG Dr. Puskesmas
20-6-18
RS Fatma Normal Dokter
BPS
Dr.PKM
29/5/18
RS
N
SPOG
RS
DR. PKM
4/6/2018
RS
SC
SPOG
BPS
DR.PKM
26/5/18
RS
N
SPOG
BPS
DR.PKM
8/6/2018
RS
N
SPOG
RS
DR.PKM
31/5/18
RS
N
SPOG
RS
DR.PKM
6/6/2018
RS
N
SPOG
BPS
ANC RUTIN
19-Jun 2018
BPS
SPT
BIDAN
-
BPS
ANCRUTIN
20-Jun
BPS
SPT
BIDAN
-
RS RS BPS BPM
Dokter
Bidan
rwyt SC
-
BPS
ANCRUTIN
12-Jun
BPS
SPT
BIDAN
-
BPS
ANCRUTIN
17-Jun
BPS
SPT
BIDAN
-
BPS
ANC RUTIN
7-Jun
BPS
SPT
BIDAN
-
BPS
ANC RUTIN
5-Jun
BPS
SPT
BIDAN
-
BPS
ANC RUTIN
2-Jun
BPS
SPT
BIDAN
-
BPS
ANC RUTIN
25-Jun
BPS
SPT
BIDAN
-
BPS
ANC RUTIN
18-Jun
BPS
SPT
BIDAN
-
POLINDES
dr PKM
6/2/2018
POLINDES SPONTAN BIDAN
PKM
dr PKM
28-5-2018
RSUD
PKM
dr pkm
14-6-2018
POLINDES SPONTAN BIDAN
PKM
dr PKM
14-6-2018
PKM
SPONTAN BIDAN
12/6/2018
PKM
SPONTAN BIDAN
SPONTAN BIDAN
PD
DR SPOG
6/11/2018
PKM
N
BIDAN
RS
DR SPOG
6/2/2018
RS
N
DR SPOG
BPS RS
DR SPOG DR SPOG
6/5/2018 6/10/2018
RS RS
SC N
DR SPOG BIDAN
BPS
DR SPOG
6/9/2018
RS
N
BIDAN
PD
DRSPOG
BPS
DR SPOG
6/18/2018 6/16/2018
PKM PKM
N N
BIDAN BIDAN
BPS
dr Didik
6/2/2018
RSIS
N
BPS
Kontrol rutin
02/06/2018
BPS
Normal Bidan
BPS
Kontrol rutin
08/06/2018
BPS
Normal Bidan
BPS -
Kontrol rutin Kontrol rutin
19/06/2018 06/06/2018
BPS RSUD
Normal Bidan Normal Dokter
RS
6/1/2018
rs
spt
bidan
bps pkm rs
6/5/2018 6/2/2018 6/3/2017
rs pkm rs
spt spt sc
bidan bidan spog
pkm
6/20/2018
pkm
spt
bidan
6/5/2018
bps
spt
bidan
bps
6/5/2018
bps
spt
bidan
pkm
6/12/2018
pkm
spt
bidan
rs
6/13/2017
pkm
spt
bidan
DSOG
-
PD/BPS
DOKTER PUSKESMAS
29-5-18
BPS
NORMAL BIDAN
PD/BPS
DOKTER PUSKESMAS
17-6-18
PKM
NORMAL BIDAN
PD/BPS
DOKTER PUSKESMAS
5/6/2018
RS F
NORMAL DOKTER
PD/BPS
DOKTER PUSKESMAS
30-5-2018
RS
NORMAL DOKTER
RMH BIDAN ANC RUTIN
07-06-2018
RSU
INDUKSI BIDAN
-
RS
10-06-2018
RSU
SC
-
ANC RUTIN
DCOG
RMH BIDAN ANC RUTIN
20-05-2018
RS IBNUSINNORMAL DSOG
-
RMH BIDAN ANC RUTIN
26-06-2018
RS BAYANGSC
DSOG
-
BPM
ANC RUTIN
30-05-2018
RSU
BIDAN
-
RMH BIDAN ANC RUTIN
31-05-2018
RS FATMA NORMAL DSOG
-
RMH BIDAN ANC RUTIN
05-06-2018
RMH BIDA NORMAL BIDAN
-
RMH BIDAN ANC RUTIN
03-06-2018
RSU
-
INDKSI
INDUKSI BIDAN
KET
By taa by.taa ibu,bayi taa bayi taa ibu & by taa ibu taa by taa
IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT IBU SEHAT BY KELAINAN KONGENITAL
MATA MIN=10
Nur Fat
-
-
-
-
-
PREMATUR
-
PRTS TAK MAJU
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : JULI 2018 PUSKESMAS NO
NAMA IBU / SUAMI
UMUR DESA
G.. P....A.. HPHT
TTP
UK
LABORATORIUM GOL DA Hb gr%
RT
2
BANJAREJO NuryaniIsman J Susi Setia-Eka S.
3
Novia-Kamimtuhari
4
Ninik HariyaniNus Sukmana SholikatinEko Ratna PutriCandra Fia Era Nurwika DDidik Dwi R CAMPUREJO SRI NURHENIK KHOIRUL HUDA
1
5 6 7
8
PPIA
Prot Urin
GDA
Tawar Test
PENYAKIT Hasil
SCOR
FAKTOR RESIKO /
(+)/(-)
KOMPLIKASI
35 BANJAREJO 1/1 24 BANJAREJO 1/1 40 BANJAREJO 1/1 40 BANJAREJO 9/2 25 BANJAREJO 22/3 26 BANJAREJO 16/3 39 BANJAREJO 21/3
12-10-17
19-7-18
G3P2A0
B
10,8
-
88
+
+
-
9- 10-17
16- 7-17
G1P0A0
O
11,6
-
99
+
+
-
18 usia,anemia, riwayat SC 2
G5P4A0
B
8,3
-
+
+
-
14 usia, grande, anemia
3-10-17
USG 11- 7-18 10-7-18
G2P1A0
B
11,0
-
72
+
+
-
6
6-10-18
13-7-19
G3P1A1
O
84
+
+
16-10-17
23-7-18
G2 P1AO
A
11,1'10,0 12,1
-
70
+
,28-9-17
5-7-18
G3P2 A0
A
11,2
-
34 CAMPUREJO RT 4
14/10/17
21/7/18
G2P1A0
AB
11,2
-
92
V
usia.
14 Abortus, Jarak anak 28-6-18 ,lila22,5 cm,anemia + 2 6
usia
V
6
GEMELI
9
ida virgo wati DART0
31 campurejo rt 3
28/10/17
4/8/18
G4P2A1
B
15
-
92
V
V
14 RWYAT HT,RWYAT ABORTUS,GRANDE MULTI
10
PUSPITASARI M.YUDI
26 CAMPUREJO RT6
13/10/17
20/7/18
G3P1A1
O
11,5
-
80
V
V
6
PERNAH ABORTUS
11
FANNY ERVAN D
30 CAMPUREJO RT5
LUPA /10/17 AKHIR 7/18 G2P1A0
O
11,5
_
80
V
V
6
JARAK ANAK KURANGDARI 2TH
12
NUR ISNAINI RAHMAWAT25 CAMPUREJO 19 ADITYA
27/9/17
O
12
_
80
V
V
2
4/7/18
G1P0A0
PENYERTA SAAT INI
13
SISMAWATI BUYUNG
21 CAMPPUREJO RT 20
1/10/17
8/7/18
G2P1A0
14
JUWARIYAH KOLIK
32 CAMPUREJO R 17
5/10/17
12/7/18
G2P1A0
15
DIAH RETNO FIAN ASHARUDIN
21 CAMPUREJO RT 16
15/10/`17
22/7/18
27 RT 3 / RW 1 28 24 RT 7/RW 2
9/20/2017 10/16/2017
16 17
KADIPATEN DWI WAHYUNI ANANG R ALIYYA DIDIK
11
-
86
V
10 KEK,JARAK ANAK <2TH
O
11
-
80
V
V
2
G1P0A0
O
11,7
-
80
V
V
6
KEK
6/27/2018
GIP0A0
AB
12
-
-
√
-
-
2
-
7/23/2017
GIP0A0
AB
12
-
-
V
-
-
2
18
KALIREJO KAYATIN / TEGUH
39 th KALIREJO RT 08 / RW 09/13/2017
6/20/2018
G3 P2 A0
AB
12
6
19
SISKA / NUR CAHYO
22 th KALIREJO RT 14 / RW 009/10/2017
16/07/2018
G2 P1A0
O
11
2
20
ANA / HANDOKO
26 th Kalirejo rt 01 / rw 01
17/06/2018
G2 P1A0
AB
11.5
2
10/09/2017
-
UMUR > 35 th
21 22 23 24 25 26
KARANGPACAR MICHELE/DEDI NITA/JERY ARIK / ANA /BUDI KANTIKA/ KEPATIHAN Ny. Novi Ratna WP
10/10/2017 9/23/2017 9/15/2017 9/15/2017 11/20/2017
7/17/2018 6/30/2018 6/22/2018 6/22/2018 8/27/2018
G1P0A0 G1P0A0 G1P0A0 G2P1A0 G2P1A0
34 RT 2/ 01
10/10/2017
7/17/2018
G3P2A0
37 RT. 13 RW. 01 36 RT 04/01 38 RT.07 RW.02
15/10/2017 19/10/2017 /11/17
22/07/2018 22/07/2018 /8/2018
G4P2A1 G2P1A0 G3P2A0
10/10/2017
7/17/2018
g2p0a1
28 29 30 34 22
KR PACAR 5/1 KR PACAR 4/1 KRPACAR RT 11/2 KRPACAR RT 20/3 KR PACAR 23/3
A O O O O
11.4 12 11 12 12
_ _ _ _ _
_ _ _ _ _
V V V V V
V V V V V
_ _ _ _ _
MOJOKAMPUNG Dwi Erawati / Sumidi Indar Priwanci/Imam Lusi / Siswadi
30
MULYOAGUNG iis ambarwati
31
2
JARAK ANAK >10 THN
10 Riw : P1 --> bayi asphexia kmd meninggal P2 --> IUFD Jarak < 2th KEK
M Okta R
27 28 29
2 2 2 6 2
O B O
11.5 12 11.8
-
-
-
-
-
-
-
-
-
-
14 Usia, grande, riwayat abortus 6 usia 6 Usia 38 tahun
6
29 rt 6
10/20/2017
7/27/2018
g2p1a0
o
11
neg
32
lia agus solikin NGROWO JUMINTEN/IMAM SUDA
45 RT 8
10/5/2017
Jul-18
G3P2A0
A
12,5
-
-
V
-
-
14 USIA,R.SC,
33
ENDRI DIANA NIYESI
38 RT 20
9/12/2017
6/19/2018
G4P3A0
O
12,6
-
-
V
-
-
10 USIA ,GRANDE
34
NINGRUM/
31 RT 9
9/17/2017
6/24/2018
G2P1A0
O
11,5
-
-
V
-
-
2
35
EDE NINA/YUDA
17 RT 14
10/08/2017
17/05/2018
G1P0A0
A
12,2
-
-
V
-
-
6
SEMANDING NIHIL
v
perna abortus
2
USIA
-
36
SUKOREJO FRIDA OKTAVIANDRI HARSONO
36 31/06
14-10-2017
21-07-2018
G2 P1 A0
10 - USI>35 - JRK ANK>10
-
37
MEI LINA ABDUL AZIS
23 37/06
?
?
G2 P1 A0 ± 12 Mg
2
-
-
38
IKFINA HIMMATI MUHAYAD NAIM
29 09/03
05-10-2017
12-07-2018
G1 P0 A0 10-12 Mg
6
- PRIMI TUA
-
39
ZAENAB TSALIS DUHA R
20 10/03
-09-2017
-06-2018
G2 P1 A0 20 Mg
10 - JRK ANK < 2 TH - RWYT TRANSFUSI
40
SITI YUNIATI ACH. PRASETYO
27 20/05
22-09-2017
29-06-2018
G3 P2 A0 10-12 MG
2
-
-
41
CHOIRUN NISA AGUS RIFAL S
33 14/04
14-10-2017
21-07-2018
G3 P2 A0 20 Mg
2
-
-
42
SRI ANGGRAINI SLAMET ARIFIN
29 34/08
10-10-2017
17-07-2018
G1 P0 A0
6
- LILA 23 CM
-
43
UMI NUR FARADIKA EDI SAPUTRO
26 32/08
08-10-2017
15-07-2018
G1 P0 A0 19-20 Mg
2 6
- HB 9,3 gr%
-
RENCANA
PENANGAN /
TEMPAT
KOLABORASI
BERSALIN
DOKTER / dr.Spesialis
RS
PERSALINAN TANGGAL
JENIS
TEMPAT
BUFAS RISTI ( KASUS )
PENOLONG
KET
Dokter Puskesmas Konsul DSOG Dokter Puskesmas
11-7-18
RSUD
SC
dokter
taa
By taa
14-7-18
BPM
Normal
Bidan
Taa
By taa
Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dr. Puskesmas Konsul DSOG Dr. Puskesmas
,13-7-18
RS Fatma Normal
Bidan
taa
by.taa
1-6-18
BPM
Normal
Bidan
taa
bayi taa
17-7-2018
BPS
Normal
Bidan
-
20-7-2018
BPS
Normal
Bidan
-
RS
Dr. Puskesmas Konsul DSOG
23-7-2018
BPS
Normal
Bidan
-
Ibu taa by taa Ibu taa by taa Ibu taa by taa
RS
DR.PKM
21/7/18
rs
N
SPOG
RS
DR.PKM
23/7/18
RS
SC
SPOG
PKM
DR.PKM
29/6/18
PKM
N
BIDAN
RS
DR.SPESIALIS
26/6/18
RS
N
SPOG
BPS
DR.PKM
29/7/18
BPS
N
BIDAN
BPM RS RS BPM BPM
BPS
DR.PKM
28/6/18
BPS
N
BIDAN
BPS
DR.PKM
4/7/18
BPS
N
BIDAN
RS
DR.PKM
23/7/18
RS
N
SPOG
BPS
ANC RUTIN
7/2/2018
bps
spt
bidan
BPS
ANCRUTIN
7/27/2018
bps
spt
bidan
POLINDEdr PKM
28-6-2018
RSUD
SPONTANBIDAN
IBU SEHAT BAYI SEHAT
BPM
dr PKM,dr OBGYN
23-7-2018
PUSKESMASPONTANBIDAN
IBU SEHAT BAYI SEHAT
BPM
dr PKM
10/7/2018
BPM
IBU SEHAT
SPONTANBIDAN
BAYI SEHAT
RS RS BPS BPS BPS
DR SPOG DR SPOG DR SPOG DR SPOG BIDAN
7/20/2018 7/5/2018 7/10/2018 7/24/2018 6/26/2018
RS BPS BPS BPS RS
N N N N N
DR SPOG BIDAN BIDAN BIDAN BIDAN
RS F
Dr Askan
6/29/2018
RS F
N
dr. Jihan Post SC
RS BPS -
Kontrol rutin kontrol rutin Kontrol rutin
21/07/2018 23/07/2018 26/07/2018
BPS BPS RSUD
Normal Normal Normal
Bidan Bidan Dokter
pkm
7/26/2018
rs
spontan bidan
pkm
7/29/2018
bps
spt
bidan
RS
22-6-18
RS
SC
DOKTER
BPS
21-6-18
RS
SC
DOKTER
BPS
18-7-18
BPS
NORMALBIDAN
PD/BPS DOKTER PUSKESMAS 22-6-18
RSA
SC
DOKTER
RMH BID ANC RUTIN
02-07-2018
RS FATMA INDUKSI DSOG
-
-
RMH BID ANC RUTIN
02-07-2018
RSU
INDUKSI BIDAN
-
PE
RS
ANC RUTIN
24-07-2018
RS FATMA INDUKSI DSOG
-
POSTDATE
RS
ANC RUTIN
27-06-2018
BPM
NORMALBIDAN
-
-
RMH BID ANC RUTIN
27-06-2018
BPM
NORMALBIDAN
-
-
RMH BID ANC RUTIN
30-06-2018
BPM
NORMALBIDAN
RMH BID ANC RUTIN
08-07-2018
RMH BIDANNORMALBIDAN
-
RMH BID ANC RUTIN
16-07-2018
RS FARMA INDUKSI DSOG
-
PUSKESMAS NO
NAMA IBU / SUAMI
UMUR
DESA
G.. P....A.. HPHT
TTP
UK
RT
LABORATORIUM
PPIA
GOL Hb gr Prot GDA Tawar Test DA % Urin
Hasil (+)/(-)
BANJAREJO
1 RisnawatiDebi 2 SantiWidodo 3 Frida AgustiniKusdi 4 Aprilia WM Zazuli 5 Sri IsnainiSupoyo 6 Dwi Utami-Supandi 7 Ayu FebrianiAlif Khosyiin 8 Nurul EkawatiSadoro 9 Nila GedeBayu K 10 Mita ApriliaDoni Listiawan
32 BANJAREJO 4/1 21 BANJAREJO 7/1 42 BANJAREJO 1/1 27 BANJAREJO 13/2 39 BANJAREJO 11/2 39 BANJAREJO 11/2 19 BANJAREJO 9/2 28 BANJAREJO 20/3 28 BANJAREJO 17/3 19 BANJAREJO 21/3
10-11-17
17-8 -18
G3 P2A0
23-10-18
30-7-18
G1P0A0
B 11'3
-
-9-18
G4 P3A0
A 11,5
-
- 12-17
89
+
+
-
+
+
-
14-11-2017
21-8-2018
G3P1A1
O 12,3 -
100 +
+
-
16-11-17
23-8-18
G2P1A0
B 12,8 -
69 +
+
-
26-10-17
2-8-18
G4P3A0
B
9,8 -
67 +
+
-
14-12-17
21-9-18
G1P0A0 AB 10,3 -
81 +
+
-
20-10-17
27-7-18
G4P3A0 B
11,5 -
80 +
+
-
31-10-17
5-8-18
G2 P1AO B
12,3 -
98 +
+
-
20-11-17
27-8-18
G1P0A0 A
10.0 -
90 +
+
-
CAMPUREJO
11 DHIKA KARISMA MORDHEI L
31 CAMPUREJO RT1931/10/17
7/8/18
G3P2AO O
11,5 _
80 V
V
12 NOVI PUSPITA DONI S
30 CAMPUREJO RT 2LUPA 12/17 85233728334
USG 3/9/18 G3P2A0 O
12 -
89 V
V
13 IMRO'ATUL MAGHFIROH ABDUL AZIZ
14 CAMPUREJO RT 125/11/17
2/9/18
11,5 -
85 V
V
G2P1A0 O
KADIPATEN
14
SITI NUR A
32
RT 3/RW 1
11/20/2017
8/27/2018
G2P1A0
A
12
-
-
√
-
-
28
RT 2/1
11/12/2017
8/19/2018
G1P0A0
O
12
-
-
√
-
-
32
RT 3/ 1
11/20/2017
8/27/2018
G3P2A1 AB 12
-
-
√
-
-
ARDIAN K
15
CITRA WIJAYANTI ABDI
16
MIA / KIKI
35
17
INNAYAH
25
RT 8 / 2
12/11/2017
19-8-2018
G2P1A0
12
-
-
V
-
-
AFFANDY
27
DINDA
29
RT 13 RW 3
3/2/2018
12/8/2018
G1P0A0 AB 12
-
-
√
-
-
AMY
25
RT 9/3
22-11-2017
29-8-2018
G2P1A0 AB 12
-
-
√
-
-
RUSLAN
27 0 11.2
-
-
V
V
-
O
_
_
V
V
_
AB 12.2
_
_
V
V
_
O
_
_
V
V
_
O 12 O 12 O 11 AB 11,2 O 11
_ _ _ _ _
_ _ _ _ _
V V V V V
V V V V V
_ _ _ _ _
18
AB
ADAM
19
KALIREJO
IRIANI / ABDUL JALIL
20
37 thKalirejo rt 01 / rw 0104/11/2017 11/08/2018 G3 P2A0
KARANGPACAR 21
ANGEL/TONI
28
KRPACAR 4/1
11/6/2017
8/13/2018
G1P0A0
22 YOANITA AVILIONI/RENDY
25
KR PACAR 4/1
13/11/2017 20/8/2018
GIP0A0
23 IDA MUSTIKA R/ SLAMET PURWANTO 24 LUCIA AGUSTINA/ JOHAN 25 LUKI DIAN/HARI SUCIPTO 26 MITHA APRILIA/ DANI LISTIAWATI 27 ENDANG LISWATI/ SUYITNO 28 SILVIA/REINHART KEPATIHAN
29 33 40 19 31 23
KRPACAR 10/2 KRPACAR 20/3 KR PACAR 23/3 KR PACAR 20/3 KR PACAR 13/3 KR PACAR 16/3
15/10/2017 10/10/2017 10/25/2017 10/20/2017 15/11/2017 11/7/2017
G2P1A0 G4P3A0 G5P4A0 G1P0A0 G2P1A0 G1P0A0
29 Widarti
33
Rt 3 / 01
22/7/2018 17/7/2018 8/2/2018 7/27/2018 8/22/2018 8/14/2018
12
12
?- 11- 17
? - 8 -18
G6 P2 A3
B
12.5
(-)
90
v
v
(-)
Teddy MOJOKAMPUNG 30 Eli P /
38
RT. 04 RW. 01
01/12/2017
08/09/2018
G4P3A0
A
11.8
-
-
-
-
-
31 Susyanti/Yitno
34
RT. 05 RW.01
15/11/2017
22/08/2018
G2P1A0
O
11.7
-
-
-
-
-
32 Ninik/zaenal
33
03/11/2017
10/08/2018
G1P0A0
O
-
-
-
-
-
-
RT.10 RW.02
MULYOAGUNG
33 marita rayyan 34 Anita rahmawati pungki wahyu 35 nur alfiah agus
23 rt 6
g1p0a0
rt 2 30 rt 12
12
neg
v
11/17/2017
8/24/2018
g1p0a0
a
12
neg neg v
11/2/2017
8/9/2018
g3p2a0
a
11
neg
neg
v
NGROWO
36 SRIATI/ M. IKHSAN
40
RT 3
33
RT 05/01
G3P2A0
B
G3P2A0
O 11.2
0
11.8
-
V
-
-
-
V
-
-
SEMANDING
37 Suaidah / Suyanto SUKOREJO
12/11/2017
9/8/2018
-
38 MARIYANTI
34
05/01
05-11-2017
12-08-2018
G2 P1 A0
31
05/01
05-11-2017
12-08-2018
G2 P1 A0
LUTHFI S
39 LASTRI HENDRIK IRWANSYAH
40 YENI ULFADHILA
7-8
29
03/01
20-11-2017
27-08-2018
ARY UDIYANTO
41 SUCI RAHAYU
28 MG
27
23/06
19-11-2017
26-08-2018
DARMOYO
42 PUJI LESTARI
G3 P2 A0
G1 P0 A0 6-7 MG
34
29/07
06-11-2017
13-08-2018
G2 P1 A0
24
35/07
25-10-2017
02-08-2018
G1 P0 A0
PURNOMO SIDIQ
43 PUTRI FEBRIAN SARI ERWIN TRI G
44 DEWI RATNA A
8-10 Mg
31
37/06
-12-2017
-09-2018
G2 P1 A0
22
25/06
-11-2017
-08-2018
G1 P0 A0
KHOIRUL ANAM
45 AULIA FITRI N SAIFUL FAHMI
46 NAILUL HIDAYAH
6 MG
23
09/03
23-10-2017
30-07-2018
ACH. SYAIFUL A.
47 LINA AYU R
8-10 MG
26
09/03
03-10-2017
10-07-2018
RIBA'AN
48 ANIS IRAWATI
37
22/05
03-12-2017
10-09-2019
25
20/05
15-11-2017
22-08-2018
AHM CHOIRUL A
G1 P0 A0 20 MG
31
19/05
25-10-2017
02-08-2018
M. RIDWAN
51 UMROTUL ANIK N
G3 P2 A0 9-10 Mg
BAGUS SETYAWAN
50 DESI RETNO D
G2 P0 A1 34-35 MG
EKO HARIYONO
49 GITA PERMATA
G1 P0 A0
G2 P1 A0 5-6 MG
19
17/08
20-10-2017
27-07-2018
G2 P0 A1
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : AGUSTUS 2018 PENYAKIT
RENCANA
PENANGAN /
PENYERTA
TEMPAT
KOLABORASI
SAAT INI
BERSALIN
DOKTER / dr.Spesialis
2
BPS
Dokter Puskesmas
15-8-18
BPM
Normal
Bidan
2
BPM
Dokter Puskesmas
2-8-2018
BPM
Normal
Bidan
BPM
Dokter Puskesmas
,2-8-2018
RS Fatma
Normal
Bidan
,20-8-18
PKM
Normal
Bidan
Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas
21-8-2018
PKM
Normal
Bidan
5-8-2018
RSUD
induksi
dokter
21-8-2018
RSUD
induksi
dokter
26-7-18
RS Fatma
Dr. Puskesmas Konsul DSOG Dr. Puskesmas Konsul DSOG
3-8-2018
BPS
Normal
Bidan
21-8-18
PKM
Normal
Bidan
FAKTOR RESIKO /
SCOR
KOMPLIKASI
PERSALINAN TANGGAL
JENIS
TEMPAT
PENOLONG
Konsul DSOG 10
usia, terlalu sering,
10 ABORTUS,JARAK ANAK
PKM
10 usia,jarak anak
RS
14
RS
grande, usia, anemia
6
usia
RS
6 jumlah anak
BPM
2-
BPS
10 usia, anemia
2
RS
Konsul DSOG DOKTER PUSKESMAS
Induksi
Dokter
2
RS
DR.SPESIALIS
26/7/18
BPS
N
BIDAN
2
BPS
DR.PKM
22/8/18
BPS
N
BIDAN
2
BPS
DR.PKM
18/8/18
rs
sc
spog
-
-
BPS
ANC RUTIN
25-Aug
BPS
SPT
BIDAN
BPS
SPT
BIDAN
BPS
SPT
BIDAN
2018
2
-
-
BPS
ANC RUTIN
19-Aug 2018
6 PERNAH GAGAL KEHAMILAN
-
BPS
ANC RUTIN
27-8
2018
2
-
-
BPS
ANCRUTIN
17-8
BPS
SPT
BIDAN
BPS
SPT
BIDAN
BPS
SPT
BIDAN
2018
2
-
-
BPS
ANC RUTIN
8-Dec 2018
2
-
-
BPS
ANC RUTIN
25-8 2018
6
Usia > 35 th
PKM
2
dr PKM
8/12/2018 RSUD
SPONTAN
BIDAN
BPS
DR SPOG
8/10/2018 RS
N
DR SPOG
ASMA
BPS
DR SPOG
8/20/2018 RS
N
DR SPOG
6 10 6 6 2
GRANDE MULTI USIA > 35TH, GRANDE MULTI USIA <20 TH LILA <23,5
BPS RS RS PKM BPS BPS
DR SPOG DR SPOG DR SPOG DR SPOG DR SPOG BIDAN
8/5/2018 RS 8/1/2018 RS 8/1/2018 RS 8/3/2018 BPS 8/20/2018 BPS 8/14/2018 RS
N N N N N N
BIDAN DR SPOG DR SPOG BIDAN BIDAN DR SPOG
14
grande
6 2
(-)
PKM
dr PKM
8/18/2018
RSU
-
BPS
Kontrol rutin
03/08/2018
2
BPS
Kontrol rutin
19/08/2018 BPS
2
BPS
Kontrol rutin
N
Bdn
riw abortus riw IUFD
10
Usia 36 th, jarak anak 10 tahun
BPS
08/08/2018
Normal
Bidan
Normal
Bidan
BPS
Normal
Bidan
2
bps
8/11/2018
pkm
spt
bidan
2
pkm
8/4/2018
rsis
spt
spog
bps
8/10/2018
bps
spt
bidan
NORMAL
DOKTER
SPONTAN
BIDAN
6
jarak kehamilan < 2th
6
USIA
2
-
-
PD/BPS
DOKTER PUSKESMAS
BPS
kontrol rutin
24-7-18
RS
8/29/2018 PKM
2
10
-
- JRK ANK>10
-
RMH BIDAN
ANC RUTIN
06-08-2018
BPM
NORMAL
BIDAN
HT
RS
ANC RUTIN
16-08-2018
RS FATMA
SC
DSOG
- HT
2
-
-
BPM
ANC RUTIN
29-08-2018
RS
NORMAL
DSOG
6
- TB<145 Cm
-
RS
ANC RUTIN
07-08-2018
RS FATMA
SC
DSOG
2
-
-
RMH BIDAN
ANC RUTIN
13-08-2018
RMH BIDAN
NORMAL
BIDAN
2
-
-
RMH BIDAN
ANC RUTIN
16-08-2018
RS MUNA
INDUKSI
DSOG
6
POSTDATE
-
RMH BIDAN
ANC RUTIN
28-08-2018
RS FATMA
SC
-
6
- JRN ANK>10
14
- PE - PLAS PREVIA
6
- LILA 21
-
RMH BIDAN
ANC RUTIN
20-08-2018
RMH BIDAN
NORMAL
-
2
-
-
RMH BIDAN
ANC RUTIN
14-08-2018
RMH BIDAN
NORMAL
BIDAN
6
- RWYT AB
-
BPM
ANC RUTIN
28-07-2018
RS FATMA
NORMAL
DSOG
-
RS
ANC RUTIN
25-08-2018
RSU
INDUKSI
BIDAN
21-08-2018
BPM
NORMAL
BIDAN
6
- USIA>35
10
PE (JUNI)
2
-
6
PE
2
-
10
- USIA<20 - RIWAYAT AB
KONSUL RS
-
RMH BIDAN
ANC RUTIN
RS
KONSUL DSOG
-
RMH BIDAN
ANC RUTIN
-03-08-2018
RMH BIDAN
NORMAL
BIDAN
-
RMH BIDAN
ANC RUTIN
02-08-2018
RS FATMA
INDUKSI
DSOG
BUFAS RISTI ( KASUS )
KET
Taa
taa
Taa
By taa
taa
by.taa
taa taa
bayi taa
post date
by taa
kala I memanjang by. Asfiksia ketuban pecah dini -
MBA
-
ibu taa by.taa Ibu taa by taa Ibu taa by taa
-
-
-
-
-
-
-
-
IBU SEHAT BAYI SEHAT
-
MOW
HPP
BY + IBU SEHAT
-
-
PE
-
-
-
-
-
-
-
-
POSTDATE
PE
-
-
-
-
-
-
-
PE
-
-
-
-
-
-
-
PUSKESMAS NO
NAMA IBU / SUAMI
UMUR
DESA
G.. P....A.. HPHT
TTP
UK
RT 1 2 3 4 5 6 7 8
9
BANJAREJO Sutik Catur Rika HarumaHendra Siti Nur K-Joko
29 34 25
Susi LestariPuji H Intan CaesarEko Sri Utami-Mungin
38
Ayu ElokAndra P Erik ErnaDedi
22
CAMPUREJO SITI NUR ELISA M.HERU
31 26
21
BANJAREJO 6/1 BANJAREJO 5/1 BANJAREJO 11/2 BANJAREJO 14/02 BANJAREJO 12/2 BANJAREJO 22/3 BANJAREJO 20/3 BANJAREJO 20/3
LABOR GOL Hb gr% DA
2-12-17
9-9-18
G2P1A0
A
12.2
8-12-17
15-9-18
G2P1A0
O
10,6
5-12-17
17-9-18
G2P0A1
O
13,5
23-11-18
30-8-18
G2P1A0
O
13.5
15-12-17
22-9-18
G2P1A0
B
13.2
18-9-18
G2PIA0
A
10,5
27-12-17
3-9-18
G1P0A0
O
13
29-12-17
6-10-18
G1P0A0
B
11,2
18
CAMPUREJO RT 17 7/12/2017
14/9/18
G1P0A0
O
12
10 SUNARTI M.WAHIB
37
CAMPUREJO RT 12 1012/17
17/9/18
G3P2A0
A
11
11 ENI NURWITA A.MUSAFAK
37
CAMPUREJO RT 9
13/12/17
20/9/18
G3P2A0
AB
13,1
12 SITI LISTIROKAH AGUSTUS
35
CAMPUREJO RT 22 12/12/17
19/9/18
G3P2A0
B
12,7
13 WINARSIH WIJI
37
CAMPUREJO RT 26 15/11/17
22/8/18
G4P3A0
B
9,9
14 SULASTRI EKO,
34
CAMPUREJO RT 6
8/9/2018
G3P1A0
B
12,1
15 YESSI
32
CAMPUREJO RT 27 3/12/2017
10/9/2018
G1P0A0
B
12,4-
1/12/2017
AGUS SETIYAWAN
82245227071
KADIPATEN 16 RAGIL APRILIANTI
27
RT 8/2
12/15/2017 9/17/2018
GIP0A0
O
12
30
RT7/2
3/2/2018
GIIPIA0
A
12
INDRA NUR R
17 WIWIN
12/9/2018
RICHO
18 INDAH DWI R
10-12 MG
28
RT 11/3
12/22/2017 9/29/2018
GIIPIA0
O
12
27
RT 13 RW 3
2/2/2018
11/9/2018
G1P0A0
AB
12
32 35
RT 3/ 1
11/20/2017 8/27/2018
G3P2A1
AB
12
M MALIK
19 SILA SUSENO 20 MIA / KIKI KALIREJO 21 DEWI PURWANTI / M.FAUZI
27 th
KALIREJO RT 10 / RW05/12/2017 12/09/2018
G2 P1A0
22 SRIANI / BANDIS TRI W
26 th
KALIREJO RT 12/ RW 21/11/2017 28/08/2018
G2 P1A0
AB
11.3
23 KURUN ININ ANIL C / AGUS W
21 th
KALIREJO RT 08 / RW15/12/2017 22/09/2018
G1 P0A0
O
13.3
24 RINI / IMAM BAHAUDIN
22 th
Kalirejo rt 06 / rw 01 12/3/2017
G1 P0A0
25 JULITA / ARIF SUGIANTO
27 th
KALIREJO RT 14/ RW 10/12/2017 17/09/2018
G3 P2A0
O
12
26 ENY / ANDIK
24 th
Kalirejo rt 04 / rw 01 17/09/2017 24/06/2018
G2 P1A0
27 WARSIYAH / SAIM
39 th
Kalirejo rt 11 / rw 02 12/8/2017
G3 P2A0
KARANGPACAR
9/10/2018
9/15/2018
28 29 30 31 32 33 34
NUNUNG KUSMIATI/SURAJI MONIKA /DAREL GRACE/ KELVIN SHINTA / DONI NOFAYANTO MARTIANINGRUM/ KHOIRIL BAZAR SUHARIK/ERIK ERISKA DWI C/ALFIN NASFIN KEPATIHAN 35 Nurul Puji A Soni taufik MOJOKAMPUNG 36 Ayik / Erfan 37 Endar Riani/Agus MULYOAGUNG 38 dwi kurniawati meyfi 39 yusana
41 27 28 28 32 25 23
KRPACAR 1/1 KR PACAR 4/1 KR PACAR 5/1 KR PACAR 8/2 KR PACAR 21/ 3 KR PACAR 20/3 KR PACAR 20/3
22/11/2017 12/10/2017 11/20/2017 8/12/2017 11/5/2017 12/15/2017 11/24/2017
29/8/2018 9/17/2018 8/27/2018 15/9/2018 8/12/2018 9/22/2018 8/31/2018
G4P2A1 GIP0A0 G1P0A0 G2P1A0 G2P1A0 G1P0A0 G1P0A0
O O O B O O B
11.4 11.8 11 11,4 11 12 11
37
RT 11 / 02
1/25/2018
1/2/2019
G2 P0 A1
O
11.8
31 26
RT. 03 RW. 01 RT 05/01
02/12/2017 09/09/2018 12/11/2017 19/08/2018
G2P1A0 G3P2A0
O O
11.5 12
30
4
12/7/2017
34
2
arif 40
g3p2a0
a
11
12/20/2017 9/27/2018
g2p1a0
a
12
25
rt7
12/14/2017 9/21/2018
g1p0a0
A
12
40
rt 6
11/27/2017 9/4/2018
g2p1aa0
b
11
rt2
11/15/2017 8/22/2018
g2p1a0
a
9
28
rt 13
1/1/2018
g1p0a0
a
12
NGROWO 44 ANIS S/GUNAWAN
28
RT 19
03/01/2018 10/10/2018
G1P0A0
O
12
45 RANI TERA SUSTARI/NUR K
33
RT 5
12/14/2017 9/21/2018
G1P0A0
O
11,3
46 ELLY/ SEMANDING NIHIL
36
RT9
G3P2A0
O
11.5
41 42 43
esa novita yuda prawira kusmiatun catur h aan anis handry julia arrahmaaati hoirul fatikin NIHIL
9/14/2018
10/8/2018
SUKOREJO 47 IKA DIANA SARI M. KHAMIM
40
02/01
-12-2018
-09-2018
G4 P3 A0
48 MELINDA R. SAMSUL ARIFIN
34
06/02
?
24-09-2018 USG
G2 P1 A0 29-30 mg
49 ERNI SUMARNI AGUS SUPRIYADI
22
31/06
04-01-2018
11-10-2018
G3 P2 A0
50 SRI RAHAYU AHMAD ANSHORI
25
36/07
10-12-2017
17-09-2018
G2 P1 A0
51 IKA AGUSTINA TOMI WIJAYA
31
12/02 KTP LMGAN
01-01-2018
08-10-2018
G3 P2 A0 20 MG
52 RISWARA WIDYA N AGUS TRIATNO
38
11/01
28-11-2017
05-09-2018
GIV P3 A0 38 Mg
53 NOVI SUHARIYANTI MARSUDI
32
20/05
03-12-2017
12-09-2018
G2 P1 A0 8-10 Mg
54 MEI LESTARI MUGI RAHARJO
26
21/06
06-12-2017
13-09-2018
G2 P1 A0 5-6 Mg
55 PUTRI YUNITA DESI AHM. MUJIBURROHMAD
28
19/05
05-12-2017
12-09-2018
G3 P2 A0 11-12 Mg
56 PUJI ASTUTIK KUKUH JATI Y
39
39/08
-11-2017
-08-2018
G3 P2 A0 8 Mg
O
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : SEPTEMBER 2018
RATORIUM
PPIA Tawar Test Hasil
SCOR
FAKTOR RESIKO /
PENYAKIT
RENCANA
PENYERTA
TEMPAT
SAAT INI
BERSALIN
Prot Urin
GDA
-
101
+
+
-
2
-
89
+
+
-
14
-
97
+
+
-
6
-
97
+
+
-
10
-
96
+
+
-
2
BPM
-
72
+
+
-
2
BPM
-
96
+
+
-
2
-
102
+
+
-
2
-
(+)/(-)
KOMPLIKASI
BPM jrk anak 11 th,asma, anemia abortus usia > 35, jrk anak > 10 th
-
RS BPM RS
BPS BPM
V
6
UMUR<20TH
RS
14
UMUR>35TH,RIWAYAT SC
RS
14
UMUR>35TH,PE,JRK ANK>10TH
RS
-
113
V
-
82
V
V
-
94
V
V
-
18
LETSU, HT, USIA 35TH
RS
-
92
V
V
-
14
USIA>35TH,GRANDE MULTI,ANEEMIA
RS
-
64
V
V
10
PERNAH ABORTUS,JARAK ANAK<2TH
RS
129
V
V
2
RS
-
-
V
-
-
2
-
BPS
-
-
V
-
-
2
-
-
BPS
-
-
√
-
-
2
-
-
BPS
-
-
√
-
-
2
-
-
BPS
-
-
√
-
-
6
PERNAH GAGAL KEHAMILAN
-
BPS
10
TINGGI BADAN 144 cm,LILA 20 cm
RSUD
2
PKM
2
POLINDES
2
POLINDES
2
POLINDES
2
BPS
14
USIA > 35 th,TD 150/90 mmhg,Riwayat manual Placenta
RSUD
USIA 35 TH, JARAK >10 TH, ABORTUS, FASE LATEN MEMANJANG FASE LATEN MEMANJANG
_ _ _ _ _ _ _
_ _ _ _ _ _ _
V V V V V V V
V V V V V V V
_ _ _ _ _ _ _
14 2 2 6 6 2 6
RS BPS BPS BPS PKM BPS PKM
(-)
245
v
v
(-)
22
usia, riw abortus jarak >10 th DM, HT
HT DM
Rsu
-
-
-
-
-
2 2
-
-
BPS BPS
PENYULIT KEHAMILAN IMT >26 LILA<23,5 CM
neg
v
2
neg
v
6
neg
v
2
neg
v
6
umur > 35 th
bps
anemia
pkm
neg
neg
v
neg
6
neg
neg
v
neg
2
RS
tensi tdak stabil(naik,turun) waktu sebelum hamil
RS pkm
bps
0
-
V
-
-
6
-
-
V
-
-
2
-
-
V
-
-
10
PENY. PENYERTA TBC +SKOR
PD/BPS BPS
USIA 36,HT
BPS
14
- USIA 40 -GRANDE - HT
HT
RS
10
- BKS SC
-
RS
2
-
-
RMH BIDAN
-
RMH BIDAN
-
DSOG
-
RS
2
-
2
14
-
- GRANDE - USIA>35
2
-
-
RMH BIDAN
2
-
-
RMH BIDAN
2
-
-
RMH BIDAN
-
RS
18
- RWYT SC - USIA>35 - JRK>2 Th
PENANGAN / KOLABORASI DOKTER / dr.Spesialis
PERSALINAN TANGGAL
JENIS
TEMPAT
PENOLONG
BUFAS RISTI ( KASUS )
KET
Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas
15-9-18
BPM
Normal
Bidan
Taa
By taa
,3-9-18
SC
DSOG
15-9-18
RS Graha Medika BPM
Normal
Bidan
bufas SC o/k rhesus + taa
bayi dg kel. jantung bawaan bayi taa
3-9-18
RSUD
Induksi
Bidan
partus tak maju
20-9-18
BPS
Normal
Bidan
taa
by taa
Dr. Puskesmas
17/9/18
bps
Normal
Bidan
Dr. Puskesmas Konsul DSOG Dr. Puskesmas Konsul DSOG
4/9/2018
BPS
Normal
Bidan
10-9-18
RS Fatma
SC
Dokter
PE
ibu taa by taa
DR.PKM
15/9/18
RS
N
SPOG
KONTROL RUTIN
20/9/18
RS
SC
SPOG
DR.PKM
22/9/18
RS
N
SPOG
DR.PKM
7/9/2018
RS
SC
SPOG
DR.PKM
28/9/18
RS
N
SPOG
DR.PKM
29/8/18
rs
n
spog
DR.PKM
29/8/18
RS
SC
SPOG
ANCRUTIN
17-9
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
-
PUSKESMAS
SPONTAN
BIDAN
IBU SEHAT BAYI SEHAT
2018
ANCRUTIN
9-Dec 2018
ANC RUTIN
25-9 2018
ANC RUTIN
9-Nov 2018
ANC RUTIN
27-8 2018
dr PKM,dr OBGYN
dr OBGYN
9/6/2018
RS IBNU SINA
SPONTAN
BIDAN
IBU SEHAT BAYI SEHAT
dr PKM
9/10/2018
RS FATMA
SPONTAN
BIDAN
IBU SEHAT BAYI SEHAT
Dr.PKM Dr.OBGYN
9/18/2018
RS IBNU SINA
SPONTAN
DOKTER
IBU SEHAT BAYI SEHAT
dr.PKM dr.OBGYN
9/22/2018
POLINDES
SPONTAN
BIDAN
IBU SEHAT BAYI SEHAT
dr.PKM
8/24/2018
BPM
SPONTAN
dr PKM dr.OBGYN
9/28/2018
RSUD SOSODOROSPONTAN
IBU SEHAT BAYI SEHAT BIDAN
IBU SEHAT BAYI SEHAT
DR SPOG BIDAN BIDAN DR SPOG DR SPOG BIDAN DR SPOG
1-Sep 9/18/2018 8/30/2018 9/14/2018 8/15/2018 9/20/2018 9/1/2018
RS BPS BPS BPS RS RS RS
N N N N N N N
BIDAN BIDAN BIDAN BIDAN BIDAN BIDAN DR SPOG
Dr Obgyn rsu Dr PD rsu
9/22/2018
RSU
SC
DSOG
Kontrol rutin Kontrol rutin
14/09/2018 01/09/2018
BPS bps
Normal normal
Bidan bidan
9/20/2018
rsa
spt
spog
9/28/2018 9/20/2018
rsf
spt
bidan
9/21/2018
bps
spt
bidan
9/5/2018
bps
spt
bidan
9/22/2019
bps
spt
bidan
18-9-18
RS
SC
DR
P. MACET
16-9-18
BPS
BIDAN
10/9/2018
RS
NORMAL
DOKTER
PE
bps
DOKTER PUSKESMAS
DOKTER PUSKESMAS
PE
ANC RUTIN KONSUL DSOG
28-09-2018
RS FATMA
INDUKSI
DSOG
RISTI
PE
ANC RUTIN
06-09-2018
RS FATMA
SC
DSOG
-
ANC RUTIN
27-09-2018
RMH BIDAN
NORMAL
BIDAN
-
-
ANC RUTIN
13-09-2018
RMH BIDAN
NORMAL
BIDAN
-
-
ANC RUTIN
26-09-2018
RS IBNU SINA
NORMAL
DSOG
-
-
ANC RUTIN
31-08-2018
RSU
INDUKSI
BIDAN
PE
PE
ANC RUTIN
09-09-2018
RS IBNU SINA
NORMAL
DSOG
-
-
ANC RUTIN
01-09-2018
RMH BIDAN
NORMAL
BIDAN
-
-
ANC RUTIN
09-09-2018
RS IBNU SINA
INDUKSI
DSOG
-
-
ANC RUTIN
05-09-2018
RS IBNU SINA
SC
DSOG
-
-
PUSKESMAS NO
NAMA IBU / SUAMI
UMUR
DESA
G.. P....A.. HPHT
TTP
UK
RT
1 2 3 4 5 6 7 8 9
10
BANJAREJO DariyatunAgusman Wahyuni Imam KismiatunAnim Subagiyo Titik EkaviantiDeni Krintanto Siti Nur KhasanahArif Afianto Darmini Supriyadi Siti Umaroh Sulistri S Vinandra EkaFranki Lutfiani Friandita CAMPUREJO DEWI ARISTA SEPTIAN YUDA
38 36 40 23 33 37 38 21 20
BANJAREJO 6/1 BANJAREJO 6/1 BANJAREJO 6/1 BANJAREJO 6/1 BANJAREJO 11/2 BANJAREJO 14/2 BANJAREJO 21/3 BANJAREJO 1/1 BANJAREJO 9/2
G3P2A0 17-1-18 1- 1-18
24-10-18 8- 10-18
G3P2A0 G4P3A1
19-1-18
26-10-18
G1P0A0
27-12-17
4-10-18
G4P3A0
15-1-18
22-10-18
G3P2A0
USG
29-10-18
G2 P1AO
10- 10-18
G1P0A0
23-12-17
30-9-18
G1P0A0
3-1-18
32
CAMPUREJO
15/1/18
22/10/18
G1P0A0
3/10/18
G2P0A0
11
DENI OKTAVIA DANI
26
CAMPUREJO RT 6
28/12/17
12
ITA DIAKH K SAMSUL
30
CAMPUREJO RT 11
LUPA JANUAROKTOBER 18G3P2A0
13
SETYO WINARYANI SUTRISNO
39
CAMPUREJO RT 24
22/1/18
29/10/18
G2P1A0
14
TUTIK R TOTOK
31
CAMPUREJO RT 12
9/1/18
16/10/18
G1P0A0
15
DWI RETNO AGUNG
33
CAMPUREJO RT 8
21/12/17
28/9/18
G3P2A0
33 TH RT 3 RW 1
1/17/2018
10/14/2018
G2P1A0
39 TH RT 8 RW 2
3/4/2017
10/1/2018
G4P3A0
KADIPATEN 16
UTAMI YULIATI TAMA
17
RINA UMI N A.SATRIA UTAMA
18
CITRA YUNIATI
27
RT 5/RW 2
1/19/2018
10/26/2018
G1P0A0
33
RT 10/3
1/10/2018
10/17/2018
GIIIPIIA1
EKY YANUAR 19
DESY ANDINI ERY KALIREJO LIMAH / PURWANTO
20 21
MONICA / HADI pindahan dari Tuban
18MG 28 th Kalirejo rt 04 / rw 01
1/12/2018
10/19/2018
G2 P1A0
23 th Kalirejo rt 04 / rw 01
08/01/2018
15/10/2018
G1 P0A0
KARANGPACAR TUTIK SETYOWATI/ IWAN WAHYUONO RISTIA CAHAYA/ RIZKY ADITIA FARIDA NUR A/ ARIS RAGIL UUT MEGAWATI/ MUHAMMAD ARUM INDAH R/ SUKRIAWAN KEPATIHAN
34 25 24 35 32
KR PACAR 7/1 KR PACAR 12/2 KR PACAR 20/3 KR PACAR 20/4 KR PACAR 22/3
1/11/2018 1/20/2018 1/13/2018 11/20/2017 1/10/2018
10/18/2018 10/27/2018 10/20/2018 8/27/2018 12/17/2018
G2P1A0 G3P1A1 G1P0A0 G2P1A0 G2P1A0
Endah Putri
21
RT 1 /01
7/20/2018
4/27/2019
G2 P1 A0
Kariyono
53
Suksmaya Susila Kustiningrum
25
RT 1 / 01 Srinayan Lr 3
1/10/2018
11/17/2018
G2 P0 A1
37
RT 4 /01
12/24/2017
10/1/2018
G3 P2 A0
24
RT 6 /01
10/16/2017
6/2/2018
G2 P0 A1
31
MOJOKAMPUNG Gita Indah/Yoka Agung
26
RT 05/01
01/01/2018
08/10/2018
G2P1A0
32
Intan
38
RT 04/01
/01/2018
/10/2018
G1P0A0
33 34 35
Yunia/Solihin Kristina/Dwi M Maulidia/Heru
24 25 24
RT 03/01 RT 02/01 RT 07/02
11/01/2018 24/12/2017 05/01/2018
18/10/2018 01/10/2018 12/10/2018
G1P0A0 G2P1A0 G1P0A0
36
hikmah yuda anik ruswati toni devi yanuar mujiati m sholeh
36
3--1-18
10/10/2018
g3p2a0
35
2/5/2018
11/12/2018
g4p2a1
22 23 24 25 26
27
28
M Rizky Prasetya 29
Sri Mukti Handayani Kusnan
30
Nurfia Rishardanty Teguh Cipto
MULYOAGUNG
37 38 39
40
NGROWO WIWIN W/ YEES IMANUEL
25
rt 4
12/2/2017
9/9/2018
g1p0a0
30
rt 16
12/19/2017
9/26/2018
g2p1a0
35
RT 3
13/02/2018
20/11/2018
G2P1A0
41
NURIL OKTAVIANI/ARIF S
32
RT 1
27-1-18
11/04/2018
G3 P2A0
42
FITRI RAHAYATI
33
RT 4
26/12/2017
03/10/2018
G3P2A0
43
SISKA DAMAYANTI
20
RT 20
17-Dec
18-Oct
G1P0A0
44
NOVI S/BAYU ADITIA
27
RT12
Dec-17
Oct-18
G2P1A0
45
SUSI LUNGDAYANI/ EDI S
32
RT 16
27/12/2017
04/10/2018
G2P1A0
SEMANDING NIHIL SUKOREJO 46
HETTY FIKA L LUKMAN WAHYU S
22
31/06
06-01-2018
13-10-2018
G1 P0 A0
47
LENNIDYA MARRISA ARI DWI BUDI
26
35/07
04-01-2018
11-10-2018
G2 P1 A0 12 MG
48
SITI KHOSIDAH HERU PUJIANTO
32
16/04
05-01-2018
12-10-2018
G1 P0 A0 5 Mg
49
BINTI NUR ARINI HERI PURWANTO
31
14/04
10-01-2018
17-10-2019
G2 P1 A0 6-7 Mg
50
AGUSTIN Z HARIYADI
35
21/05
12-12-2017
19-09-2018
G3 P2 A0
51
RATNA MEIDIAWATI B. MAHENDRA
32
34/08
12-01-2018
19-10-2018
GIII P2 A0 28 Mg
52
ZULIAN FIRDA S AGUS SETYA B
22
17/08
03-01-2018
10-10-2018
GII P1 A0 37-38 mg
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : OKTOBER 2018 LABORATORIUM GOL DA
Hb gr%
Prot Urin
PPIA GDA
Tawar
Test
Hasil
FAKTOR RESIKO /
SCOR
(+)/(-)
104
KOMPLIKASI
10
B
12,7
-
78
+
+
-
10
B
12,9
-
94
+
+
-
22
B
12.1
-
87
+
+
-
2
B
12,8
-
92
+
+
-
10
B
12,3
-
80
+
+
-
O
13,7
-
94
+
+
O
10,4
-
95
+
A
11,6
-
92
B
11,8
-
O
11,9
O
PENYAKIT
RENCANA
PENYERTA
TEMPAT
SAAT INI
BERSALIN
Kelainan BPM Usia, Penyakit Penyerta( ht) Saraf Mata jrk anak >10 th, usia RS Usia, rwy DM, abortus jrk anak,grande
RS BPM RS
6
grande,jarak anak < 2 tahun usia
-
18
usia, Jarak Anak, Riw.SC
RS
+
-
6
+
+
-
6
180
V
V
2
RS
-
72
V
V
2
BPS
10,2
-
80
V
V
6
KEK,ANEMIA
BPS
12
12
-
64
V
V
10
USIA>35TH,jarak anak>35
RS
O
11
110
V
6
KEK
RS
B
8
-
88
V
V
-
6
ANEMIA
RS
A
12
-
-
√
-
-
2
AB
12
-
-
V
-
-
2
PKM
lila 23 cm, anema
PKM
KEK,lila 23 cm
-
BPM
-
BPS
-
BPS
O
12
-
-
V
-
-
6
KEK LILA 21 CM
-
BPS
AB
12
-
-
√
-
-
2
-
-
BPS
B O O O O
11.2 10.2 11 12 11.2
_ _ _ _ _
_ _ _ _ _
V V V V V
V V V V V
_ _ _ _ _
2
BPM
2
BPM
6 10 2 6 2 14
RIWAYAT PE ABORTUS, ANEMIA
BPS RS BPS PKM RS
USIA >35 TH
Riwayat SC
-
RSU
sinyal PE
(-)
110
Rs Fatma
6
usia > 35
-
BPS
6
riw abortus
(-)
RSA
Jarak anak < 2 tahun Usia 36 th, jarak anak 10 tahun
B
11.8
6
B
12.8
10
O A O
11.8 11.8 11.6
2 2 2
BPS BPS BPS
o
11
neg
neg
v
2
bps
o
12
neg
neg
v
6
a
12
neg
v
2
bps
o
12
neg
v
2
bps
O
11.2
0
-
(-)
-
11.8
V
v
Riw abortus
o
-
v
6
-
6
perna abortus
USIA
BPS BPS
rs
PD/BPS
O
11.3
0
-
V
-
-
2
A
12
-
-
V
-
-
6
R. PREMATUR, JARAK ANAK 6 BLN
BPS
O
11
-
-
V
-
-
10
B20, PE
BPS
O
11.4
-
-
V
-
-
2
PD/BPS
A
12
-
-
V
-
-
2
PD/BPS
PD/BPS
2
-
-
RMH BIDAN
6
- LILA 21,5
-
RMH BIDAN
6 10
NIKAH 9 TH LET-SU
-
RS
2
-
-
RMH BIDAN
2
-
-
RMH BIDAN
6
JRK ANK<2 TH
-
BPM
-
RMH BIDAN
14
- RWYT SC - ANEMI
PENANGAN / KOLABORASI
PERSALINAN TANGGAL
JENIS
TEMPAT
PENOLONG
BUFAS RISTI ( KASUS )
KET
DOKTER / dr.Spesialis
Dokter Puskesmas ,24-10-18
BPM
Normal
Bidan
Bayi BBLR
Bidan
Kontraksi Dini pe,sisa placenta TAA
25-10-18
BPM
Normal
10-10-2018
RSIS
induksi
Bidan
KPD
by.asfiksia
24-10-18
BPM
Normal
Bidan
Taa
By taa
8-10-18
BPM
Normal
Bidan
taa
by taa
20-10-18
BPS
Normal
Bidan
taa
by taa
16-10-18
RSUD
SC
DOKTER
PE
by taa
10-10-18
BPM
Normal
Bidan
TAA
TAA
Dokter Puskesmas 25-10-2018
BPS
Normal
Bidan
taa
by taa
DR.PKM
8/10/18
RS
N
SPOG
DR.PKM
9/10/18
BPS
N
BIDAN
DR.PKM
16/10/18
PKM
N
BIDAN
DR.PKM
9/10/18
RS
N
SPOG
PE
DR.SPOG
13/10/14
RS
N
SPOG
PE
DR.PKM
28/9/18
RS
N
SPOG
ANC RUTIN
14-10
BPS
SPT
BIDAN
-
1-Oct BPS
SPT
BIDAN
-
Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dr. Puskesmas Konsul DSOG Dokter Puskesmas
2018 ANCRUTIN
2018
TAA
ANCRUTIN
25-10
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
-
2018 ANC RUTIN
17-10 2018
dr OBGYN dr OBGYN
DR SPOG DR SPOG BIDAN DR SPOG DR SPOG DSOG
10/10/2018 RSUD 13-9-2018
BPM
10/19/2018 BPS 10/15/2018 BPS 10/9/2018 RS 9/27/2108 RS
10/1/2018
RS F
SPONTAN BIDAN
IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT
SPONTAN BIDAN
N N SC N
BIDAN BIDAN DR SPOG BIDAN
Abortus komplet
dr. JihaN
MENINGGAL PPI
dr. Askan
10/28/2018 RSU
N
Bdn
-
dr. Askan
9/11/2018 BPM
N
Bdn
-
dr. LA Siregar
10/7/2018 RSA
N
dr. Artur
-
Normal
Bidan
kontrol rutin
08/10/2018 Bps
Kontrol rutin
17/10/2018
Bps
Normal
Bidan
Konsul rutin Kontrol rutin kontrol rutin
16/10/2018 Bps 10/02/2018 Bps 08/12/2018 Bps
Normal normal Normal
Bidan bidan Bidan
9/20/2018 bps
spt
bidan
9/16/2018 rs
spt
bidan
9/3/2018 rs
spt
bidan
10/5/2018 rs
spt
bidan
DOKTER PUSKESM 10/11/2018 RS M
NORMAL BIDAN
PE
DOKTER PUSKESM21-9-18
DOKTER PUSKESM
NORMAL BIDAN
7/10/2018 RS F
NORMAL DOKTER
1/10/2018 RSUD
SC
DOKTER
B 20/ PE
SC
DOKTER
P. MACET
DOKTER PUSKESM25-9-18 DOKTER PUSKESM
BPS
RS
4/10/2018 BPS
NORMAL BIDAN
ANC RUTIN
10-10-2018
RMH BIDANNORMAL BIDAN
-
-
ANC RUTIN
17-10-2018
RMH BIDANNORMAL -
-
-
ANC RUTIN
05-10-2018
RS FATMA SC
DSOG
-
LET-SU
ANC RUTIN
17-10-2018
RMH BIDANNORMAL BIDAN
-
-
ANC RUTIN
09-10-2018
RMH BIDANNORMAL BIDAN
-
-
ANC RUTIN
11-10-2018
RS FATMA NORMAL DSOG
-
-
ANC RUTIN
02-10-2018
RS FATMA SC
-
-
DSOG
PUSKESMAS NO
NAMA IBU / SUAMI
DESA
UMUR
G.. P....A.. HPHT
TTP
UK
LABORATORIUM GOL DA
RT
Hb gr Prot GDA % Urin
BANJAREJO 1
Jumilah-Yana Gilang
23
BANJAREJO
1- 2-18
8- 11-18
G1P0A0
B
11,1
-
95
5/1 2
Yasinta-
28
Moh Zaenul 3
JunianaSamiati Eni Puji L -
33
Vita DewiYulia Sapta
A
11,5
-
99
BANJAREJO
20-2-18
27-11-18
G2P1A0
B
12,5
-
78
BANJAREJO
23-2-18
30-11-18
G3P2A0
BANJAREJO
25-1-18
2-11-18
G2 P1AO
A
11'6
-
96
19-2-18
26-11-18
G2 P1AO
B
10.8
-
92
22-2-18
29-11-18
G2 P1AO
A
11,8
-
88
19/3 33
Wiji 7
G2P1A0
3/1 28
Budi Utomo 6
8-11-18
1/1
Yudi Setiawan 5
1-2-18
6/1 24
SulisaFanto 4
BANJAREJO
BANJAREJO 20/3
23
Nazia Hasan
BANJAREJO 15/3
CAMPUREJO 8
NUR INDANA
32
CAMPUREJO RT 19
3/2/2018
13/11/18
G1P0A0
O
11,5
-
80
18
CAMPUREJO RT 27
11/2/18
18/11/18
G1P0A0
B
11,7
-
64
FRENDY 9
SATIRA SISKA NANANG
10 WIWIN
82216749280 38
CAMPUREJO RT 18
20/2/18
17/11/18
G4P3A0
O
11
-
28
CAMPUREJO RT 16
17/2/18
24/11/18
G1P0A0
A
13,7
-
105
SAIFUDIN 11 DESY N.F NASHAN 12 WINARTI
82234021059 34
CAMPUREJO RT 23
17/3/18
22/12/18
G3P2A0
B
11,0
-
59
36
RT 8/ RW 2
2/12/2018
11/19/2018
G2P1A0
O
12
-
-
28
RT12/3
2/15/2018
11/22/2018
GIP0A0
O
12
-
-
A
12
-
-
HARIYADI KADIPATEN 13 DWI RATNA H AGUS BASUKI 14 LISTYOWATI AGUNG 15 AMINATUN NASHIFAH M YUSUP KALIREJO NIHIL KARANGPACAR
12MG 31
RT 15/1
2/18/2018
11/25/2018
GIIPIA0
16 DEVI ANITA SARI/SUPARMAN
31
KR PACAR 2/1
2/28/2018
12/7/2018
G2P0A1
O
11
_
_
17 STELA/ LONI
27
KR PACAR 5/1
2/10/2018
11/17/2018
GIP0A1
O
12
_
_
18 JENI/ STEVEN
32
KR PACAR 4/1
2/15/2018
11/22/2018
G2P1A0
O
11
_
_
19 ANA W ELLA
34
KR PACAR 14/2
2/13/2017
11/20/2018
G2P1A0
AB
12
_
_
20 DESY/ ROFIK KEPATIHAN
25
KR PACAR 2/2
Feb-18
Nov-18
G1P0A0
O
12
_
_
21 Mega Kurnia Dwi Astuti
35
RT 11/ 02
2/4/2018
11/11/2018
G3 P2 A0
B
22 Ega Ayunia
19
RT
2/28/2018
12/5/2018
G1 P0 A0
28
RT 12 /02
12/28/2017
10/5/2018
G3 P2 A0
Sugeng Wibowo 23 Regita Manggarsari Anton Subagio
MOJOKAMPUNG 24 Sulastri/
26
RT 02/01
/02/2018
/11/2018
G2P1A0
B
12
25 Erina Ardian/Nyapingi
40
RT 03/01
26/02/2018
05/11/2018
G2P1A0
O
9.8
26 Regina abdy/ Widianingrum/Bayu 27 Astia Pratama 28 Mega Kurnia /Hudan
23
RT 13/01
24/03/2018
01/01/2019
G1P0A0
B
11.9
22
RT 12/02
/01/2018
/10/2018
G1P0A0
O
12
35
RT 08/02
04/02/2018
11/11/2018
G3P2A0
O
12
29 hoirun nasai
23
RT 15
3/23/2018
12/30/2018
g1p0a0
b
11
neg
30 ririn wahyuni
21
17
2/13/2018
11/21/2018
g1p0a0
31 ELLI MUYASAROH/SUNARDI
30
RT 10
28/01/2018
04/11/2018
G2P1A0
O
12
0
-
32 VIDIA OKTAVIA/BURHANUDIN
24
RT 2
27/01/2018
03/11/2018
G2P1A0
B
12.5
0
-
33 ARUM SEKAR AYU/ M. RUDI SEMANDING
27
RT4
LUPA
G3P2A0
O
11.2
-
-
34 Susiana R./Suyoto
28
RT.6/RW.1
25-2-2018
11/02/2018
G2P1A0
B
11,7
(-)
(-)
35 Sri Ayu/Sukardayat
20
RT.6/RW.1
18-02-2018
25-11-2018
G1P0A0
O
11,5
(-)
(-)
21
01/01
04-01-2018
11-10-2018
G2 P1 A0
B
MULYOAGUNG
wahrul NGROWO
SUKOREJO 36 NISA'UL M EMAN FAREL
37 SISKAWANTI
USG BLN 11
26
31/06
26-01-2018
03-10-2018
G1 P0 A0
39
25/06
-03-2018
-12-2018
G4 P2 A1
JOKO PURNOMO 38 IDA YULIANTI ZAENAL ARIFIN
39 YUNITA K/
7-8 MG
27
29/07
-03-2018
-12-2018
SUCIPTO 40 ELLY NANDAR DWI S
24 mg 27
28/07
-02-2018
-11-2018
AHMAD SYAFI'I 41 IFA DZULKHORIYAH
31
10/03
01-02-2018
08-11-2018
23
15/04
01-02-2018
08-11-2018
G1 P0 A0 5 Mg
24
21/05
11-02-2018
18-11-2018
SYAHRUL QIROM 44 UMI KULSUM
G2 P0 A1 6 Mg
FREDY SAPTA 43 IRENA ROMADHONA
G2 P1 A0 11-12 MG
SUPRIYO 42 NISFUN NIKMATUL
GII P1 A0
G1 P0 A0 11-12 MG
25
18/08
01-02-2018
18-11-2018
G2 P1 A0
SUHATNO 45 IRMA ROSITA
6 Mg 33
33/08
15-02-2018
22-11-2018
PUGUH SUGIHARTO 46 ARI PUJI RAHAYU
6-7 Mg 27
33/08
14-02-2018
21-11-2018
SAFRIDO A 47 JENI EGALIA
SONI PRASETYO
G2 P0 A1 6 Mg
29
18/08
?
LULUK YULIANTO 48 PUTRI RIZKIYAH
G2 P1 A0
20-11-2018
G3 P2 A0
(USG) 20
33/08
27-02-2018
04-12-2018
G2 P1 A0 21-22 mg
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : NOPEMBER 2018 PPIA Tawar Test
Hasil
FAKTOR RESIKO / SCOR
(+)/(-)
KOMPLIKASI
PENYAKIT
RENCANA
PENANGAN /
PENYERTA
TEMPAT
KOLABORASI
SAAT INI
BERSALIN
DOKTER / dr.Spesialis
+
+
-
2
BPM
Dokter Puskesmas
+
+
-
2
BPM
Dokter Puskesmas
+
+
-
2
BPM
Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas
sinyal PE (Imt 35,5)
14
Letsu, KEK
RS
10
spooting/ perdarahan
RS
Konsul DSOG +
+
-
Dr. Puskesmas Konsul DSOG
+
+
-
10
+
+
-
2
jarak anak > 10 th,
RS
anemia
Dr. Puskesmas Konsul DSOG
BPM
Dr. Puskesmas Konsul DSOG
V
V
10
KEK,RIWAYAT ASMA
RS
DR.PKM
V
V
10
USIA<20TH,KEK
RS
DR.PKM
10
UMUR>35TH, GRANDE MULTI
RS
DR.PKM
V
V
V
2
BPS
DR.PKM
V
V
2
BPS
DR.PKM
V
-
-
6
USIA 36 TH
-
BPS
ANCRUTIN
√
-
-
2
-
-
BPS
ANC RUTIN
√
-
-
2
-
-
BPS
ANC RUTIN
V
V
_
6
V
V
_
V
V
_
V
V
_
6
V
V
_
2
BPS
DR SPOG
2
BPS
DR SPOG PRKTEK SWASTA
2
BPS
DR SPOG PRKTEK SWASTA
BPS
DR SPOG
BPS
BIDAN
-
BPS
dr. Didik
10
RIWAYAT ABORTUS
JARAK HAMIL >2TH
usia jarak anak sinyal PE
2
-
-
RS A
dr. Ika
2
-
-
RS F
dr. Askan
2
BPS
Konsul rutin
BPS
Kontrol rutin
2
BPS
Konsul rutin
2
BPS
Kontrol rutin
RS
Kontrol rutin
14
10
usia,jarak anak,anemia
Usia 35 th,jarak ank
v
2
bps
v
2
bps
V
-
-
2
PD/BPS
DOKTER PUSKESMAS
V
-
-
2
PD/BPS
DOKTER PUSKESMAS
V
-
-
6
LILA 19.5
BPS
DOKTER PUSKESMAS
V
(-)
(-)
6
anak pertama
BPS
KONSUL SPOG
V
(-)
(-)
6
Lila < 23 cm
BPS
KONSUL SPOG
18
- LILA 22,5
-
RS
ANC RUTIN
-
RMH BIDAN
ANC RUTIN
-
RS
ANC RUTIN
- BEKAS SC - JRK<2 TH 2
-
6
- PE
18
-HT -JRK ANK>10 -USIA>35 -RWYT AB
2
-
-
BPM
ANC RUTIN
2
-
-
RS
ANC RUTIN
6
- RWYT AB
-
BIDAN
ANC RUTIN
2
-
-
RMH BIDAN
ANC RUTIN
2
-
-
RS
ANC RUTIN
6
- PE
10
- RWYT SC
-
RS
ANC RUTIN
2
-
-
RMH BIDAN
ANC RUTIN
6
- RWYT AB
-
RMH BIDAN
ANC RUTIN
2
-
-
BPM
ANC RUTIN
10
- JRK ANK<2 TH
-
BPM
ANC RUTIN
- KEK
PERSALINAN JENIS TANGGAL
TEMPAT
BUFAS RISTI ( KASUS )
PENOLONG
KET
10-111-2018
BPM
Normal
Bidan
taa
by.taa
15-11-2018
BPM
Normal
Bidan
taa
by.taa
23-11-2018
BPM
Normal
Bidan
taa
by.taa
25-11-2018
RSUD
Normal
Dokter
taa
by. Asfiksia
10-11-18
RS Fatma
Induksi
Dokter
post date
ibu taa by. Taa
20-11-2018
BPS
Normal
Bidan
-
22-11-2018
BPS
Normal
Bidan
-
Ibu taa by taa Ibu taa by taa
17/11/18
RS
N
SPOG
7/11/18
RS
N
SPOG
17/11/18
BPS
N
BIDAN
22/11/18
BPS
9/11/18
RS
N
SPOG
19-11
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
-
2018 22-11 2018 20-11 2018
11/26/2018
RS
N
DR SPOG
INDUKSI
11/9/2018
RS
N
DR SPOG
11/10/2018
RS
N
DR SPOG
11/9/2018
BPS
N
BIDAN
11/5/2018
BPS
N
BIDAN
11/22/2018
RS B
SC
Dr.
Post SC
11/20/2018
RSA
N
dr
-
10/29/2018
RS B
N
DSOG
-
BPS Ita
13/11/2018
BPS
Normal
Bidan
03/11/2018
BPS
Normal
bidan
24/11/2018
RS BPS
SC
Dokter
29/10/2018
Normal
Bidan
23/11/2018
RS
SC
Dokter
11/12/2018
RS
SPT
BIDAN
11/28/2018
bps
spt
bidan
14-11-18
BPM
N0RMAL
BIDAN
11/02/2018
BPM
N0RMAL
BIDAN
27-10-18
BPM
NORMAL
BIDAN
2/11/2018
RS
SPONTAN
BIDAN
Bayi + Ibu Sehat
30/11/2018
RS
SPONTAN
BIDAN
Bayi + Ibu Sehat
05-11-2018
RS FATMA
SC
DSOG
-
13-11-2018
RSU
INDUKSI
BIDAN
-
-
25-11-2018
RSU
SC
DSOG
-
-
15-10-2018
BPM
NORMAL
BIDAN
-
-
18-11-2018
BPM
NORMAL
BIDAN
-
-
14-11-2018
RS FATMA
SC
DSOG
04-11-2018
RMH BIDAN
NORMAL
BIDAN
-
-
17-11-2018
RSA
INDUKSI
DSOG
-
-
22-11-2018
RSU
SC
DSOG
-
-
CPD
27-1-2018
RMH BIDAN
NORMAL
BIDAN
-
-
19-11-2018
RS MUNA
VACUM
DSOG
-
-
06-11-2018
RS MUNA
SC
DSOG
-
-
10-11-2018
RMH BIDAN
NORMAL
BIDAN
-
-
PUSKESMAS NO NAMA IBU / SUAMI
UMUR
G.. P....A..
DESA
HPHT
TTP
UK
RT
LABORATORIUM Prot GOL DA Hb gr% Urin
GDA
BANJAREJO 1 Zuni Purwatiningsih Faruq 2 Siti KhofiyahImam Syafaat 3 Siti MusyarofahAan Galih P 4 AnggunMecco 5 Erika DwiMuh Muton 6 Selly Yuni Eko P. 7 TutikJupri 8 Khoirotun Nisa'Yuda BagusA 9 Anik Tri WJoko S 10 Mariyana-Misbakhul
21 BANJAREJO
14-3-18
21-12-18
G1P0A0
O
10,9
-
80
13-3-18
20-12-18
G2P1A0
O
13,3
-
74
26-3-18
2-12-18
G2P0A1
A
12,4
-
81
12-3-18
19-12-18
G1P0A0
O
11,6
-
84
8-3-18
15-12-19
G3P2A0
B
11,8
-
92
29-3-18
7-12-18
G3P2AO
O
10,9
-
57
3-4-18
10-1-19
G3 P2AO
o
12,6
-
85
8-3-18
15-12-18
G3 P1A1
B
9,9
-
84
1-3-18
8-12-18
G3 P1A1
O
15,4
-
227
9-3-18
16-12-18
G1P0A0
A
13,6
-
92
6/1 30 BANJAREJO 5/1 25 BANJAREJO 14/2 21 BANJAREJO 15/2 28 BANJAREJO 12/2 29 BANJAREJO 20/3 38 BANJAREJO 21/3 26 BANJAREJO 15/3 33 BANJAREJO 16/3 22 BANJAREJO 20/3
11 Diah Eka Zaenudin
26 BANJAREJO 7/1
6-3-18
13-12-18
G1P0A0
B
13.5
-
CAMPUREJO 12 SHEVIC
24 CAMPUREJO RT 25
18/6/18
25/3/19
G1P0A0
O
10,2
-
74
37 CAMPUREJ RT 22
20/3/18
27/12/18
G3P2A0
O
11,2
-
80
32 CAMPUREJO RT 26
15/2/18
22/11/18
G3P2A0
B
10
-
91
28 CAMPUREJO 13
28/2/18
5/12/18
G2P1A0
B
10,6
-
96
27 CAMPUREJO RT 20
2/3/2018
9/12/2018
G2P1A0
O
11,5
-
15/3/18
22/12/18
G2P1A0
B
11,2
-
96
CONDRO
13 WIDYA ARISANTI ASIF
14 UMI KULSUM SUNTIONO
15 ENGGAR CAHYO FAJAR
16 ELSA PUTRI CHUSNUL ABIDIN
17 DINDA AYU
85233573170
29 CAMPUREJO RT 20
MIFTAKHUL
82234731235
18 DIYAH WAHYU
25 CAMPUREJO R 28
16/3/18
23/12/18
G1P0A0
A
7,2
-
79
24 RT 4/2
3/12/2018
12/19/2018
GIP0A0
A
12
-
-
ABDUL ROHMN KADIPATEN 19
LINDA ARIFIN
6-8 MG
3/12/2018
12/19/2018
GIIPIA0
21 SURIRIN / TONI
34 th Kalirejo rt 12 / rw 02 27-2-2018
6-6-12-2018
G2 P1A0
22 SRI IDAYATI / RATMIN
44 th Kalirejo rt 07 / rw 01 ?
?
G4 P3A0
23 ITA AGUSTINA / AHMAD
32 th Kalirejo rt 05 / rw 01 23-4-2018
30-12-2018
G2 P1A0
20
RIZA
30 RT 12/3
AB
12
-
-
11.5
-
-
-
-
-
-
DERMAWAN KALIREJO
AB
11.9
KARANGPACAR 24 RICE/ADE
28 KR PACAR 5/1
3/2/2018
12/9/2018
G1P0A0
O
12
_
_
25 DANISE/RONI
27 KR PACAR 4/1
2/20/2018
11/27/2018
G1P0A0
O
11
_
_
26 ARTHA/BAYU
29 KR PACAR 1/1
3/10/2018
12/17/2018
G2P1A0
O
11.5
_
_
27 DEWI SULISTYOWATI/ AHMAD
33 KR PACAR 23/2
3/3/2018
12/10/2018
G2P1A0
O
12
_
_
28 NETTY/ARIS
32 KR PACAR 20/3
3/11/2018
12/18/2018
G1P0A0
O
11
_
_
29 VINCY/ VICTOR
30 KR PACAR 16/3
3/10/2018
12/17/2018
G1P0A0
O
12
_
_
30 RATNA WULANSARI/ RAGIL SEP 26 KR PACAR 23/3
10/3/2018
17/12/2018
G1P0A0
O
11
_
_
31 FITRIANI/HENRI SC
26 KR PACAR 15/3
3/16/2018
12/23/2018
G1P0A0
O
12
_
_
25 RumDin
2/20/2018
11/27/2018
G1 P0 A0
_
_
KEPATIHAN 32
Ajeng Nur Suli Setyo Rini
LP
M Akhfar Zakhiri MOJOKAMPUNG 33 Parwati/Agus
39 RT 02/01
10/03/2018
17/012/2018
G5P2A0
B
13
_
_
34 Fahmilia/Dirab
25 RT 05/01
07/03/2018
14/12/2019
G2P1A0
A
11
_
_
35 Indah/
30 RT 08/02
2/18/2018
11/25/2018
G2P1A0
B
11.8
_
_
36 Siska Kusuma W/Ali
33 RT 08/02
16/03/2018
23/12/2018
G2P1A0
B
11.8
_
_
38 rt 11
g3p2a1
0
12
20 RT 16
G2P0A1
A
11.2
MULYOAGUNG 37 kotimah
neg neg
didik h NGROWO 38 SITI KHOLIFAH/ FAJAR A SEMANDING
-
-
NIHIL SUKOREJO 39 HIMMATUL U/
25 03/01
15-02-2018
22-11-2018
BAGUS DYMAS DS 40 ELIMATUL K
GI P0 A0
-
-
-
-
-
-
-
-
32-33 32 02/01
27-02-2018
06-12-2018
G4 P2 A1
A
23 04/02
20-05-2018
07-02-2019
GI P0 A0
B
KHUSNUL NUR H 41 FIKA ADI SUSANTO 42 SITI ULIFAH ABDUL MUKRON
13,5
30-31 34 30/06
-02-2018
-11-2018
G4 P3 A0
43 AYU RETNO F
20 26/06
23-03-2018
30-12-2018
PINKY ADITYA 44 WINARTI
42 29/07
28-03-2018
05-12-2018
29 25/06
20-03-2018
27-12-2018
27 37/06
01-03-2018
08-12-2018
35 28/07
-02-2018
-11-2018
26 08/03
08-03-2018
15-12-2018
KHOLID MAWARTI
GII P1 A0
-
-
G2 P1 A0
-
-
G4 P3 A0
-
-
G1 P0 A0
-
-
-
-
-
-
9-10 MG 33 20/05
13-04-2018
20-01-2019
AGUNG WIBOWO 50 VIVI MARDIANA
-
11-12 MG
PUGUH DWI U 49 NURUL HANIFA/
-
6-7 MG
SETYO ADHI 48 DEWI ASMIYAH
G3 P2 A0
16 Mg
RUDIYANTO 47 REZANIA
-
16 mg
MARSONO 46 DINI TIARA
-
7-8 MG
BAMBANG 45 ULIL FITROTIN
G1 P0 A0
GIII P1 A1 32 Mg
29 21/05
15-03-2018
22-12-2018
G1 P0 A0
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : DESEMBER 2018 PPIA Tawar Test
Hasil
FAKTOR RESIKO /
SCOR
(+)/(-)
KOMPLIKASI
+
+
-
2
+
+
-
2
PENYAKIT
RENCANA
PENANGAN /
PENYERTA
TEMPAT
KOLABORASI
SAAT INI
BERSALIN
DOKTER / dr.Spesialis
BPM
sinyal PE
RS
MAP 96,6 +
+
-
Dokter Puskesmas
Dokter Puskesmas
TANGGAL
8-12-18
18-12-18
Konsul DSOG
2
BPM
Dokter Puskesmas
5-12-18
Konsul DSOG +
+
-
2
BPM
Dokter Puskesmas
14-12-18
Konsul DSOG +
+
-
2
BPM
sinyal PE +
+
-
18
+
-
6
17-12-18
Konsul DSOG riwayat SC, jarak anak 1,5 th
RS
anemia +
Dokter Puskesmas
Dr. Puskesmas
17-12-18
Konsul DSOG
usia
RS
Dr. Puskesmas
22-12-18
Konsul DSOG +
+
-
10
anemia,riwayat Abortus
RS
Dr. Puskesmas
17-12-18
Konsul DSOG +
+
-
10
rwyt abortus
DM
RS
Dr. Puskesmas
4-12-18
Konsul DSOG/S.Pd +
+
-
2
BPM
Dr. Puskesmas
19-12-18
+
+
-
2
BPM
Dokter Puskesmas Konsul DSOG
10-12-18
V
V
V
-
14
GEMELI,HIDRANION,ANEMIA
RS
DR.PKM
13/12/18
V
6
USIA>35TH
RS
DR.SPOG
24/12/18
V
V
6
ANEMIA,OBESITAS
RS
DR.PKM
7/12/18
V
V
6
ANEMIA
RS
DR.PKM
19/12/18
10
RIWAYAT SC
RS
SPOG
11/12/18
RS
DR.PKM
23/12/18
RS
DR.PKM
13/12/18
BPS
ANCRUTIN
V
V
V
2
V
V
6
ANEMIA KEK
V
-
2
-
-
-
19-12 2018
√
-
-
2
-
-
BPS
ANC RUTIN
12-Oct 2018
√
-
-
6
Jarak anak >10 th
PUSKESMAS
√
-
-
14
USIA 44 th,JARAK ANAK,GRANDE
RSUD
√
-
-
6
KEK
PUSKESMAS
dr.PKM
4/12/2018
19-12-2018
dr.PKM
25-12-2018
V
V
_
2
BPS
BIDAN
12/6/2018
V
V
_
2
BPS
BIDAN
12/1/2018
V
V
_
2
BPS
BIDAN
V
V
_
PKM
DR SPOG
12/11/2018
V
V
_
2
BPS
BIDAN
12/4/2018
V
V
_
2
BPS
BIDAN
12/15/2018
V
V
_
2
BPS
BIDAN
12/14/2018
V
V
_
2
BPS
BIDAN
12/19/2018
V
V
_
2
RS Fatma
Dr. Askan
V
V
_
18
RSU
Kontrol rutin
15/12/2018
V
V
_
2
BPS
Kontrol rutin
11/12/2019
V
V
_
2
BPS
Kontrol rutin
V
V
_
2
BPS
Konsul rutin
neg
10
v
6
JARAK ANAK >10 TH
-
-
usia 39,rwyt abortus Asma
usi >35
kel tiroid rs
12/10/2018
11/30/2018
01/12/2018 22/12/2018
12/21/2018
pembesaran kelenjar tiroid
V
-
-
10
ABORTUS,HBSAG POSITIF
PD/BPS
DOKTER PUSKESMAS
21-11-18
√
-
-
2
-
-
BPM
ANC RUTIN
28-12-2018
√
-
-
6
RWYT AB
-
PMB
ANC RUTIN
27-11-2018
√
-
-
6
- PE
-
RS
ANC RUTIN
25-12-2018
√
-
-
6
- GRANDE
-
PMB
ANC RUTIN
30-11-2018
10
- HB 8,2gr%
√
-
-
2
-
-
RMH BIDAN
ANC RUTIN
25-12-2018
√
-
-
10
- USIA>35
-
RS
ANC RUTIN
22-12-2018
- JRK ANK>10 √
-
-
2
-
-
RMH BIDAN
ANC RUTIN
26-12-2018
√
-
-
2
-
-
RMH BIDAN
ANC RUTIN
21-12-2018
√
-
-
6
- GRANDE
-
RS
ANC RUTIN
01-12-2018
√
-
-
2
-
-
RMH BIDAN
ANC RUTIN
05-12-2018
√
-
-
10
- RWYT AB
-
RS
ANC RUTIN
25-11-2018
- PE √
-
-
2
-
KONSUL DSOG -
RMH BIDAN
ANC RUTIN
17-12-2018
PERSALINAN TEMPAT
JENIS
BUFAS RISTI ( KASUS )
PENOLONG
KET
BPM
Normal
Bidan
taa
by.taa
BPM
Normal
Bidan
TAA
TAA
BPM
Normal
Bidan
taa
by taa
BPM
Normal
Bidan
taa
by taa
BPM
Normal
Bidan
taa
RS Fatma
SC
DOKTER
rwyt sc
Ibu taa by taa
RSUD
induksi
Bidan
let su + K ibu & by taa by asfiksia
BPS
Normal
Bidan
-
Ibu taa by taa
BPS
Normal
Bidan
-
Ibu taa by taa
BPS
Normal
Bidan
-
Ibu taa by taa
BPM
Normal
Bidan
Taa
By taa
RS
N
SPOG
RS
SC
SPOG
RS
N
SPOG
RS
N
SPOG
RS
SC
SPOG
BPS
N
BIDAN
RS
N
SPOG
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
RS FATMA
SPONTAN
DOKTER
-
IBU SEHAT BAYI SEHAT
RSUD
SPONTAN
BIDAN
IBU SEHAT BAYI SEHAT
POLINDES
SPONTAN
BIDAN
IBU SEHAT BAYI SEHAT
RS
N
DR SPOG
RS
N
BIDAN
BPS
N
BIDAN
RS
N
DR SPOG
INDUKSI
RS
SC
DR SPOG
INDUKSI
RS
N
BIDAN
RS
N
BIDAN
RS
N
BIDAN
BPM
N
Bdn
BPS
Normal
Bidan
BPS
normal
bidan
BPS
Normal
Dokter
BPS
Normal
Bidan
rs
RSUD
spt
NORMAL
bidan$
BIDAN
INDUKSI
-
B. Anjar
RMH BIDAN
NORMAL
BIDAN
-
-
RS FATMA
NORMAL
DSOG
-
-
RSU
NORMAL
BIDAN
-
PREMATUR BBLR
RS IBNUSINA
NORMAL
DSOG
-
-
RMH BIDAN
NORMAL
BIDAN
-
-
RS FATMA
NORMAL
DSOG
-
-
RMH BIDAN
NORMAL
BIDAN
-
LET-SU
RSA
INDUKSI
DSOG
-
-
BPM
NORMAL
BIDAN
-
-
RMH BIDAN
NORMAL
BIDAN
-
-
RSA
SC
DSOG
POST PE PREMATUR BBLR
BPM
NORMAL
BIDAN
-
-
NAMA IBU / SUAMI
DESA
UMUR
G.. P....A.. HPHT
TTP
UK
RT
LABORATORIUM
PPIA
GOL Hb Prot GDA Tawar Test Hasil SCOR DA gr% Urin (+)/(-)
BANJAREJO 1 Dewi Lestari-
30
Erfan E 2 Mulyati
28
28
20
A 12,7
-
76
+
+
-
2
Banjarejo
12-4-2018
19-1-2019
G3P1A1
A
-
90
+
+
-
6
8-4-18
15-1-19
G1P0A0
O 11,5
-
72
+
+
-
6
25-4-18
2-1-19
G1P0A0
B 11,8
-
92
+
+
-
2
31-3-18
7-1-19
G1 P0AO
A 11,4
-
100
+
+
-
2
-
73
+
+
-
6
122
V
V
18
80
V
V
2
11
BANJAREJO
BANJAREJO 14/2
22
Imam Mursidi 6 Melisa
G2P1A0
9/2
Edi Fika 5 Diani Rahayu-
27-1-19
6/1
Sartono 4 Teti A.
20-4-18
7/1
Agus 3 Yatmiasih-
BANJAREJO
BANJAREJO 20/3
18
Banjarejo 21/3
24-04-2018
1-2-2019
G1P0A0
O
11
37
CAMPUREJO RT 11
29/3/18
6/1/19
G3P2A0
AB 12,5-
26
CAMPUREJO RT 17
8/3/18
15/12/18
G2P1A0
O
Hasyim
CAMPUREJO 7 SITI RAHAYU ARI WIBOWO
8 CHOIRUNISA
11
-
DIVA JEFRI
9 NUR KHOLIFAH
20
CAMPUREJO RT 26
1/4/18
8/1/19
G1P0A0
B 13,2
-
98
V
V
6
22
CAMPUREJO RT 26
16/4/18
23/1/19
G2P1A0
O
-
80
V
V
-
6
20/3/18
27/12/18
G2P1A0
O 11,2
-
80
V
V
-
2
DITA
10 MUSLIMAH
11
EDI S
11 NITIS SAHPENI
34TH CAMPUREJO RT 8
AGUS KADIPATEN 12 INDRI K
31
RT 3/1
4/20/2018
1/27/2019
GIIIPIIA1
A
12
-
-
√
-
-
2
28
RT 4/2
4/10/2018
1/17/2019
GIP0A0
A
12
-
-
V
-
-
2
AIRLANGGA
13 YENI / DANNIS
KALIREJO 14 NURUL HIDAYAH / DIDIK PRASETYO B
25 th Kalirejo rt 10 / rw 02
23-3-2018
30-12-2018
G1 P0A0
11.5
2
15 SITI RAHAYU GINAWATI/ KHOIRUL ANWAR
24 th Desa Kalirejo rt 09 / rw 02
4/15/2018
1/22/2019
G2 P1A0
O
13
2
16 SITI NUR AISYAH / DARMAWAN
24 th Desa Kalirejo rt 12 / rw 02
5/26/2018
2/2/2019
G1 P0A0
O 11.5
2
KARANGPACAR 17 MARETHA INDAHSARI/ISWANTO
25
KR PACAR 7/1
3/5/2018
12/12/2018
G2P1A0
O
12
_
_
V
V
_
6
18 VINA/SHOLIH
21
KEPATIHAN
10/04/2018
1/17/2019
G2P1A0
A
12
_
_
V
V
_
10
19 DIAN RENI SUSANTI/HENDRA
23
KR PACAR 2/1
3/10/2018
12/17/2018
G1P0A0
O
11
_
_
V
V
_
2
20 JUANITA NOVITASARI/ SYAIFUDDIN N
34
KR PACAR 15/3
15/3/2018
22/12/2019
G2P1A0
A
12
_
_
V
V
_
2
21 MAMA/ LEON
34
KR PACAR 23/3
4/1/2018
1/8/2019
G3P1A0
O
12
_
_
V
V
_
10
22 MERY/NICO
25
KR PACAR 17/3
4/20/2018
1/27/2019
G2P1A0
A
12
_
_
V
V
_
2
23 NINING SUSANTI/ANTON/SUSANTO
30
KR PACAR 23/3
3/18/2018
12/25/2019
G3P2A0
AB 13
_
_
V
V
_
6
28
RT 2 /01
4/21/2018
1/28/2019
G2 P0 A1
6
24
RT 10 /02
4/8/2018
1/15/2019
G1 P0 A0
2
20
RT 12 /02
4/4/2018
1/11/2019
G1 P0 A0
2
27 Rina Faridatus /Rahman Hakim
34
RT 04/01
09/04/2018
16/01/2019
G2P1A0
O 11.5
2
28 Siti R/Imam
35
RT 06/01
16/04/2018
23/01/2019
G3P2A0
B
6
29 Sania Rahayuning/Muntolib
34
RT 14/01
26/03/2018
02/01/2019
G2P1A0
B 11.8
KEPATIHAN 24 Ratna Asmarani
Deny Fajarani
25 Suliyeni
30
Ahmad Rosyid
26 Vinna Ressiani W
Jemmi Apriadna
MOJOKAMPUNG
12
2
30 Devi/
30
RT 03/01
17/04/2018
24/01/2018
G2P1A0
O 12.2
2
31 Yuli Indra/Rian
28
RT 08/02
11/04/2018
18/01/2019
G2P1A0
O 12.4
2
32 Fika Suci/Ujang
34
RT 08/02
12/04/2018
19/01/2019
G2P1A0
O 12.4
2
33 Yunia/Erwin
31
RT 05/01
07/04/2018
14/01/2019
G2P1A0
B 11.8
2
31
rt 13
4/16/2017
1/23/2018
g2p1a0
a
12 neg
28
rt 13
4/24/2018
1/31/2019
g2p1a0
o
11 neg neg
24
rt 15
4/13/2017
1/21/2018
g1poao
v 12.3
37 DIAN W/AHMAD ZUKARNI
24
RT 2
04/04/2018
01/11/2019
G1P0A0
AB 11.9
0
-
V
-
-
2
38 IRMA AYU/ADAM SUKMORO
26
RT 3
29/03/2018
16/01/2019
G3P2A0
O
12
0
-
V
-
-
2
39 LUSI KISWANDINI/YAYAK S
26
RT 19
29-3-18
12/06/2018
G1P0A0
B
12
0
-
V
-
-
6
40 RIRIN W/
38
RT 19
04/10/2018
17-1-19
G3P2A0
O 12.1 0
-
V
-
-
6
41 YANTI/ SAIFUL ARIF
37
RT 9
21-3-18
28-12-2018
G2P1A0
B 12.4
-
-
V
-
-
10
42 siti yuyun /
29
rt.05/rw01
04/03/2018
12/1/2019
G2P1A0
o
(-)
(-)
v
(-)
(-)
2
43 Tawiyati/Patmo
36
RT.1/RW.1
21/05/2018
28/02/2019
G2P1A0
B 11,7 (-)
(-)
V
(-)
(-)
10
MULYOAGUNG 34 sulis mahariyani
neg
neg
2
teguh budi prasetyo 35 linda kristiana
v
2
anwarul 36 enggrit
6
kartono NGROWO
SEMANDING 11
SUKOREJO
DATA IBU BERSALIN KESMAS BOJONEGORO
BULAN : JANUARI 2019 FAKTOR RESIKO / KOMPLIKASI
PENYAKIT
RENCANA
PENANGAN /
PENYERTA
TEMPAT
KOLABORASI
SAAT INI
BERSALIN
DOKTER / dr.Spesialis
BPM
Dokter Puskesmas
PERSALINAN TANGGAL
JENIS
TEMPAT
BUFAS RISTI PENOLONG ( KASUS )
KET
25-1-19
BPM
Normal
Bidan
taa
by. Taa
15-1-19
BPM
Normal
Bidan
taa
by. Taa
10-1-19
BPM
Normal
Bidan
taa
by. Taa
1-1-19
BPM
Normal
Bidan
taa
by. Taa
1-1-19
BPM
Normal
Bidan
taa
by. Taa
19-1-19
RS Fatma
Normal
Bidan
taa
by. Taa
Konsul DSOG abortus
BPM
Dokter Puskesmas Konsul DSOG
lila 23 cm
BPM
Dokter Puskesmas Konsul DSOG
BPM
Dokter Puskesmas Konsul DSOG
BPM
Dr. Puskesmas Konsul DSOG
awal,usia,sinyal PE
RS
Dr. Puskesmas Konsul DSOG
USIA,RWYT SC,TNGGI BADAN<145
RS
DR.PKM
24/12/18
RS
SC
SPOG
BPS
DR.PKM
9/1/19
BPS
N
BIDAN
KEK
BPS
DR.PKM
2/1/19
RS
N
SPOG
JARAK ANAK <2TH
RS
DR.PKM
8/1/19
PD
N
BIDAN
RS
DR.SPOG
27/12/18
RS
N
SPOG
BPS
ANC RUTIN
SPT
BIDAN
-
SPT
BIDAN
-
VAKUM
DOKTER
-
-
25-Jan BPS 2019
-
-
BPS
ANCRUTIN
17-Jan BPS 2019
PKM
dr PKM
30-12-2018
RS FATMA
IBU SEHAT BAYI SEHAT
RS.IBNU SINAdr.PKM
22-1-2019
RS IBNU SINA SPONTAN
DOKTER
dr.OBGYN
PUSKESMAS Dr PKM Dr.OBGYN
IBU SEHAT BAYI SEHAT
31-1-2019
RS FATMA
SPONTAN
DOKTER
IBU SEHAT BAYI SEHAT
IMT >26
BPS
DR SPOG
21/12/2018
RS
N
DR SPOG
RIWAYAT ABORTUS, KEK
RS
DR SPOG
15/1/2019
BPS
N
BIDAN
BPS
BIDAN
10/1/2019 BPS
N
BIDAN
BPS
BIDAN
RS
SC
DR SPOG
RS
DR SPOG
9/1/2019 RS
SC
DR SPOG
BPS
BIDAN
17/1/2019
BPS
N
BIDAN
PKM
DR SPOG
30/12/2018
BPS
N
BIDAN
-
RS Fatma
DSOG
1/16/2019 BPS
N
Bdn
-
Bdn. Dwi
-
BPS
PKM
1/3/2019 BPM
N
Bdn
-
BPS Siti
1/1/2019 BPM
N
Bdn
-
RIWAYAT SC
SINYAL PE
Riwayat Abortus
-
13/1/2019
BPS
Konsul rutin
12/01/2019 BPS
Normal
Bidan
BPS
Konsul rutin
23/01/2019 BPS
Normal
Bidan
BPS
Konsul rutin
04/01/2019 BPS
Normal
Bidan
INDUKSI
kek
BPS
Kontrol rutin
22/01/2019 BPS
Normal
Bidan
BPS
Konsul rutin
16/01/2019 BPS
Normal
Bidan
BPS
Kontrol rutin
18/01/2019 BPS
Normal
Bidan
BPS
Kontrol rutin
10/01/2019 BPS
Normal
Bidan
bps
1/20/2019 BPS
SPT
BIDAN
RS
1/31/2019 RS
SPT
bidan
pk m
1/23/2019 RS
SPT
BIDAN
PD/BPS
DOKTER PUSKESMAS 21-12-18
BPS
NORMAL
BIDAN
PD/BPS
DOKTER PUSKESMAS 22-12-18
BPS
NORMAL
BIDAN
PE(TD 130/80)
PD/BPS
DOKTER PUSKESMAS 27-12-18
RS
SC
DOKTER
USIA 38
PD/BPS
DOKTER PUSKESMAS
NORMAL
BIDAN
JARAK ANAK>10TH
BPS
DOKTER PUSKESMAS 23-12-18
RS F
NORMAL
BPS
konsul rutin
18-01-2019
RS Fatma
SPONTAN
RS
KONSUL SPOG
20-01-2019
RSUD
SC(PLSPREFIA) dokter
usia >35 thn
01/07/2019 BPS
bidan
PE
bayi+ibu sehat
bayi+ibu sehat
jarak anak > 10 thn
DAT PUSKES BULA PUSKESMAS NO
NAMA IBU / SUAMI
UMUR
DESA
G.. P....A.. HPHT
TTP
UK
RT
LABORATORIUM
PPIA
GOL DA
Hb gr%
Prot Urin
GDA
Tawar
Test
BANJAREJO 1
Novitasari-
33
Khoirul 2
Wiji Astutik-
Masrurotin-
46
Ifa Wahyuni
4-2-19
G3 P2AO
BANJAREJO
14-5-18
21-2-19
G3 P2AO
25-4-18
2-2-19
G2 P1AO
B
12,5
-
83
+
+
6-6-2018
13-3-2019
G2P1A0
O
11,5
-
77
+
+
23/3 33
Irhamna 4
27-5-18
21/3
Sakiman 3
BANJAREJO
BANJAREJO 17/3
34
Abdu Syasik
Banjarejo 1/1
CAMPUREJO 5
ETIK P
24
CAMPUREJO RT 32
8/5/18
15/2/19
G2P1A0
A
12,8
-
122
V
V
34
CAMPUREJO RT32
5/6/18
12/3/19
G4P2A1
O
12
-
90
V
V
30
CAMPUREJO RT 13
14/2/18
21/2/19
G2P1A0
A
11,3
-
80
V
V
MARDI 6
LUSIANA AGUS M
7
PINGKAN UPAKARTI ARDY OKTAVIAN
8
RATNA DWI
26
CAMPUREJO RT 24
24/4/18
31/1/19
G1P0A0
AB
13,5
-
87
V
V
28
CAMPUREJO RT 30
25/4/18
2/2/19
G3P1A1
O
11
-
80
V
V
10 RISKY
26
RT 15/1
5/8/2018
2/15/2019
GIIPIA0
O
12
-
-
√
-
DAVID
30
MAHESWARI
29
RT12/3
5/5/2018
2/12/2019
GIP0A0
AB
12
-
-
√
-
12 NOVI/ LEO
31
KR PCAR 5/1
5/10/2018
2/17/2019
G2P1A0
A
11
_
_
V
V
13 MUALIMATUL H. / DISTAN
22
KR PACAR 7/1
5/10/2018
2/17/2019
G1P0A0
AB
11
_
_
V
V
14 LULUK LESTARI/ ARIS WA
26
3/1
5/16/2018
2/20/2019
G2P1A0
AB
12
_
_
V
V
15 SRI MURTIN/LEONARDO
24
KR PACAR 2/2
4/30/2018
2/7/2019
G1P0A0
O
11
_
_
V
V
16 IIN/BUDI
33
KR PACAR 12/2
10/5/218
2/17/2019
G2P1A0
A
12
_
_
V
V
17 YANTI/
38
KR PACAR 2/1
5/20/2018
2/27/2019
G3P2A0
O
12.2
_
_
V
V
18 FIFI/ AGUS SETIAWAN
29
KR PACAR 19/3
5/15/2018
2/22/2019
G3P1A1
O
11.6
_
_
V
V
19 TIRZA OCTAVIA P/ AGOES
25
KR PACAR 19/3
4/15/2018
1/22/2019
G1P0A0
A
11
_
_
V
V
RWIN GUTAWA 9
FENI APRILIA SANDY PRAMUDYA KADIPATEN
11
36-37
HARTANTO KALIREJO NIHIL KARANGPACAR
KEPATIHAN 20 Betty Putri W
RT 2 /01
5/9/2018
2/16/2019
G2 P1 A0
27
RT 12 / 02
9/13/2018
6/20/2019
G3 P2 A0
22 Ariek Yunita/Gaguk
32
rt 02/01
02/05/2018
09/02/2019
G3P2A0
O
11,8
23 Eva Agustinigtyas/Hegki P
24
RT 13/01
10/05/2018
17/02/2019
G1P0A0
O
11.6
24 Endah/Arifin
23
RT 10/02
10/05/2018
17/02/2019
G1P0A0
O
11.8
25 Sari Ambar/Wawan
24
RT 12/02
07/05/2018
14/02/2019
G1P0A0
B
11.8
26 Palupi Ratna/Aziz
25
RT 11/02
12/05/2018
19/02/2019
G1P0A0
O
12
27 Yemi/Faisal
32
RT 13/01
02/05/2018
09/02/2019
G2P1A0
O
12.2
28 Putri/
32
rt 10/02
16/05/2018
23/02/2019
G2P1A0
B
29 Shintia/Agus
26
rt 8/2
22/04/2018
02/01/2019
G2P1A0
30
rt 8
8/1/2018
5/8/2019
g3p2a1
o
11
neg
neg
v
25
RT 10
16-4-18
23-1-19
G1P0A0
O
11.7
0
-
V
Irmansyah Abbas 21 Loeritha Shinta
30 30
Zakarias Agung
MOJOKAMPUNG
MULYOAGUNG 30 wati sutomo NGROWO 31 SELVIA YOLANDA
-
32 KIKI WIJAYANTI/DIDIK
31
RT 3
22-4-18
29-1-19
G2P1A0
A
11
0
-
V
-
33 ATIK PUSPITA /EKO F
21
RT3
14-4-18
21-1-19
G1P0A0
B
11.6
0
-
V
-
34 LUSIANA/ JUNIARTO
35
RT 3
27-4-18
02/04/2019
G3P2A0
O
12
0
-
V
-
35 IKA / JEFRI
35
RT 8
G4P3A0
B
11.2
-
-
V
-
36 RIKA HARIATI/AGUS N
25
RT 20
G2P1A0
B
11.3
-
-
V
-
37 RUTHDIANA/NATANAEL
30
RT 14
G2P1A0
O
11
0
-
V
-
38 FITRI ANGGRAINI
26
RT12
G2P1A0
A
11.2
0
-
V
-
7/6/2018
04/05/2018
14-3-19
01/12/2019
SEMANDING NIHIL SUKOREJO 39 WIWIK SURYANI
36
30/06
08-05-2018
15-02-2018
G2 P1 A0
21
30/06
04-06-2018
11-03-2019
GI P0 A0
FINO NUGROHO
40 DEFVI ANIKA S M. RIFA'I
41 MARITA ANGGRIANA/ ARISONA
10-11 Mg
22
11/03
29-04-2018
06-02-2019
GI P0 A0 36 Mg
42 MARDHIYAH D
30
16/04
20-05-2018
27-02-2019
G2 P1 A0
28
19/08
-05-2018
-02-2019
GIII P1 A1
SUPRIO
43 DIAH TRI WARDANI ILLMUDIN SYAHRIZA
44 TRI NADIA NINGSIH/ ZAENUDIN
12 Mg
28
19/05
21-05-2018
30-02-2019
GIII P2 A0 14-15
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : FEBRUARI 2019 PPIA Hasil
FAKTOR RESIKO /
SCOR
(+)/(-)
KOMPLIKASI
10
riwayat SC
PENYAKIT
RENCANA
PENANGAN /
PENYERTA
TEMPAT
KOLABORASI
SAAT INI
BERSALIN
DOKTER / dr.Spesialis
RS
Dr. Puskesmas
PERSALINAN TANGGAL
TEMPAT
3/2/2019
RS FATMA
18-02-2019
BPS
Konsul DSOG 10
usia, jarak anak 21 th
RS
Dr. Puskesmas Konsul DSOG
-
2
-
14
TB 142 cm, Gemelli,
BPM
Dr. Puskesmas
26-1-2019
RS
RS
Dokter Puskesmas
8-2-19
RS FATMA
TD 140/100
-
2
18
2
RIWAYAT SC,GRANDE,PERNAH ABORTUS
Konsul DSOG
RS
DR.PKM
6/2/2019
RS
RS
DR.PKM
21/2/19
RS
BPS
DR.PKM
118/2/19
BPS
2
-
6
PERNH ABORTUS
2
-
-
RS
DR.PKM
2/2/19
RS
RS
DR.PKM
19/2/19
RS
BPS
ANC RUTIN
15-Feb
BPS
2019 -
2
-
-
BPS
ANC RUTIN
12-Feb
BPS
2019
_
2
BPS
BIDAN
2/15/2019
BPS
_
2
BPS
BIDAN
2/16/2019
BPS
_
2
BPS
BIDAN
2/18/2019
BPS
_
2
BPS
BIDAN
2/5/2019
BPS
_
6
BIDAN
DR SPOG
2/10/2019
BPS
_
6
USIA> 35 TH
BPS
DR SPOG
2/20/2019
BPS
_
6
RIWAYAT ABORTUS
PKM
DR SPOG
2/20/2018
RS
_
2
BPS
BIDAN
1/20/2019
BPS
2
-
-
-
RS Fatma
dr. Wafi OG
2/8/2019
BPM
-
-
BPM
dr. Askan
2/20/2019
BPM
2
BPS
Kontrol rutin
07/02/2019
BPS
2
BPS
Kontrol rutin
04/02/2019
BPS
2
BPS
Konsul Dokter
15/02/2019
BPS
2
BPS
Konsul rutin
12/02/2019
BPS
2
BPS
Konsul rutin
18/02/2019
BPS
2
BPS
Konsul rutin
07/01/2019
BPS
2
BPS
Konsul Dokter
20/02/2019
BPS
BPS
Konsul Dokter
01/02/2019
BPS
2/18/2019
rsf
22-1-19
RS F
2
pkm
2
PD/BPS
DOKTER PUSKESMAS
-
2
PD/BPS
DOKTER PUSKESMAS
23-1-19
BPS
-
2
PD/BPS
DOKTER PUSKESMAS
21-1-19
BPS
-
6
USIA 35
PD/BPS
DOKTER PUSKESMAS
28-1-19
BPS
-
14
USIA35. JARAK ANAK 8 BLN, GRANDE
BPS
DOKTER PUSKESMAS
21-1-19
BPS
-
2
BPS
DOKTER PUSKESMAS
19-2-19
BPS
-
2
PD/BPS
DOKTER PUSKESMAS
18-2-19
BPS
-
2
PD/BPS
DOKTER PUSKESMAS
28-1-19
BPS
14
- USIA>35
HT
RS
- HT
ANC RUTIN
10-02-2019
RS FATMA
KONSUL PKM
- RWYT PE
2
-
-
RS
ANC RUTIN
21-02-2019
RMH BIDAN
6
- KEK
-
RMH BIDAN
ANC RUTIN
01-02-2019
RMH BIDAN
10
- BEKAS SC
-
RS
ANC RUTIN
12-02-2019
RS FATMA
6
- RWYT AB
-
BPM
ANC RUTIN
23-02-3019
RSA
6
- HT
- HT
RS
ANC RUTIN
15-02-2019
RS FATMA
PERSALINAN JENIS
PENOLONG
BUFAS RISTI ( KASUS )
KET
SC
Dokter
taa
by taa
normal
Bidan
taa
by taa
normal
Bidan
taa
By taa
SC
Dokter
Bumil post sc
bblr, bblr+asfiksia
SC
SPOG
SC
SPOG
N
BIDAN
N
SPOG
SC
SPOG
SPT
BIDAN
-
SPT
BIDAN
-
N
BIDAN
N
BIDAN
N
BIDAN
N
BIDAN
N
BIDAN
N
BIDAN
N
BIDAN
N
BIDAN
N
Bdn
-
BPM Dwi
N
Bdn
HPP
Nur Fat
sisa Plas Curret
Normal
Bidan
Normal
Bidan
Normal
Bidan
Normal
Bidan
Normal
Bidan
NormalBidan NormalBidan NormalBidan
spt
bidan
NORMAL
DOKTER
NORMAL
BIDAN
NORMAL
BIDAN
NORMAL
BIDAN
NORMAL
BIDAN
NORMAL
BIDAN
NORMAL
BIDAN
NORMAL
BIDAN
SC
DSOG
PE
-
NORMAL
BIDAN
-
-
NORMAL
BIDAN
-
-
SC
DSOG
-
-
NORMAL
DSOG
-
-
SC
DSOG
PE
-
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : MARET 2018 PUSKESMAS
G.. P....A..
LABORATORIUM
PPIA
PENYAKIT
RENCANA PENANGAN /
PERSALINAN
FAKTOR RESIKO / NO
NAMA IBU / SUAMI
UMUR
DESA
HPHT
TTP
UK
RT
1
BANJAREJO Nurjanah-
37
Julianto 2
Any SafitriJuli Danita -
24
Reni Rengga-
32
Fitri -
G4P3A0
A
12,8
-
SCOR
BANJAREJO
PENYERTA
TEMPAT
KOLABORASI
(+)/(-)
88
+
+
-
KOMPLIKASI
SAAT INI
BERSALIN
DOKTER / dr.Spesialis
14
usia, jarak anak,
TANGGAL
RS D0kter Puskesmas 16-3-18
Grande
Konsul DSOG
11-7-2017
18-4-2018
G2P1A0
B
12,2
-
86
+
+
-
2
BPSDOKTER PUSKESMAS 2-3-18
BANJAREJO
15-6-17
13-3-18
G2 P1A0
B
11,8
-
88
+
+
-
2
BPSDOKTER PUSKESMAS 22-3-18
10-6-17
17-3-18
G1P0AO
-
6
KEK lila 23cm
13-6-17
20-3-18
G2 P1AO
-
6
jarak anak > 10 th
2-Nov 25
Moh Yusuf 5
16-3-2018
Hasil
9/2
Dudi Susilo 4
9-6-2017
Tawar Test GDA
7/1
Sunarto 3
BANJAREJO
GOL Hb gr Prot DA % Urin
BANJAREJO
BPSDOKTER PUSKESMAS 15-3-18
9/02 34
Asmari
BANJAREJO
B
11,6
-
94
+
+
PKM
15/03
Dr. Puskesmas
17-3-18
Konsul DSOG
CAMPUREJO 6
AJENG DIYAH
31CAMPUREJO RT 19 8/6/17
15/3/18
G3P2A0
O
11
-
80
V
V
2
5/4/2017
2/11/2018
G3P2A0
O
11
_
81
v
v
6
umur >35 th
22/6/17
29/3/18
G1P0A0
O
11,5
-
V
V
6
KEK
23CAMPUREJO RT 19 '28/5/17
5/3/18
G1P0A0
O
11,5
_
V
V
2
BPS
DR.SPOG
5/3/18
RS
dr.PKM
3/3/18
M.SAIFUL 7
sri utami
40
campurejo 6
rusgianto 8
Anik supartiana
22 campurejo rt 31
PKM KONTROL RUTIN
23/3/18
adip m. 9
DWI RETNO N W ACHMAD SYAFIUL
80
RS
KONTROL RUTIN
28/2/18
10
TRIANI
24 CAMPUREJO RT 4
1/6/17
8/3/18
G2P1A0
B
10/6//17
3/17/2018
G2P1A0
AKHIR 1/2018
11
-
80
V
V
6
JARAK ANAK <2TH
BPS
DR.SPOG
3/3/18
AB 11,5
-
82
V
V
6
KEK
BPS
DR.PKM
13/3/18
G2P1A0
O
11,5
_
80
V
V
6
UMUR>35TH
RS
DR.SPESIALIS
8/3/18
31/3/17
G2P1A0
B
6,9
-
98
V
V
10
ANEMIA,JARAK ANAK<2TH
RS
DR.PKM
8/3/18
3/20/2018
G4P3A1
O
12
-
-
√
-
2
-
BPS
ANC RUTIN
20-Mar
TULUS 11
TITIK SIROTIN
27 CMPUREJO 29
EKA DAVID S. 12
IKA AGUSTINA
37 CAMPUREJO RT 9LUPA 4/2017
YUUDA 13
ANITA PRATIWI
TTP:2/3/18 22CAMPUREJO RT 16 24/6/17
TULUS KADIPATEN 14
ELY NUR AZIZAH
35
4/1
6/13/2017
-
-
M ALI MUSTOFA
15
ARUMIATININGSIH
2018
42
RT 2/ RW 1
5/22/2017
29-2-2018
G3P2A0
AB
12
-
-
√
-
-
6
USIA 42 TH
-
BPS
ANC RUTIN
HARTONO
2-Mar 2018
KALIREJO 16
TARBIYAH/ KUSNADI
34Kalirejo rt 09/ rw 027/12/2017
4/19/2018
G2 P1A0
AB
12
10
Jarak anak 11 th
RS
Dr OBGYN
Riwayat abortus 17
SULIKAH/ MUGIK
28Kalirejo rt 11/ rw 0212/06/2017
19/03/2018
G2 P1 A0
O
11.2
2
BPS
Dr PKM
3/12/2018
18
ASTUTIK/ EKO PRASETYO
KALIREJO 28 RT 08/ RW 02 7/14/2017
4/21/2018
G2 P1A0
O
12.5
2
POLINDES
Dr PKM
3/29/2018
19SULISTYOWATI / DIKA CAHYONO 23 KALIREJO th RT 12 / RW 04/06/2017 02
11/03/2018
G1 P0A0
O
12
2
POLINDES dr PKM,dr OBGYN 3/31/2018
PINDAHAN DARI TRUCUK 20 RINAWATI / SLAMET WIDODO 18 KALIREJO th RT 14 / RW 22/07/2017 02
29/04/2018
G1 P0A0
O
11.2
6
6/12/2017
3/19/2018
G2P1A0
O
12
_
_
V
V
_
2
USIA < 20 th
POLINDES dr PKM,dr OBGYN 3/31/2018
PINDAHAN DARI TUBAN KARANGPACAR 21
YULI/ BUDI
30 KR PACAR 5/1 KR PCAR RT 9/2
RIWAYAT ABORTUS,JARAK ANAK <2TH,GRANDE
BPS
BIDAN
3/17/2018
RS
DR SPOG
3/6/2018
22 UMMI KUSMITHA/SHOLIKIN
29
5/25/2017
3/2/2018
G5P2A2
A
12
_
_
V
V
_
14
23
31KR PACAR RT 11/2 8/12/2017
5/19/2018
G1P0A0
O
11
_
_
V
V
_
2
BPS
DR SPOG
3/20/2018
24DESSY AGUSTINA/ GOZA NAFIZA 23 KR PACAR 21/3 13/6/2017
20/3/2018
G1P0A0
B
12
_
_
V
V
_
2
BPS
BIDAN
3/15/2018
PKM
DR SPOG
3/1/2018
-
RSA
Dr. Ika
3/8/2018
25
DITA/MUHAMMAD
WINDANIA/ROFII
22
KR PACAR RT 15/3
5/22/2017
29/2/2018
G1P0A0
O
11
_
_
V
V
_
6
KEK
34
RT1 /01
6/16/2017
3/23/2018
G4 P1 A2
O
11.6
( -)
93
V
V
( -)
10
Riw Abortus
KEPATIHAN 26
Tri Mardiningsih
Grande Multipara Moh. Rifa'i 27
Niyan Selvi Mey
34
Rohmad Ismail
31
RT 12 / 02
7/27/2017
4/3/2018
G3 P2 A0
O
12
( -)
89
V
V
(-)
2
-
-
BPS
dr. Didik
08/03/18
MOJOKAMPUNG 28
Catur Widya / Wibowo
34
RT. 13 RW. 01
13/06/2017
20/03/2018
G2P1A0
O
11.8
-
-
-
-
-
2
-
-
BPS
Kontrol rutin
12/03/2018
29
Adinta Maulida / Aang Samsudi
26
RT. 07 RW. 02
23/06/2017
30/03/2018
G1P0A0
O
12
-
-
-
-
-
2
-
-
BPS
Kontrol rutin
23/03/2018
30
Kiki / Indra
24
RT. 09 RW. 02
11/06/2017
18/03/2018
G1P0A0
O
11.8
-
-
-
-
-
2
-
-
BPS
Kontrol rutin
16/03/2018
6/28/2017
4/3/2018
g2p1a0
MULYOAGUNG 31
ratna dewi
25
11.2 neg
v
2
pkm
3/19/2018
32
puji astuti
37
9/16/2017
6/24/2018
g3p2a0
neg
v
6
31
6/14/2017
3/21/2018
g2p1a0
o
11
neg
20
6/10/2017
3/17/2018
g1p0a0
o
11
umur > 35th
pkm
3/15/2018
neg
v
2
bps
3/19/2018
neg
neg
v
2
3/24/2018
andi 33
aprilia siswati abu hoir
34
ida rosanti NGROWO
35
UMBARWATI/ MUKAROM
25
RT2
08/06/2017
15/03/2018
G2P1A0
B
12.7
0
-
V
-
-
2
PD/BPS DOKTER PUSKESMAS 12/03/2018
36
UMBARWATI/ MUKAROM
25
RT2
08/06/2017
15/03/2018
G2P1A0
B
12.7
0
-
V
-
-
2
PD/BPS DOKTER PUSKESMAS 12/03/2018
37
SUNARTI/ YANTO
31
RT 5
5/20/2017
3/27/2018
G2P1A0
O
12
-
-
V
-
-
2
BPS
2/23/2018
38
HAIZATUS S/M. JUPRON
27
RT 8
26-6-17
3/4/2018
G2P1A0
B
11.3
-
-
V
-
-
2
BPS
2/23/2018
39
ALVENIA K/DEDIK EFENDI
24
RT 20
07/06/2017
14/03/2018
G1P0A0
B
13,4
-
-
V
-
-
2
BPS
3/11/2018
40
DELLA / ADI
27
RT 14
17-5-17
24-2-18
G1P0A0
A
12,2
-
-
V
-
-
2
PD/BPS DOKTER PUSKESMAS2/21/2018
SEMANDING 41
Megowati / Lasaji
32
RT 05/01
25/07/2017
1/5/2018
G4P3A0
AB 11,5
-
-
V
-
-
6
-
42
Sri wahyuni /M.Muso
32
RT 05
25/06/2017
02/04/2018
G2P1A0
O
-
-
V
V
-
2
-
-
41
03/01
05-05-2017
12-03-2018
G2 P1 A0
10
- USIA >35
-
RMH BIDAN ANC RUTIN
13-03-2018
11.2
BPS
Konsul SPOG
BPS
3/12/2018 3/25/2018
SUKOREJO 43
LILIK PURWATI N/ M. EKSAN
44
DESI WERDININGSIH
12 MG
- JRK ANAK>10
28
02/01
28-05-2017
05-03-2018
G2 P1 A0
2
-
-
RMH BIDAN ANC RUTIN
01-03-2018
27
24/06
06-07-2017
13-04-2018
G2 P1 A0
2
-
-
RMH BIDAN ANC RUTIN
21-03-2018
AKHMAD KARIS 45
CYNTHIA ZELMY P
NADIAR AJI 46
FAIZATUN NISA
24
26/06
27-05-2017
ANDIK INDRIANTO 47
LENI NOVIANTI
04-03-2017
NIMAS GALUH RORO IVAN ARIF
10
12 MG 34
33/08
06-06-2017
13-03-2018
FIFID SURYO HS 48
G2 P1 A0
- KEK
-
RMH BIDAN ANC RUTIN
03-03-2018
- JRK ANK<2TH G3 P0 A0
2
-
-
RMH BIDAN ANC RUTIN
08-03-2018
2
-
-
RMH BIDAN ANC RUTIN
19-03-2018
12 MG 22
32/08
12-06-2017
19-03-2018
G1 P0 A0 6-8 MG
19
Kepala UPTD Puskesmas Bojonegoro Dr. Bayu Linuwih NIP. 19690214 201001 1 001
PERSALINAN JENIS TEMPAT
BUFAS RISTI PENOL ( KASUS ) ONG
KET
BPM
Normal Bidan
Taa
By taa
BPM
Normal Bidan
taa
bayi taa
BPM
Normal Bidan
taa
bayi taa
BPM
Normal Bidan
taa
bayi taa
-
ibu & by taa
BPS
N
Bidan
BPS
N
BIDAN
RS
N
SPOG
PE
RS
N
SPOG
FASELATEN MEMANJANG
BPS
N
BIDAN
BPS
N
BIDAN
PKM
N
NIDAN
RS
N
SPOG
RS
N
SPOG
BPS
SPT BIDAN
-
BPS
SPT BIDAN
-
RS FATMA
SC DOKTER
IBU SEHAT BAYI ASFIKSIA
BPS
SPONTANBIDAN
IBU SEHAT BAYI SEHAT
RSUD
SPONTANBIDAN
IBU SEHAT BAYI SEHAT
POLINDES SPONTANBIDAN
IBU SEHAT
BAYI SEHAT RSUD
SPONTANBIDAN
IBU SEHAT BAYI SEHAT
RS
N DR SPOG
RS
N DR SPOG
RS
N DR SPOG
RS
N DR SPOG
BPS
N
BIDAN
RSA
N
dr. Ika
INDUKSI
-
DSOG
RSU
N
Bdn
Partus Prematurus
BPS
Normal Bidan
RS
Normal
BPS
Normal
RSF
SPT BIDAN
Anjar
RSU
SPT BIDAN
BPS
SPT BIDAN
BPS
SPT
BPS
NORMAL
BPS
NORMAL
BPS
NORMALBIDAN
BPS
NORMALBIDAN
RS
NORMAL DOKTER
BPS
NORMALBIDAN
BPM
SPONTANBIDAN
BPM
SPONTANBIDAN
PD
N
Bidan
-
BY + IBU SEHAT by+ibu sehat
BIDAN
-
-
RMH BIDAN NORMALBIDAN
-
-
RS FATMA NORMALDSOG
-
-
RMH BIDAN NORMALBIDAN
as Bojonegoro
-
-
RS
NORMALDSOG
-
-
RSA
NORMALDSOG
-
-
PUSKESMAS NO
NAMA IBU / SUAMI
G.. P....A..
DESA
UMUR
HPHT
TTP
UK
RT
LABORATORIUM GOL Hb gr Prot DA % Urin
BANJAREJO 1 Mei WulanEko Budiono 2 NovitasariAhmad Zaki 3 Any SafitriSunarto
33 BANJAREJO
27-6-2017
4-4-2018
G4P0A0
O 10,8
-
19-07-17
26-4-18
G1P0A0
B 11,6
-
11-7-2017
18-4-2018
G2P1A0
B 12,2
-
21-7-17
28-4-18
G2 P1A0
A 12,7
-
?
USG
10-7-17
17-4-18
G1P0A0
9-7-17
16-4-18
G3 P1 A1
O 11,4
-
28-6-17
,5-4-17
G2 P1AO
A 10'5
-
15-7-2017
22-4-18
G3P2A0
O
9,5
-
25 CAMPUREJO RT6
1/6/17
8/3/18
G2P1A0
AB 11,4
-
23 CAMPUREJO11
6/21/2017
3/28/2018
G1P0A0
A 13,6
-
27 CAMPUREJO RT 16 23/6/17
30/3/18
G1P0A0
AB
-
26 CAMPUREJO RT 8 1/7/2017
8/4/2018
G1P0A0
0
32 CAMPUREJO RT 6 17/6/17
24/3/18
G2P1A0
B 11,5 _
6/1 23 BANJAREJO 1/1 24 BANJAREJO 9/2
4 Lia -
26 BANJAREJO
Adi
14/02
5 Sri UtamiDwi Ahmad 6 Endang Budianto 7 Kiki A Fathur R 8 Ririn Atrianawati Ahmad Purnomo
40 BANJAREJO 19/3 34 BANJAREJO 21/03 24 BANJAREJO 20/03 32 Banjarejo 22/2
CAMPUREJO 9 LILIK WASIATUL AGUNG 10 LINA WULANDARI ARKHAM F. 11 ISA YUNITA NOVAN 12 AYU NURUL
11
-
EDI 13 SRI ASIH MUSLIH
KADIPATEN 14 YULIANA KRISTIAWATI
26 RT 7/2
17-72017
24-04-2018
G1P0A0
O
12
_
DIDIK PURWANTO KALIREJO 15 MARINDA SRI R / DEDI IRAWAN
20 th KALIREJO RT 11/ R 23/07/2017
30/04/2018
G1 P0A0
O 11.5
16 DWI SULISTYOWATI / IRAWAN
25 th KALIREJO RT 08 / R 18/07/2017
25/04/2018
G2 P1A0
O 11.2
17 DEWI FITRIANI / HERU
25 th Kalirejo rt 03 / rw 0 12/07/2017
19/04/2018
G2 P1A0
O
12
KARANGPACAR 18 SATENI/MATNIN
24 KR PACAR RT 2/1
8/1/2017
5/8/2018
G1P0A0
O
11
_
19 ANGEL/DERY
28 KR PACAR RT 4/1
7/15/2017
4/22/2018
G1P0A0
A
12
_
20 SALOM/BRIAN
27 KR PACAR RT 3/1/ 7/20/2017
4/27/2018
G1P0A0
O 11.6 _
21 DYAH AYU/ ROHKIM
22 KR PACAR 1/1
4/19/2018
G1P0A0
O
12
_
22 YULI DEVITA 23 SUTARSIH/KUSUMA HADI
27 KR PACAR 10/2 7/9/2017 38 KR PACAR RT19/03 7/8/2017
4/16/2018 4/15/2017
G2P1A0 G2P1A0
O O
11 11
_ _
MOJOKAMPUNG 24 Sri Wahyuni / Novan
26 RT. 01 RW. 01
24/07/2017
01/04/2018
G1P0A0
O 11.8 -
25 Latifah Yuni Nur / M. Ni'am
27 RT. 03 RW. 01
06/08/2017
12/04/2018
G1P0A0
O 11.8 -
26 Dwi Indah Febrianti / Yoyok Dwi
25 RT. 09 RW. 02
16/07/2017
23/04/2018
G1P0A0
O
27 Umi Aisyah / Tomi
30 RT. 08 RW. 02
/07/2017
/04/2018
G2P1A0
O 11.8 -
8/12/2017
5/19/2018
g3p2a0
11 neg
35 rt 17
7/21/2017
4/28/2018
g2p1a0
neg
30 FYOLA NOVALISTA/ EKO P
23 RT2
19/06/2017
26/03/2018
G1P0A0
O 11.3 0
31 FIATA FIDINI/KHOIRUL A
28 RT19
28-6-17
30-3-18
G2P1A0
O 12,6 0
32 DEVI MAULANA/ AGUS G
30 RT 19
07/01/2017
04/08/2018
G3P2A0
0 11.6 0
7/12/2017
KEPATIHAN NIHIL
MULYOAGUNG 28 neti
rt 2
12
-
edi purwanto 29 suntari abd salam
NGROWO
33 NURUL HANDAYANI/TRISNO
32 RT 19
34 SULISTYOWATI/AGUS P
34 RT 9
35 SULIKAH/ WARSO EDI 36 RETNO/ADI EKO
34 RT16
10/16/2017 226-7-17
7/23/2018 05/03/2018
G3P1A1
O 13,3 0
G3P2A0
B
G4P2A1
O 11,5
-
G3P2A0 G2P1A0
O 12,5 O 11,7
-
-
12
-
37 LELI /ENDIK
33 RT 14 29 RT 12
SEMANDING 38 Endang/Aidin
23 RT 03
03/07/2017
10/04/2018
G1P0AO
O
39 SiswiJarti/ Suprapto
26 RT 04
07/07/2017
14/04/2018
G1P0AO
O 11.4 -
40 Arin / Roni
35
3 05/05/2017
12/02/2018
G3P2A0
O
SUKOREJO 41 SUMARSIH
24 03/01
13-07-2017
20-04-2018
G3 P1 A1
ROHMAD HUSIAN 42 TYAS ADINDA SARI
12 12
-
-
4-6 MG 23 01/01
06-07-2017
13-04-2018
G1 P1 A0
30 25/06
01-07-2017
08-04-2018
G1 P0 A0
25 36/07
07-07-2017
14-04-2018
G1 P0 A0
EKA FEBRIANSYAH 43 SHOFI NUR A TRI HADI 44 AYU MIRAWATI CHANDRA ADE 45 ANINDYA RIZKY
4-6 MG 28 27/07
-07-2017
-04-2018
G1 P0 A0
32 27/07
08-06-2017
15-03-2018
G2 P1 A0
31 11/03
30-06-2017
07-04-2018
G3 P2 A0
SEPTIAN 46 INDAH FATMAWATI ABDULLAH 47 NAFIA HARTIYANA MASDUKI 48 DIAN ANISSA
8-10 MG 27 12/04
16-07-2017
23-04-2018
G1 P0 A0
24 08/03
03-08-2017
10-05-2018
G1 P0 A0
AGUS CATUR H 49 SUCI INDAH S HARIYANTO 50 RULIN FAJAR IDA
12 MG 35 10/03
-08-2017
TEGUH HERI W 51 MELISA HANDAYANI
-05-2018 12 MG
28 16/04
15-07-2017
22-04-2018
M. ISMAIL 52 LISTIANA
G4 P3 A0
G1 P0 A0 6-8 MG
38 15/04
20-05-2017
27-02-2018
G3 P2 A0
O 11.5 (-)
WAHYU TRI W 53 NINIK SETYANI
35-36 Mg 29 34/08
25-06-2017
02-05-2018
G1 P0 A0
24 38/06
18-07-2017
25-04-2018
G1 P0 A0
28 17/08
11-08-2017
18-05-2018
G2 P1 A0
MUKHIBBUDIN 54 SASTRAWATI S M. ALIF ROMADHON 55 NORMA BUDI
16 MG
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : APRIL 2018
ORATORIUM GDA
PPIA Tawar Test
Hasil
SCOR
FAKTOR RESIKO /
(+)/(-)
98
+
+
-
KOMPLIKASI
10 Anemia,Grande
PENYAKIT
RENCANA
PENANGAN /
PENYERTA
TEMPAT
KOLABORASI
SAAT INI
BERSALIN
DOKTER / dr.Spesialis
PKM
D0kter Puskesmas
PERSAL TANGGAL
6-4-18
Konsul DSOG 96
+
+
-
6
lila 21,3
BPM
Dokter Puskesmas
24-4 -18
Konsul DSOG 86
+
+
-
2
BPS
DOKTER PUSKESMAS
15-4-18
86
+
+
-
2
BPS
DOKTER PUSKESMAS
25-4-18
14 usia, jarak anak 12 th'
RS
Dr. Puskesmas
13-4-18
DSOG
TB 143 cm 97
+
+
-
10 jarak anak 1 th,
PKM
riwayat abortus 106
+
+
-
14 riwayat abortus,anemia 6
anemia
17-4-18
Konsul DSOG RS
Dr. Puskesmas
8-4-18
BPM
Konsul DSOG Dokter Puskesmas
20-4-18
28/3/18
jarak kehamilan < 2th -
Dr. Puskesmas
92
+
+
80
V
V
2
BPS
DR.PKM
92
V
V
2
BPS
DR.PKM
3/4/2018
80
V
V
10 KEK,PERNAH ABORTUS
RS
DR.PKM
7/4/2018
85
V
V
2
RS
SPOG
6/4/2018
80
V
V
2
RS
DR. SPESIALIS
26/3/18
_
V
_
_
2
_
BPS
ANCRUTIN
20-42018
6
Tinggi Badan 142 cm
RSUD
4/26/2018
2
BPM
4/28/2018
10 LETSU
RS
4/16/2018
BPS
DR SPOG
2/24/2018
_
V
V
_
6
KEK
_
V
V
_
2
RS
DR SPOG
4/10/2018
_
V
V
_
2
RS
DR SPOG
4/14/2018
_
V
V
_
2
BPS
BIDAN
_ _
V V
V V
_ _
2 6
USIA >35 THN
BPS PD
BIDAN DR SPOG
-
-
-
-
2
-
-
BPS
Kontrol rutin
-
-
-
-
2
-
-
BPS
Kontrol rutin
-
-
-
-
2
-
-
BPS
Kontrol rutin
21/04/2018
-
-
-
-
2
-
-
BPS
Kontrol rutin
19/04/2018
neg
v
HT
RS
14 umur > 35th
4/1/2018 4/2/2018 4/19/2018
05/04/2018 10/04/018
4/23/2018
jarak anak >10 th neg
v
2
4/25/2018
-
V
-
-
2
PD/BPS
DOKTER PUSKESMAS
31/03/2018
-
V
-
-
2
PD/BPS
DOKTER PUSKESMAS
23/03/2018
-
V
-
-
2
PD/BPS
DOKTER PUSKESMAS
22/03/2018
-
V
-
-
18 R.SC,R.ABORTUS,HT
PD/BPS
-
V
-
-
2
BPS
-
V
-
-
10 R. ABORTUS,
PD/BPS
DOKTER PUSKESMAS
4/20/2018
-
V
-
-
PD/BPS
DOKTER PUSKESMAS
-
V
-
-
2 2
PD/BPS
DOKTER PUSKESMAS
4/18/2018 4/6/2018
-
V
V
-
2
-
-
BPS
3/4/2018
-
V
V
-
2
-
-
BPS
12/4/2018
-
V
V
-
2
-
-
PKM
-
28/4/2018
6
- RIWAYAT AB
-
RMH BIDAN
ANC RUTIN
19-04-2018
2
-
-
RMH BIDAN
ANC RUTIN
18-04-2018
2
-
-
RMH BIDAN
ANC RUTIN
08-04-2018
2
-
-
RMH BIDAN
ANC RUTIN
09-04-2018
2
-
-
BPS
ANC RUTIN
14-04-2018
6
- JRK ANK>10
-
RMH BIDAN
ANC RUTIN
03-04-2018
6
- JRK ANK<2 TH
-
RMH BIDAN
ANC RUTIN
18-04-2018
2
-
-
RS
ANC RUTIN
27-04-2017
6
- KEK
-
RMH BIDAN
ANC RUTIN
16-04-2018
- HT
RS
ANC RUTIN
05-04-2018
(-)
22 - BEKAS SC - HT
DOKTER PUSKESMAS
17/04/2018 4/2/2018
KONSUL DSOG
- JRK ANK<2TH 2
-
10 - USIA>35
-
RMH BIDAN
ANC RUTIN
24-04-2018
-
BPM
ANC RUTIN
30-03-2018
- JRK>2 Th 2
-
-
RMH BIDAN
ANC RUTIN
06-04-2018
2
-
-
RMH BIDAN
ANC RUTIN
27-04-2018
2
-
-
BPM
ANC RUTIN
23-03-2018
19
Mengetahui Kepala Puskesmas Bojonegoro
Dr. Bayu Linuwih NIP. 19690214 201001 1 001
PERSALINAN JENIS
TEMPAT
BUFAS RISTI ( KASUS )
PENOLONG
KET
RSIS
induksi
dokter
post date
by asfiksia
BPM
Normal
Bidan
Taa
By taa
BPM
Normal
Bidan
taa
bayi taa
BPM
Normal
Bidan
taa
bayi taa
RSUD
Normal
Bidan
-
Ibu taa by asfiksia
BPS
N
Bidan
-
ibu & by taa
BPS
N
Bidan
-
ibu & by taa
BPS
N
Bidan
-
ibu & by taa
BPS
N
BIDAN
BPS
N
BIDAN
RS
N
SPOG
RS
N
SPOG
BPS
N
BPS
SPT
BIDAN
RSUD
SPONTAN BIDAN
-
IBU SEHAT BAYI ASFIKSIA
BPM
SPONTAN BIDAN
RS FATMSC
IBU SEHAT BAYI SEHAT
DOKTER
IBU SEHAT BAYI SEHAT
BPS
N
BIDAN
RS
N
DR SPOG
RS
N
DR SPOG
RS
N
DR SPOG
BPS BPS
N N
BIDAN BIDAN
BPS
Normal
Bidan
BPS
Normal
Bidan
BPS
Normal
Bidan
BPS
Normal
Bidan
rs
spt
spog
bps
spt
bidan
RSUD
INDUKSI
BIDAN
RS.F
NORMAL
BIDAN
RS.A
SC
DR
POST DATE
RS.F
SC
DR
PEB
BPS
BIDAN
RSUD
NORMAL
BIDAN
PEB
BPS BPS
NURMAL
BIDAN
NORMAL
BIDAN
BPM
SPONTAN BIDAN
BPM
SPONTAN BIDAN SPONTAN BIDAN
PKM
-
BY + IBU SEHAT by+ibu sehat BY + IBU SEHAT
RMH BI NORMAL
BIDAN
-
-
RS FATMINDUKSI
DSOG
-
-
RS FATMINDUKSI
DSOG
-
-
RMH BI NORMAL
BIDAN
-
-
PMB
NORMAL
BIDAN
-
-
RSU
INDUKSI
BIDAN
-
POSTDATE
RMH BI NORMAL
BIDAN
-
-
RSU
DSOG
-
-
RMH BI NORMAL
BIDAN
-
-
RSU
NORMAL
BIDAN
-
-
RSU
SC
DSOG
-
PARTUS LAMA
PMB
NORMAL
BIDAN
-
-
SC
RMH BI NORMAL
BIDAN
-
-
RMH BI NORMAL
BIDAN
-
-
RS FATMSC
DSOG
-
-
PUSKESMAS NO NAMA IBU / SUAMI UMUR
G.. P....A..
DESA
HPHT
TTP
UK
RT 1 2 3 4 5
BANJAREJO VikaLuki Ari Dwi R M. Arifin Dwi Andini Vicky Marina SuciTono Rosta-Ahmad Toha
30 31 18 25 27
CAMPUREJO 6 ANIZ ZULAIKAH 38 CUCUCK HARIANTO
BANJAREJO 16/03 BANJAREJO 18/03 BANJAREJO 20/3 BANJAREJO 5/1 BANJAREJO 1/1
6-8-17
13-5-17
G2 P1AO
23-7-17
30-4-18
G2 P1AO
15-8-18
22-5-18
G1P0A0
26-7-17
3-5-18
G1P0A0
18-8-2017
15-5-2018
G2P1A0
CAMPUREJO RT 422/7/17
29/4/18
G3P2A0
7 FONITA EKO IRAWAN
29
CAMPUREJO RT 126/8/17
3/6/18
G3P2A0
8 REZI TRI AJI
23
CAMPUREJO RT 316/8/17
23/5/18
G1P0A0
9 FITRI NURDIANA DIMAS
21
CAMPUREJO 24 8/8/17 85806125151
15/5/18
G1P0A0
10 WIDAYATI SUGIANTO
32
CAMPUREJO RT 213/8/17
20/5/18
G2P1A0
11 NILA DWI R NGATIMIN
22
CAMPUREJO RT 4/16/8/17
23/5/18
G1P0A0
12 SITI MAHMUDAH JUMINTONO
33
CAMPUREJO RT 126/8/17
3/6/18
G2P1A0
13 SANIT YASA HENDRI ADI
27
CAMPUREJO RT 15 7/8/17' 812160234
14/5/18'
G2P1A0
KADIPATEN
14 ARI DWI SUSANTI
30
RT 12/RW 3
8/17/2017
5/24/2018
G2P1A0
26 th KALIREJO RT 02 /13-9-2017
20-6-2018
G2 P1 A0
DANANG KALIREJO 15 NINIK / ALFAN
16 ANITA APRILIA SARI 26 th Kalirejo rt 04 / rw 0 20/07/2017 Pindahan dari mulyoagung
27/04/2018 G1 P0A0
17 IIN RETNO ZUHRO I 29 th Kalirejo rt 06 / rw 0 9/20/2017
6/27/2018
G2 P1A0
18 LASIANA/ IMAM ARIF 27
5/14/2018
G2 P1A1
KALIREJO RT 03 / 8/7/2017
19 MUNTIYAH / M.JON 22 th Kalirejo rt 09 / rw 0 01/09/2017
08/06/2018 G1 P0A0
KARANGPACAR DINA 20 MAGFIROH/KHUSN UL
3/30/2018
G2P1A0
28
KRPACAR RT14/2 6/23/2017 KR PACAR RT 12/2 8/12/2017
5/19/2018
G2P1A0
38 32
KR PACAR 14/2 KR PACAR 10/2
13/8/2017 3/7/2017
20/5/2018 4/14/2018
G1P0A0 G4P3A0
23
KRPACAR RT 23/3/
6/16/2017
3/23/2018
G1A0P0
27
KRPACAR RT 16/3
8/20/2017
5/27/2018
G1A0P0
21
KR PACAR 21/3
9/22/2017
6/29/2018
G1P0A0
27
Jl. Pangsud Gg. Telpon RT 8 /02
22-8-17
29-5-18
G1 P0 A0
20
RT 12 / 02
?
? - 5 - 18
G1 P0 A0
21
FINA/SANDI
22 RIKA AMBARWATI/ M.EFFENDI 23 ULIYA DINA 24 SEPTIANASARI/ARI F SUBAGIO 25 MELISA/STEVE SITI MUAWANAH/MISBA 26 HUL H KEPATIHAN 27 Elfira Hernaningtyas
39
Iwan Surya Aanggara 28 Karmelia susilowati ?
29
MOJOKAMPUNG Eka Diah N / Ika Narti Hidayati / Ali Sobirin Martiah/M.Yahya Lilik Oktavia / M. Efendi Karmini / Solikin MULYOAGUNG lika indartiana bayu marlina guntur yusnita mustakim tutik suparno jami"ah siman nur fatimah s nur ahmad dewi lestari
32
RT. 03 RW. 01
/07/2017
04/2018
G2P1A0
26
RT. 13 RW. 01
/07/2017
04/2018
G1P1A0
44
RT 13/01
?{lupa}
26
RT. 02 RW. 01
/08/2017
05/2018
32
RT.12 RW.02
06/09/2017
13/06/2018 G2P1A0
2
8/10/2017
5/17/2018
g1p0a0
2
7/1/2017
4/8/2018
g2p1a0
5
6/17/2017
9/10/2017
gip0a0
rt 8
8/15/2017
5/22/2018
g2p1a0
2
7/10/2017
4/17/2018
g4p1a2
27
rt 13
8/3/2017
5/10/2018
g1p0a0
26
rt 10
8/13/2017
5/20/2018
g2p1a0
NGROWO 41 LIDIA DESITA/AGUN 28
RT 8
10/10/2017
17/07/2018 G2P1AO
42 LUNGIT/ TAUFIK
39
RT 13
LUPA
43 YENI PURWATI
35
RT 14
20/07/2017
27/04/2018 G2P1A0
RT 06 RT 04/01
07/07/2017 1/7/2017
14/04/2018 G2P1A0 8/4/2018 G3P2A0
29
35/07
23-07-2017
30-04-2018 G2 P1 A0
47 WAHYU ADITYA P AGUM GUMELAR
17
29/07
06-11-2017
13-08-2018 G2 P1 A0
48 IKA NANT NUR H ALI SHOBIRIN
26
25/06
29-07-2017
06-05-2018 G1 P0 A0
49 YESI WIDAYANTI
37
12/04
22-08-2017
29-05-2018 G2 P1 A0
30 31 32 33 34 35 36 37 38 39 40
30
SEMANDING 44 Listina/slamet 32 45 Erni Dwi / Eko Widod 27 SUKOREJO 46 FEBRIANI NUR TRI DWI YAMERDI
G3P2A0 G2P1A0
G6P5A0
GUNARDI
50 WIWIN RAHAYU ABDUL HAKIM
27
08/03
-09-2017
-06-2018 G2 P1 A0
51 NANIK WIDAYANTI NUR YASIN
36
08/03
-08-2017
-05-2018 G7 P4 A2
52 SAWITRIANI YAHYA
32
16/04
13-08-2017
20-05-2018 G4 P2 A1 19-20 Mg
53 INDAH KUMALA S BAGUS SUBAGYO
26
19/05
03-08-2017
10-05-2018 G1 P0 A0
54 RIA SEPTIANI SYAFRUDIN A
27
18/08
04-08-2017
11-05-2018 G2 P1 A0 6-8 MG
55 MUDRIKA AGUS NAVIUDIN
30
17/08
13-10-2017
20-07-2018 G2 P1 A0
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : MEI 2018 LABORATORIUM GOL Hb gr DA %
PPIA
Prot GDA Urin
Tawar Test
Hasil
FAKTOR RESIKO / SCOR
(+)/(-)
KOMPLIKASI
O
10'5
-
88
+
+
-
6
anemia
A
9,8
-
96
+
+
-
10
B
10.8
-
92
+
+
-
10
jarak anak > 10 tahun, anemia usia < 20th, anemia
O
12,2
-
89
+
+
-
6
B
11,8
-
84
+
+
-
2
10,9
-
O
11,7
_
81
V
AB
12,4
-
124
V
B
10
-
108
V
V
6
ANEMIA, KEK
A
11
-
94
V
V
10
RIWAYAT SC
AB
11,5
-
82
V
V
10
LILA 23,5 CM, TB 144CM
A
15
-
100
V
V
10
RIWAYAT SC
O
11,2
-
82
V
V
14
RIWAYAT SC,JARAK ANAK <2TH
V
18
V
lila 23 cm
UMUR>35,JARAK ANAK >10TH,ANEMIA RINGAN 15/2/18 TD NAIK 130/90
2
2
AB
12
-
-
√
-
-
2
-
B
12.5
2
A
13.2
2
AB
12.5
2
B
11.2
6
RIWAYAT ABORTUS
AB
12.5
2 10
PE (1-5-2018)
USIA > 35
A
11
_
_
V
V
_
6
O
11.8
_
_
V
V
_
2
O O
11 11
_ _
_ _
V V
V V
_ _
6 10
B
11.6
_
_
V
V
_
2
O
12.2
_
_
V
V
_
2
A
11
_
_
V
V
_
2
B
13,2
(-)
104
v
v
(-)
2 10
PE (21-5-18)
2+
KEK MBA
USIA > 35 GRANDE MULTI, JARAK HAMIL <2TH
A
12
-
-
-
-
-
2
O
12
-
-
-
-
-
2
B
13.3
A
12
-
-
-
-
O
12.2
-
-
-
-
-
10
usia,riwayat PE
-
2
-
-
2
neg
v
2
11
neg
v
2
a
11.6
neg
v
2
a
11
neg
v
6
jarak anak 11th
v
10
grande multi, umur > 35
neg
neg o
11
neg
neg
v
2
o
12
neg
neg
v
2
O
11
-
-
V
-
-
6
JARAK ANAK 11 BLN
O
9.9
-
-
V
-
-
18
B
11,7
-
-
V
-
-
6
USIA,GRANDE, JARAK ANAK,HB USIA
AB O
11 11,7
-
-
V V
V -
-
6 2
-
6
JRK ANK<2 TH
10
- USIA < 20 - KEK
2
18
-
- USIA>35
- JRK ANK>10 - RWYT SC 14
- ASMA - RWYT SC
14 18
- USIA>35 - GRANDE - RWYT AB - LET-SU
14
- RWYT AB - GRANDE - JRK<2 Th
2
-
2
-
2
-
PENYAKIT RENCANA
PENANGAN /
PENYERTA TEMPAT
KOLABORASI
SAAT INI BERSALIN DOKTER / dr.Spesialis
PERSALINAN JENIS TANGGAL
TEMPAT
PENOLO NG
BPS
Dr. Puskesmas
15-5-2018
BPS
Normal
Bidan
RS
Dr. Puskesmas
3-5-2018
BPS
Normal
Bidan
RS
Dr. Puskesmas 23-5-18 Konsul DSOG Dokter Puskesmas, kosul 3-5-18 DSOG Dokter Puskesmas
RS Fatma
Induksi
Dokter
BPM
Normal
Bidan
BPM
Normal
Bidan
DR.SPOG
28/4/18
BPS
N
BIDAN
RS
DR.SESIALIS
15/5/18
BPS
N
BIDAN
BPS
DR.PKM
9/5/2018
RS
SC
SPOG
BPS
Dr. PKM
30/4/18
RS
SC
S[POG
RS
DR.PKM
14/5/18
RS
SC
SPOG
RS
Dr. PKM
23/5/18
rs
sc
spog
RS
DR.PKM
15/5/18
rs
sc
spog
RS
Dr.PKM
14/5/18
rs
sc
spog
PKM BPM
H,ANEMIA RINGANRS
-
BPS
ANC RUTIN
20-May
BPS
SPT
BIDAN
2018
POLINDES dr PKM
IL <2TH
4/29/2018
POLINDES
SPONTANBIDAN
RS
dr PKM
5/2/2018
RS FATMA SC
DOKTER
PKM
dr PKM
5/13/2018
PKM
POLINDES dr PKM
5/16/2018
POLINDES SPONTANBIDAN
RSUD
5/17/2018
RSUD
SPONTANBIDAN
SPONTANBIDAN
BPS
DRSPOG
5/1/2018
BPS
N
BIDAN
RS
DRSPOG
5/20/2018
BPS
N
BIDAN
BPS RS
DR SPOG DR SPOG
5/18/2018 5/10/2018
RS RS
SC N
DR SPOG BIDAN
BPS
DRSPOG
5/10/2015
RS
N
DR SOG
RS
DRSPOG
5/28/2018
RS
N
DR SPOG
5/7/2018
RS
N
DR SOPOG
5/22/2018
RSU
N
Bdn
5/20/2018
PKM
N
Bdn
-
BPM PKM
-
PKM
dr. Askan
-
BPS
Kontrol rutin
06/05/2018
BPS
Normal
Bidan
-
BPS
Kontrol rutin
25/05/2018
BPS
Normal
Bidan
RSU
kontrol rutin
24/05/2018
RSUD
Normal
Bidan
BPS
Kontrol rutin
11/05/2018
BPS
Normal
Bidan
Kontrol rutin
/05/2018
RSUD
Normal
Dokter
-
rs
12-May
rsf
spt
bps
5/5/2018
bps
spt
bps
4/30/2018
bps
spt
polindes
5/18/2018
pkm
spt
pkm
4/30/2018
pkm
spt
bidan
bps
5/2/2018
bps
spt
bidan
rs
5/23/2018
rs
spt
bidan
BPS
12/5/2018
BPS
NORMAL BIDAN
PD/BPS
DOKTER PUSKESMAS 15-5-18
RSUD
NORMAL BIDAN
PD/BPS
DOKTER PUSKESMAS 27-4-18
RSF
SC
-
BPS BPS
Konsul Dr SPOG kontrol rutin
6/5/2018 10/5/2018
RSUD BPM
SPONTANBIDAN SPONTANBIDAN
-
RMH BIDAN ANC RUTIN
29-04-2018
RMH BIDANNORMAL BIDAN
-
RS
ANC RUTIN
11-05-2018
RSU
-
RMH BIDAN ANC RUTIN
24-05-2018
RS FATMA NORMAL DSOG
-
RS
16-05-2018
RS IBNU SI SC
ANC RUTIN
DOKTER
NORMAL BIDAN
DSOG
ASMA
RS
ANC RUTIN
10-05-2018
RSUD
NORMAL BIDAN
-
RS
ANC RUTIN
07-05-2018
RSUD
SC
-
RS
ANC RUTIN
05-05-2018
RMH BIDANNORMAL BIDAN
-
RMH BIDAN ANC RUTIN
14-05-2018
RMH BIDANNORMAL BIDAN
-
RMH BIDAN ANV RUTIN
14-05-2018
RMH BIDANNORMAL BIDAN
-
BPM
23-08-2018
RSA
ANC RUTIN
DSOG
NORMAL DSOG
BUFAS RISTI ( KASUS )
KET
-
Ibu taa by taa Ibu taa by taa partus tak maju ibu taa by asfiksia Taa By taa Taa
By taa
KPD
pe
-
IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT BAYI SEHAT
R SPOG
PE INDUKSI FASE AKTIF MEMAMNJAN G
R SPOG
R SOPOG PE
-
Pd
IUFD
LETSU
> 10 TH
-
-
-
PREMATUR
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
PUSKESMAS NO NAMA IBU / SUAMI
DESA
UMUR
G.. P....A.. HPHT
TTP
UK
L GOL DA
RT
1
BANJAREJO Anita WahyuniAfif Sulistiyarini Agus Harsono Putri DeviDedy Maslikah Sujatmiko Heni Nur Zaenal IstitoahRiko
BANJAREJO 6/1 BANJAREJO 3/1 Banjarejo 12/2 BANJAREJO 14/02 BANJAREJO 22/03 BANJAREJO 16/3
12-9-2017
20
8 ANIK SIFAUL 9 SITI IFADATUL EDI SUTRISNO
2 3
22 38
10- 6-18
G1P0A0
B
G3 P2 A0
AB
15-9-17
,22-6-18
21-8-17
28-5-18
G2 P1A0
6-9-176
13-6-18
G2 P1AO
O
20-9-17
27-6-18
G3P1A1
B
CAMPUREJO 5
13/9/17
20/6/18
G1P0A0
B
26
CAMPUREJO RT 5
10/9/17
17/6/18
G2P1A0
O
26
CAMPUREJO RT4
6/9/17
13/6/18
G1P0A0
B
10 IRMAYANTI M.NUR K.
20
CAMPUREJO RT 12 23/8/17
30/5/18
G1P0A0
0
11 KISWATI N.ALIMAN
35
CAMPUREJO RT 26 25/8/17
2/6/18
G7P5A1
B
12 HELNA P ILHAM
25
CAMPUREJO RT 7
10/9/17
17/6/18
G2P1A0
O
13 DWI LAILATUL PURNOMO
27
RT 2/1
9/13/2017
6/20/2018
GIIPIA0
A
14 AMALIA / JEFRI
28
RT 7/2
9/14/2017
6/23/2018
GIP0A0
A
4 5 6
CAMPUREJO 7 EKA DEFI SUGIHARTO
25
3- 9-17
19-6-2018
28 32 25
G2P1A0
A
KADIPATEN
15 HAYATI / REZKY
24
RT 8/2
8/30/2017
6/8/2018
GIIPIA0
A
16 EVA ASIH RAMA
32
RT 9/2
9/8/2017
6/7/2018
GIP0A0
A
17 LISA ULFAIDA YUDI
33
RT 12/3
8/29/2017
6/7/2018
GIIPIA0
AB
18 FARIDA / ARI H
23
RT 11 / 3
8/27/2017
6/5/2018
GIIPIA0
AB
19 LIA / HAMBALI
33
RT 1/1
8/25/2017
6/2/2018
G3P1A1
AB
20 FARIDA
28
RT 3/1
9/15/2017
6/25/2018
GIP0A0
AB
21 NURANI / ANTON
35
RT 14/3
9/9/2017
6/18/2018
G3P2A0
AB
KALIREJO 22 DESI RESITA / NUR HUDA
23 th KALIREJO RT 04 / RW42975.00
04/05/2018
23 NGATEMI / SUJIRAN
36 th Kalirejo rt 14 / rw 02 9/18/2017
6/25/2018
G2 P1 A0
A
24 MAYA / MAHMUD
29 th
7/5/2018
G3 P1A1
O
25 SUCIATIK / SUKAMTO
28 th Kalirejo rt 10 / rw 02 05/09/2017
12/06/2018
G2 P1A0
O
26 PUTRI ANDRIYANI / SEPTI
17 th Kalirejo rt 13 / rw 02 ?
?
G1 P0A0
Kalirejo rt 02/ rw 01 10/28/2017
G1 P0 A0
A
KARANGPACAR 30
KR PACAR RT 07/01 8/20/2017
5/27/2018
G2P1A0
A
PUTRI 28 MERDEKA/SUPRIYANTO
31
KRPACAR 9/1
9/20/2017
6/27/2018
G2P1A0
AB
RETA WIDYASTUTI/ 29 M.ABDUL AZIS 30 FITRIA/EDI
23 33
KRPACAR 2/1 RT 09/2
14/9/2017 8/29/2017
21/6/2018 6/6/2018
G1P0A0 G3P1A0
O O
31 ARIEK/ARIF
31
KRPACAR RT 11/2
7/29/2017
5/5/2018
G1P0A0
O
ERVINA KUMALASARI/EKO 32 WAHYUDI
30
KARANG PACAR RT20/03
G4P3A0
A
33 YULIA/FAUZAN ANWAR
31
KRPACAR RT 22/3
G2P1A0
O
27
CITRA/AHMAD
9/12/2017 9/10/2017
6/19/2018 6/17/2018
KEPATIHAN 34 Asih Saraswati
24
RT 10 / 02
8/26/2017
6/2/2018
G2 P1 A0
35 Meinita / Novan
31
RT. 04 RW. 01
?
31/05/2018 (USG)
G2P0A1
A
Agustin / Joko 36 Triana Prihatin
36
RT. 01 RW. 01
/09/2017
/06/2018
G3P2A0
O
37 Shintia/Agus 38 Samini wahyu / Aji S. MULYOAGUNG 39 Arum dwi yudiono 40 pina m dzikron 41 fitri k 42 mahlumatul h tatag 43 holifatul rudi 44 wiwik chrisma 45 raya lantik 46 sumarni budi santoso 47 rostini suprapto
26 35
RT 08/02 RT.12 RW.02
10/09/2017 01/09/2017
17/06/2018 08/06/2018
G1P0A0 G1P0A0
O A
2
8/20/2017
5/27/2018
g2p1a0
o
22 26 20
rt 9 rt11
8/24/2017 9/7/2017 9/13/2017
6/1/2018 6/14/2018 6/20/2018
g1p0a0 g2p1a0 g1p0a0
o o o
24
10
8/28/2017
6/5/2017
g1p0a0
12
9/1/2017
6/8/2018
g2p1a0
11
M Zaeni MOJOKAMPUNG
25 27
rt 17
9/1/2017
6/8/2018
g2p1a0
o
32
rt 17
9/20/2017
6/27/2018
g2p1a0
a
34
rt16
10/20/2017
7/27/2018
G4P2A1
o
NGROWO 48 HEPPY AYU/SEPTIAN FEBY
17
RT 2
10/10/2017
17/07/2018
49 SARI/EKO WAHYUDI
36
RT 12
50 SUMIATUN/WARAS
38
RT 14
09/08/2017
15-6-18
G4P3A0
O
51 FITRIANI/ DEDI IRAWAN
28
RT 17
8/25/2017
6/4/2018
G2P1A0
O
35
07/02
17-09-2017
24-06-2018
G2 P1 A0
34
03/01
20-09-2017
27-06-2018
G1 P1 A0
SEMANDING NIHIL SUKOREJO 52 RAHMATINA ABDUL HANAN 53 KISWATI AHMAD SYAIFUL R.
G1P0A0
B
G4P3A0
O
54 IKA LAILATUS MUCHOIRUL HUDA
29
03/01
22-09-2017
29-06-2018
G1 P0 A0
55 SUCI NURLAILI MANSYUR
26
03/01
28-09-2017
05-07-2018
G1 P0 A0 6-7 Mg
56 ENDANG L SUKARDI
28
31/06
-08-2017
-05-2018
G4 P2 A1
57 SITI IKA WAHYUNI YULI PURNOMO
31
23/06
24-09-2017
01-07-2018
G2 P1 A0
58 MELISA KUMALASARI ADI SETIAWAN
25
29/07
03-09-2017
10-06-2018
G1 P0 A0 20-21 Mg
59 DEWI INDRA SARI
26
08/03
25-08-2017
02-06-2018
G1 P0 A0
B
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : JUNI 2018 LABORATORIUM Hb gr%
Prot Urin
PPIA GDA
Tawar
Test
PENYAKIT Hasil
SCOR
FAKTOR RESIKO /
(+)/(-)
KOMPLIKASI
11,1
-
94
+
+
-
6
10,2
-
107
+
+
-
18
11,6
-
92
+
+
-
6
PENYERTA SAAT INI
lila 21,1 usia,jarak anak > 10 th astma,anemia Jarak anak < 2 th
2 11,2
-
86
+
+
-
2
13,9
-
70
+
+
-
10
Abortus, jarak anak
15,6
-
95
V
V
2 6
PE,TGL 5/5 /2018
11,5
_
80
V
V
10
RIWAYAT SC
10,4
-
97
V
V
6
ANEMIA
13
-
80
V
V
2
11,3
-
81
V
V
18 22
RIWAYAT ASMA,GRANDE MASMA PE,5/5/18
12
-
82
V
V
6
TB TULANG
12
-
-
√
-
-
2
-
-
12
-
-
V
-
-
2
-
-
12
-
-
V
-
-
2
-
-
12
-
-
V
-
-
2
-
-
12
-
-
√
-
-
2
-
-
12
-
-
√
-
-
2
-
-
12
-
-
√
-
-
2
-
-
12
-
-
√
-
-
2
-
-
12
-
-
√
-
-
2
-
-
6
LILA 22 cm
13.3
13.8
10.3
-
-
V
V
V
V
10 USIA TERLALU TUA, JARAK ANAK
-
11.2
6
Riwayat Abortus
2
6
12
_
_
V
V
_
2
11
_
_
V
V
_
14
TB <145,JARAK ANAK <2TH,LILA 22,3
12 12
_ _
_ _
V V
V V
_ _
6 10
PENYAKIT PENYERTA (MIN 12) RIWYAT MOLA
12
_
_
V
V
_
2
12
_
_
V
V
_
6
11.4
_
_
V
V
_
2
GRANDE
2+
IMT
-
12.5
-
-
-
-
-
6
Riwayat abortus
-
12
-
-
-
-
-
6
Usia 36 th
-
13.7 11.5
-
108 -
-
2 6
Primi tua
-
12
neg
v
6
rwyt retensio plasenta
11 12.2 11
neg neg neg
v v v
kek,lila 19,5
-
-
11
neg
v
6 2 2 10 2
11
neg
v
2
11
neg
v
2
12
neg
v
2
12
neg
v
10
perna abortus, hamil ke 4
12
0
-
V
-
-
6
USIA
12,4
-
-
V
-
-
6
11,2
-
-
V
-
-
10
USIA,GRANDE
12,4
-
-
V
-
-
18
R. GEMELLY.R.PEB,LILA 23,TB 143
neg neg
neg
2 6 6 10
GEMELI(20/3/2018)
USIA
PE 04-06-2018 - PRIMI TUA - PLAS PREVIA
-
10
2
-
-
6
- HB<11
-
6
- RWYT AB
-
2
-
-
6
KEK
-
2
-
-
RENCANA
PENANGAN /
TEMPAT
KOLABORASI
BERSALIN
DOKTER / dr.Spesialis
PKM
PERSALINAN TANGGAL
JENIS
TEMPAT
BUFAS RISTI ( KASUS )
PENOLONG
D0kter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG DOKTER PUSKESMAS
22-6-18
BPM
Normal Bidan
Taa
,12-6-18
RSUD
Normal Bidan
taa
22-6-18
RS Fatma SC
1-6-18
BPM
Normal Bidan
taa
27-6-18
RSUD
Induksi
Partus ta
RS
Dr. Puskesmas Konsul DSOG Dr. Puskesmas
20-6-18
RS Fatma Normal Dokter
BPS
Dr.PKM
29/5/18
RS
N
SPOG
RS
DR. PKM
4/6/2018
RS
SC
SPOG
BPS
DR.PKM
26/5/18
RS
N
SPOG
BPS
DR.PKM
8/6/2018
RS
N
SPOG
RS
DR.PKM
31/5/18
RS
N
SPOG
RS
DR.PKM
6/6/2018
RS
N
SPOG
BPS
ANC RUTIN
19-Jun 2018
BPS
SPT
BIDAN
-
BPS
ANCRUTIN
20-Jun
BPS
SPT
BIDAN
-
RS RS BPS BPM
Dokter
Bidan
rwyt SC
-
BPS
ANCRUTIN
12-Jun
BPS
SPT
BIDAN
-
BPS
ANCRUTIN
17-Jun
BPS
SPT
BIDAN
-
BPS
ANC RUTIN
7-Jun
BPS
SPT
BIDAN
-
BPS
ANC RUTIN
5-Jun
BPS
SPT
BIDAN
-
BPS
ANC RUTIN
2-Jun
BPS
SPT
BIDAN
-
BPS
ANC RUTIN
25-Jun
BPS
SPT
BIDAN
-
BPS
ANC RUTIN
18-Jun
BPS
SPT
BIDAN
-
POLINDES
dr PKM
6/2/2018
POLINDES SPONTAN BIDAN
PKM
dr PKM
28-5-2018
RSUD
PKM
dr pkm
14-6-2018
POLINDES SPONTAN BIDAN
PKM
dr PKM
14-6-2018
PKM
SPONTAN BIDAN
12/6/2018
PKM
SPONTAN BIDAN
SPONTAN BIDAN
PD
DR SPOG
6/11/2018
PKM
N
BIDAN
RS
DR SPOG
6/2/2018
RS
N
DR SPOG
BPS RS
DR SPOG DR SPOG
6/5/2018 6/10/2018
RS RS
SC N
DR SPOG BIDAN
BPS
DR SPOG
6/9/2018
RS
N
BIDAN
PD
DRSPOG
BPS
DR SPOG
6/18/2018 6/16/2018
PKM PKM
N N
BIDAN BIDAN
BPS
dr Didik
6/2/2018
RSIS
N
BPS
Kontrol rutin
02/06/2018
BPS
Normal Bidan
BPS
Kontrol rutin
08/06/2018
BPS
Normal Bidan
BPS -
Kontrol rutin Kontrol rutin
19/06/2018 06/06/2018
BPS RSUD
Normal Bidan Normal Dokter
RS
6/1/2018
rs
spt
bidan
bps pkm rs
6/5/2018 6/2/2018 6/3/2017
rs pkm rs
spt spt sc
bidan bidan spog
pkm
6/20/2018
pkm
spt
bidan
6/5/2018
bps
spt
bidan
bps
6/5/2018
bps
spt
bidan
pkm
6/12/2018
pkm
spt
bidan
rs
6/13/2017
pkm
spt
bidan
DSOG
-
PD/BPS
DOKTER PUSKESMAS
29-5-18
BPS
NORMAL BIDAN
PD/BPS
DOKTER PUSKESMAS
17-6-18
PKM
NORMAL BIDAN
PD/BPS
DOKTER PUSKESMAS
5/6/2018
RS F
NORMAL DOKTER
PD/BPS
DOKTER PUSKESMAS
30-5-2018
RS
NORMAL DOKTER
RMH BIDAN ANC RUTIN
07-06-2018
RSU
INDUKSI BIDAN
-
RS
10-06-2018
RSU
SC
-
ANC RUTIN
DCOG
RMH BIDAN ANC RUTIN
20-05-2018
RS IBNUSINNORMAL DSOG
-
RMH BIDAN ANC RUTIN
26-06-2018
RS BAYANGSC
DSOG
-
BPM
ANC RUTIN
30-05-2018
RSU
BIDAN
-
RMH BIDAN ANC RUTIN
31-05-2018
RS FATMA NORMAL DSOG
-
RMH BIDAN ANC RUTIN
05-06-2018
RMH BIDA NORMAL BIDAN
-
RMH BIDAN ANC RUTIN
03-06-2018
RSU
-
INDKSI
INDUKSI BIDAN
KET
By taa by.taa ibu,bayi taa bayi taa ibu & by taa ibu taa by taa
IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT IBU SEHAT BY KELAINAN KONGENITAL
MATA MIN=10
Nur Fat
-
-
-
-
-
PREMATUR
-
PRTS TAK MAJU
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : JULI 2018 PUSKESMAS NO
NAMA IBU / SUAMI
UMUR DESA
G.. P....A.. HPHT
TTP
UK
LABORATORIUM GOL DA Hb gr%
RT
2
BANJAREJO NuryaniIsman J Susi Setia-Eka S.
3
Novia-Kamimtuhari
4
Ninik HariyaniNus Sukmana SholikatinEko Ratna PutriCandra Fia Era Nurwika DDidik Dwi R CAMPUREJO SRI NURHENIK KHOIRUL HUDA
1
5 6 7
8
PPIA
Prot Urin
GDA
Tawar Test
PENYAKIT Hasil
SCOR
FAKTOR RESIKO /
(+)/(-)
KOMPLIKASI
35 BANJAREJO 1/1 24 BANJAREJO 1/1 40 BANJAREJO 1/1 40 BANJAREJO 9/2 25 BANJAREJO 22/3 26 BANJAREJO 16/3 39 BANJAREJO 21/3
12-10-17
19-7-18
G3P2A0
B
10,8
-
88
+
+
-
9- 10-17
16- 7-17
G1P0A0
O
11,6
-
99
+
+
-
18 usia,anemia, riwayat SC 2
G5P4A0
B
8,3
-
+
+
-
14 usia, grande, anemia
3-10-17
USG 11- 7-18 10-7-18
G2P1A0
B
11,0
-
72
+
+
-
6
6-10-18
13-7-19
G3P1A1
O
84
+
+
16-10-17
23-7-18
G2 P1AO
A
11,1'10,0 12,1
-
70
+
,28-9-17
5-7-18
G3P2 A0
A
11,2
-
34 CAMPUREJO RT 4
14/10/17
21/7/18
G2P1A0
AB
11,2
-
92
V
usia.
14 Abortus, Jarak anak 28-6-18 ,lila22,5 cm,anemia + 2 6
usia
V
6
GEMELI
9
ida virgo wati DART0
31 campurejo rt 3
28/10/17
4/8/18
G4P2A1
B
15
-
92
V
V
14 RWYAT HT,RWYAT ABORTUS,GRANDE MULTI
10
PUSPITASARI M.YUDI
26 CAMPUREJO RT6
13/10/17
20/7/18
G3P1A1
O
11,5
-
80
V
V
6
PERNAH ABORTUS
11
FANNY ERVAN D
30 CAMPUREJO RT5
LUPA /10/17 AKHIR 7/18 G2P1A0
O
11,5
_
80
V
V
6
JARAK ANAK KURANGDARI 2TH
12
NUR ISNAINI RAHMAWAT25 CAMPUREJO 19 ADITYA
27/9/17
O
12
_
80
V
V
2
4/7/18
G1P0A0
PENYERTA SAAT INI
13
SISMAWATI BUYUNG
21 CAMPPUREJO RT 20
1/10/17
8/7/18
G2P1A0
14
JUWARIYAH KOLIK
32 CAMPUREJO R 17
5/10/17
12/7/18
G2P1A0
15
DIAH RETNO FIAN ASHARUDIN
21 CAMPUREJO RT 16
15/10/`17
22/7/18
27 RT 3 / RW 1 28 24 RT 7/RW 2
9/20/2017 10/16/2017
16 17
KADIPATEN DWI WAHYUNI ANANG R ALIYYA DIDIK
11
-
86
V
10 KEK,JARAK ANAK <2TH
O
11
-
80
V
V
2
G1P0A0
O
11,7
-
80
V
V
6
KEK
6/27/2018
GIP0A0
AB
12
-
-
√
-
-
2
-
7/23/2017
GIP0A0
AB
12
-
-
V
-
-
2
18
KALIREJO KAYATIN / TEGUH
39 th KALIREJO RT 08 / RW 09/13/2017
6/20/2018
G3 P2 A0
AB
12
6
19
SISKA / NUR CAHYO
22 th KALIREJO RT 14 / RW 009/10/2017
16/07/2018
G2 P1A0
O
11
2
20
ANA / HANDOKO
26 th Kalirejo rt 01 / rw 01
17/06/2018
G2 P1A0
AB
11.5
2
10/09/2017
-
UMUR > 35 th
21 22 23 24 25 26
KARANGPACAR MICHELE/DEDI NITA/JERY ARIK / ANA /BUDI KANTIKA/ KEPATIHAN Ny. Novi Ratna WP
10/10/2017 9/23/2017 9/15/2017 9/15/2017 11/20/2017
7/17/2018 6/30/2018 6/22/2018 6/22/2018 8/27/2018
G1P0A0 G1P0A0 G1P0A0 G2P1A0 G2P1A0
34 RT 2/ 01
10/10/2017
7/17/2018
G3P2A0
37 RT. 13 RW. 01 36 RT 04/01 38 RT.07 RW.02
15/10/2017 19/10/2017 /11/17
22/07/2018 22/07/2018 /8/2018
G4P2A1 G2P1A0 G3P2A0
10/10/2017
7/17/2018
g2p0a1
28 29 30 34 22
KR PACAR 5/1 KR PACAR 4/1 KRPACAR RT 11/2 KRPACAR RT 20/3 KR PACAR 23/3
A O O O O
11.4 12 11 12 12
_ _ _ _ _
_ _ _ _ _
V V V V V
V V V V V
_ _ _ _ _
MOJOKAMPUNG Dwi Erawati / Sumidi Indar Priwanci/Imam Lusi / Siswadi
30
MULYOAGUNG iis ambarwati
31
2
JARAK ANAK >10 THN
10 Riw : P1 --> bayi asphexia kmd meninggal P2 --> IUFD Jarak < 2th KEK
M Okta R
27 28 29
2 2 2 6 2
O B O
11.5 12 11.8
-
-
-
-
-
-
-
-
-
-
14 Usia, grande, riwayat abortus 6 usia 6 Usia 38 tahun
6
29 rt 6
10/20/2017
7/27/2018
g2p1a0
o
11
neg
32
lia agus solikin NGROWO JUMINTEN/IMAM SUDA
45 RT 8
10/5/2017
Jul-18
G3P2A0
A
12,5
-
-
V
-
-
14 USIA,R.SC,
33
ENDRI DIANA NIYESI
38 RT 20
9/12/2017
6/19/2018
G4P3A0
O
12,6
-
-
V
-
-
10 USIA ,GRANDE
34
NINGRUM/
31 RT 9
9/17/2017
6/24/2018
G2P1A0
O
11,5
-
-
V
-
-
2
35
EDE NINA/YUDA
17 RT 14
10/08/2017
17/05/2018
G1P0A0
A
12,2
-
-
V
-
-
6
SEMANDING NIHIL
v
perna abortus
2
USIA
-
36
SUKOREJO FRIDA OKTAVIANDRI HARSONO
36 31/06
14-10-2017
21-07-2018
G2 P1 A0
10 - USI>35 - JRK ANK>10
-
37
MEI LINA ABDUL AZIS
23 37/06
?
?
G2 P1 A0 ± 12 Mg
2
-
-
38
IKFINA HIMMATI MUHAYAD NAIM
29 09/03
05-10-2017
12-07-2018
G1 P0 A0 10-12 Mg
6
- PRIMI TUA
-
39
ZAENAB TSALIS DUHA R
20 10/03
-09-2017
-06-2018
G2 P1 A0 20 Mg
10 - JRK ANK < 2 TH - RWYT TRANSFUSI
40
SITI YUNIATI ACH. PRASETYO
27 20/05
22-09-2017
29-06-2018
G3 P2 A0 10-12 MG
2
-
-
41
CHOIRUN NISA AGUS RIFAL S
33 14/04
14-10-2017
21-07-2018
G3 P2 A0 20 Mg
2
-
-
42
SRI ANGGRAINI SLAMET ARIFIN
29 34/08
10-10-2017
17-07-2018
G1 P0 A0
6
- LILA 23 CM
-
43
UMI NUR FARADIKA EDI SAPUTRO
26 32/08
08-10-2017
15-07-2018
G1 P0 A0 19-20 Mg
2 6
- HB 9,3 gr%
-
RENCANA
PENANGAN /
TEMPAT
KOLABORASI
BERSALIN
DOKTER / dr.Spesialis
RS
PERSALINAN TANGGAL
JENIS
TEMPAT
BUFAS RISTI ( KASUS )
PENOLONG
KET
Dokter Puskesmas Konsul DSOG Dokter Puskesmas
11-7-18
RSUD
SC
dokter
taa
By taa
14-7-18
BPM
Normal
Bidan
Taa
By taa
Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dr. Puskesmas Konsul DSOG Dr. Puskesmas
,13-7-18
RS Fatma Normal
Bidan
taa
by.taa
1-6-18
BPM
Normal
Bidan
taa
bayi taa
17-7-2018
BPS
Normal
Bidan
-
20-7-2018
BPS
Normal
Bidan
-
RS
Dr. Puskesmas Konsul DSOG
23-7-2018
BPS
Normal
Bidan
-
Ibu taa by taa Ibu taa by taa Ibu taa by taa
RS
DR.PKM
21/7/18
rs
N
SPOG
RS
DR.PKM
23/7/18
RS
SC
SPOG
PKM
DR.PKM
29/6/18
PKM
N
BIDAN
RS
DR.SPESIALIS
26/6/18
RS
N
SPOG
BPS
DR.PKM
29/7/18
BPS
N
BIDAN
BPM RS RS BPM BPM
BPS
DR.PKM
28/6/18
BPS
N
BIDAN
BPS
DR.PKM
4/7/18
BPS
N
BIDAN
RS
DR.PKM
23/7/18
RS
N
SPOG
BPS
ANC RUTIN
7/2/2018
bps
spt
bidan
BPS
ANCRUTIN
7/27/2018
bps
spt
bidan
POLINDEdr PKM
28-6-2018
RSUD
SPONTANBIDAN
IBU SEHAT BAYI SEHAT
BPM
dr PKM,dr OBGYN
23-7-2018
PUSKESMASPONTANBIDAN
IBU SEHAT BAYI SEHAT
BPM
dr PKM
10/7/2018
BPM
IBU SEHAT
SPONTANBIDAN
BAYI SEHAT
RS RS BPS BPS BPS
DR SPOG DR SPOG DR SPOG DR SPOG BIDAN
7/20/2018 7/5/2018 7/10/2018 7/24/2018 6/26/2018
RS BPS BPS BPS RS
N N N N N
DR SPOG BIDAN BIDAN BIDAN BIDAN
RS F
Dr Askan
6/29/2018
RS F
N
dr. Jihan Post SC
RS BPS -
Kontrol rutin kontrol rutin Kontrol rutin
21/07/2018 23/07/2018 26/07/2018
BPS BPS RSUD
Normal Normal Normal
Bidan Bidan Dokter
pkm
7/26/2018
rs
spontan bidan
pkm
7/29/2018
bps
spt
bidan
RS
22-6-18
RS
SC
DOKTER
BPS
21-6-18
RS
SC
DOKTER
BPS
18-7-18
BPS
NORMALBIDAN
PD/BPS DOKTER PUSKESMAS 22-6-18
RSA
SC
DOKTER
RMH BID ANC RUTIN
02-07-2018
RS FATMA INDUKSI DSOG
-
-
RMH BID ANC RUTIN
02-07-2018
RSU
INDUKSI BIDAN
-
PE
RS
ANC RUTIN
24-07-2018
RS FATMA INDUKSI DSOG
-
POSTDATE
RS
ANC RUTIN
27-06-2018
BPM
NORMALBIDAN
-
-
RMH BID ANC RUTIN
27-06-2018
BPM
NORMALBIDAN
-
-
RMH BID ANC RUTIN
30-06-2018
BPM
NORMALBIDAN
RMH BID ANC RUTIN
08-07-2018
RMH BIDANNORMALBIDAN
-
RMH BID ANC RUTIN
16-07-2018
RS FARMA INDUKSI DSOG
-
PUSKESMAS NO
NAMA IBU / SUAMI
UMUR
DESA
G.. P....A.. HPHT
TTP
UK
RT
LABORATORIUM
PPIA
GOL Hb gr Prot GDA Tawar Test DA % Urin
Hasil (+)/(-)
BANJAREJO
1 RisnawatiDebi 2 SantiWidodo 3 Frida AgustiniKusdi 4 Aprilia WM Zazuli 5 Sri IsnainiSupoyo 6 Dwi Utami-Supandi 7 Ayu FebrianiAlif Khosyiin 8 Nurul EkawatiSadoro 9 Nila GedeBayu K 10 Mita ApriliaDoni Listiawan
32 BANJAREJO 4/1 21 BANJAREJO 7/1 42 BANJAREJO 1/1 27 BANJAREJO 13/2 39 BANJAREJO 11/2 39 BANJAREJO 11/2 19 BANJAREJO 9/2 28 BANJAREJO 20/3 28 BANJAREJO 17/3 19 BANJAREJO 21/3
10-11-17
17-8 -18
G3 P2A0
23-10-18
30-7-18
G1P0A0
B 11'3
-
-9-18
G4 P3A0
A 11,5
-
- 12-17
89
+
+
-
+
+
-
14-11-2017
21-8-2018
G3P1A1
O 12,3 -
100 +
+
-
16-11-17
23-8-18
G2P1A0
B 12,8 -
69 +
+
-
26-10-17
2-8-18
G4P3A0
B
9,8 -
67 +
+
-
14-12-17
21-9-18
G1P0A0 AB 10,3 -
81 +
+
-
20-10-17
27-7-18
G4P3A0 B
11,5 -
80 +
+
-
31-10-17
5-8-18
G2 P1AO B
12,3 -
98 +
+
-
20-11-17
27-8-18
G1P0A0 A
10.0 -
90 +
+
-
CAMPUREJO
11 DHIKA KARISMA MORDHEI L
31 CAMPUREJO RT1931/10/17
7/8/18
G3P2AO O
11,5 _
80 V
V
12 NOVI PUSPITA DONI S
30 CAMPUREJO RT 2LUPA 12/17 85233728334
USG 3/9/18 G3P2A0 O
12 -
89 V
V
13 IMRO'ATUL MAGHFIROH ABDUL AZIZ
14 CAMPUREJO RT 125/11/17
2/9/18
11,5 -
85 V
V
G2P1A0 O
KADIPATEN
14
SITI NUR A
32
RT 3/RW 1
11/20/2017
8/27/2018
G2P1A0
A
12
-
-
√
-
-
28
RT 2/1
11/12/2017
8/19/2018
G1P0A0
O
12
-
-
√
-
-
32
RT 3/ 1
11/20/2017
8/27/2018
G3P2A1 AB 12
-
-
√
-
-
ARDIAN K
15
CITRA WIJAYANTI ABDI
16
MIA / KIKI
35
17
INNAYAH
25
RT 8 / 2
12/11/2017
19-8-2018
G2P1A0
12
-
-
V
-
-
AFFANDY
27
DINDA
29
RT 13 RW 3
3/2/2018
12/8/2018
G1P0A0 AB 12
-
-
√
-
-
AMY
25
RT 9/3
22-11-2017
29-8-2018
G2P1A0 AB 12
-
-
√
-
-
RUSLAN
27 0 11.2
-
-
V
V
-
O
_
_
V
V
_
AB 12.2
_
_
V
V
_
O
_
_
V
V
_
O 12 O 12 O 11 AB 11,2 O 11
_ _ _ _ _
_ _ _ _ _
V V V V V
V V V V V
_ _ _ _ _
18
AB
ADAM
19
KALIREJO
IRIANI / ABDUL JALIL
20
37 thKalirejo rt 01 / rw 0104/11/2017 11/08/2018 G3 P2A0
KARANGPACAR 21
ANGEL/TONI
28
KRPACAR 4/1
11/6/2017
8/13/2018
G1P0A0
22 YOANITA AVILIONI/RENDY
25
KR PACAR 4/1
13/11/2017 20/8/2018
GIP0A0
23 IDA MUSTIKA R/ SLAMET PURWANTO 24 LUCIA AGUSTINA/ JOHAN 25 LUKI DIAN/HARI SUCIPTO 26 MITHA APRILIA/ DANI LISTIAWATI 27 ENDANG LISWATI/ SUYITNO 28 SILVIA/REINHART KEPATIHAN
29 33 40 19 31 23
KRPACAR 10/2 KRPACAR 20/3 KR PACAR 23/3 KR PACAR 20/3 KR PACAR 13/3 KR PACAR 16/3
15/10/2017 10/10/2017 10/25/2017 10/20/2017 15/11/2017 11/7/2017
G2P1A0 G4P3A0 G5P4A0 G1P0A0 G2P1A0 G1P0A0
29 Widarti
33
Rt 3 / 01
22/7/2018 17/7/2018 8/2/2018 7/27/2018 8/22/2018 8/14/2018
12
12
?- 11- 17
? - 8 -18
G6 P2 A3
B
12.5
(-)
90
v
v
(-)
Teddy MOJOKAMPUNG 30 Eli P /
38
RT. 04 RW. 01
01/12/2017
08/09/2018
G4P3A0
A
11.8
-
-
-
-
-
31 Susyanti/Yitno
34
RT. 05 RW.01
15/11/2017
22/08/2018
G2P1A0
O
11.7
-
-
-
-
-
32 Ninik/zaenal
33
03/11/2017
10/08/2018
G1P0A0
O
-
-
-
-
-
-
RT.10 RW.02
MULYOAGUNG
33 marita rayyan 34 Anita rahmawati pungki wahyu 35 nur alfiah agus
23 rt 6
g1p0a0
rt 2 30 rt 12
12
neg
v
11/17/2017
8/24/2018
g1p0a0
a
12
neg neg v
11/2/2017
8/9/2018
g3p2a0
a
11
neg
neg
v
NGROWO
36 SRIATI/ M. IKHSAN
40
RT 3
33
RT 05/01
G3P2A0
B
G3P2A0
O 11.2
0
11.8
-
V
-
-
-
V
-
-
SEMANDING
37 Suaidah / Suyanto SUKOREJO
12/11/2017
9/8/2018
-
38 MARIYANTI
34
05/01
05-11-2017
12-08-2018
G2 P1 A0
31
05/01
05-11-2017
12-08-2018
G2 P1 A0
LUTHFI S
39 LASTRI HENDRIK IRWANSYAH
40 YENI ULFADHILA
7-8
29
03/01
20-11-2017
27-08-2018
ARY UDIYANTO
41 SUCI RAHAYU
28 MG
27
23/06
19-11-2017
26-08-2018
DARMOYO
42 PUJI LESTARI
G3 P2 A0
G1 P0 A0 6-7 MG
34
29/07
06-11-2017
13-08-2018
G2 P1 A0
24
35/07
25-10-2017
02-08-2018
G1 P0 A0
PURNOMO SIDIQ
43 PUTRI FEBRIAN SARI ERWIN TRI G
44 DEWI RATNA A
8-10 Mg
31
37/06
-12-2017
-09-2018
G2 P1 A0
22
25/06
-11-2017
-08-2018
G1 P0 A0
KHOIRUL ANAM
45 AULIA FITRI N SAIFUL FAHMI
46 NAILUL HIDAYAH
6 MG
23
09/03
23-10-2017
30-07-2018
ACH. SYAIFUL A.
47 LINA AYU R
8-10 MG
26
09/03
03-10-2017
10-07-2018
RIBA'AN
48 ANIS IRAWATI
37
22/05
03-12-2017
10-09-2019
25
20/05
15-11-2017
22-08-2018
AHM CHOIRUL A
G1 P0 A0 20 MG
31
19/05
25-10-2017
02-08-2018
M. RIDWAN
51 UMROTUL ANIK N
G3 P2 A0 9-10 Mg
BAGUS SETYAWAN
50 DESI RETNO D
G2 P0 A1 34-35 MG
EKO HARIYONO
49 GITA PERMATA
G1 P0 A0
G2 P1 A0 5-6 MG
19
17/08
20-10-2017
27-07-2018
G2 P0 A1
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : AGUSTUS 2018 PENYAKIT
RENCANA
PENANGAN /
PENYERTA
TEMPAT
KOLABORASI
SAAT INI
BERSALIN
DOKTER / dr.Spesialis
2
BPS
Dokter Puskesmas
15-8-18
BPM
Normal
Bidan
2
BPM
Dokter Puskesmas
2-8-2018
BPM
Normal
Bidan
BPM
Dokter Puskesmas
,2-8-2018
RS Fatma
Normal
Bidan
,20-8-18
PKM
Normal
Bidan
Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas
21-8-2018
PKM
Normal
Bidan
5-8-2018
RSUD
induksi
dokter
21-8-2018
RSUD
induksi
dokter
26-7-18
RS Fatma
Dr. Puskesmas Konsul DSOG Dr. Puskesmas Konsul DSOG
3-8-2018
BPS
Normal
Bidan
21-8-18
PKM
Normal
Bidan
FAKTOR RESIKO /
SCOR
KOMPLIKASI
PERSALINAN TANGGAL
JENIS
TEMPAT
PENOLONG
Konsul DSOG 10
usia, terlalu sering,
10 ABORTUS,JARAK ANAK
PKM
10 usia,jarak anak
RS
14
RS
grande, usia, anemia
6
usia
RS
6 jumlah anak
BPM
2-
BPS
10 usia, anemia
2
RS
Konsul DSOG DOKTER PUSKESMAS
Induksi
Dokter
2
RS
DR.SPESIALIS
26/7/18
BPS
N
BIDAN
2
BPS
DR.PKM
22/8/18
BPS
N
BIDAN
2
BPS
DR.PKM
18/8/18
rs
sc
spog
-
-
BPS
ANC RUTIN
25-Aug
BPS
SPT
BIDAN
BPS
SPT
BIDAN
BPS
SPT
BIDAN
2018
2
-
-
BPS
ANC RUTIN
19-Aug 2018
6 PERNAH GAGAL KEHAMILAN
-
BPS
ANC RUTIN
27-8
2018
2
-
-
BPS
ANCRUTIN
17-8
BPS
SPT
BIDAN
BPS
SPT
BIDAN
BPS
SPT
BIDAN
2018
2
-
-
BPS
ANC RUTIN
8-Dec 2018
2
-
-
BPS
ANC RUTIN
25-8 2018
6
Usia > 35 th
PKM
2
dr PKM
8/12/2018 RSUD
SPONTAN
BIDAN
BPS
DR SPOG
8/10/2018 RS
N
DR SPOG
ASMA
BPS
DR SPOG
8/20/2018 RS
N
DR SPOG
6 10 6 6 2
GRANDE MULTI USIA > 35TH, GRANDE MULTI USIA <20 TH LILA <23,5
BPS RS RS PKM BPS BPS
DR SPOG DR SPOG DR SPOG DR SPOG DR SPOG BIDAN
8/5/2018 RS 8/1/2018 RS 8/1/2018 RS 8/3/2018 BPS 8/20/2018 BPS 8/14/2018 RS
N N N N N N
BIDAN DR SPOG DR SPOG BIDAN BIDAN DR SPOG
14
grande
6 2
(-)
PKM
dr PKM
8/18/2018
RSU
-
BPS
Kontrol rutin
03/08/2018
2
BPS
Kontrol rutin
19/08/2018 BPS
2
BPS
Kontrol rutin
N
Bdn
riw abortus riw IUFD
10
Usia 36 th, jarak anak 10 tahun
BPS
08/08/2018
Normal
Bidan
Normal
Bidan
BPS
Normal
Bidan
2
bps
8/11/2018
pkm
spt
bidan
2
pkm
8/4/2018
rsis
spt
spog
bps
8/10/2018
bps
spt
bidan
NORMAL
DOKTER
SPONTAN
BIDAN
6
jarak kehamilan < 2th
6
USIA
2
-
-
PD/BPS
DOKTER PUSKESMAS
BPS
kontrol rutin
24-7-18
RS
8/29/2018 PKM
2
10
-
- JRK ANK>10
-
RMH BIDAN
ANC RUTIN
06-08-2018
BPM
NORMAL
BIDAN
HT
RS
ANC RUTIN
16-08-2018
RS FATMA
SC
DSOG
- HT
2
-
-
BPM
ANC RUTIN
29-08-2018
RS
NORMAL
DSOG
6
- TB<145 Cm
-
RS
ANC RUTIN
07-08-2018
RS FATMA
SC
DSOG
2
-
-
RMH BIDAN
ANC RUTIN
13-08-2018
RMH BIDAN
NORMAL
BIDAN
2
-
-
RMH BIDAN
ANC RUTIN
16-08-2018
RS MUNA
INDUKSI
DSOG
6
POSTDATE
-
RMH BIDAN
ANC RUTIN
28-08-2018
RS FATMA
SC
-
6
- JRN ANK>10
14
- PE - PLAS PREVIA
6
- LILA 21
-
RMH BIDAN
ANC RUTIN
20-08-2018
RMH BIDAN
NORMAL
-
2
-
-
RMH BIDAN
ANC RUTIN
14-08-2018
RMH BIDAN
NORMAL
BIDAN
6
- RWYT AB
-
BPM
ANC RUTIN
28-07-2018
RS FATMA
NORMAL
DSOG
-
RS
ANC RUTIN
25-08-2018
RSU
INDUKSI
BIDAN
21-08-2018
BPM
NORMAL
BIDAN
6
- USIA>35
10
PE (JUNI)
2
-
6
PE
2
-
10
- USIA<20 - RIWAYAT AB
KONSUL RS
-
RMH BIDAN
ANC RUTIN
RS
KONSUL DSOG
-
RMH BIDAN
ANC RUTIN
-03-08-2018
RMH BIDAN
NORMAL
BIDAN
-
RMH BIDAN
ANC RUTIN
02-08-2018
RS FATMA
INDUKSI
DSOG
BUFAS RISTI ( KASUS )
KET
Taa
taa
Taa
By taa
taa
by.taa
taa taa
bayi taa
post date
by taa
kala I memanjang by. Asfiksia ketuban pecah dini -
MBA
-
ibu taa by.taa Ibu taa by taa Ibu taa by taa
-
-
-
-
-
-
-
-
IBU SEHAT BAYI SEHAT
-
MOW
HPP
BY + IBU SEHAT
-
-
PE
-
-
-
-
-
-
-
-
POSTDATE
PE
-
-
-
-
-
-
-
PE
-
-
-
-
-
-
-
PUSKESMAS NO
NAMA IBU / SUAMI
UMUR
DESA
G.. P....A.. HPHT
TTP
UK
RT 1 2 3 4 5 6 7 8
9
BANJAREJO Sutik Catur Rika HarumaHendra Siti Nur K-Joko
29 34 25
Susi LestariPuji H Intan CaesarEko Sri Utami-Mungin
38
Ayu ElokAndra P Erik ErnaDedi
22
CAMPUREJO SITI NUR ELISA M.HERU
31 26
21
BANJAREJO 6/1 BANJAREJO 5/1 BANJAREJO 11/2 BANJAREJO 14/02 BANJAREJO 12/2 BANJAREJO 22/3 BANJAREJO 20/3 BANJAREJO 20/3
LABOR GOL Hb gr% DA
2-12-17
9-9-18
G2P1A0
A
12.2
8-12-17
15-9-18
G2P1A0
O
10,6
5-12-17
17-9-18
G2P0A1
O
13,5
23-11-18
30-8-18
G2P1A0
O
13.5
15-12-17
22-9-18
G2P1A0
B
13.2
18-9-18
G2PIA0
A
10,5
27-12-17
3-9-18
G1P0A0
O
13
29-12-17
6-10-18
G1P0A0
B
11,2
18
CAMPUREJO RT 17 7/12/2017
14/9/18
G1P0A0
O
12
10 SUNARTI M.WAHIB
37
CAMPUREJO RT 12 1012/17
17/9/18
G3P2A0
A
11
11 ENI NURWITA A.MUSAFAK
37
CAMPUREJO RT 9
13/12/17
20/9/18
G3P2A0
AB
13,1
12 SITI LISTIROKAH AGUSTUS
35
CAMPUREJO RT 22 12/12/17
19/9/18
G3P2A0
B
12,7
13 WINARSIH WIJI
37
CAMPUREJO RT 26 15/11/17
22/8/18
G4P3A0
B
9,9
14 SULASTRI EKO,
34
CAMPUREJO RT 6
8/9/2018
G3P1A0
B
12,1
15 YESSI
32
CAMPUREJO RT 27 3/12/2017
10/9/2018
G1P0A0
B
12,4-
1/12/2017
AGUS SETIYAWAN
82245227071
KADIPATEN 16 RAGIL APRILIANTI
27
RT 8/2
12/15/2017 9/17/2018
GIP0A0
O
12
30
RT7/2
3/2/2018
GIIPIA0
A
12
INDRA NUR R
17 WIWIN
12/9/2018
RICHO
18 INDAH DWI R
10-12 MG
28
RT 11/3
12/22/2017 9/29/2018
GIIPIA0
O
12
27
RT 13 RW 3
2/2/2018
11/9/2018
G1P0A0
AB
12
32 35
RT 3/ 1
11/20/2017 8/27/2018
G3P2A1
AB
12
M MALIK
19 SILA SUSENO 20 MIA / KIKI KALIREJO 21 DEWI PURWANTI / M.FAUZI
27 th
KALIREJO RT 10 / RW05/12/2017 12/09/2018
G2 P1A0
22 SRIANI / BANDIS TRI W
26 th
KALIREJO RT 12/ RW 21/11/2017 28/08/2018
G2 P1A0
AB
11.3
23 KURUN ININ ANIL C / AGUS W
21 th
KALIREJO RT 08 / RW15/12/2017 22/09/2018
G1 P0A0
O
13.3
24 RINI / IMAM BAHAUDIN
22 th
Kalirejo rt 06 / rw 01 12/3/2017
G1 P0A0
25 JULITA / ARIF SUGIANTO
27 th
KALIREJO RT 14/ RW 10/12/2017 17/09/2018
G3 P2A0
O
12
26 ENY / ANDIK
24 th
Kalirejo rt 04 / rw 01 17/09/2017 24/06/2018
G2 P1A0
27 WARSIYAH / SAIM
39 th
Kalirejo rt 11 / rw 02 12/8/2017
G3 P2A0
KARANGPACAR
9/10/2018
9/15/2018
28 29 30 31 32 33 34
NUNUNG KUSMIATI/SURAJI MONIKA /DAREL GRACE/ KELVIN SHINTA / DONI NOFAYANTO MARTIANINGRUM/ KHOIRIL BAZAR SUHARIK/ERIK ERISKA DWI C/ALFIN NASFIN KEPATIHAN 35 Nurul Puji A Soni taufik MOJOKAMPUNG 36 Ayik / Erfan 37 Endar Riani/Agus MULYOAGUNG 38 dwi kurniawati meyfi 39 yusana
41 27 28 28 32 25 23
KRPACAR 1/1 KR PACAR 4/1 KR PACAR 5/1 KR PACAR 8/2 KR PACAR 21/ 3 KR PACAR 20/3 KR PACAR 20/3
22/11/2017 12/10/2017 11/20/2017 8/12/2017 11/5/2017 12/15/2017 11/24/2017
29/8/2018 9/17/2018 8/27/2018 15/9/2018 8/12/2018 9/22/2018 8/31/2018
G4P2A1 GIP0A0 G1P0A0 G2P1A0 G2P1A0 G1P0A0 G1P0A0
O O O B O O B
11.4 11.8 11 11,4 11 12 11
37
RT 11 / 02
1/25/2018
1/2/2019
G2 P0 A1
O
11.8
31 26
RT. 03 RW. 01 RT 05/01
02/12/2017 09/09/2018 12/11/2017 19/08/2018
G2P1A0 G3P2A0
O O
11.5 12
30
4
12/7/2017
34
2
arif 40
g3p2a0
a
11
12/20/2017 9/27/2018
g2p1a0
a
12
25
rt7
12/14/2017 9/21/2018
g1p0a0
A
12
40
rt 6
11/27/2017 9/4/2018
g2p1aa0
b
11
rt2
11/15/2017 8/22/2018
g2p1a0
a
9
28
rt 13
1/1/2018
g1p0a0
a
12
NGROWO 44 ANIS S/GUNAWAN
28
RT 19
03/01/2018 10/10/2018
G1P0A0
O
12
45 RANI TERA SUSTARI/NUR K
33
RT 5
12/14/2017 9/21/2018
G1P0A0
O
11,3
46 ELLY/ SEMANDING NIHIL
36
RT9
G3P2A0
O
11.5
41 42 43
esa novita yuda prawira kusmiatun catur h aan anis handry julia arrahmaaati hoirul fatikin NIHIL
9/14/2018
10/8/2018
SUKOREJO 47 IKA DIANA SARI M. KHAMIM
40
02/01
-12-2018
-09-2018
G4 P3 A0
48 MELINDA R. SAMSUL ARIFIN
34
06/02
?
24-09-2018 USG
G2 P1 A0 29-30 mg
49 ERNI SUMARNI AGUS SUPRIYADI
22
31/06
04-01-2018
11-10-2018
G3 P2 A0
50 SRI RAHAYU AHMAD ANSHORI
25
36/07
10-12-2017
17-09-2018
G2 P1 A0
51 IKA AGUSTINA TOMI WIJAYA
31
12/02 KTP LMGAN
01-01-2018
08-10-2018
G3 P2 A0 20 MG
52 RISWARA WIDYA N AGUS TRIATNO
38
11/01
28-11-2017
05-09-2018
GIV P3 A0 38 Mg
53 NOVI SUHARIYANTI MARSUDI
32
20/05
03-12-2017
12-09-2018
G2 P1 A0 8-10 Mg
54 MEI LESTARI MUGI RAHARJO
26
21/06
06-12-2017
13-09-2018
G2 P1 A0 5-6 Mg
55 PUTRI YUNITA DESI AHM. MUJIBURROHMAD
28
19/05
05-12-2017
12-09-2018
G3 P2 A0 11-12 Mg
56 PUJI ASTUTIK KUKUH JATI Y
39
39/08
-11-2017
-08-2018
G3 P2 A0 8 Mg
O
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : SEPTEMBER 2018
RATORIUM
PPIA Tawar Test Hasil
SCOR
FAKTOR RESIKO /
PENYAKIT
RENCANA
PENYERTA
TEMPAT
SAAT INI
BERSALIN
Prot Urin
GDA
-
101
+
+
-
2
-
89
+
+
-
14
-
97
+
+
-
6
-
97
+
+
-
10
-
96
+
+
-
2
BPM
-
72
+
+
-
2
BPM
-
96
+
+
-
2
-
102
+
+
-
2
-
(+)/(-)
KOMPLIKASI
BPM jrk anak 11 th,asma, anemia abortus usia > 35, jrk anak > 10 th
-
RS BPM RS
BPS BPM
V
6
UMUR<20TH
RS
14
UMUR>35TH,RIWAYAT SC
RS
14
UMUR>35TH,PE,JRK ANK>10TH
RS
-
113
V
-
82
V
V
-
94
V
V
-
18
LETSU, HT, USIA 35TH
RS
-
92
V
V
-
14
USIA>35TH,GRANDE MULTI,ANEEMIA
RS
-
64
V
V
10
PERNAH ABORTUS,JARAK ANAK<2TH
RS
129
V
V
2
RS
-
-
V
-
-
2
-
BPS
-
-
V
-
-
2
-
-
BPS
-
-
√
-
-
2
-
-
BPS
-
-
√
-
-
2
-
-
BPS
-
-
√
-
-
6
PERNAH GAGAL KEHAMILAN
-
BPS
10
TINGGI BADAN 144 cm,LILA 20 cm
RSUD
2
PKM
2
POLINDES
2
POLINDES
2
POLINDES
2
BPS
14
USIA > 35 th,TD 150/90 mmhg,Riwayat manual Placenta
RSUD
USIA 35 TH, JARAK >10 TH, ABORTUS, FASE LATEN MEMANJANG FASE LATEN MEMANJANG
_ _ _ _ _ _ _
_ _ _ _ _ _ _
V V V V V V V
V V V V V V V
_ _ _ _ _ _ _
14 2 2 6 6 2 6
RS BPS BPS BPS PKM BPS PKM
(-)
245
v
v
(-)
22
usia, riw abortus jarak >10 th DM, HT
HT DM
Rsu
-
-
-
-
-
2 2
-
-
BPS BPS
PENYULIT KEHAMILAN IMT >26 LILA<23,5 CM
neg
v
2
neg
v
6
neg
v
2
neg
v
6
umur > 35 th
bps
anemia
pkm
neg
neg
v
neg
6
neg
neg
v
neg
2
RS
tensi tdak stabil(naik,turun) waktu sebelum hamil
RS pkm
bps
0
-
V
-
-
6
-
-
V
-
-
2
-
-
V
-
-
10
PENY. PENYERTA TBC +SKOR
PD/BPS BPS
USIA 36,HT
BPS
14
- USIA 40 -GRANDE - HT
HT
RS
10
- BKS SC
-
RS
2
-
-
RMH BIDAN
-
RMH BIDAN
-
DSOG
-
RS
2
-
2
14
-
- GRANDE - USIA>35
2
-
-
RMH BIDAN
2
-
-
RMH BIDAN
2
-
-
RMH BIDAN
-
RS
18
- RWYT SC - USIA>35 - JRK>2 Th
PENANGAN / KOLABORASI DOKTER / dr.Spesialis
PERSALINAN TANGGAL
JENIS
TEMPAT
PENOLONG
BUFAS RISTI ( KASUS )
KET
Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas
15-9-18
BPM
Normal
Bidan
Taa
By taa
,3-9-18
SC
DSOG
15-9-18
RS Graha Medika BPM
Normal
Bidan
bufas SC o/k rhesus + taa
bayi dg kel. jantung bawaan bayi taa
3-9-18
RSUD
Induksi
Bidan
partus tak maju
20-9-18
BPS
Normal
Bidan
taa
by taa
Dr. Puskesmas
17/9/18
bps
Normal
Bidan
Dr. Puskesmas Konsul DSOG Dr. Puskesmas Konsul DSOG
4/9/2018
BPS
Normal
Bidan
10-9-18
RS Fatma
SC
Dokter
PE
ibu taa by taa
DR.PKM
15/9/18
RS
N
SPOG
KONTROL RUTIN
20/9/18
RS
SC
SPOG
DR.PKM
22/9/18
RS
N
SPOG
DR.PKM
7/9/2018
RS
SC
SPOG
DR.PKM
28/9/18
RS
N
SPOG
DR.PKM
29/8/18
rs
n
spog
DR.PKM
29/8/18
RS
SC
SPOG
ANCRUTIN
17-9
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
-
PUSKESMAS
SPONTAN
BIDAN
IBU SEHAT BAYI SEHAT
2018
ANCRUTIN
9-Dec 2018
ANC RUTIN
25-9 2018
ANC RUTIN
9-Nov 2018
ANC RUTIN
27-8 2018
dr PKM,dr OBGYN
dr OBGYN
9/6/2018
RS IBNU SINA
SPONTAN
BIDAN
IBU SEHAT BAYI SEHAT
dr PKM
9/10/2018
RS FATMA
SPONTAN
BIDAN
IBU SEHAT BAYI SEHAT
Dr.PKM Dr.OBGYN
9/18/2018
RS IBNU SINA
SPONTAN
DOKTER
IBU SEHAT BAYI SEHAT
dr.PKM dr.OBGYN
9/22/2018
POLINDES
SPONTAN
BIDAN
IBU SEHAT BAYI SEHAT
dr.PKM
8/24/2018
BPM
SPONTAN
dr PKM dr.OBGYN
9/28/2018
RSUD SOSODOROSPONTAN
IBU SEHAT BAYI SEHAT BIDAN
IBU SEHAT BAYI SEHAT
DR SPOG BIDAN BIDAN DR SPOG DR SPOG BIDAN DR SPOG
1-Sep 9/18/2018 8/30/2018 9/14/2018 8/15/2018 9/20/2018 9/1/2018
RS BPS BPS BPS RS RS RS
N N N N N N N
BIDAN BIDAN BIDAN BIDAN BIDAN BIDAN DR SPOG
Dr Obgyn rsu Dr PD rsu
9/22/2018
RSU
SC
DSOG
Kontrol rutin Kontrol rutin
14/09/2018 01/09/2018
BPS bps
Normal normal
Bidan bidan
9/20/2018
rsa
spt
spog
9/28/2018 9/20/2018
rsf
spt
bidan
9/21/2018
bps
spt
bidan
9/5/2018
bps
spt
bidan
9/22/2019
bps
spt
bidan
18-9-18
RS
SC
DR
P. MACET
16-9-18
BPS
BIDAN
10/9/2018
RS
NORMAL
DOKTER
PE
bps
DOKTER PUSKESMAS
DOKTER PUSKESMAS
PE
ANC RUTIN KONSUL DSOG
28-09-2018
RS FATMA
INDUKSI
DSOG
RISTI
PE
ANC RUTIN
06-09-2018
RS FATMA
SC
DSOG
-
ANC RUTIN
27-09-2018
RMH BIDAN
NORMAL
BIDAN
-
-
ANC RUTIN
13-09-2018
RMH BIDAN
NORMAL
BIDAN
-
-
ANC RUTIN
26-09-2018
RS IBNU SINA
NORMAL
DSOG
-
-
ANC RUTIN
31-08-2018
RSU
INDUKSI
BIDAN
PE
PE
ANC RUTIN
09-09-2018
RS IBNU SINA
NORMAL
DSOG
-
-
ANC RUTIN
01-09-2018
RMH BIDAN
NORMAL
BIDAN
-
-
ANC RUTIN
09-09-2018
RS IBNU SINA
INDUKSI
DSOG
-
-
ANC RUTIN
05-09-2018
RS IBNU SINA
SC
DSOG
-
-
PUSKESMAS NO
NAMA IBU / SUAMI
UMUR
DESA
G.. P....A.. HPHT
TTP
UK
RT
1 2 3 4 5 6 7 8 9
10
BANJAREJO DariyatunAgusman Wahyuni Imam KismiatunAnim Subagiyo Titik EkaviantiDeni Krintanto Siti Nur KhasanahArif Afianto Darmini Supriyadi Siti Umaroh Sulistri S Vinandra EkaFranki Lutfiani Friandita CAMPUREJO DEWI ARISTA SEPTIAN YUDA
38 36 40 23 33 37 38 21 20
BANJAREJO 6/1 BANJAREJO 6/1 BANJAREJO 6/1 BANJAREJO 6/1 BANJAREJO 11/2 BANJAREJO 14/2 BANJAREJO 21/3 BANJAREJO 1/1 BANJAREJO 9/2
G3P2A0 17-1-18 1- 1-18
24-10-18 8- 10-18
G3P2A0 G4P3A1
19-1-18
26-10-18
G1P0A0
27-12-17
4-10-18
G4P3A0
15-1-18
22-10-18
G3P2A0
USG
29-10-18
G2 P1AO
10- 10-18
G1P0A0
23-12-17
30-9-18
G1P0A0
3-1-18
32
CAMPUREJO
15/1/18
22/10/18
G1P0A0
3/10/18
G2P0A0
11
DENI OKTAVIA DANI
26
CAMPUREJO RT 6
28/12/17
12
ITA DIAKH K SAMSUL
30
CAMPUREJO RT 11
LUPA JANUAROKTOBER 18G3P2A0
13
SETYO WINARYANI SUTRISNO
39
CAMPUREJO RT 24
22/1/18
29/10/18
G2P1A0
14
TUTIK R TOTOK
31
CAMPUREJO RT 12
9/1/18
16/10/18
G1P0A0
15
DWI RETNO AGUNG
33
CAMPUREJO RT 8
21/12/17
28/9/18
G3P2A0
33 TH RT 3 RW 1
1/17/2018
10/14/2018
G2P1A0
39 TH RT 8 RW 2
3/4/2017
10/1/2018
G4P3A0
KADIPATEN 16
UTAMI YULIATI TAMA
17
RINA UMI N A.SATRIA UTAMA
18
CITRA YUNIATI
27
RT 5/RW 2
1/19/2018
10/26/2018
G1P0A0
33
RT 10/3
1/10/2018
10/17/2018
GIIIPIIA1
EKY YANUAR 19
DESY ANDINI ERY KALIREJO LIMAH / PURWANTO
20 21
MONICA / HADI pindahan dari Tuban
18MG 28 th Kalirejo rt 04 / rw 01
1/12/2018
10/19/2018
G2 P1A0
23 th Kalirejo rt 04 / rw 01
08/01/2018
15/10/2018
G1 P0A0
KARANGPACAR TUTIK SETYOWATI/ IWAN WAHYUONO RISTIA CAHAYA/ RIZKY ADITIA FARIDA NUR A/ ARIS RAGIL UUT MEGAWATI/ MUHAMMAD ARUM INDAH R/ SUKRIAWAN KEPATIHAN
34 25 24 35 32
KR PACAR 7/1 KR PACAR 12/2 KR PACAR 20/3 KR PACAR 20/4 KR PACAR 22/3
1/11/2018 1/20/2018 1/13/2018 11/20/2017 1/10/2018
10/18/2018 10/27/2018 10/20/2018 8/27/2018 12/17/2018
G2P1A0 G3P1A1 G1P0A0 G2P1A0 G2P1A0
Endah Putri
21
RT 1 /01
7/20/2018
4/27/2019
G2 P1 A0
Kariyono
53
Suksmaya Susila Kustiningrum
25
RT 1 / 01 Srinayan Lr 3
1/10/2018
11/17/2018
G2 P0 A1
37
RT 4 /01
12/24/2017
10/1/2018
G3 P2 A0
24
RT 6 /01
10/16/2017
6/2/2018
G2 P0 A1
31
MOJOKAMPUNG Gita Indah/Yoka Agung
26
RT 05/01
01/01/2018
08/10/2018
G2P1A0
32
Intan
38
RT 04/01
/01/2018
/10/2018
G1P0A0
33 34 35
Yunia/Solihin Kristina/Dwi M Maulidia/Heru
24 25 24
RT 03/01 RT 02/01 RT 07/02
11/01/2018 24/12/2017 05/01/2018
18/10/2018 01/10/2018 12/10/2018
G1P0A0 G2P1A0 G1P0A0
36
hikmah yuda anik ruswati toni devi yanuar mujiati m sholeh
36
3--1-18
10/10/2018
g3p2a0
35
2/5/2018
11/12/2018
g4p2a1
22 23 24 25 26
27
28
M Rizky Prasetya 29
Sri Mukti Handayani Kusnan
30
Nurfia Rishardanty Teguh Cipto
MULYOAGUNG
37 38 39
40
NGROWO WIWIN W/ YEES IMANUEL
25
rt 4
12/2/2017
9/9/2018
g1p0a0
30
rt 16
12/19/2017
9/26/2018
g2p1a0
35
RT 3
13/02/2018
20/11/2018
G2P1A0
41
NURIL OKTAVIANI/ARIF S
32
RT 1
27-1-18
11/04/2018
G3 P2A0
42
FITRI RAHAYATI
33
RT 4
26/12/2017
03/10/2018
G3P2A0
43
SISKA DAMAYANTI
20
RT 20
17-Dec
18-Oct
G1P0A0
44
NOVI S/BAYU ADITIA
27
RT12
Dec-17
Oct-18
G2P1A0
45
SUSI LUNGDAYANI/ EDI S
32
RT 16
27/12/2017
04/10/2018
G2P1A0
SEMANDING NIHIL SUKOREJO 46
HETTY FIKA L LUKMAN WAHYU S
22
31/06
06-01-2018
13-10-2018
G1 P0 A0
47
LENNIDYA MARRISA ARI DWI BUDI
26
35/07
04-01-2018
11-10-2018
G2 P1 A0 12 MG
48
SITI KHOSIDAH HERU PUJIANTO
32
16/04
05-01-2018
12-10-2018
G1 P0 A0 5 Mg
49
BINTI NUR ARINI HERI PURWANTO
31
14/04
10-01-2018
17-10-2019
G2 P1 A0 6-7 Mg
50
AGUSTIN Z HARIYADI
35
21/05
12-12-2017
19-09-2018
G3 P2 A0
51
RATNA MEIDIAWATI B. MAHENDRA
32
34/08
12-01-2018
19-10-2018
GIII P2 A0 28 Mg
52
ZULIAN FIRDA S AGUS SETYA B
22
17/08
03-01-2018
10-10-2018
GII P1 A0 37-38 mg
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : OKTOBER 2018 LABORATORIUM GOL DA
Hb gr%
Prot Urin
PPIA GDA
Tawar
Test
Hasil
FAKTOR RESIKO /
SCOR
(+)/(-)
104
KOMPLIKASI
10
B
12,7
-
78
+
+
-
10
B
12,9
-
94
+
+
-
22
B
12.1
-
87
+
+
-
2
B
12,8
-
92
+
+
-
10
B
12,3
-
80
+
+
-
O
13,7
-
94
+
+
O
10,4
-
95
+
A
11,6
-
92
B
11,8
-
O
11,9
O
PENYAKIT
RENCANA
PENYERTA
TEMPAT
SAAT INI
BERSALIN
Kelainan BPM Usia, Penyakit Penyerta( ht) Saraf Mata jrk anak >10 th, usia RS Usia, rwy DM, abortus jrk anak,grande
RS BPM RS
6
grande,jarak anak < 2 tahun usia
-
18
usia, Jarak Anak, Riw.SC
RS
+
-
6
+
+
-
6
180
V
V
2
RS
-
72
V
V
2
BPS
10,2
-
80
V
V
6
KEK,ANEMIA
BPS
12
12
-
64
V
V
10
USIA>35TH,jarak anak>35
RS
O
11
110
V
6
KEK
RS
B
8
-
88
V
V
-
6
ANEMIA
RS
A
12
-
-
√
-
-
2
AB
12
-
-
V
-
-
2
PKM
lila 23 cm, anema
PKM
KEK,lila 23 cm
-
BPM
-
BPS
-
BPS
O
12
-
-
V
-
-
6
KEK LILA 21 CM
-
BPS
AB
12
-
-
√
-
-
2
-
-
BPS
B O O O O
11.2 10.2 11 12 11.2
_ _ _ _ _
_ _ _ _ _
V V V V V
V V V V V
_ _ _ _ _
2
BPM
2
BPM
6 10 2 6 2 14
RIWAYAT PE ABORTUS, ANEMIA
BPS RS BPS PKM RS
USIA >35 TH
Riwayat SC
-
RSU
sinyal PE
(-)
110
Rs Fatma
6
usia > 35
-
BPS
6
riw abortus
(-)
RSA
Jarak anak < 2 tahun Usia 36 th, jarak anak 10 tahun
B
11.8
6
B
12.8
10
O A O
11.8 11.8 11.6
2 2 2
BPS BPS BPS
o
11
neg
neg
v
2
bps
o
12
neg
neg
v
6
a
12
neg
v
2
bps
o
12
neg
v
2
bps
O
11.2
0
-
(-)
-
11.8
V
v
Riw abortus
o
-
v
6
-
6
perna abortus
USIA
BPS BPS
rs
PD/BPS
O
11.3
0
-
V
-
-
2
A
12
-
-
V
-
-
6
R. PREMATUR, JARAK ANAK 6 BLN
BPS
O
11
-
-
V
-
-
10
B20, PE
BPS
O
11.4
-
-
V
-
-
2
PD/BPS
A
12
-
-
V
-
-
2
PD/BPS
PD/BPS
2
-
-
RMH BIDAN
6
- LILA 21,5
-
RMH BIDAN
6 10
NIKAH 9 TH LET-SU
-
RS
2
-
-
RMH BIDAN
2
-
-
RMH BIDAN
6
JRK ANK<2 TH
-
BPM
-
RMH BIDAN
14
- RWYT SC - ANEMI
PENANGAN / KOLABORASI
PERSALINAN TANGGAL
JENIS
TEMPAT
PENOLONG
BUFAS RISTI ( KASUS )
KET
DOKTER / dr.Spesialis
Dokter Puskesmas ,24-10-18
BPM
Normal
Bidan
Bayi BBLR
Bidan
Kontraksi Dini pe,sisa placenta TAA
25-10-18
BPM
Normal
10-10-2018
RSIS
induksi
Bidan
KPD
by.asfiksia
24-10-18
BPM
Normal
Bidan
Taa
By taa
8-10-18
BPM
Normal
Bidan
taa
by taa
20-10-18
BPS
Normal
Bidan
taa
by taa
16-10-18
RSUD
SC
DOKTER
PE
by taa
10-10-18
BPM
Normal
Bidan
TAA
TAA
Dokter Puskesmas 25-10-2018
BPS
Normal
Bidan
taa
by taa
DR.PKM
8/10/18
RS
N
SPOG
DR.PKM
9/10/18
BPS
N
BIDAN
DR.PKM
16/10/18
PKM
N
BIDAN
DR.PKM
9/10/18
RS
N
SPOG
PE
DR.SPOG
13/10/14
RS
N
SPOG
PE
DR.PKM
28/9/18
RS
N
SPOG
ANC RUTIN
14-10
BPS
SPT
BIDAN
-
1-Oct BPS
SPT
BIDAN
-
Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas Konsul DSOG Dr. Puskesmas Konsul DSOG Dokter Puskesmas
2018 ANCRUTIN
2018
TAA
ANCRUTIN
25-10
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
-
2018 ANC RUTIN
17-10 2018
dr OBGYN dr OBGYN
DR SPOG DR SPOG BIDAN DR SPOG DR SPOG DSOG
10/10/2018 RSUD 13-9-2018
BPM
10/19/2018 BPS 10/15/2018 BPS 10/9/2018 RS 9/27/2108 RS
10/1/2018
RS F
SPONTAN BIDAN
IBU SEHAT BAYI SEHAT IBU SEHAT BAYI SEHAT
SPONTAN BIDAN
N N SC N
BIDAN BIDAN DR SPOG BIDAN
Abortus komplet
dr. JihaN
MENINGGAL PPI
dr. Askan
10/28/2018 RSU
N
Bdn
-
dr. Askan
9/11/2018 BPM
N
Bdn
-
dr. LA Siregar
10/7/2018 RSA
N
dr. Artur
-
Normal
Bidan
kontrol rutin
08/10/2018 Bps
Kontrol rutin
17/10/2018
Bps
Normal
Bidan
Konsul rutin Kontrol rutin kontrol rutin
16/10/2018 Bps 10/02/2018 Bps 08/12/2018 Bps
Normal normal Normal
Bidan bidan Bidan
9/20/2018 bps
spt
bidan
9/16/2018 rs
spt
bidan
9/3/2018 rs
spt
bidan
10/5/2018 rs
spt
bidan
DOKTER PUSKESM 10/11/2018 RS M
NORMAL BIDAN
PE
DOKTER PUSKESM21-9-18
DOKTER PUSKESM
NORMAL BIDAN
7/10/2018 RS F
NORMAL DOKTER
1/10/2018 RSUD
SC
DOKTER
B 20/ PE
SC
DOKTER
P. MACET
DOKTER PUSKESM25-9-18 DOKTER PUSKESM
BPS
RS
4/10/2018 BPS
NORMAL BIDAN
ANC RUTIN
10-10-2018
RMH BIDANNORMAL BIDAN
-
-
ANC RUTIN
17-10-2018
RMH BIDANNORMAL -
-
-
ANC RUTIN
05-10-2018
RS FATMA SC
DSOG
-
LET-SU
ANC RUTIN
17-10-2018
RMH BIDANNORMAL BIDAN
-
-
ANC RUTIN
09-10-2018
RMH BIDANNORMAL BIDAN
-
-
ANC RUTIN
11-10-2018
RS FATMA NORMAL DSOG
-
-
ANC RUTIN
02-10-2018
RS FATMA SC
-
-
DSOG
PUSKESMAS NO
NAMA IBU / SUAMI
DESA
UMUR
G.. P....A.. HPHT
TTP
UK
LABORATORIUM GOL DA
RT
Hb gr Prot GDA % Urin
BANJAREJO 1
Jumilah-Yana Gilang
23
BANJAREJO
1- 2-18
8- 11-18
G1P0A0
B
11,1
-
95
5/1 2
Yasinta-
28
Moh Zaenul 3
JunianaSamiati Eni Puji L -
33
Vita DewiYulia Sapta
A
11,5
-
99
BANJAREJO
20-2-18
27-11-18
G2P1A0
B
12,5
-
78
BANJAREJO
23-2-18
30-11-18
G3P2A0
BANJAREJO
25-1-18
2-11-18
G2 P1AO
A
11'6
-
96
19-2-18
26-11-18
G2 P1AO
B
10.8
-
92
22-2-18
29-11-18
G2 P1AO
A
11,8
-
88
19/3 33
Wiji 7
G2P1A0
3/1 28
Budi Utomo 6
8-11-18
1/1
Yudi Setiawan 5
1-2-18
6/1 24
SulisaFanto 4
BANJAREJO
BANJAREJO 20/3
23
Nazia Hasan
BANJAREJO 15/3
CAMPUREJO 8
NUR INDANA
32
CAMPUREJO RT 19
3/2/2018
13/11/18
G1P0A0
O
11,5
-
80
18
CAMPUREJO RT 27
11/2/18
18/11/18
G1P0A0
B
11,7
-
64
FRENDY 9
SATIRA SISKA NANANG
10 WIWIN
82216749280 38
CAMPUREJO RT 18
20/2/18
17/11/18
G4P3A0
O
11
-
28
CAMPUREJO RT 16
17/2/18
24/11/18
G1P0A0
A
13,7
-
105
SAIFUDIN 11 DESY N.F NASHAN 12 WINARTI
82234021059 34
CAMPUREJO RT 23
17/3/18
22/12/18
G3P2A0
B
11,0
-
59
36
RT 8/ RW 2
2/12/2018
11/19/2018
G2P1A0
O
12
-
-
28
RT12/3
2/15/2018
11/22/2018
GIP0A0
O
12
-
-
A
12
-
-
HARIYADI KADIPATEN 13 DWI RATNA H AGUS BASUKI 14 LISTYOWATI AGUNG 15 AMINATUN NASHIFAH M YUSUP KALIREJO NIHIL KARANGPACAR
12MG 31
RT 15/1
2/18/2018
11/25/2018
GIIPIA0
16 DEVI ANITA SARI/SUPARMAN
31
KR PACAR 2/1
2/28/2018
12/7/2018
G2P0A1
O
11
_
_
17 STELA/ LONI
27
KR PACAR 5/1
2/10/2018
11/17/2018
GIP0A1
O
12
_
_
18 JENI/ STEVEN
32
KR PACAR 4/1
2/15/2018
11/22/2018
G2P1A0
O
11
_
_
19 ANA W ELLA
34
KR PACAR 14/2
2/13/2017
11/20/2018
G2P1A0
AB
12
_
_
20 DESY/ ROFIK KEPATIHAN
25
KR PACAR 2/2
Feb-18
Nov-18
G1P0A0
O
12
_
_
21 Mega Kurnia Dwi Astuti
35
RT 11/ 02
2/4/2018
11/11/2018
G3 P2 A0
B
22 Ega Ayunia
19
RT
2/28/2018
12/5/2018
G1 P0 A0
28
RT 12 /02
12/28/2017
10/5/2018
G3 P2 A0
Sugeng Wibowo 23 Regita Manggarsari Anton Subagio
MOJOKAMPUNG 24 Sulastri/
26
RT 02/01
/02/2018
/11/2018
G2P1A0
B
12
25 Erina Ardian/Nyapingi
40
RT 03/01
26/02/2018
05/11/2018
G2P1A0
O
9.8
26 Regina abdy/ Widianingrum/Bayu 27 Astia Pratama 28 Mega Kurnia /Hudan
23
RT 13/01
24/03/2018
01/01/2019
G1P0A0
B
11.9
22
RT 12/02
/01/2018
/10/2018
G1P0A0
O
12
35
RT 08/02
04/02/2018
11/11/2018
G3P2A0
O
12
29 hoirun nasai
23
RT 15
3/23/2018
12/30/2018
g1p0a0
b
11
neg
30 ririn wahyuni
21
17
2/13/2018
11/21/2018
g1p0a0
31 ELLI MUYASAROH/SUNARDI
30
RT 10
28/01/2018
04/11/2018
G2P1A0
O
12
0
-
32 VIDIA OKTAVIA/BURHANUDIN
24
RT 2
27/01/2018
03/11/2018
G2P1A0
B
12.5
0
-
33 ARUM SEKAR AYU/ M. RUDI SEMANDING
27
RT4
LUPA
G3P2A0
O
11.2
-
-
34 Susiana R./Suyoto
28
RT.6/RW.1
25-2-2018
11/02/2018
G2P1A0
B
11,7
(-)
(-)
35 Sri Ayu/Sukardayat
20
RT.6/RW.1
18-02-2018
25-11-2018
G1P0A0
O
11,5
(-)
(-)
21
01/01
04-01-2018
11-10-2018
G2 P1 A0
B
MULYOAGUNG
wahrul NGROWO
SUKOREJO 36 NISA'UL M EMAN FAREL
37 SISKAWANTI
USG BLN 11
26
31/06
26-01-2018
03-10-2018
G1 P0 A0
39
25/06
-03-2018
-12-2018
G4 P2 A1
JOKO PURNOMO 38 IDA YULIANTI ZAENAL ARIFIN
39 YUNITA K/
7-8 MG
27
29/07
-03-2018
-12-2018
SUCIPTO 40 ELLY NANDAR DWI S
24 mg 27
28/07
-02-2018
-11-2018
AHMAD SYAFI'I 41 IFA DZULKHORIYAH
31
10/03
01-02-2018
08-11-2018
23
15/04
01-02-2018
08-11-2018
G1 P0 A0 5 Mg
24
21/05
11-02-2018
18-11-2018
SYAHRUL QIROM 44 UMI KULSUM
G2 P0 A1 6 Mg
FREDY SAPTA 43 IRENA ROMADHONA
G2 P1 A0 11-12 MG
SUPRIYO 42 NISFUN NIKMATUL
GII P1 A0
G1 P0 A0 11-12 MG
25
18/08
01-02-2018
18-11-2018
G2 P1 A0
SUHATNO 45 IRMA ROSITA
6 Mg 33
33/08
15-02-2018
22-11-2018
PUGUH SUGIHARTO 46 ARI PUJI RAHAYU
6-7 Mg 27
33/08
14-02-2018
21-11-2018
SAFRIDO A 47 JENI EGALIA
SONI PRASETYO
G2 P0 A1 6 Mg
29
18/08
?
LULUK YULIANTO 48 PUTRI RIZKIYAH
G2 P1 A0
20-11-2018
G3 P2 A0
(USG) 20
33/08
27-02-2018
04-12-2018
G2 P1 A0 21-22 mg
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : NOPEMBER 2018 PPIA Tawar Test
Hasil
FAKTOR RESIKO / SCOR
(+)/(-)
KOMPLIKASI
PENYAKIT
RENCANA
PENANGAN /
PENYERTA
TEMPAT
KOLABORASI
SAAT INI
BERSALIN
DOKTER / dr.Spesialis
+
+
-
2
BPM
Dokter Puskesmas
+
+
-
2
BPM
Dokter Puskesmas
+
+
-
2
BPM
Konsul DSOG Dokter Puskesmas Konsul DSOG Dokter Puskesmas
sinyal PE (Imt 35,5)
14
Letsu, KEK
RS
10
spooting/ perdarahan
RS
Konsul DSOG +
+
-
Dr. Puskesmas Konsul DSOG
+
+
-
10
+
+
-
2
jarak anak > 10 th,
RS
anemia
Dr. Puskesmas Konsul DSOG
BPM
Dr. Puskesmas Konsul DSOG
V
V
10
KEK,RIWAYAT ASMA
RS
DR.PKM
V
V
10
USIA<20TH,KEK
RS
DR.PKM
10
UMUR>35TH, GRANDE MULTI
RS
DR.PKM
V
V
V
2
BPS
DR.PKM
V
V
2
BPS
DR.PKM
V
-
-
6
USIA 36 TH
-
BPS
ANCRUTIN
√
-
-
2
-
-
BPS
ANC RUTIN
√
-
-
2
-
-
BPS
ANC RUTIN
V
V
_
6
V
V
_
V
V
_
V
V
_
6
V
V
_
2
BPS
DR SPOG
2
BPS
DR SPOG PRKTEK SWASTA
2
BPS
DR SPOG PRKTEK SWASTA
BPS
DR SPOG
BPS
BIDAN
-
BPS
dr. Didik
10
RIWAYAT ABORTUS
JARAK HAMIL >2TH
usia jarak anak sinyal PE
2
-
-
RS A
dr. Ika
2
-
-
RS F
dr. Askan
2
BPS
Konsul rutin
BPS
Kontrol rutin
2
BPS
Konsul rutin
2
BPS
Kontrol rutin
RS
Kontrol rutin
14
10
usia,jarak anak,anemia
Usia 35 th,jarak ank
v
2
bps
v
2
bps
V
-
-
2
PD/BPS
DOKTER PUSKESMAS
V
-
-
2
PD/BPS
DOKTER PUSKESMAS
V
-
-
6
LILA 19.5
BPS
DOKTER PUSKESMAS
V
(-)
(-)
6
anak pertama
BPS
KONSUL SPOG
V
(-)
(-)
6
Lila < 23 cm
BPS
KONSUL SPOG
18
- LILA 22,5
-
RS
ANC RUTIN
-
RMH BIDAN
ANC RUTIN
-
RS
ANC RUTIN
- BEKAS SC - JRK<2 TH 2
-
6
- PE
18
-HT -JRK ANK>10 -USIA>35 -RWYT AB
2
-
-
BPM
ANC RUTIN
2
-
-
RS
ANC RUTIN
6
- RWYT AB
-
BIDAN
ANC RUTIN
2
-
-
RMH BIDAN
ANC RUTIN
2
-
-
RS
ANC RUTIN
6
- PE
10
- RWYT SC
-
RS
ANC RUTIN
2
-
-
RMH BIDAN
ANC RUTIN
6
- RWYT AB
-
RMH BIDAN
ANC RUTIN
2
-
-
BPM
ANC RUTIN
10
- JRK ANK<2 TH
-
BPM
ANC RUTIN
- KEK
PERSALINAN JENIS TANGGAL
TEMPAT
BUFAS RISTI ( KASUS )
PENOLONG
KET
10-111-2018
BPM
Normal
Bidan
taa
by.taa
15-11-2018
BPM
Normal
Bidan
taa
by.taa
23-11-2018
BPM
Normal
Bidan
taa
by.taa
25-11-2018
RSUD
Normal
Dokter
taa
by. Asfiksia
10-11-18
RS Fatma
Induksi
Dokter
post date
ibu taa by. Taa
20-11-2018
BPS
Normal
Bidan
-
22-11-2018
BPS
Normal
Bidan
-
Ibu taa by taa Ibu taa by taa
17/11/18
RS
N
SPOG
7/11/18
RS
N
SPOG
17/11/18
BPS
N
BIDAN
22/11/18
BPS
9/11/18
RS
N
SPOG
19-11
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
-
2018 22-11 2018 20-11 2018
11/26/2018
RS
N
DR SPOG
INDUKSI
11/9/2018
RS
N
DR SPOG
11/10/2018
RS
N
DR SPOG
11/9/2018
BPS
N
BIDAN
11/5/2018
BPS
N
BIDAN
11/22/2018
RS B
SC
Dr.
Post SC
11/20/2018
RSA
N
dr
-
10/29/2018
RS B
N
DSOG
-
BPS Ita
13/11/2018
BPS
Normal
Bidan
03/11/2018
BPS
Normal
bidan
24/11/2018
RS BPS
SC
Dokter
29/10/2018
Normal
Bidan
23/11/2018
RS
SC
Dokter
11/12/2018
RS
SPT
BIDAN
11/28/2018
bps
spt
bidan
14-11-18
BPM
N0RMAL
BIDAN
11/02/2018
BPM
N0RMAL
BIDAN
27-10-18
BPM
NORMAL
BIDAN
2/11/2018
RS
SPONTAN
BIDAN
Bayi + Ibu Sehat
30/11/2018
RS
SPONTAN
BIDAN
Bayi + Ibu Sehat
05-11-2018
RS FATMA
SC
DSOG
-
13-11-2018
RSU
INDUKSI
BIDAN
-
-
25-11-2018
RSU
SC
DSOG
-
-
15-10-2018
BPM
NORMAL
BIDAN
-
-
18-11-2018
BPM
NORMAL
BIDAN
-
-
14-11-2018
RS FATMA
SC
DSOG
04-11-2018
RMH BIDAN
NORMAL
BIDAN
-
-
17-11-2018
RSA
INDUKSI
DSOG
-
-
22-11-2018
RSU
SC
DSOG
-
-
CPD
27-1-2018
RMH BIDAN
NORMAL
BIDAN
-
-
19-11-2018
RS MUNA
VACUM
DSOG
-
-
06-11-2018
RS MUNA
SC
DSOG
-
-
10-11-2018
RMH BIDAN
NORMAL
BIDAN
-
-
PUSKESMAS NO NAMA IBU / SUAMI
UMUR
G.. P....A..
DESA
HPHT
TTP
UK
RT
LABORATORIUM Prot GOL DA Hb gr% Urin
GDA
BANJAREJO 1 Zuni Purwatiningsih Faruq 2 Siti KhofiyahImam Syafaat 3 Siti MusyarofahAan Galih P 4 AnggunMecco 5 Erika DwiMuh Muton 6 Selly Yuni Eko P. 7 TutikJupri 8 Khoirotun Nisa'Yuda BagusA 9 Anik Tri WJoko S 10 Mariyana-Misbakhul
21 BANJAREJO
14-3-18
21-12-18
G1P0A0
O
10,9
-
80
13-3-18
20-12-18
G2P1A0
O
13,3
-
74
26-3-18
2-12-18
G2P0A1
A
12,4
-
81
12-3-18
19-12-18
G1P0A0
O
11,6
-
84
8-3-18
15-12-19
G3P2A0
B
11,8
-
92
29-3-18
7-12-18
G3P2AO
O
10,9
-
57
3-4-18
10-1-19
G3 P2AO
o
12,6
-
85
8-3-18
15-12-18
G3 P1A1
B
9,9
-
84
1-3-18
8-12-18
G3 P1A1
O
15,4
-
227
9-3-18
16-12-18
G1P0A0
A
13,6
-
92
6/1 30 BANJAREJO 5/1 25 BANJAREJO 14/2 21 BANJAREJO 15/2 28 BANJAREJO 12/2 29 BANJAREJO 20/3 38 BANJAREJO 21/3 26 BANJAREJO 15/3 33 BANJAREJO 16/3 22 BANJAREJO 20/3
11 Diah Eka Zaenudin
26 BANJAREJO 7/1
6-3-18
13-12-18
G1P0A0
B
13.5
-
CAMPUREJO 12 SHEVIC
24 CAMPUREJO RT 25
18/6/18
25/3/19
G1P0A0
O
10,2
-
74
37 CAMPUREJ RT 22
20/3/18
27/12/18
G3P2A0
O
11,2
-
80
32 CAMPUREJO RT 26
15/2/18
22/11/18
G3P2A0
B
10
-
91
28 CAMPUREJO 13
28/2/18
5/12/18
G2P1A0
B
10,6
-
96
27 CAMPUREJO RT 20
2/3/2018
9/12/2018
G2P1A0
O
11,5
-
15/3/18
22/12/18
G2P1A0
B
11,2
-
96
CONDRO
13 WIDYA ARISANTI ASIF
14 UMI KULSUM SUNTIONO
15 ENGGAR CAHYO FAJAR
16 ELSA PUTRI CHUSNUL ABIDIN
17 DINDA AYU
85233573170
29 CAMPUREJO RT 20
MIFTAKHUL
82234731235
18 DIYAH WAHYU
25 CAMPUREJO R 28
16/3/18
23/12/18
G1P0A0
A
7,2
-
79
24 RT 4/2
3/12/2018
12/19/2018
GIP0A0
A
12
-
-
ABDUL ROHMN KADIPATEN 19
LINDA ARIFIN
6-8 MG
3/12/2018
12/19/2018
GIIPIA0
21 SURIRIN / TONI
34 th Kalirejo rt 12 / rw 02 27-2-2018
6-6-12-2018
G2 P1A0
22 SRI IDAYATI / RATMIN
44 th Kalirejo rt 07 / rw 01 ?
?
G4 P3A0
23 ITA AGUSTINA / AHMAD
32 th Kalirejo rt 05 / rw 01 23-4-2018
30-12-2018
G2 P1A0
20
RIZA
30 RT 12/3
AB
12
-
-
11.5
-
-
-
-
-
-
DERMAWAN KALIREJO
AB
11.9
KARANGPACAR 24 RICE/ADE
28 KR PACAR 5/1
3/2/2018
12/9/2018
G1P0A0
O
12
_
_
25 DANISE/RONI
27 KR PACAR 4/1
2/20/2018
11/27/2018
G1P0A0
O
11
_
_
26 ARTHA/BAYU
29 KR PACAR 1/1
3/10/2018
12/17/2018
G2P1A0
O
11.5
_
_
27 DEWI SULISTYOWATI/ AHMAD
33 KR PACAR 23/2
3/3/2018
12/10/2018
G2P1A0
O
12
_
_
28 NETTY/ARIS
32 KR PACAR 20/3
3/11/2018
12/18/2018
G1P0A0
O
11
_
_
29 VINCY/ VICTOR
30 KR PACAR 16/3
3/10/2018
12/17/2018
G1P0A0
O
12
_
_
30 RATNA WULANSARI/ RAGIL SEP 26 KR PACAR 23/3
10/3/2018
17/12/2018
G1P0A0
O
11
_
_
31 FITRIANI/HENRI SC
26 KR PACAR 15/3
3/16/2018
12/23/2018
G1P0A0
O
12
_
_
25 RumDin
2/20/2018
11/27/2018
G1 P0 A0
_
_
KEPATIHAN 32
Ajeng Nur Suli Setyo Rini
LP
M Akhfar Zakhiri MOJOKAMPUNG 33 Parwati/Agus
39 RT 02/01
10/03/2018
17/012/2018
G5P2A0
B
13
_
_
34 Fahmilia/Dirab
25 RT 05/01
07/03/2018
14/12/2019
G2P1A0
A
11
_
_
35 Indah/
30 RT 08/02
2/18/2018
11/25/2018
G2P1A0
B
11.8
_
_
36 Siska Kusuma W/Ali
33 RT 08/02
16/03/2018
23/12/2018
G2P1A0
B
11.8
_
_
38 rt 11
g3p2a1
0
12
20 RT 16
G2P0A1
A
11.2
MULYOAGUNG 37 kotimah
neg neg
didik h NGROWO 38 SITI KHOLIFAH/ FAJAR A SEMANDING
-
-
NIHIL SUKOREJO 39 HIMMATUL U/
25 03/01
15-02-2018
22-11-2018
BAGUS DYMAS DS 40 ELIMATUL K
GI P0 A0
-
-
-
-
-
-
-
-
32-33 32 02/01
27-02-2018
06-12-2018
G4 P2 A1
A
23 04/02
20-05-2018
07-02-2019
GI P0 A0
B
KHUSNUL NUR H 41 FIKA ADI SUSANTO 42 SITI ULIFAH ABDUL MUKRON
13,5
30-31 34 30/06
-02-2018
-11-2018
G4 P3 A0
43 AYU RETNO F
20 26/06
23-03-2018
30-12-2018
PINKY ADITYA 44 WINARTI
42 29/07
28-03-2018
05-12-2018
29 25/06
20-03-2018
27-12-2018
27 37/06
01-03-2018
08-12-2018
35 28/07
-02-2018
-11-2018
26 08/03
08-03-2018
15-12-2018
KHOLID MAWARTI
GII P1 A0
-
-
G2 P1 A0
-
-
G4 P3 A0
-
-
G1 P0 A0
-
-
-
-
-
-
9-10 MG 33 20/05
13-04-2018
20-01-2019
AGUNG WIBOWO 50 VIVI MARDIANA
-
11-12 MG
PUGUH DWI U 49 NURUL HANIFA/
-
6-7 MG
SETYO ADHI 48 DEWI ASMIYAH
G3 P2 A0
16 Mg
RUDIYANTO 47 REZANIA
-
16 mg
MARSONO 46 DINI TIARA
-
7-8 MG
BAMBANG 45 ULIL FITROTIN
G1 P0 A0
GIII P1 A1 32 Mg
29 21/05
15-03-2018
22-12-2018
G1 P0 A0
DATA IBU BERSALIN PUSKESMAS BOJONEGORO BULAN : DESEMBER 2018 PPIA Tawar Test
Hasil
FAKTOR RESIKO /
SCOR
(+)/(-)
KOMPLIKASI
+
+
-
2
+
+
-
2
PENYAKIT
RENCANA
PENANGAN /
PENYERTA
TEMPAT
KOLABORASI
SAAT INI
BERSALIN
DOKTER / dr.Spesialis
BPM
sinyal PE
RS
MAP 96,6 +
+
-
Dokter Puskesmas
Dokter Puskesmas
TANGGAL
8-12-18
18-12-18
Konsul DSOG
2
BPM
Dokter Puskesmas
5-12-18
Konsul DSOG +
+
-
2
BPM
Dokter Puskesmas
14-12-18
Konsul DSOG +
+
-
2
BPM
sinyal PE +
+
-
18
+
-
6
17-12-18
Konsul DSOG riwayat SC, jarak anak 1,5 th
RS
anemia +
Dokter Puskesmas
Dr. Puskesmas
17-12-18
Konsul DSOG
usia
RS
Dr. Puskesmas
22-12-18
Konsul DSOG +
+
-
10
anemia,riwayat Abortus
RS
Dr. Puskesmas
17-12-18
Konsul DSOG +
+
-
10
rwyt abortus
DM
RS
Dr. Puskesmas
4-12-18
Konsul DSOG/S.Pd +
+
-
2
BPM
Dr. Puskesmas
19-12-18
+
+
-
2
BPM
Dokter Puskesmas Konsul DSOG
10-12-18
V
V
V
-
14
GEMELI,HIDRANION,ANEMIA
RS
DR.PKM
13/12/18
V
6
USIA>35TH
RS
DR.SPOG
24/12/18
V
V
6
ANEMIA,OBESITAS
RS
DR.PKM
7/12/18
V
V
6
ANEMIA
RS
DR.PKM
19/12/18
10
RIWAYAT SC
RS
SPOG
11/12/18
RS
DR.PKM
23/12/18
RS
DR.PKM
13/12/18
BPS
ANCRUTIN
V
V
V
2
V
V
6
ANEMIA KEK
V
-
2
-
-
-
19-12 2018
√
-
-
2
-
-
BPS
ANC RUTIN
12-Oct 2018
√
-
-
6
Jarak anak >10 th
PUSKESMAS
√
-
-
14
USIA 44 th,JARAK ANAK,GRANDE
RSUD
√
-
-
6
KEK
PUSKESMAS
dr.PKM
4/12/2018
19-12-2018
dr.PKM
25-12-2018
V
V
_
2
BPS
BIDAN
12/6/2018
V
V
_
2
BPS
BIDAN
12/1/2018
V
V
_
2
BPS
BIDAN
V
V
_
PKM
DR SPOG
12/11/2018
V
V
_
2
BPS
BIDAN
12/4/2018
V
V
_
2
BPS
BIDAN
12/15/2018
V
V
_
2
BPS
BIDAN
12/14/2018
V
V
_
2
BPS
BIDAN
12/19/2018
V
V
_
2
RS Fatma
Dr. Askan
V
V
_
18
RSU
Kontrol rutin
15/12/2018
V
V
_
2
BPS
Kontrol rutin
11/12/2019
V
V
_
2
BPS
Kontrol rutin
V
V
_
2
BPS
Konsul rutin
neg
10
v
6
JARAK ANAK >10 TH
-
-
usia 39,rwyt abortus Asma
usi >35
kel tiroid rs
12/10/2018
11/30/2018
01/12/2018 22/12/2018
12/21/2018
pembesaran kelenjar tiroid
V
-
-
10
ABORTUS,HBSAG POSITIF
PD/BPS
DOKTER PUSKESMAS
21-11-18
√
-
-
2
-
-
BPM
ANC RUTIN
28-12-2018
√
-
-
6
RWYT AB
-
PMB
ANC RUTIN
27-11-2018
√
-
-
6
- PE
-
RS
ANC RUTIN
25-12-2018
√
-
-
6
- GRANDE
-
PMB
ANC RUTIN
30-11-2018
10
- HB 8,2gr%
√
-
-
2
-
-
RMH BIDAN
ANC RUTIN
25-12-2018
√
-
-
10
- USIA>35
-
RS
ANC RUTIN
22-12-2018
- JRK ANK>10 √
-
-
2
-
-
RMH BIDAN
ANC RUTIN
26-12-2018
√
-
-
2
-
-
RMH BIDAN
ANC RUTIN
21-12-2018
√
-
-
6
- GRANDE
-
RS
ANC RUTIN
01-12-2018
√
-
-
2
-
-
RMH BIDAN
ANC RUTIN
05-12-2018
√
-
-
10
- RWYT AB
-
RS
ANC RUTIN
25-11-2018
- PE √
-
-
2
-
KONSUL DSOG -
RMH BIDAN
ANC RUTIN
17-12-2018
PERSALINAN TEMPAT
JENIS
BUFAS RISTI ( KASUS )
PENOLONG
KET
BPM
Normal
Bidan
taa
by.taa
BPM
Normal
Bidan
TAA
TAA
BPM
Normal
Bidan
taa
by taa
BPM
Normal
Bidan
taa
by taa
BPM
Normal
Bidan
taa
RS Fatma
SC
DOKTER
rwyt sc
Ibu taa by taa
RSUD
induksi
Bidan
let su + K ibu & by taa by asfiksia
BPS
Normal
Bidan
-
Ibu taa by taa
BPS
Normal
Bidan
-
Ibu taa by taa
BPS
Normal
Bidan
-
Ibu taa by taa
BPM
Normal
Bidan
Taa
By taa
RS
N
SPOG
RS
SC
SPOG
RS
N
SPOG
RS
N
SPOG
RS
SC
SPOG
BPS
N
BIDAN
RS
N
SPOG
BPS
SPT
BIDAN
-
BPS
SPT
BIDAN
RS FATMA
SPONTAN
DOKTER
-
IBU SEHAT BAYI SEHAT
RSUD
SPONTAN
BIDAN
IBU SEHAT BAYI SEHAT
POLINDES
SPONTAN
BIDAN
IBU SEHAT BAYI SEHAT
RS
N
DR SPOG
RS
N
BIDAN
BPS
N
BIDAN
RS
N
DR SPOG
INDUKSI
RS
SC
DR SPOG
INDUKSI
RS
N
BIDAN
RS
N
BIDAN
RS
N
BIDAN
BPM
N
Bdn
BPS
Normal
Bidan
BPS
normal
bidan
BPS
Normal
Dokter
BPS
Normal
Bidan
rs
RSUD
spt
NORMAL
bidan$
BIDAN
INDUKSI
-
B. Anjar
RMH BIDAN
NORMAL
BIDAN
-
-
RS FATMA
NORMAL
DSOG
-
-
RSU
NORMAL
BIDAN
-
PREMATUR BBLR
RS IBNUSINA
NORMAL
DSOG
-
-
RMH BIDAN
NORMAL
BIDAN
-
-
RS FATMA
NORMAL
DSOG
-
-
RMH BIDAN
NORMAL
BIDAN
-
LET-SU
RSA
INDUKSI
DSOG
-
-
BPM
NORMAL
BIDAN
-
-
RMH BIDAN
NORMAL
BIDAN
-
-
RSA
SC
DSOG
POST PE PREMATUR BBLR
BPM
NORMAL
BIDAN
-
-
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