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By HMPD FKUB
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Patient Condition and Initial Assessment
๐ The patient is a 22-year-old woman presenting with contractions (kencang-kencang) starting the previous afternoon, continuing through the night and morning.
โฑ๏ธ Each contraction lasts approximately 30 seconds.
๐คฐ This is her first pregnancy (G1P0A0), and she reports no other complaints, no leakage of fluid, and no history of hypertension or diabetes.
Obstetric History and Estimated Due Date (EDD)
๐
The patient remembers her Last Menstrual Period (LMP) starting on August 2, 2022.
๐๏ธ Based on an estimated delivery calculation (adding 7 days to the date and 9 months to the month), the estimated delivery date is around April 9th.
๐ This places her gestational age at approximately 40 to 42 weeks.
Physical and Leopold's Maneuver Examination
๐ฉบ Vital signs were normal: Pulse rate 90/minute, Respiration rate 18/minute, Blood Pressure 120/80 mmHg, and Temperature 36.5ยฐC.
๐ Height was 160 cm and weight was 70 kg.
โ Leopold's Maneuver I revealed the fundal part was soft, indicating the breech (buttocks) presentation, not the head.
๐งญ Leopold's Maneuver II showed the fetal back was on the right side.
๐ท Leopold's Maneuver III determined the part below the fundus was hard, confirming the fetal head presentation.
โฌ๏ธ Leopold's Maneuver IV showed a convergent pattern, meaning the fetal head has entered the pelvic inlet.
๐ The Fundal Height measurement was 30 cm.
Internal Examination Findings
๐งผ After sterile handwashing and gloving, an internal examination was performed using the index and middle fingers.
๐ Cervical dilation was 4 cm, indicating she is in the active phase of labor.
๐ Cervical effacement was 25%.
๐ง The amniotic membranes were intact (ketuban intak).
๐ถ The presentation was determined to be cephalic (head) with the denominator being the small fontanelle (ubun-ubun kecil).
Key Points & Insights
โก๏ธ The patient is currently in the active phase of labor with 4 cm dilation.
๐จโโ๏ธ The immediate plan is observation to await the progression of labor and delivery.
๐งณ Advised the patient to prepare essential items such as food, drink, baby supplies, and family support for the impending birth process.
๐ธ Video summarized with SummaryTube.com on Dec 03, 2025, 15:36 UTC
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Full video URL: youtube.com/watch?v=-OyRJNG4Fko
Duration: 7:24
Get instant insights and key takeaways from this YouTube video by HMPD FKUB.
Patient Condition and Initial Assessment
๐ The patient is a 22-year-old woman presenting with contractions (kencang-kencang) starting the previous afternoon, continuing through the night and morning.
โฑ๏ธ Each contraction lasts approximately 30 seconds.
๐คฐ This is her first pregnancy (G1P0A0), and she reports no other complaints, no leakage of fluid, and no history of hypertension or diabetes.
Obstetric History and Estimated Due Date (EDD)
๐
The patient remembers her Last Menstrual Period (LMP) starting on August 2, 2022.
๐๏ธ Based on an estimated delivery calculation (adding 7 days to the date and 9 months to the month), the estimated delivery date is around April 9th.
๐ This places her gestational age at approximately 40 to 42 weeks.
Physical and Leopold's Maneuver Examination
๐ฉบ Vital signs were normal: Pulse rate 90/minute, Respiration rate 18/minute, Blood Pressure 120/80 mmHg, and Temperature 36.5ยฐC.
๐ Height was 160 cm and weight was 70 kg.
โ Leopold's Maneuver I revealed the fundal part was soft, indicating the breech (buttocks) presentation, not the head.
๐งญ Leopold's Maneuver II showed the fetal back was on the right side.
๐ท Leopold's Maneuver III determined the part below the fundus was hard, confirming the fetal head presentation.
โฌ๏ธ Leopold's Maneuver IV showed a convergent pattern, meaning the fetal head has entered the pelvic inlet.
๐ The Fundal Height measurement was 30 cm.
Internal Examination Findings
๐งผ After sterile handwashing and gloving, an internal examination was performed using the index and middle fingers.
๐ Cervical dilation was 4 cm, indicating she is in the active phase of labor.
๐ Cervical effacement was 25%.
๐ง The amniotic membranes were intact (ketuban intak).
๐ถ The presentation was determined to be cephalic (head) with the denominator being the small fontanelle (ubun-ubun kecil).
Key Points & Insights
โก๏ธ The patient is currently in the active phase of labor with 4 cm dilation.
๐จโโ๏ธ The immediate plan is observation to await the progression of labor and delivery.
๐งณ Advised the patient to prepare essential items such as food, drink, baby supplies, and family support for the impending birth process.
๐ธ Video summarized with SummaryTube.com on Dec 03, 2025, 15:36 UTC
Find relevant products on Amazon related to this video
As an Amazon Associate, we earn from qualifying purchases

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