ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBK
1
gExam DateRegister NumberOperatorPatient nameUsia (tahun)Tinggi
(m)
Berat badan saat pemeriksaan
(kg)
BMI (kg/m2)Berat badan sebelum hamil
(kg)
Usia gestasi (berdasarkan taksiran persalinan)Jumlah kehamilanJumlah abortusUsia gestasi saat abortusKomplikasi persalinan
(1. Tidak ada; 2. Hipertensi; 3. Diabetes mellitus; 4. Lainnya)
Kontraksi
(1. Tidak ada; 2. Ada, ireguler; 3. Reguler)
Perdarahan
(1. Tidak ada;2. Ada)
BPD
(mm)
HC
(mm)
AC
(mm)
FL
(mm)
EFW
(g)
AOP
(°)
HPD
(mm)
CL
(sebelum dilatasi serviks , mm)
CL
(setelah dilatasi serviks , mm)
Istirahat (REST)Urethral angleRetrovesical
angle
Bladder neck symphysis distance (cm)Bladder distance (cm)Cervical distance (cm)Rectal Ampulla Distance (cm)Anteroposterior
diameter of the hiatus (2D) (cm)
Subpubic angleArea of levator hiatus (cm2)Perimeter of levator hiatus (cm)Anteroposterior diameter of levator hiatus(4D) (cm)Transverse diameter of levator hiatus (cm)KontraksiAnteroposterior
diameter of the hiatus (2D) (cm)
Area of levator hiatus (cm2)Perimeter of levator hiatus (cm)Anteroposterior diameter of levator hiatus(4D) (cm)Transverse diameter of levator hiatus (cm)Levator avulsion (1. Tidak ada, 2. Ada)Ani sphincter trauma (1. Tidak ada, 2. Ada)Valsalva (Va)Urethral rotation angleFunnelling of the bladder neck (1. Tidak ada, 2. Ada)Retrovesical
angle
Bladder neck symphysis distance (cm)Bladder neck descend (cm)Bladder distance (cm)cervical distance (cm)rectal ampulla distance (cm)Anteroposterior
diameter of the hiatus (2D) (cm)
Area of levator hiatus (cm2)Perimeter of levator hiatus (cm)Anteroposterior diameter of levator hiatus(4D) (cm)Transverse diameter of levator hiatus (cm)
2
NoExam DateYYYYMMDD-00Doctor's nameNameAgeHeightWeightGX/(FX^2)Weight before pregnantGA by EDDComplications of pregnancyContractionsBleedingCalliper AngleCalliper DIstanceTransvaginal CLLebar Funnel (mm), Panjang Funnel (mm), Sisa panjang cervix (mm)UTA (R)RVA (R)BSD (R)BPW-SP Dist (R)Cx-SP Dist (R)RA-SP Dist (R)LHAP pada 2D (R)
Calliper
Distance
Calliper AngleLH Area (R)LH Circ (R)LH AP DIam (R)LH Lateral Diam (R)LH AP Calliper DIstanceLH Area (C)LH Circ (C)LH AP Diam (C)LH Lateral Diam (C)URA(c)RVA (Va)BSD (Va)[BSD (R) - BSD (Va)]BPW-SP Dist (Va)Cx-SP Dist (Va)RA-SP Dist (Va)Calliper DIstanceLH Area (Va)LH Circ (Va)LH AP Diam (Va)LH Lateral Diam (Va)
3
30/08/2022 0:00:0020220830-01Ny. X301.6063.0024.6145.0038+532712193.00329.00342.0071.003123.0092.9846.90(Urethral mouth funnel width) = 8, (Urethral mouth funnel length) = 11, (Remaining length) = 1923.45°101.23°2.202.202.101.905.3091.41°15.9714.525.404.104.5011.2312.334.503.901176.23°1179.23°0.202.000.200.30-0.356.3724.3518.576.504.68
4
X11/11/202201-20221111-01dr FernandiMrs. W32.001.6076.0029.6962.0034+220011187.60305.5031.4064.202530.0090.005.5343.00-21.00113.003.193.224.572.745.2258.0016.0417.365.604.403.7311.2013.484.103.401126.001124.001.321.871.363.010.065.0516.6517.025.304.00
5
113/06/202307-20230611-02
dr. Edy Fakhrizal, Sp.OG, Subsp.Urogin Re
Mrs. SF26.001.5570.0029.1460.0036+310011187.60310.90317.0064.6052.002.5037.80-53.0044.002.632.614.180.634.41138.0011.1714.714.603.403.4212.0215.364.803.701137.001132.003.04-0.413.364.530.474.5311.5714.714.503.40
6
219/06/202307-20230619-03
dr. Edy Fakhrizal, Sp.OG, Subsp.Urogin Re
Mrs. NA25.001.6082.0032.0367.0038+010011187.50316.50308.7068.8092.005.2223.40-9.00136.001.491.512.120.595.2195.008.9312.894.003.003.408.0111.523.402.80111.001150.000.940.551.964.410.765.7510.6513.374.103.20
7
324/06/202307-20230624-04
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Mrs. DPS26.001.5685.0034.9365.0037+010011187.10310.70309.7064.8093.006.0723.70-11.00114.002.722.726.402.105.05125.0013.7017.216.203.404.2510.9613.514.003.40110.001120.002.430.292.498.770.955.3211.5014.624.903.20
8
409/07/202307-20230709-05
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Mrs. A28#DIV/0!10011187.30305.20295.5066.802422.0096.005.6338.40-13.0093.002.772.805.810.495.57102.0012.6215.344.903.5013.0915.394.603.80113.001123.002.510.262.708.051.175.9916.0116.835.504.00
9
515/07/202307-20231507-06
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Mrs. N1.5262.0026.8452.0035+410011188.10304.90303.9066.602583.0091.004.1033.80-5.0094.002.572.744.672.655.41133.0020.2018.305.804.503.8110.2712.924.103.101114.001108.002.000.572.145.861.985.61
10
615/07/202307-20231507-07
dr. Edy Fakhrizal, Sp.OG, Subsp.Urogin Re
Mrs. SR1.5575.0031.2265.0033+110011190.40318.70312.2069.002800.00108.005.42-11.00111.003.013.155.331.285.351113.01
11
719/07/202307-20231907-08
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Mrs. WH1.6272.0027.4358.0032+510011192.40305.00307.1064.302780.0083.005.3047.20-14.0096.003.233.267.731.845.8185.0014.1516.195.413.404.5111.9413.984.403.50117.00197.002.001.232.145.180.846.5924.0319.716.804.30
12
819/07/202307-20230719-09
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Mrs. S1.4860.0027.3948.0035+510011194.50327.40318.9063.403061.0099.004.7844.90-7.00112.002.682.896.361.136.91134.0023.2319.776.704.605.1413.2915.544.803.701110.001122.002.130.552.496.571.067.2527.4620.496.405.50
13
921/07/202307-20230721-10
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Mrs. DA231.5560.0024.9760.0035+510011187.30315.40300.9069.602505.00120.003.8324.00-14.0088.002.482.554.131.565.27122.0020.3118.645.705.214.4912.1414.254.103.70115.001108.001.650.831.765.230.965.5519.4017.085.204.60
14
1022/07/202307-20230722-11
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Mrs. SP1.5575.0031.2265.0035+610011191.70327.80302.5069.702679.00101.004.4336.20-14.00107.003.083.335.011.125.12111.0015.4016.125.003.914.158.3212.383.303.301111.00195.001.961.122.035.071.055.0014.3715.194.503.80
15
1129/07/202307-20230729-12
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Mrs. R1.6575.0027.5595.0010011190.90332.60322.6063.102995.00115.004.7037.80-25.0082.003.253.375.611.436.26109.0016.5517.184.904.604.1610.6413.373.603.701125.00197.002.980.273.035.340.966.3219.1017.525.304.60
16
1229/07/202307-20230729-13
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Mrs. A#DIV/0!10011194.40328.90308.2066.402865.00117.004.5727.00-14.0094.002.732.945.621.286.49105.0011.7714.384.503.504.029.2212.493.603.201142.001128.001.471.261.634.981.517.3621.4518.295.904.20
17
1303/08/202307-20230803-14
dr. Edy Fakhrizal, Sp.OG, Subsp.Urogin Re
Mrs. SW241.5775.0030.4355.0038+210011193.40331.10367.5079.303889.00101.004.0332.60-8.00126.001.962.146.212.366.34104.0011.7614.914.903.2013.4216.826.203.00114.001123.001.920.042.008.642.8316.2416.245.413.60
18
1406/08/2307-20230806-15
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Dita Yuliani281.5064.0028.4455.0034+010011192.10324.30296.2070.002584.0028.00-13.0094.002.452.573.751.475.34104.0013.3515.545.203.3010.3413.353.903.30111.001103.002.52-0.072.714.060.8012.3314.284.503.40
19
1506/08/2307-20230806-16
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Uswatun Hasanah1.6570.0025.7158.0035+010011190.60311.10287.0060.302389.00114.00-16.0096.003.723.815.021.84122.0018.6717.966.004.3018.5817.335.304.30111131.002.181.542.434.181.7037.7323.007.106.40
20
1606/08/2307-20230806-17
dr. Edy Fakhrizal, Sp.OG, Subsp.Urogin Re
Henny Simanjuntak241.5870.0028.0462.0035+010011187.00311.10298.1068.002453.00113.00-38.00114.001.581.846.082.12125.0017.3016.635.404.0013.4014.454.503.401122.001109.001.360.221.465.690.9918.9017.275.604.00
21
1715/08/2307-20230815-18
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Verawati281.4556.0026.6346.0036+210011190.70324.10312.7064.202818.0089.0035.70-11.0079.003.063.185.161.375.05118.0011.7114.114.503.2010.4913.994.103.60112.001114.002.880.183.145.961.6912.89144.664.403.40
22
1819/08/2307-20230819-19
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Fildza Hulwani281.5869.0027.6452.0036+210011186.30313.50317.4057.902731.00-17.0096.003.713.975.191.564.94126.0015.8717.005.304.404.069.1213.263.703.411113.001131.004.03-0.324.255.371.3516.3715.644.504.20
23
1924/08/2307-20230824-20
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Aisyah191.5558.0024.1447.0034+210011190.70313.50282.5066.502321.0025.00110.001.951.933.580.484.23118.0018.6517.555.404.404.2012.0614.134.103.801122.001125.001.810.141.872.850.6523.9419.026.304.30
24
2024/08/2307-20230823-21
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Juli1.5575.0031.2270.0036+310011190.00332.1095.0037.80-8.00113.002.582.813.891.335.92133.0017.5316.956.113.6013.4315.684.703.901133.001135.001.870.712.093.640.9424.7019.776.015.50
25
2131/08/2307-20230831-22
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
dr. Gina271.5773.0029.6260.0036+010011192.30315.30297.2071.702609.00-10.00110.002.853.095.030.865.95131.0016.6517.516.403.3012.6014.604.903.00111117.002.200.652.114.550.316.7723.3919.016.603.70
26
2231/08/2307-20230831-23
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Ernawati241.5350.0021.3643.0033+610011190.00328.30316.8061.602861.00117.00-3.00111.002.782.964.880.725.2985.0014.9815.725.203.809.1612.253.503.30117.001111.002.720.062.865.140.7013.1814.644.513.70
27
2302/09/2307-20230902-24
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Sandra Sihombing251.5768.0027.5952.0035+210011189.40311.40301.8065.802594.0044.30-9.0098.003.083.255.181.145.76113.0019.2918.095.804.305.2816.3916.925.404.201122.001111.002.250.832.354.960.7124.0619.376.604.20
28
2402/09/2307-20230902-25
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Humaira Shaufia271.5560.0024.9752.0035+210011195.10327.30314.8068.703007.00107.005.01-5.00109.002.803.014.570.595.7391.0019.6517.335.504.605.2121.3417.885.304.901112.00191.002.080.722.104.820.7921.0017.865.504.60
29
2502/09/2307-20230902-26
dr. Edy Fakhrizal, Sp.OG, Subsp.Urogin Re
Endah Sulistiani1.6570.0025.7160.0036+210011187.20311.80301.3065.002511.0095.00-20.00124.002.882.895.581.266.88113.0018.0918.926.604.515.6412.6914.474.603.601110.001123.002.520.362.498.240.737.66
30
2609/09/2307-20230909-27
dr. Edy Fakhrizal, Sp.OG, Subsp.Urogin Re
Raissa Fajriani271.5048.0021.3337.0034+110011185.10305.70265.4061.801914.00116.00-7.00105.001.932.055.441.005.66134.0012.4615.054.803.404.248.4511.953.513.001116.001105.001.150.781.216.060.4815.7616.215.303.80
31
2720/09/2307-20230920-28
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Apriani301.5580.0033.3068.0034+510011185.40297.50308.3063.702558.00103.005.29-4.00103.002.783.004.021.12106.0016.2516.005.104.109.2213.113.903.301133.001115.001.840.941.843.670.4223.5218.856.304.50
32
2820/09/2307-20230920-29
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Irma281.5462.0026.1450.0034+510011194.40330.70319.8067.303071.00119.003.91-14.00116.002.673.164.151.3015.7916.365.303.6012.2814.774.603.30111132.002.280.392.653.691.2016.785.603.60
33
2919/09/2307-20230919-30
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Magdalena291.5869.0027.6460.0037+110011190.70329.90318.0068.002920.0099.0033.4014.00116.002.622.744.520.86111.0015.3115.565.703.4013.0914.684.803.30118.001117.001.920.702.014.540.7923.8118.946.304.30
34
3012/10/2307-20231012-31
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Puteri Meira1.6275.0028.5864.0035+010011197.30338.70326.5069.303067.0052.00-18.00102.002.963.355.141.9495.0015.2916.165.603.3011.5614.114.703.001132.001120.002.780.182.965.801.5926.8720.016.704.70
35
3125/01/24
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Nurfatoniah#DIV/0!10011193.40313.80281.2067.302256.0087.0028.70-2.0074.002.162.254.371.434.45118.0011.0813.943.704.008.6412.163.003.601120.0011.231.800.362.062.940.5912.8714.734.004.30
36
3213/02/2024
dr. Sri Wahyu Maryuni, Sp.OG, Subsp.Urogin Re
Nofi#DIV/0!38+510011193.10326.60311.1058.502399.00-20.001.212.893.375.301.66109.0011.1814.034.003.603.167.4611.233.103.1-116.00198.002.610.282.915.372.0112.5915.554.404.20
37
33#DIV/0!0.00
38
34#DIV/0!0.00
39
35#DIV/0!0.00
40
36#DIV/0!0.00
41
37#DIV/0!0.00
42
38#DIV/0!0.00
43
39#DIV/0!0.00
44
40#DIV/0!0.00
45
41#DIV/0!0.00
46
42#DIV/0!0.00
47
43#DIV/0!0.00
48
44#DIV/0!0.00
49
45#DIV/0!0.00
50
46#DIV/0!0.00
51
47#DIV/0!0.00
52
48#DIV/0!0.00
53
49#DIV/0!0.00
54
50#DIV/0!0.00
55
51#DIV/0!0.00
56
52#DIV/0!0.00
57
53#DIV/0!0.00
58
54#DIV/0!0.00
59
55#DIV/0!0.00
60
56#DIV/0!0.00
61
57#DIV/0!0.00
62
58#DIV/0!0.00
63
59
64
60
65
66
67
68
69
70
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