by Name Deteksi Dini Faktor Resiko Maternal (Konflik2023-03-24-10-24-44)

DETEKSI DINI FAKTOR RESIKO KEBIDANAN OLEH NAKES MAUPUN MASYARAKAT
TAHUN 2023
Nama Puskesmas : Lasem

Bulan : Januari
3/25/2023Umur Kehamilan(mgg)
Umur Ibu Saat
Primigravida
Jarak Prsalinan <2 th
< 23.5 cm
Hamil ini
Hamil diluar nikah
Paritas > 4
NO Nama Ibu Nama Suami Alamat No. HP NIK GPA HPHT HPL
<20th >35th <20th >35th
Lila
280
1 Patma Nur Aizah Apriyadi Tasiksono 1/2 081227048694 3317145501950002 G2P1A0 9/30/2022 7/7/2023 16
2 Nu Azizah Romadhona Agus Irwanto Karasgede 8/3 082228117007 3317144604900001 G3P2A0 7/10/2022 4/16/2023 28 14 bl
3 Siti Nur Kholisoh Agus Sulistyanto Karasgede 2/1 0895359670822 3317126603840003 G2P1A0 5/21/2022 2/25/2023 37
4 Lina Setyaningsih Dwi Joko Prasetyo Karasgede 1/1 083103711845 3317114809980003 G1P0A0 15/9/22 6/22/2023 18 21
5 Supatmi Eko Sumardiyono Karasgede 2/1 083143178470 3521165905890002 G3P1A1 18/11/22 8/25/2023 10
6 Nur Imatul Mahbubah Ahmad Ahyar Anas Karasgede 1/1 081392730522 3317144306990003 G1P0A0 20/10/22 7/27/2023 12 23
7 Choiriyah nur Azizah Teguh Wibowo Karasgede 6/2 0895361325100 3317144312970001 G2P1A0 24/10/22 7/31/2023 12 19
8 Riska Arum Pratami Ahmad Sediyono Karasgede 9/3 081324477152 3317144306990002 G2P1A0 25/11/2022 9/1/2023 8 18 bl
9 Eka Novitasari Basuki Karasgede 3/1 085239004846 3317146111850002 G1P0A0 5/2/2022 2/6/2023 38 36
10 Diah Cahyaningsih Frengki Prabowo Dasun 2/1 085777886095 3175084703970008 G1P0A0 7/20/2022 4/26/2023 24 21
11 Wina Astuti Pardiyanto Dasun 1/1 081818275300 3317144810910002 G4P1A2 27/11/2022 9/3/2023 8 22.5
12 Sumarni Purwantoro Dasun 3/1 085290170727 331713670684001 G2P1A0 6/17/2022 3/24/2023 28 41
13 Marfuatin Sutarto Dasun 3/1 085879553933 331819409840003 G5P3A1 7/26/2022 5/2/2023 24 38
14 Indah kristiyanti Puput yudo irawan Babagan 10/4 082326148854 3317146801880001 G3P2A0 20/04/2022 1/25/2023 39
15 Dewi Rizki Slamet Babagan 12/4 087733175506 3317145702000002 G1P0A0 5/17/2022 2/21/2023 35 23
16 Amaria bella Fuad Babagan 12/4 085745353161 3317145802010001 G2P1A0 09/03/2022 3/9/2022 38 9 bl
17 Eni Indarti Lasdiyanto Babagan 5/2 082134488479 3317144903850004 G3P2A0 17/7/2022 4/23/2023 24
18 Adela cempaka mardiyana Vuguh Insan Pambudi Babagan 12/4 085695359815 3317146812960001 G1P0A0 8/10/2022 5/17/2023 20
19 Tri Ratna widyastuti khotimul aksom Babagan 10/4 082322130316 3317146808860001 G4P2A1 9/2/2022 6/9/2023 20
20 Herlina Surya Saputri Supri Babagan 8/3 3317144304200001 G2P1A0 7/28/2022 5/4/2023 20
21 Nur Sholihah Syafa'atillah Ngemplak 3/3 089507663556 3317145608910001 G2P1A0 6/3/2022 3/10/2023 34 8 bl
22 Henny Christiana Tri Joko Nugroho Ngemplak 2/2 08158942412 3317145102790001 G4P3A0 4/26/2022 1/31/2023 39 43
23 Indah Sulistyowati A Rizal S Ngemplak 1/1 081358437399 3317145510010002 G2P0A1 6/15/2022 3/22/2023 31 22
24 Adevian Giharsani Deny Firmansyah Ngemplak 2/2 0859166043398 3317145006920002 G2P1A0 7/4/2022 4/10/2023 28 22
25 Siti Nur Kholifah M Agung Ngemplak 1/4 081393767281 3317146406030001 G1P0A0 04/07/2022 4/10/2023 28 19 19 22
26 Chilyatus Sholihah Listyo Sapta Ngemplak 2/4 085641550614 3317145001880003 G3P0A2 8/8/2022 5/15/2023 24 21
27 Istiqomah Enngar Budi Ngemplak 1/1 082134070629 3309045011890005 G3P2A0 10-08-2022 5/17/2023 21 22 bl
28 Deasy Nur Aqsha Nur Cholis Ngemplak 2/6 0895412875800 3317145912950001 G2P1A0 10/10/2022 7/17/2023 12 21 bl 22
29 Siti Ngaisah M Catur Ngemplak 2/4 082120188295 3317044512040001 G1P0A0 9/5/2022 6/12/2023 16 18 18 21
30 Shopiyah M saifudin soditan 1/1 082329599392 3317116710960002 G2P1A0 28/6/2022 4/4/2023 26 8 bl
31 Hidayatul fatimah Muntolip soditan 1/1 08951880292 3317144110980003 G1P0A0 28/9/2022 7/5/2023 16 21
32 Suwaibah Muhamadun soditan 6/3 082313077387 3578314705920001 G3P2A0 7/7/2022 4/13/2023 24 22.5
33 Ulfatul munawaroh Ikwan manab soditan 7/4 0895359668 3321056405920003 G2P1A0 11/6/2022 3/18/2023 28
34 Umi sakro Abdul rohman romli soditan 7/4 089679043958 3319084609950003 G2P1A0 5/7/2022 4/11/2023 24 19 bl
35 Istikomah Sudaksun soditan 7/4 085228910912 331714591282001 G3P2A0 20/7/2022 4/26/2023 20 40
36 Siti chiiriyah Moh koliq soditan 8/4 085878008925 3317146909910001 G4P2A1 1/11/2022 8/8/2023 10
37 Siti zubaidah Joko pramono soditan 10/1 0852929161501 3317146510800004 G2P1A0 20/7/2022 4/26/2023 24 42
38 Ifana maria Arif afif soditan 8/4 3317146303820002 G4P3A0 5/9/2022 6/12/2023 16 40
39 Isa Emalia Bambang Junaedi Jolotundo 10/5 085291954270 3317144905910004 G1P0A0 19/8/2022 5/26/2023 9 22
40 Siti Fatmawati Bintar W Jolotundo 16/7 85225569898 3317145402980001 G1P0A0 08/04/2022 1/13/2023 38 22
41 Andini Rahmatika Krisna Bayu Aji Jolotundo 15/7 87711579522 3317146104010001 G2P1A0 27/4/22 2/1/2023 38 1 th
42 Nur Rofiqoh Ab Rohman Jolotundo 10/5 082133445482 3317144112820001 G5P3A1 17/5/22 2/21/2023 32 40 G5
43 Wasilah Dedi Kurniawan Jolotundo 16/7 085747587403 3327024402950001 G2P1A0 21/5/22 2/25/2023 32
44 Siti Muanifah Bambang Teguh Jolotundo 17/8 082005397670 3317074505980002 G1P0A0 25/5/2022 3/1/2023 24 20
45 Hidayana Afdul Rokim Jolotundo 1/1 085255172403 3317145805830001 G1P1A1 19/7/2022 4/25/2023 24 39
46 Doris Krisnawati Sugiono Jolotundo 1/1 089601046378 3317145707820001 G2P1A0 17/7/2022 4/23/2023 24 40
47 Siti Rafiut Dewi Masheri Jolotundo 3/1 0895636486791 1671104808840005 G2P1A0 25/6/2022 4/1/2023 24 38 22
48 Widiyastuti Puji S Jolotundo 11/5 082211167799 3317145606870002 G5P2A2 19/8/2022 5/26/2023 20 G5
49 Nur Aini Sabar Jolotundo 9/4 085725051113 3319027112830051 G4P3A0 8/15/2022 5/22/2023 20 39 G4 21 bl
50 Ulil Makrifatul Ulya Sulistyono Hadi Jolotundo 4/2 081392123473 3317074107000359 G1P0A0 4/30/2022 2/4/2023 38 22
51 Nova Pahlevi M. Nur Afif Jolotundo 10/5 082323354017 3317105011900001 G4P3A0 13/9/2022 6/20/2023 16 G4 10 bl
52 Sri Purwati Purwanto Jolotundo 13/6 3317145402840002 g3p2a0 10/11/2022 7/18/2023 12 38
53 Siti Aisiyah Nukman Yusuf Jolotundo 6/3 3274047012940006 G2P1A0 18/5/2022 2/22/2023 32 1 th
54 Muzaroah Subaidi Jolotundo 6/3 0882005765145 3319074706840003 G5P3A1 7/10/2022 7/14/2023 11 G5
55 Mutmainah Alif Sukma Adi Sriombo 2/1 08528500042 33171464099500050 G2P0A1 22-10-2022 7/29/2023 12
56 Sumining Djawahir Sriombo 3/2 0895360662787 33171450047790004 G3P2A0 8-11-2022 8/15/2023 11 43
57 Marlin Suni Sriombo 2/1 081227462080 3317147005820002 G3P3A0 1-6-2022 3/8/2023 32 40
58 Afidhatul Ummah M. Imam Bustanul A. Sriombo 5/3 0895395935632 3317144306950002 G1P0A0 25-5-2022 3/1/2023 32
59 Minati Ahmat Rois Sriombo 1/1 085213438737 3317144304910001 G3P2A0 16-9-2022 6/23/2023 16 22.5
60 Arifatul Naimah Joko Setiono Sriombo 7/4 082134877342 3317117004930001 G1P0A0 10-6-2022 3/17/2023 30
61 Fachruda Fachiroh Warji Sriombo 8/4 082313936642 3317065112890003 G4P2A1 10-6-2022 3/17/2023 36 23
62 Atik Suprihatin Ahmadi Sriombo 8/4 082142017534 3317146202820003 G5P4A0 7-5-2022 2/11/2023 32 40 G4 15 bl
63 Titis Dwi Lestari Setiyo Sriombo 5/3 082137381840 317146812890002 G4P2A1 10-6-2022 3/17/2023 39
64 Ellia Retno Wulandari Helmi Yudha Sriombo 8/4 081353681254 3317146205940001 G2P1A0 3/19/2022 12/24/2022 40 22
65 Suyanti Julianto Binangun 5/2 082133015127 3317147107850001 G3P2A0 15-10-2022 7/22/2023 13 37
66 Anik Yuliana Moh. Nur Avan Binangun 5/2 082352646986 3317146103960002 G1P0A0 11/4/2022 1/16/2023 38
67 Retno Ambarwati Kumaidi Binangun 2/1 088239257689 3317145703930006 G2P1A0 27/4/2022 2/1/2023 35
68 Linda Wahyuningsih Khoiron Muzakki Binangun 2/1 083832791475 3524074203990002 G1P0A0 23/4/2022 1/28/2023 38
69 Ummi Habibah Saerozi Binangun 7/3 085742923029 3318136004980003 G1P0A0 19/3/2022 12/24/2022 39 22
70 Sri Wulan Indraningsih Rahmat Safi'i Binangun3/1 085848808044 3317145011840004 G4P1A2 9/5/2022 2/13/2023 37 38
71 Wati Rahayuni M. Khozainul A Binangun 2/1 085713285355 3317145906010002 G1P0A0 14/8/2022 5/21/2023 20 22.5
72 Siti Sairoh Heru Suyanto Binangun 5/2 081223842503 3317146903820003 G5P4A0 17/8/2022 5/24/2023 20 40
73 Iis Sumaya Muslih Sendangasri 10/3 082123768542 3317145101930002 G2P1A0 13/05/2022 2/20/2023 28
74 Wahyuni Sugeng Sendangasri 10/3 081331545993 3317146211860001 G4P2A1 01/03/2022 3/1/2022 40 G4
75 Amalia Nur Handayani Edi Susanto Sendangasri 4/1 087737816632 3317116811000001 G2P1A0 10/4/2022 4/10/2022 32 21
76 Pancawati Angga Fais Amrullah Sendangasri 5/2 082138388616 3317145010920003 G1P0A0 17/7/2022 7/17/2022 20 22
77 Mei Tri Ayuningtyas M. Sholeh Sendangasri 9/3 0895385109831 3317146305990001 G1P0A0 31/05/2022 2/7/2023 24 21
78 Heny Kresnawati Ahmad Budi Santoso Sendangasri 5/2 085877405605 3308114810870003 G4P2A1 28/6/2022 6/28/2022 20
79 Rusmiati Heryanto Sendangasri 5/2 085600612960 3305214506990008 G4P2A1 13/7/2022 7/13/2022 20 20
80 Widyah Hastutik Rofik Sendangasri 4/1 085326262010 3317145301860002 G2P1A0 16/6/2022 6/16/2022 24 36
81 Nurchofiatun Triyono Sendangasri 1/1 081274094668 3317145611850001 G4P3A0 1/8/2022 8/1/2022 16 37
82 Aning Fitriani Teguh Widiyanto Sendangasri 7/2 082327492493 3317146804890008 G5P1A3 17/10/2022 7/24/2023 12 20
83 Agnes Lukitasari Muh. Sudodo Sendangasri 8/3 0882007167863 3317147001910001 G4P3A0 22/10/2022 7/29/2023 12 9 bln
84 Puji Lestari Ahmad Alfian Sendangasri 11/3 081215318118 3317144107990012 G2P1A0 12/8/2022 5/19/2023 20 18 bln
85 catur ayu sriwahyuni Silo agung Karangturi 1/1 081215284073 3317144108910003 G2P1A0 19/5/2022 2/23/2023 35
86 Dwi ariyanti Ahmad ansori Karangturi 3/1 089644285154 3317144107000014 G2P0A1 5/5/2022 2/9/2023 38 21
87 Sumariyanti Iska winarno Karangturi 3/1 088983702564 3317116502910001 G3P1A1 9/6/2022 3/16/2023 30
88 Yunita Angga Karangturi 3/1 081902944606 3317145706920005 G2P1A0 12/7/2022 4/18/2023 27
89 Nurul hidayah Agus riyanto Karangturi 1/5 085642018285 3317145706920005 G1P0A0 9/8/2022 5/16/2023 25 19
90 Isabela sera morela Diki triyanto Karangturi 2/5 081392014605 3317145201000004 G1P0A0 26/7/2022 5/2/2023 26 16 16 21.5
91 Anik handayani Wartono Karangturi 2/5 081225535469 3317145408950002 G2P1A0 15/10/2022 7/22/2023 13
92 Eka Suliyanti Akhmad BUrhani Bonang 4/2 085217324288 3317144508950005 G3P1A1 6/7/2022 6/7/2022 29
93 Rifka Irhamna Sholihul HUda Bonang 4/2 089690620729 3317146602950004 G2P0A1 13/7/22 7/13/2022 27
94 Mu'awanah Musyafak Bonang 1/1 087760509754 3317144608860001 G2P1A0 20/7/22 7/20/2022 24 36
95 Anisah Mustofa Bonang 3/2 082324728155 3317145709830001 G4P3A0 10/9/2022 9/10/2022 20 39
96 Sri Purwanti M.Mustain Bonang 1/1 081327645559 3317146101820002 G5P3A1 20/10/22 7/27/2023 12 41 G5
97 Sri Rejeki Winardi Bonang 3/2 0895326370687 3317145501910001 G2P1A0 1/11/22 8/8/2023 12 22
98 Lina Rahmawati Joko Kusumah Sumbergirang1/6 081337889288 3321114904890004 G1P0A0 17/03/2022 3/17/2022 38 22.5
99 Andono Warih Saeful Mujib Sumbergirang2/5 08974355100 3317144808840003 G3P2A0 02/04/2022 4/2/2022 38 38
100 Murtinah Sholikin Sumbergirang2/8 085228400931 3317145109770002 G4P3A0 30/03/2022 3/30/2022 38 45 G4
101 Syefa Rayyan Shebria Andrea dwi kurniawan Sumbergirang2/8 083106190807 3317145304060001 G1P0A0 16/03/2022 3/16/2022 39 16 16
102 Ma'sumatul Abadiyah muh. Samsul hadi Sumbergirang1/2 082340051002 331714500710004 G3P2A0 26/04/2022 4/26/2022 38 21 bl
103 Revilia Oktaviani Muh. Rizki setiawan Sumbergirang1/1 08817659549 3317144412010003 G1P0A0 12/04/2022 4/12/2022 39 21
104 Dede Rusmiati Heru Ambar Saputra Sumbergirang3/2 081392074377 3202115510800005 G4P3A0 4/24/2022 4/24/2022 38 42 G4
105 Eka Rochimayanti Misbachul Munir Sumbergirang1/2 081227062497 3320086709990003. G1P0A0 6/11/2022 6/11/2022 28 23
106 Safrina Luthfiana Angga Pratama Sumbergirang2/5 089685376833 3318196101960007 G1P0A0 6/22/2022 6/22/2022 28 22.5
107 Ika Widya Kartikasari Moh Nukman Sumbergirang1/3 0859166013991 3317117103870002 G3P2A0 5/22/2022 5/22/2022 32
108 Wafiq Haniqoh Supratomo Sumbergirang2/2 083138039766 3317146604910003 G3P1A1 6/13/2022 6/13/2022 28
109 Sri Lestarti Sabillal Alif Sumbergirang1/1 089656422650 3317146104950003 G2P1A0 8/5/2022 8/5/2022 20
110 Nikatun Yudi Sujatmiko Sumbergirang2/2 082325997262 3317144712810003 G2P1A0 8/11/2022 8/11/2022 22 41 22
111 Sa'adah Achmad Zaenudin Sumbergirang3/3 08996823903 3317144910890002 G2P1A0 8/8/2022 8/8/2022 20 23
112 Septina Lestari Didik Handoko Sumbergirang3/3 082137830307 3315156106940002 G2P1A0 7/7/2022 7/7/2022 24
113 Samiatul Latoif Ahmad Zaki Mubarok Sumbergirang3/2 08156592231 3317144406870003 G5P3A1 7/28/2022 7/28/2022 24 G5
114 Nisa Restu Diningsih Rinto Fahmi Finandita Sumbergirang3/2 088228714003 3324076201020003 G1P0A0 6/29/2022 6/29/2022 28 22
115 Nana Kumaidah Moch.Riduhan Sumbergirang1/3 085210662500 331714404840003 G3P2A0 8/6/2022 8/6/2022 20 38 12 bl
116 Nur Saputri Puji Lestari Sunandar Sumbergirang2/3 082322064700 3317144201890003 G3P1A1 8/13/2022 8/13/2022 20
117 Siti Aminah Waqid Solikhin Sumbergirang1/7 083843409337 3317144210950002 G3P1A1 8/30/2022 8/30/2022 20
118 Fitriani Puspitasari Mas'ud Anang Ma'ruf Sumbergirang3/3 089668841776 3317145801000002 G1P0A0 5/25/2022 5/25/2022 32
119 Dinda dwi liana Muhammad Sahlan Sumbergirang2/1 081575705431 3317146502050002 G2P1A0 13/11/2022 8/20/2023 8 18 19 bl
120 Oktarina iriyanti M.Shafi' Sumbergirang2/2 082136070447 3317144510910004 G2P1A0 14/11/2022 8/21/2023 8
121 Wahyu retno Frenda Meida Sumbergirang1/2 081326891028 3317146010970001 G1P0A0 21/11/2022 8/28/2023 8 23
122 Anisah emilia Rio syahputra Sumbergirang1/3 087832182069 3317145905940003 G2P0A1 27/10/2022 8/3/2023 12
123 Maslakhah Tsibarul fahmi Sumbergirang3/2 0895329502848 3320046608890002 G5P3A1 26/10/2022 8/2/2023 12 G5
124 Tri indayanti Ahmad halim Sumbergirang2/3 08951227069 3317144703900005 G2P1A0 6/12/2022 3/19/2023 28
125 Tri astutik Maulana septian Karasgede 6/2 085225432889 3317145201920003 G2P1A0 5/6/2022 3/12/2023 35 23
126 Sri Ningsih M Safiin Sdcoyo 1/6 085701638553 3317144502010004 G1P0A0 16/6/2022 3/23/2023 20 20.5
127 Kristina Martha Natalia Munanto Sdcoyo 2/3 0852263288282 33171470129100009 G2P1A0 8/12/2022 5/19/2023 20
128 Pipit Indayana Agung Setiawan Sdcoyo 1/4 088216960142 3523035211030003 G1P0A0 11/5/2022 8/12/2023 12
129 Puji Lestari Arifin Gowak 6/3 085385580483 3317146611930002 G4P1A2 12/5/2022 2/16/2023 37
130 Anis Masrukah Ahmad Muktar Gowak 7/3 085331342327 3523046910900001 G3P1A1 2/6/2022 3/9/2023 35 23
131 Sri Mumpuni Muthoharoh M Yahya Gowak 6/3 081226580956 3317145702880005 G3P2A0 12/6/2022 3/19/2023 33 23
132 Monica Nur Kholifah Sumarno Gowak 9/5 0895395310761 3317095903990001 G1P0A0 13/6/2022 3/20/2023 33 23
133 Suciati Arifin Gowak 1/1 082137620847 3317146611930003 G2P1A0 17/4/2022 1/22/2023 37
134 Khusnuk khotimah Romadhon Gdm 1/1 085226161765 3317146509810004 G5P1A3 10/4/2022 1/15/2023 32 41
135 Sulaikah Budi istanto Gdm 4/1 08127865713 3317137103790001 G4P3A0 20/5/2022 2/24/2023 22 43
136 Hilyatul azizah Derajad priyono Gdm 1/1 085641454909 3317144110900006 G2P1A0 22/7/2023 4/27/2024 12
137 Nurul khasanah Ahsan Gdm 1/1 087724753877 3317145310000001 G1P0A0 29/7/2023 5/4/2024 12 22
138 Ludfia widyaningsih sandi pratama Gdm 2/1 085647781457 3317145408930001 G2P1A0 27/5/2022 3/3/2023 25
139 Aning suliyanti Sukarno hartanto Gdm 1/2 089681373606 3317145107950001 G1P0A0 22/5/2022 2/26/2023 20 21.5
140 Fitri ulestari Hepi dwi pangga Gdm 3/2 085316121363 3317146905870002 G2P1A0 1/7/2022 4/7/2023 16 22
141 Siti Adhimah Feri Aris Gdm 3/3 087815066607 3317066604880002 G4P3A0 27/3/2022 1/1/2023 28
142 Septiyanti Pujianto Gdm 4/3 0895359975220 3317145800820001 G3P2A0 24/4/2022 1/29/2023 24 40
143 Dewi sartika marpaung Hendra jahya Gdm 4/3 0882006341570 1271016501930005 G3P2A0 21/7/2022 4/27/2023 14 2 bl
144 Suprapti Warnan Gdm 2/3 08980311116 3317144505840001 G5P4A0 10/5/2022 2/14/2023 26 38 G5
145 Siti zaroah Yulianto Gdm 2/3 085326524335 3317146303900001 G5P3A1 16/5/2022 2/20/2023 25 G5
146 Luk luatun nafisah Purhadi hendro Gdm 1/3 085325339790 3317115309930001 G4P2A1 11/6/2022 3/18/2023 21 22.5
147 Sri winanti Nur Apit Gdm 2/4 087833357548 3317145502920001 G2P1A0 6/8/2022 5/13/2023 14
148 Yeni Widiyastuti Moh Mujabul M Ngargomulyo 1/1 081390693042 3317145806900001 G3P0A2 8/29/2022 6/5/2023 20
149 Musliatun Deva Riski Karasgede 2/1 081575710746 3317144507040002 G1P0A0 5/11/2022 8/12/2023 12 17 23
150 Gina Andriyana Saeful Arif Dorokandang 1/1 082136516167 3317144506980005 G1P0A0 7/6/2022 3/14/2023 30 20
151 Kurnianingsih Abdul hamin Dorokandang 6/4 082329395359 3317147012810001 G4P3A0 17/6/2022 3/24/2023 30 37
152 Divana Afry Wahyu eko prasetyo Dorokandang 4/2 081228478787 3317066104010003 G1P0A0 19/6/2022 3/26/2023 30
153 Kartini Supriyomno Dorokandang 2/1 0895321633350 3317146410880001 G4P2A1 4/8/2022 5/11/2023 23
154 Zami alsiah Yoggi Arif Dorokandang 5/2 081229742697 3317146611970001 G2P0A1 9/7/2022 4/15/2023 24
155 Andriati Rudi sukmana Dorokandang 10/3 081390333931 3317145207860007 G5P3A1 25/7/2022 5/1/2023 27 G5
156 Nikmatul yatimah Mokhamad Ridlowan Dorokandang 1/1 085729402624 3317136603830002 G3P1A1 27/8/2022 6/3/2023 22 39
157 Diah agus kristina Karmuji Dorokandang 11/4 085352779885 3317146708870002 G6P5A1 15/9/2022 6/22/2023 20 G6
158 Siti kholifah Budiono Dorokandang 12/5 082135407552 3317145807930002 G2P1A0 22/10/2022 7/29/2023 12 21
159 Nia nurmawati Bambang M slp 2/1 08985941428 3317144309900001 G1P0A0 9/18/2022 6/25/2023 16 19
160 Umaya khoirunnisa Puput hidayat slp2/2 082242600972 3317146502920003 G2P0A1 5/15/2022 2/19/2023 36
161 Siska agustin M Choirur slp 3/2 0895345142194 33171470077990004 G1P0A0 8/1/2022 5/8/2023 24 21
162 Lisa nur winda A Subiyantoro slp 1/3 081903962148 331714506010001 G1P0A0 20/11/2022 8/27/2023 8 21
163 Nufka nufrianti Suprayitno slp 2/2 082325996633 3317144506850003 G4P23A0 8/15/2022 5/22/2023 20 37 14 bl
164 Nur laila Sulaiman slp 2/3 089504817270 3317086707020001 G2P1A0 8/11/2022 5/18/2023 20 13 bl
165 Ernawati A zuhadi slp 3/4 085226192465 3317145704870002 G3P2A0 8/28/2022 6/4/2023 16 35
166 Ana sulistyaningrum Eko susiana slp 5/5 082223348207 331714500386005 G3P2A0 8/3/2022 5/10/2023 24 37
167 Masroah Munari slp 3/5 081228394208 3321124303870003 G1P0A0 8/26/2022 6/2/2023 22 36 36
168 Miftahul jannah M Asif b slp 1/5 085741699589 331745902910002 G2P1A0 8/4/2022 5/11/2023 22
169 Sri mugi Purwanto slp 4/5 085725724012 3317145911950005 G2P1A0 8/6/2022 5/13/2023 22 22
170 Sampi'in Abd.jalal slp 1/6 085345146419 3317145902870003 G3P2A0 8/20/2022 5/27/2023 22 36
171 Ayu rizqia Andi widodo slp 2/6 089627762284 3317146210940004 G3P0A2 5/9/2022 2/13/2023 22
172 Gita rizki Eko R slp 1/7 08964456788 3317095209980001 G1P0A0 19/9/2022 #VALUE! 13 22
173 Kasmi Lismono slp 1/7 081228073277 3317145707790001 G1P0A0 22/9/2022 #VALUE! 20 43
Jumlah 173 173 169 173 173 173 173 173 6 41 4 1 0 16 21 58

Kom s/d bl. Lalu
Kom s/d bl. ini 173 173 169 173 173 173 173 173 6 41 4 1 0 16 21 58
0
pe(+) BB < 9kg slm hml
HB<11 gr/dl
10.9
10.5
144
TB < 145 cm
kel. Btk pggl dan tl.

Panggul
Riwayat hipertensi keh
HT
HT
sblmya
Riw PEB
Riw PEB
Sedang / pernah mmndrt
peny. Kronis
Faktor Resiko pada Ibu hamil
Riwayat Kehamilan
Ab 2x
Ab 1x
Ab 1x
Ab 1x
Ab 2x
buruk
Riwayat partus dg
komplikasi dan partus dg
Rwyt SC
Rwyt SC
Rwyt SC
Rwyt SC
Rwyt SC
Rwyt SC
Rwyt SC
tindakan
Riwayat Nifas dg
komplikasi
Riw. Klg menderita DM,

Hipertensi, cacat kong
Kel. Jmlh Janin
Serotinus
Kel. besar janin (TFU

>40cm)
Kel. Letak janin usia keh

> 32 mgg
Lain - lain
Masy
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
Nakes
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
Pusk
Deteksi dini Oleh
Dirujuk
v
v
v
RS
v
Normal
v
v
v
SC
Partus
Lainnya
Tindakan
Abortus
Hasil Akhir Keham
v v
v v
v v
Rwyt SC v v
v v
v v
Ab 1x v v
Rwyt SC v v
v v
v v v
v v v
Rwyt SC v v v
Ab 1x v v
Rwyt SC v v
v v
HT v v
v v
v v
Ab 2x Rwyt SC 2x v v
v v
v v v
Riwyt SC v v
v v
v v
Ab 1x v v
Ab 1x v v
VE, induksi persalinan v Jarak persalinan >10 th v v
HbSag(+) Rwyt Persal gemelli v v
v v
v v
HT kronik Obesitas v v
v v
9.9 v v
Rwyt asma Presbo v v v
v v v
Jarak persalinan 10 th v v
HBSAg+ v v v
Jarak persalinan 10 th v v v
139 v v v
Ada sinus tachicardy v v v
Ab 2x Rwyt VE v v v
v v
Rwyt perdrhan, preterm v v
Rwyt jantung v v
Ab 1x v v v
v v
v v
v v
Ab 1x v v
Ab 1x v v
v v
v v
v v
v v
v v
Rwyt SC v v
Ab 1x Hipokalemi v v
Rwyt SC v v
Rwyt SC v v
v v
v v
Rwyt SC v v
Ab 1x v v
Ab 1x v v
Jarak Persalinan 11 th v v
v v
Ab 1x v v
v v
v v v
v v v
v v v
v v v
v v v
v v Induksi
v v v
v v
v v
Rwyt HT Asma v v
Rwyt Jantung Ab 1x v v
Rwyt SC v v
v v
v v
Rwyt SC v v
Ab 1x v v
v v
v v
Ab 1x v v
Ab 1x v v
10.4 v v
Rwyt SC v v
Rwyt SC v v
10.2 v v
Ab 1x v v
Ab 1x v v
Obesitas v v
v v
v v
Rwyt SC v v
Gemelli v v
Ab 2x v v
Ab 1x Rwyt SC v v
143 v v
v v
10.4 v v v
Ab 3x Rwyt SC v v
v v
Rwyt SC v v
v v
Rwyt SC v v
v v
v v
Rwyt SC v v
v v
Rwyt SC v v
v v
Ab 1x v v
v v
Rwyt SC v v
Ab 2x v v
v v
v v
v v
Kista v v
Ab 1x v v
Ab 1x v v
Ab 1x v v
Ab 1x v v
v v
v v
v v
Ab 1x v v
v v
v v
v v
Rwyt SC v v
v v
v v
HDK v v
Rwyt SC v v
10.8 Rwyt Preterm v v
v v
Ab 2x v v
v v
v v
0 7 3 0 8 7 35 36 0 0 1 0 1 1 8 0 169 150 19 12 10 1 1
0 7 3 0 8 7 35 36 0 0 1 0 1 1 8 0 169 150 19 12 10 1 1
Hasil Akhir Kehamilan
Lain-lain (Sebutkan fasyankesnya)
RSI Arafah, 27/1/23, JK=L BB=3100gr, PB=49cm
PKM Lasem,10/1/23,JK:P BB:3600gr,PB:51cm
RSUD Rmbng ,22/12/2022,JK:P BB:2950cm,PB:49cm

43 Riw PEB
23
36 Ab1 x
10.6
RS Bhina 27/01/2023 JK: P BB: 3060gr PB: 50cm

Tgl 2/1/23 curet di RS Bhina
Tgl 9/1/23 jk L BB 2900gr PB 48cm, RS Bhina
Tgl 20/1/23 jk P BB 3000gr PB 49cm, RS Bhina
Tgl 19/1/23 jk L BB 2566gr PB 49cm, RS PKU Pamotan
Tgl 30/1/2023 BB 3000 gr, PB 47 cm, Lk 32 cm, LD 31 cm, RSI Arafah

Tgl 31 Desember 2022, BB 3275 gr, PB 50 cm, RS Bhina Bhakti
Tgl 25/1/2023, JK L, BB 3350 gr, PB 48 cm, RSI Arafah

Tgl 2/1/2023, JK L, BB 2300 gr, PB 45 cm, PKM Lasem
Tgl 26/1/2023, JK L, BB 3400 gr, PB 50 cm, PKM Sluke
Tgl 26/12/2022, JK P, BB 3300 gr, PB 51 cm, RS Fastabiq Pati
Tgl 25/1/2023, JK P, BB 3200 gr, PB 49 cm, RSI Arafah
RB Asy SafiraTgl 16/12/2022, JK L, BB 3000 gr, PB 50 cm
RSI Arafah 16/12/2022 JK: L BB:3600gr PB:49cm

Pkm Lasem 25/12/2022 JK: L BB:3300gr PB:52cm
RSI Arafah 21/12/2022 JK: p BB:3400gr PB:49cm
Pkm Lasem 10/01/2023 JK: L BB:2800gr PB:49cm
RSI Arafah 21/01/2023 JK: P BB:4200gr PB:50cm
RS Bhina 31/1/2022 JK L, BB 4195 Gr, PB 52 Cm
24
24
Rwyt SC v v
v v
Rwyt SC v v
v v
TAHUN 2023
Nama Puskesmas : LASEM

Bulan : Februari
Umur Ibu Saat
Primigravida
Hamil ini
Hamil diluar nikah

<20th >35th <20th >35th
280
1 Nu Azizah Romadhona Agus Irwanto Karasgede 8/3 082228117007 3317144604900001 G3P2A0 7/10/2022 4/16/2023 28
2 Siti Nur Kholisoh Agus Sulistyanto Karasgede 2/1 0895359670822 3317126603840003 G2P1A0 5/21/2022 2/25/2023 37
3 Lina Setyaningsih Dwi Joko Prasetyo Karasgede 1/1 083103711845 3317114809980003 G1P0A0 15/9/22 6/22/2023 18
5 Nur Imatul Mahbubah Ahmad Ahyar Anas Karasgede 1/1 081392730522 3317144306990003 G1P0A0 20/10/22 7/27/2023 12
6 Choiriyah nur Azizah Teguh Wibowo Karasgede 6/2 0895361325100 3317144312970001 G2P1A0 24/10/22 7/31/2023 12
7 Riska Arum Pratami Ahmad Sediyono Karasgede 9/3 081324477152 3317144306990002 G2P1A0 25/11/2022 9/1/2023 8
8 Tri astutik Maulana septian Karasgede 6/2 085225432889 3317145201920003 G2P1A0 5/6/2022 3/12/2023 35
9 Diah Cahyaningsih Frengki Prabowo Dasun 2/1 085777886095 3175084703970008 G1P0A0 7/20/2022 4/26/2023 28
10 Wina Astuti Pardiyanto Dasun 1/1 081818275300 3317144810910002 G4P1A2 27/11/2022 9/3/2023 12
11 Sumarni Purwantoro Dasun 3/1 085290170727 3317136706840001 G2P1A0 6/17/2022 3/24/2023 32 41
12 Marfuatin Sutarto Dasun 3/1 085879553933 331819409840003 G5P3A1 7/26/2022 5/2/2023 28 38
14 Shopiyah M saifudin soditan 1/1 082329599392 3317116710960002 G2P1A0 28/6/2022 4/4/2023 26
15 Hidayatul fatimah Muntolip soditan 1/1 08951880292 3317144110980003 G1P0A0 28/9/2022 7/5/2023 16
16 Suwaibah Muhamadun soditan 6/3 082313077387 3578314705920001 G3P2A0 7/7/2022 4/13/2023 28
17 Ulfatul munawaroh Ikwan manab soditan 7/4 0895359668 3321056405920003 G2P1A0 11/6/2022 3/18/2023 32
18 Umi sakro Abdul rohman romli soditan 7/4 089679043958 3319084609950003 G2P1A0 5/7/2022 4/11/2023 28
23 Wasriyanti sukardi soditam 3/2 083106063231 3317145304820005 G4P2A1 11/12/2022 9/17/2023 9 41
24 Siti rahmawati M dulfani soditan 9/4 081337718038 3317136009040002 G1P0A0 8/12/2022 9/14/2023 8 18 18
25 Nur Rofiqoh Ab Rohman Jolotundo 10/5 082133445482 3317144112820001 G5P3A1 17/5/22 2/21/2023 36 40
26 Wasilah Dedi Kurniawan Jolotundo 16/7 085747587403 3327024402950001 G2P1A0 21/5/22 2/25/2023 36
27 Siti Muanifah Bambang Teguh Jolotundo 17/8 082005397670 3317074505980002 G1P0A0 25/5/2022 3/1/2023 28
28 Hidayana Afdul Rokim Jolotundo 1/1 085255172403 3317145805830001 G1P1A1 19/7/2022 4/25/2023 28 39
30 Siti Rafiut Dewi Masheri Jolotundo 3/1 0895636486791 1671104808840005 G2P1A0 25/6/2022 4/1/2023 28 38
31 Widiyastuti Puji S Jolotundo 11/5 082211167799 3317145606870002 G5P2A2 19/8/2022 5/26/2023 24
32 Nur Aini Sabar Jolotundo 9/4 085725051113 3319027112830051 G4P3A0 8/15/2022 5/22/2023 24 39
33 Nova Pahlevi M. Nur Afif Jolotundo 10/5 082323354017 3317105011900001 G4P3A0 13/9/2022 6/20/2023 20
34 Sri Purwati Purwanto Jolotundo 13/6 3317145402840002 G3P2A0 10/11/2022 7/18/2023 16 38
35 Siti Aisiyah Nukman Yusuf Jolotundo 6/3 3274047012940006 G2P1A0 18/5/2022 2/22/2023 36
36 Muzaroah Subaidi Jolotundo 6/3 0882005765145 3319074706840003 G5P3A1 7/10/2022 7/14/2023 15
37 Mu'indoh Lestari Bagus Riskiawan Jolotundo 9/4 0895827507085 3317145602020001 G2P1A0 3/12/2022 9/9/2023 12
38 Susianti Memet Teguh Widodo Jolotundo 3/1 3317116211880001 G2P1A0 17/12/2022 9/23/2023 10
39 Ainun Ningtyas Abdul M Jolotundo 12/5 087879758899 3317144503040002 G1P0A0 3/8/2022 5/10/2023 28 18 18 v
40 Khusnul Khotimah Romadhon Gdm 1/1 085226161765 33171465509810004 G5P1A3 3/7/2022 4/9/2023 34
41 Sulaikah Budi istanto Gdm 4/1 08127865713 3317137103790001 G4P3A0 13/8/2022 5/20/2023 24 43
42 Hilyatul Azizah Derajad Priyono Gdm 1/1 085641454909 3317144110900006 G2P1A0 15/10/2022 7/22/2023 16
43 Nurul khasanah Ahsan Gdm 1/1 087724753877 3317145310000001 G1P0A0 22/10/2022 7/29/2023 16
44 Ludfia widyaningtyas Sandi pratama Gdm 2/1 085647781457 3317145408930001 G2P1A0 20/8/2022 5/27/2023 24
45 Ikha sugiarti Umarul F Gdm 3/2 085325935141 3317146707930001 G2P1A0 26/5/2022 3/2/2023 36
46 Aning suliyanti Sukamto hartanti Gdm 1/2 089681373606 3317145107950001 G1P0A0 15/8/2022 5/22/2023 24
47 Fitri Ulestari Hepi dwi pangga Gdm 3/2 085316121363 3317146905870002 G2P1A0 24/9/2022 7/1/2023 20
48 Novia Ambarwati Edi sukamto Gdm 1/2 08213885357 3317144811920002 G4P2A1 14/11/2022 8/21/2023 12
49 Siti Adhimah Feri Aris Gdm 3/3 087815066607 3317066604880002 G4P3A0 20/6/2022 3/27/2023 33
50 Septiyanti Pujianto Gdm 5/3 0895359975220 3317145800820001 G3P2A0 17/7/2022 4/23/2023 28 40
51 Dewi sartika marpaung Hendro jahya Gdm 4/3 0882006341570 1271016501930005 G3P2A0 14/10/2022 7/21/2023 16
52 Rina Elfiana Novianto Gdm 3/3 088216283306 3317145604000001 G2P1A0 4/9/2022 6/11/2023 24
53 Suprapti Warnan Gdm 2/3 0898031116 3317144505840001 G5P4A0 25/10/2022 8/1/2023 28 38
54 Siti Zaroah Yulianto Gdm 2/3 085326524335 3317146303900001 G5P3A1 9/8/2022 5/16/2023 26
55 Luk luatun nafisah Purhadi Hendro Gdm 1/3 085325339790 3317115309930001 G4P2A1 5/9/2022 6/12/2023 24
56 Sri winanti Nur Apit Gdm 2/4 087833357548 3317145502920001 G2P1A0 29/10/2022 8/5/2023 16
57 Dia Sofawati A.Rofiq Gdm 1/4 085703000589 3317145804990001 G3P1A1 1/11/2022 8/8/2023 16
58 Nur Sholihah Syafa'atillah Ngemplak 3/3 089507663556 3317145608910001 G2P1A0 6/3/2022 3/10/2023 34
59 Atika Nur Rohmah M Danivul Haq Ngemplak 3/3 085325057543 3317146011930003 G2P1A0 11/23/2022 8/30/2023 12
60 Indah Sulistyowati A Rizal S Ngemplak 1/1 081358437399 3317145510010002 G2P0A1 6/15/2022 3/22/2023 35
61 Adevian Giharsani Deny Firmansyah Ngemplak 2/2 0859166043398 3317145006920002 G2P1A0 7/4/2022 4/10/2023
62 Siti Nur Kholifah M Agung Ngemplak 1/4 081393767281 3317146406030001 G1P0A0 04/07/2022 4/10/2023
63 Chilyatus Sholihah Listyo Sapta Ngemplak 2/4 085641550614 3317145001880003 G3P0A2 8/8/2022 5/15/2023
64 Istiqomah Enngar Budi Ngemplak 1/1 082134070629 3309045011890005 G3P2A0 10-08-2022 5/17/2023
65 Deasy Nur Aqsha Nur Cholis Ngemplak 2/6 0895412875800 3317145912950001 G2P1A0 10/10/2022 7/17/2023
66 Siti Ngaisah M Catur Ngemplak 2/4 082120188295 3317044512040001 G1P0A0 9/5/2022 6/12/2023
67 Laily Rosyita Sampurno Ngemplak 1/5 082223100626 3319025203830005 G3P2A0 14/09/2022 6/21/2023
68 Niswatul Ulya Bishri Faisol Ngemplak 2/4 089695262520 3320115901920006 G3P2A0 11/25/2022 9/1/2023 11
69 Dewi Rizki Slamet Babagan 12/4 087733175506 3317145702000002 G1P0A0 5/17/2022 2/21/2023 39
71 Adela cempaka mardiyana Vuguh Insan Pambudi Babagan 12/4 085695359815 3317146812960001 G1P0A0 8/10/2022 5/17/2023 24
73 Herlina Surya Saputri Supri Babagan 8/3 3317144304200001 G2P1A0 7/28/2022 5/4/2023 24
74 Irawati Suyono Babagan 7/2 089671219986 3317145205820005 G3P2A0 8/29/2022 6/5/2023 24
75 Suyanti Julianto Binangun 5/2 082133015127 3317147107850001 G3P2A0 15-10-2022 7/22/2023 16
76 Wati Rahayuni M. Khozainul A Binangun 2/1 085713285355 3317145906010002 G1P0A0 14/8/2022 5/21/2023 24
78 Diana Karisma Agus Kurniawan Binangun 6/3 081390060506 3317146006020005 G1P0A0 3/9/2022 6/10/2023 24 v
79 Iis Sumaya Muslih Sendangasri 10/3 082123768542 3317145101930002 G2P1A0 13/05/2022 2/20/2023 28
80 Nurchofiatun Triyono Sendangasri 1/1 081274094668 3317145611850001 G4P3A0 1/8/2022 8/1/2022 16 37
81 Nuriana Rohmah Agus Pramono Sendangasri 5/2 087734372008 3317144601830001 G4P1A2 6/11/2022 8/13/2023 12 40
82 Pancawati Angga Fais Amrullah Sendangasri 5/2 082138388616 3317145010920003 G1P0A0 17/7/2022 7/17/2022 20
83 Mei Tri Ayuningtyas M. Sholeh Sendangasri 9/3 0895385109831 3317146305990001 G1P0A0 31/05/2022 2/7/2023 24
84 Heny Kresnawati Ahmad Budi Santoso Sendangasri 5/2 085877405605 3308114810870003 G4P2A1 28/6/2022 6/28/2022 20
85 Rusmiati Heryanto Sendangasri 5/2 085600612960 3305214506990008 G4P2A1 13/7/2022 7/13/2022 20
86 Widyah Hastutik Rofik Sendangasri 4/1 085326262010 3317145301860002 G2P1A0 16/6/2022 6/16/2022 24 36
87 Puji Lestari Ahmad Alfian Sendangasri 11/3 081215318118 3317144107990012 G2P1A0 12/8/2022 5/19/2023 20
88 Aning Fitriani Teguh Widiyanto Sendangasri 7/2 082327492493 3317146804890008 G5P1A3 17/10/2022 7/24/2023 12
89 Agnes Lukitasari Muh. Sudodo Sendangasri 8/3 0882007167863 3317147001910001 G4P3A0 22/10/2022 7/29/2023 12
90 Heni Verlia M. Khoir Sendangasri 8/3 081226324793 3317144612900002 G3P2A0 15/12/2022 9/21/2023 11
91 Sriyati Rusmanto Karasgede 7/2 081327679031 3317144907860001 G5P2A2 24/12/2022 10/1/2023 6 37
92 Eka Rochimayanti Misbachul Munir Sumbergirang1/2 081227062497 3320086709990003. G1P0A0 6/11/2022 6/11/2022 32
93 Safrina Luthfiana Angga Pratama Sumbergirang2/5 089685376833 3318196101960007 G1P0A0 6/22/2022 6/22/2022 32
94 Ika Widya Kartikasari Moh Nukman Sumbergirang1/3 0859166013991 3317117103870002 G3P2A0 5/22/2022 5/22/2022 38
95 Wafiq Haniqoh Supratomo Sumbergirang2/2 083138039766 3317146604910003 G3P1A1 6/13/2022 6/13/2022 32
96 Sri Lestarti Sabillal Alif Sumbergirang1/1 089656422650 3317146104950003 G2P1A0 8/5/2022 8/5/2022 24
97 Nikatun Yudi Sujatmiko Sumbergirang2/2 082325997262 3317144712810003 G2P1A0 8/11/2022 8/11/2022 26 41
98 Sa'adah Achmad Zaenudin Sumbergirang3/3 08996823903 3317144910890002 G2P1A0 8/8/2022 8/8/2022 24
99 Septina Lestari Didik Handoko Sumbergirang3/3 082137830307 3315156106940002 G2P1A0 7/7/2022 7/7/2022 28
100 Samiatul Latoif Ahmad Zaki Mubarok Sumbergirang3/2 08156592231 3317144406870003 G5P3A1 7/28/2022 7/28/2022 28
101 Nisa Restu Diningsih Rinto Fahmi Finandita Sumbergirang3/2 088228714003 3324076201020003 G1P0A0 6/29/2022 6/29/2022 32
102 Nana Kumaidah Moch.Riduhan Sumbergirang1/3 085210662500 331714404840003 G3P2A0 8/6/2022 8/6/2022 24 38
103 Nur Saputri Puji Lestari Sunandar Sumbergirang2/3 082322064700 3317144201890003 G3P1A1 8/13/2022 8/13/2022 24
104 Siti Aminah Waqid Solikhin Sumbergirang1/7 083843409337 3317144210950002 G3P1A1 8/30/2022 8/30/2022 24
105 Fitriani Puspitasari Mas'ud Anang Ma'ruf Sumbergirang3/3 089668841776 3317145801000002 G1P0A0 5/25/2022 5/25/2022 37+4
106 Dinda dwi liana Muhammad Sahlan Sumbergirang2/1 081575705431 3317146502050002 G2P1A0 13/11/2022 8/20/2023 12 18
107 Oktarina iriyanti M.Shafi' Sumbergirang2/2 082136070447 3317144510910004 G2P1A0 14/11/2022 8/21/2023 12
108 Wahyu retno Frenda Meida Sumbergirang1/2 081326891028 3317146010970001 G1P0A0 21/11/2022 8/28/2023 12
109 Anisah emilia Rio syahputra Sumbergirang1/3 087832182069 3317145905940003 G2P0A1 27/10/2022 8/3/2023 16
110 Maslakhah Tsibarul fahmi Sumbergirang3/2 0895329502848 3320046608890002 G5P3A1 26/10/2022 8/2/2023 16
111 Tri indayanti Ahmad halim Sumbergirang2/3 08951227069 3317144703900005 G2P1A0 6/12/2022 3/19/2023 32
112 Mutmainah Alif Sukma Adi Sriombo 2/1 08528500042 33171464099500050 G2P0A1 22-10-2022 7/29/2023 16
113 Sumining Djawahir Sriombo 3/2 0895360662787 33171450047790004 G3P2A0 8-11-2022 8/15/2023 15 43
114 Minati Ahmat Rois Sriombo 1/1 085213438737 3317144304910001 G3P2A0 16-9-2022 6/23/2023 20
115 Arifatul Naimah Joko Setiono Sriombo 7/4 082134877342 3317117004930001 G1P0A0 10-6-2022 3/17/2023 34
116 Afidhatul Ummah M. Imam Bustanul A. Sriombo 5/3 0895395935632 3317144306950002 G1P0A0 25-5-2022 3/1/2023 37
117 Nur Hammimah Ahmad Sholeh Sriombo 7/4 085741343757 3318076003950001 G2P0A1 9-5-2022 2/13/2023 41
119 Dwi ariyanti Ahmad ansori Karangturi 3/1 089644285154 3317144107000014 G2P0A1 5/5/2022 2/9/2023 39
122 Nurul hidayah Agus riyanto Karangturi 1/5 085642018285 3317145706920005 G1P0A0 9/8/2022 5/16/2023 29
123 Isabela sera morela Diki triyanto Karangturi 2/5 081392014605 3317145201000004 G1P0A0 26/7/2022 5/2/2023 30 16 16
125 Puji Lestari Arifin Gowak 6/3 085385580483 3317146611930002 G4P1A2 12/5/2022 2/16/2023 38
126 Anis Masrukah Ahmad Muktar Gowak 7/3 085331342327 3523046910900001 G3P1A1 2/6/2022 3/9/2023 38
127 Sri Mumpuni Muthoharoh M Yahya Gowak 6/3 081226580956 3317145702880005 G3P2A0 12/6/2022 3/19/2023 37
128 Monica Nur Kholifah Sumarno Gowak 9/5 0895395310761 3317095903990001 G1P0A0 13/6/2022 3/20/2023 37
129 Indriana Suci Ningsih M Agus S Gowak 10/5 082138638122 3317115209980001 G1P0A0 5/12/2022 9/11/2023 10
130 Nia nurmawati Bambang M slp 2/1 08985941428 3317144309900001 G1P0A0 9/18/2022 6/25/2023 16
131 Salmah umi badriyah Adnan fadlur slp 1/3 08995112061 3317146210940004 G1P0A0 9/5/2022 6/12/2023 7
132 Siska agustin M Choirur slp 3/2 0895345142194 33171470077990004 G1P0A0 8/1/2022 5/8/2023 28
133 Lisa nur winda A Subiyantoro slp 1/3 081903962148 331714506010001 G1P0A0 20/11/2022 8/27/2023 12
134 Nufka nufrianti Suprayitno slp 2/2 082325996633 3317144506850003 G4P3A0 8/15/2022 5/22/2023 24 37
135 Nur laila Sulaiman slp 2/3 089504817270 3317086707020001 G2P1A0 8/11/2022 5/18/2023 24
136 Ernawati A zuhadi slp 3/4 085226192465 3317145704870002 G3P2A0 8/28/2022 6/4/2023 20 35
137 Ana sulistyaningrum Eko susiana slp 5/5 082223348207 331714500386005 G3P2A0 8/3/2022 5/10/2023 28 37
138 Masroah Munari slp 3/5 081228394208 3321124303870003 G1P0A0 8/26/2022 6/2/2023 26 36 36
139 Miftahul jannah M Asif b slp 1/5 085741699589 331745902910002 G2P1A0 8/4/2022 5/11/2023 26
140 Sri mugi Purwanto slp 4/5 085725724012 3317145911950005 G2P1A0 8/6/2022 5/13/2023 26
141 Sampi'in Abd.jalal slp 1/6 085345146419 3317145902870003 G3P2A0 8/20/2022 5/27/2023 26 36
142 Ayu rizqia Andi widodo slp 2/6 089627762284 3317146210940004 G3P0A2 5/9/2022 2/13/2023 26
143 Gita rizki Eko R slp 1/7 08964456788 3317095209980001 G1P0A0 19/9/2022 #VALUE! 17
144 Kasmi Lismono slp 1/7 081228073277 3317145707790001 G1P0A0 22/9/2022 #VALUE! 24 43
145 Desy maesaroh Sukron j slp 1/3 081228073277 3317146312970002 G1P0A0 8/10/2022 5/17/2023 28
146 Ulul ika devia Binar slp 3/2 082322082984 3317145312990001 G1P0A0 8/30/2022 6/6/2023 24
147 Sri Ningsih M Safiin Sdcoyo 1/6 085701638553 3317144502010004 G1P0A0 16/6/2022 3/23/2023 24
148 Kristina Martha Natalia Munanto Sdcoyo 2/3 0852263288282 33171470129100009 G2P1A0 8/12/2022 5/19/2023 24
149 Pipit Indayana Agung Setiawan Sdcoyo 1/4 088216960142 3523035211030003 G1P0A0 11/5/2022 8/12/2023 16
150 Sulastri Sukardi Sdcoyo 1/5 081225563401 G3P2A0 5/12/2022 2/16/2023 38 41
151 Eka Suliyanti Akhmad BUrhani Bonang 4/2 085217324288 3317144508950005 G3P1A1 6/7/2022 3/14/2023 31
152 Rifka Irhamna Sholihul HUda Bonang 4/2 089690620729 3317146602950004 G2P0A1 13/7/22 4/19/2023 31
153 Mu'awanah Musyafak Bonang 1/1 087760509754 3317144608860001 G2P1A0 20/7/22 4/26/2023 28 36
154 Anisah Mustofa Bonang 3/2 082324728155 3317145709830001 G4P3A0 10/9/2022 6/17/2023 24 39
155 Sri Purwanti M.Mustain Bonang 1/1 081327645559 3317146101820002 G5P3A1 20/10/22 7/27/2023 16 41
156 Sri Rejeki Winardi Bonang 3/2 0895326370687 3317145501910001 G2P1A0 1/11/22 8/8/2023 16
157 Sugiarsih M Jayadi Bonang 3/2 08975375656 3317144909920004 G3P1A1 9/11/22 8/16/2023 12
158 Sugiowati Sugiman Bonang 3/2 089510970404 3321124112880005 G3P2A0 2/10/22 7/9/2023 13
159 Cholifatul Inayah Kiki Wahyu s Bonang 3/2 085329613571 3317144404950003 G2P1A0 5/7/22 4/11/2023 12
160 Gina Andriyana Saeful Arif Dorokandang 1/1 082136516167 3317144506980005 G1P0A0 7/6/2022 3/14/2023 34
161 Kurnianingsih Abdul hamin Dorokandang 6/4 082329395359 3317147012810001 G4P3A0 17/6/2022 3/24/2023 34 37
162 Divana Afry Wahyu eko prasetyo Dorokandang 4/2 081228478787 3317066104010003 G1P0A0 19/6/2022 3/26/2023 34
163 Kartini Supriyomno Dorokandang 2/1 0895321633350 3317146410880001 G4P2A1 4/8/2022 5/11/2023 27
164 Zami alsiah Yoggi Arif Dorokandang 5/2 081229742697 3317146611970001 G2P0A1 9/7/2022 4/15/2023 28
165 Andriati Rudi sukmana Dorokandang 10/3 081390333931 3317145207860007 G5P3A1 25/7/2022 5/1/2023 31
166 Nikmatul yatimah Mokhamad Ridlowan Dorokandang 1/1 085729402624 3317136603830002 G3P1A1 27/8/2022 6/3/2023 26 39
167 Diah agus kristina Karmuji Dorokandang 11/4 085352779885 3317146708870002 G6P5A1 15/9/2022 6/22/2023 24
168 Siti kholifah Budiono Dorokandang 12/5 082135407552 3317145807930002 G2P1A0 22/10/2022 7/29/2023 16
169 Reni anjarwati Cahya rofi Dorokandang 4/2 081225846585 3317116506030002 G1P0A0 15/11/2022 8/22/2023 13
170 Yeni Widiyastuti Moh Mujabul M Ngargomulyo 1/1 081390693042 3317145806900001 G3P0A2 8/29/2022 6/5/2023 24
Jumlah 170 170 165 169 171 170 170 163 4 35 3 1 2

Kom s/d bl. Lalu 173 173 169 173 173 173 173 173 6 41 4 1 0
Kom s/d bl. ini 343 343 334 342 344 343 343 336 10 76 7 2 2
0
G5
Paritas > 4
8 bl
19 bl
18 bl
14 bl
20
21
21
23
19
23
21
Lila < 23.5 cm
22.5
22.5
HB<11 gr/dl
144
TB < 145 cm

Panggul
HT
HT
HT sblmya
T=140/90
peny. Kronis
Riwayat Kehamilan
Ab 1x
Ab 1x
Ab 1x
AB 1X
AB 2X
buruk
Riwayat partus dg
Rwyt SC
Rwyt SC
Rwyt SC
Rwyt SC
Rwyt SC
Rwyt SC
tindakan
Riwayat Nifas dg
komplikasi

Kel. Jmlh Janin
Serotinus

>40cm)

> 32 mgg
Lain - lain
Masy
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
Nakes
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
Deteksi dini Oleh
Dirujuk
Pusk RS
v
v
v
v
Normal
SC
v
v
v
v
Partus
Lainnya
Tindakan
Hasil A
22 v v
G5 Ab 2x Rwyt SC 2x v v
G4 21 bl v v
G4 10 bl Rwyt SC v v
v v
1 th v v
G5 Ab 1x v v
1 th v v
HbsAg + v v
v v
Ab 3x Rwyt SC v v
v v
Rwyt SC v v
22 v v
Rwyt SC v v
HbsAg + v v
22.5 v v
22 v v
Ab 1x v v
Rwyt SC v v
v v
2 bln Rwyt SC v v
Rwyt SC v v
G5 v v
G5 Ab 1x v v
22.5 v v
Rwyt SC v v
Ab 1x v v
8 bl Riw PEB Rwyt SC v v
15 bl v v
22 Ab 1x v v
18 bl v v
23 v v v
22.5 v v
v v
Rwyt jantung v v v
v v
Ab 2x v v
22 v v
21 v v
Ab 1x v v
20 Ab 1x v v
v v
18 bl v v
20 v v
9 bl v v
GDS 190 Kelg DM v v
v v
23 v v
22.5 v v
Rwyt HT Asma v v v
Rwyt Jantung Ab 1x v v
Rwyt SC v v
22 v v
23 v v
Rwyt SC v v
G5 Ab 1x v v
22 v v
12 bl v v
Ab 1x v v
Ab 1x v v
10.4 v v v
19 bl Rwyt SC v v
Rwyt SC v v
23 10.2 v v
Ab 1x v v
G5 Ab 1x v v
Obesitas v v
Ab 1x v v
VE, induksi persalinan v Jarak persalinan >10 th v v
22.5 v v
HT kronik Obesitas v v v
SLE (Lupus) v v v
Ab 1x v Obesitas v v v
Rwyt SC v v
21 Ab 1x Hipokalemi v v v
Rwyt SC v v
Rwyt SC v v
19 v v
21.5 v v
Rwyt SC v v
Ab 2x v v v
23 Ab 1x Rwyt SC v v v
23 143 let. lintang v v
23 v v
19 v v
19 v v
21 Ab 1x v v
21 v v
21 v v
14 bl v v
13 bl Rwyt SC v v
v v
v v
HDK v v
Rwyt SC v v
22 10.8 Rwyt Preterm v v
v v
Ab 2x v v
22 v v
v v
Plac.prev v v
Gemelli v v
20.5 v v
Rwyt SC v v
Gemelli v v
v v v
Ab 1x v v
Ab 1x v v
Jarak Persalinan 11 th v v
v v
G5 145 Ab 1x v v
22 142 v v
Ab 1 x v v
145 v v
16 bl v v
20 v v
v v
Kista v v
Ab 1x v v
Ab 1x v v
G5 Ab 1x v v
Ab 1x v v
G6 v v
21 v v
20 v v
Ab 2x v v
12 19 46 0 3 5 0 8 7 38 32 0 1 2 1 1 1 8 0 157 143 14 5 10 0
16 21 58 0 7 3 0 8 7 35 36 0 0 1 0 1 1 8 0 169 150 19 12 10 1
28 40 104 0 10 8 0 16 14 73 68 0 1 3 1 2 2 16 0 326 293 33 17 20 1
Abortus Lain-lain (Sebutkan fasyankesnya)
RS Bhina 7/2/23, JK=L BB=3,1 PB=49cm
Tgl 8/2/23, JK P,BB2600gr,PB49cm, SC di RS Bhina

33 22
33 19 19 22
25 21
25 22 bl
18 21 bl 22
21 18 18 21
22 39
Tgl 19/2/23, JK L,BB 3400gr,PB 49cm, spomtan di RSI Arafah

PKM Lasem Tgl 5/2/2023, JK=P, BB 3000 gr, PB 50 cm
RSI Arafah15/02/2023 jk: P BB:2450gr PB:45cm
RS Bhina 11/02/2023 jk: P BB:3255gr PB:47cm

RS Bhina Bhakti Husada, 24-2-2023 JK L BB 2700 gr PB 48 cm
RSUD Rembang, 12-2-2023 Jk: P BB 2755 gr PB 50 cm
RSUD Rembang, 22-2-2023 Jk: L BB 3535 gr PB 55 cm
RSUD Rembang,tgl 9-2-2023 JK P BB 3240 gr PB 50 cm
RS Bhina, tgl 8-2-2023 JK L BB 4040 gr PB 51 cm

RSI Arafah, tgl 23-2-23 JK P BB 3100 gr PB 47 cm
RSI Arafah tgl 19/2/2023 JK L BB 2900 PB 48

0 22
1 24
1 46
Rwyt SC
Ab 2x
Riw PEB
Rwyt SC
v v
v v
v v
v v
v v
v v
v v
TAHUN 2023
Nama Puskesmas : LASEM

Bulan : Maret
Umur Kehamilan(mgg)
Umur Ibu Saat
Primigravida

Hamil ini
Hamil diluar nikah
Paritas > 4
<20th >35th <20th >35th
280
1 Nu Azizah Romadhona Agus Irwanto Karasgede 8/3 082228117007 3317144604900001 G3P2A0 7/10/2022 4/16/2023 32 14 bl
2 Meita Nurmawati Krisna Bayu Karasgede 6/2 3317114705960001 G1P0A0 12/29/2020 10/5/2021 12
3 Lina Setyaningsih Dwi Joko Prasetyo Karasgede 1/1 083103711845 3317114809980003 G1P0A0 15/9/22 6/22/2023 22
5 Nur Imatul Mahbubah Ahmad Ahyar Anas Karasgede 1/1 081392730522 3317144306990003 G1P0A0 20/10/22 7/27/2023 16
6 Choiriyah nur Azizah Teguh Wibowo Karasgede 6/2 0895361325100 3317144312970001 G2P1A0 24/10/22 7/31/2023 16
7 Riska Arum Pratami Ahmad Sediyono Karasgede 9/3 081324477152 3317144306990002 G2P1A0 25/11/2022 9/1/2023 12 18 bl
8 Tri astutik Maulana septian Karasgede 6/2 085225432889 3317145201920003 G2P1A0 5/6/2022 3/12/2023 38
9 Hidayana Afdul Rokim Jolotundo 1/1 085255172403 3317145805830001 G1P1A1 19/7/2022 4/25/2023 32
11 Siti Rafiut Dewi Masheri Jolotundo 3/1 0895636486791 1671104808840005 G2P1A0 25/6/2022 4/1/2023 32 38
12 Widiyastuti Puji S Jolotundo 11/5 082211167799 3317145606870002 G5P2A2 19/8/2022 5/26/2023 28 G5
13 Nur Aini Sabar Jolotundo 9/4 085725051113 3319027112830051 G4P3A0 8/15/2022 5/22/2023 39 39 G4 21 bl
14 Nova Pahlevi M. Nur Afif Jolotundo 10/5 082323354017 3317105011900001 G4P3A0 13/9/2022 6/20/2023 24 G4 10 bl
15 Sri Purwati Purwanto Jolotundo 13/6 3317145402840002 G3P2A0 10/11/2022 7/18/2023 20 38
16 Siti Aisiyah Nukman Yusuf Jolotundo 6/3 3274047012940006 G2P1A0 18/5/2022 2/22/2023 41 1 th
17 Muzaroah Subaidi Jolotundo 6/3 0882005765145 3319074706840003 G5P3A1 7/10/2022 7/14/2023 19 G5
18 Mu'indoh Lestari Bagus Riskiawan Jolotundo 9/4 0895827507085 3317145602020001 G2P1A0 3/12/2022 9/9/2023 16 1 th
19 Susianti Memet Teguh Widodo Jolotundo 3/1 3317116211880001 G2P1A0 17/12/2022 9/23/2023 14
20 Ainun Ningtyas Abdul M Jolotundo 12/5 087879758899 3317144503040002 G1P0A0 3/8/2022 5/10/2023 32 18 18 v
21 Diah Septiana Mokhamad Sulthon Jolotundo 16/7 3317146609930001 G2P1A0 28/7/2022 5/4/2023 38
22 Sumini Arwan Jolotundo 16/7 0882005339288 3317144801780001 G3P2A0 20/9/2022 6/27/2023 28 45
23 Nur Sholihah Syafa'atillah Ngemplak 3/3 089507663556 3317145608910001 G2P1A0 6/3/2022 3/10/2023 40 8 bl
24 Atika Nur Rohmah M Danivul Haq Ngemplak 3/3 085325057543 3317146011930003 G2P1A0 11/23/2022 8/30/2023 16 15 bl
25 Indah Sulistyowati A Rizal S Ngemplak 1/1 081358437399 3317145510010002 G2P0A1 6/15/2022 3/22/2023 35
26 Adevian Giharsani Deny Firmansyah Ngemplak 2/2 0859166043398 3317145006920002 G2P1A0 7/4/2022 4/10/2023 37
27 Siti Nur Kholifah M Agung Ngemplak 1/4 081393767281 3317146406030001 G1P0A0 04/07/2022 4/10/2023 37 19 19
28 Chilyatus Sholihah Listyo Sapta Ngemplak 2/4 085641550614 3317145001880003 G3P0A2 8/8/2022 5/15/2023 31
29 Istiqomah Enngar Budi Ngemplak 1/1 082134070629 3309045011890005 G3P2A0 10-08-2022 5/17/2023 31 22 bl
30 Deasy Nur Aqsha Nur Cholis Ngemplak 2/6 0895412875800 3317145912950001 G2P1A0 10/10/2022 7/17/2023 22 21 bl
31 Siti Ngaisah M Catur Ngemplak 2/4 082120188295 3317044512040001 G1P0A0 9/5/2022 6/12/2023 26 18 18
32 Laily Rosyita Sampurno Ngemplak 1/5 082223100626 3319025203830005 G3P2A0 14/09/2022 6/21/2023 25 39
33 Niswatul Ulya Bishri Faisol Ngemplak 2/4 089695262520 3320115901920006 G3P2A0 11/25/2022 9/1/2023 16 18 bl
34 Diah Cahyaningsih Frengki Prabowo Dasun 2/1 085777886095 317508703970008 G1P0A0 20/07/2022 4/26/2023 32
35 Wina Astuti Pardiyanto Dasun 1/1 081818275300 3317144810910002 G4P1A2 27/11/2022 9/3/2023 16 22,5 cm
36 Sumarni Purwantoro Dasun 3/1 085290170727 331713670684000` G2P1A0 17/06/2022 3/24/2023 36 41 th
37 Marfuatin Sutarto Dasun 3/1 085879553933 331819409840003 G5P3A1 26/07/2022 5/2/2023 32 38 th
39 Adela cempaka mardiyana Vuguh Insan Pambudi Babagan 5/2 082134488479 3317144903850004 G3P2A0 17/7/2022 4/23/2023 33 19 19
41 Herlina Surya Saputri Supri Babagan 10/4 082322130316 3317146808860001 G4P2A1 9/2/2022 6/9/2023 25 22 bl
42 Irawati Suyono Babagan 8/3 3317144304200001 G2P1A0 7/28/2022 5/4/2023 18 21 bl
43 Aqila arwa millah M.Rosyid Babagan 10/4 085229005946 3317146308010001 G2P1A0 12 9bln
48 Nurul hidayah Agus riyanto Karangturi 1/5 085642018285 3317145706920005 G1P0A0 9/8/2022 5/16/2023 33
48 Isabela sera morela Diki triyanto Karangturi 2/5 081392014605 3317145201000004 G1P0A0 26/7/2022 5/2/2023 34 16 16
49 Sudjarwati Slamet Karangturi 2/4 083113925203 3317144801830001 G3P2A0 3/1/2023 10/10/2023 12 40
50 Eva nathalia Iwan sugianto Karangturi 3/2 08993333128 3317146601870001 G3P2A0 3/1/2023 10/10/2023 12 36
51 Ika nur hayati santoso Aris purnama Karangturi 2/4 08978687400 3317142211080582 G2P1A0 23/1/2023 10/30/2023 10 15 bl
52 Devi noviya Teguh santoso Karangturi 2/4 0895326372410 3317146111990002 G1P0A0 18/12/2022 9/24/2023 13
53 Suyanti Julianto Binangun 5/2 082133015127 3317147107850001 G3P2A0 15-10-2022 7/22/2023 20 37
54 Wati Rahayuni M. Khozainul A Binangun 2/1 085713285355 3317145906010002 G1P0A0 14/8/2022 5/21/2023 28
56 Diana Karisma Agus Kurniawan Binangun 6/3 081390060506 3317146006020005 G1P0A0 3/9/2022 6/10/2023 28 v
57 Yuli Royasari Sutono Binangun 5/2 085229396836 3317146007880001 G2P1A0 20/12/2022 9/26/2023 12
58 Sri Mumpuni Muthoharoh M Yahya Gowak 6/3 081226580956 3317145702880005 G3P2A0 12/6/2022 3/19/2023 40
59 Monica Nur Kholifah Sumarno Gowak 9/5 0895395310761 3317095903990001 G1P0A0 13/6/2022 3/20/2023 39
60 Indriana Suci Ningsih M Agus S Gowak 10/5 082138638122 3317115209980001 G1P0A0 5/12/2022 9/11/2023 14
61 Heni Puryantika Parmin Gowak 1/1 082224049964 3317146006970001 G3P1A1 11/10/2022 7/18/2023 23
62 Erni Kusumoningrum Dodi Hermawan Gowak 9/5 082135438671 3317146403000001 G1P0A0 10/7/2022 4/16/2023 35
63 Khusnul Khotimah Romadhon Gdm 1/1 085226161765 3317146509810004 G5P1A3 3/7/2022 4/9/2023 37 41
64 Sulaikah Budi Istanto Gdm 4/1 08127865713 3317137103790001 G4P3A0 13/8/2022 5/20/2023 28 43
65 Hilyatul Azizah Derajad Priyono Gdm 1/1 085641454909 3317144110900006 G2P1A0 15/10/2022 7/22/2023 20
66 Ludfia Widyaningtyas Sandi Pratama Gdm 2/1 085647781457 3317145408930001 G2P1A0 20/8/2022 5/27/2023 28
67 Fitri Ulestari Hepi Dwi Panggah Gdm 3/2 085316121363 3317146905870002 G2P1A0 24/9/2022 7/1/2023 25
68 Novia Ambarwati Edi Sukamto Gdm 1/2 082138285357 3317144811920002 G4P2A1 14/11/2022 8/21/2023 16
69 Septiyanti Pujianto Gdm 4/3 0895359975220 3317145800820001 G3P2A0 17/7/2022 4/23/2023 32
70 Dewi Sartika Hendro Jahya Gdm 4/3 0882006341570 1271016501930005 G3P2A0 14/10/2022 7/21/2023 20
71 Rina Elfiana Novianto Gdm 3/3 088216283306 3317145604000001 G2P1A0 4/9/2022 6/11/2023 28
72 Suprapti Warnan Gdm 2/3 08980311116 3317144505840001 G5P4A0 3/8/2022 5/10/2023 31 38 G5
73 Siti Zaroah Yulianto Gdm 2/3 085326524335 3317146303900001 G5P3A1 9/8/2022 5/16/2023 30 G5
74 sulastri a mulyono soditan 4/2 082275778 3317146603830003 g3p2a0 11/12/2022 9/17/2023 12 40 th
75 Hidayatul Muntolip soditan 1/1 08951880292 3317144110980003 G1P0A0 28/9/2022 7/5/2023 20
76 Suwaibah Muhamadun soditan 6/3 082313077387 3578314705920001 G3P2A0 7/7/2022 4/13/2023 32
77 winda natasa m - soditan 3/2 083106065027 3317145806090001 g1p0a0 10/10/2022 7/17/2023 20 14 th
78 Umi sakro Abdul rohman romli soditan 7/4 089679043958 3319084609950003 G2P1A0 5/7/2022 4/11/2023 32 19 bl
83 Wasriyanti sukardi soditam 3/2 083106063231 3317145304820005 G4P2A1 11/12/2022 9/17/2023 13 41
84 Siti rahmawati M dulfani soditan 9/4 081337718038 3317136009040002 G1P0A0 8/12/2022 9/14/2023 12 18 18
85 Lukluatun Nafisah Purhadi Hendro Gdm 1/3 10/6/1900
86 Dia Sofawati A.Rofiq Gdm 1/4 08570300089 3317145804990001 G3P1A1 1/11/2022 8/8/2023 20
87 Sri Winanti Nur Apit Gdm 2/4 087833357548 3317145502920001 G2P1A0 29/10/22 8/5/2023 20
89 10/6/1900
90 10/6/1900
91 10/6/1900
92 10/6/1900
93 10/6/1900
94 10/6/1900
95 10/6/1900
96 10/6/1900
97 10/6/1900
98 10/6/1900
99 10/6/1900
100 10/6/1900
101 10/6/1900
102 10/6/1900
103 10/6/1900
104 10/6/1900
105 10/6/1900
106 10/6/1900
107 10/6/1900
108 10/6/1900
109 10/6/1900
110 10/6/1900
111 10/6/1900
112 10/6/1900
113 10/6/1900
114 10/6/1900
115 10/6/1900
116 10/6/1900
117 10/6/1900
118 10/6/1900
119 10/6/1900
120 10/6/1900
121 10/6/1900
122 10/6/1900
123 10/6/1900
124 10/6/1900
125 10/6/1900
126 10/6/1900
127 10/6/1900
128 10/6/1900
129 10/6/1900
130 10/6/1900
131 10/6/1900
132 10/6/1900
133 10/6/1900
134 10/6/1900
135 10/6/1900
136 10/6/1900
137 10/6/1900
138 10/6/1900
139 10/6/1900
140 10/6/1900
141 10/6/1900
142 10/6/1900
143 10/6/1900
144 10/6/1900
145 10/6/1900
146 10/6/1900
147 10/6/1900
148 10/6/1900
149 10/6/1900
150 10/6/1900
151 10/6/1900
152 10/6/1900
153 10/6/1900
154 10/6/1900
155 10/6/1900
156 10/6/1900
157 10/6/1900
158 10/6/1900
159 10/6/1900
160 10/6/1900
161 10/6/1900
162 10/6/1900
163 10/6/1900
164 10/6/1900
165 10/6/1900
166 10/6/1900
167 10/6/1900
168 10/6/1900
169 10/6/1900
170 10/6/1900
171 10/6/1900
172 10/6/1900
173 10/6/1900
174 10/6/1900
175 10/6/1900
176 10/6/1900
177 10/6/1900
178 10/6/1900
179 10/6/1900
180 10/6/1900
Jumlah 89 89 81 88 88 87 180 88 7 20 6 0 2 6 16
Kom s/d bl. Lalu 343 343 334 342 344 343 343 336 10 76 7 2 2 28 40
Kom s/d bl. ini 432 432 415 430 432 430 523 424 17 96 13 2 4 34 56
0
21
22
22
22
22
23
19
23
21
22
Lila < 23.5 cm
HB<11 gr/dl
144
TB < 145 cm

Panggul

sblmya
Riw PEB
Riw PEB
peny. Kronis
HbsAg +
Riwayat Kehamilan
Ab 2x
Ab 1x
Ab 1x
Ab 2x
buruk
Riwayat partus dg
Rwyt SC
Rwyt SC
Rwyt SC
Rwyt SC
Rwyt SC
tindakan
Rwyt SC 2x
Riwayat Nifas dg
komplikasi

Kel. Jmlh Janin
Serotinus

>40cm)

> 32 mgg
Lain - lain
KPD+lilitan tali pusat 3x
Masy
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
Nakes
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
Deteksi dini Oleh
Dirujuk
Pusk RS
v
v
v
v
Normal
v
SC
v
v
v
Partus
Lainnya
Tindakan
Abortus
RSI Arafah Tgl 18/03/2023

RSUD Rembang Tgl 02/03/20
22 Rwyt SC v v
21 v v
v v
v v
21 cm
22,5 cm Abortus 2x
PEB v v induksi partus tgl 22/3/23 jk
Abortus 1x
22 Rwyt SC v v
22 v v
21 Ab 2x v v
Riw PEB v v
22 Rwyt SC v v
Rwyt SC v v v Partus tgl 24/2/2023 JK

Rwyt SC v v v Partu tgl 15/3/2023 JK
Rwyt SC v v
Rwyt SC v v
19 Gemelli v v
21.5 v v
18 v v
Riwyt SC 2 x v v
v v
HBSAG + v v
v v
22.5 v v
v v
jarak persalinan 16 th v v
23 143 v v
23 v v v Partus RSI Arafah tgl 18/3/20
19 v v
145 Ab 1x Riw SC v v
10.6 v v
Ab 3x Riw SC
Riw SC
Riw SC
22
20.5 Ab 1x
Riw SC
Riw SC
Ab 1x
v v
21 v v
22.5 v v
v v
v v
v v
Ab 1x v v
Rwyt SC v v
v v
Ab 1x v v
v v
22.5 Ab 1x
Ab 1x
Riw Sc
HT v v
30 0 1 3 0 4 1 15 23 0 1 1 0 0 0 3 0 71 67 4 4 6 0 0
104 0 10 8 0 16 14 73 68 0 1 3 1 2 2 16 0 326 293 33 17 20 1 1
134 0 11 11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1
Lain-lain (Sebutkan fasyankesnya)
Tgl 4/3/2023,JK L,BB1280gr,PB36cm,SC di RS Bhina
Tgl 18/3/2023,JK P,BB3200gr,PB49cm,SC di RS Bhina
Tgl 26/2/2023,JK P,BB3500gr,PB50cm,Spontan di RS Bhina
Tgl 18/3/2023,JK L,BB3700gr,PB49cm,SC di RS Bhina
RSUD Rembang Tgl 02/03/2023 JK: L BB: 2500gr PB: 50cm
RSI Arafah Tgl 18/03/2023 JK: L BB: 3300gr PB: 49cm

partus tgl 22/3/23 jk lk2 bb 3300 gr,pb 49
Partus tgl 24/2/2023 JK L BB 2640 gr PB 48cm

Partu tgl 15/3/2023 JK P BB 2800 grPB 48 cm
Partus RSI Arafah tgl 18/3/2023, JK : P, BB: 3100 gr, PB : 47

10
46
56
TAHUN 2023
Nama Puskesmas :
Bulan : April
Faktor Res
Umur Ibu Saat

Primigravida
< 23.5 cm
Hamil ini
Hamil diluar nikah
HB<11 gr/dl
Paritas > 4
<20th >35th <20th >35th
Lila
280
1 10/6/1900
2 10/6/1900
3 10/6/1900
4 10/6/1900
5 10/6/1900
6 10/6/1900
7 10/6/1900
8 10/6/1900
9 10/6/1900
10 10/6/1900
11 10/6/1900
12 10/6/1900
13 10/6/1900
14 10/6/1900
15 10/6/1900
16 10/6/1900
17 10/6/1900
18 10/6/1900
19 10/6/1900
20 10/6/1900
21 10/6/1900
22 10/6/1900
23 10/6/1900
24 10/6/1900
25 10/6/1900
26 10/6/1900
27 10/6/1900
28 10/6/1900
29 10/6/1900
30 10/6/1900
31 10/6/1900
32 10/6/1900
33 10/6/1900
34 10/6/1900
35 10/6/1900
36 10/6/1900
37 10/6/1900
38 10/6/1900
39 10/6/1900
40 10/6/1900
41 10/6/1900
42 10/6/1900
43 10/6/1900
44 10/6/1900
45 10/6/1900
46 10/6/1900
47 10/6/1900
48 10/6/1900
49 10/6/1900
50 10/6/1900
51 10/6/1900
52 10/6/1900
53 10/6/1900
54 10/6/1900
55 10/6/1900
56 10/6/1900
57 10/6/1900
58 10/6/1900
59 10/6/1900
60 10/6/1900
61 10/6/1900
62 10/6/1900
63 10/6/1900
64 10/6/1900
65 10/6/1900
66 10/6/1900
67 10/6/1900
68 10/6/1900
69 10/6/1900
70 10/6/1900
71 10/6/1900
72 10/6/1900
73 10/6/1900
74 10/6/1900
75 10/6/1900
76 10/6/1900
77 10/6/1900
78 10/6/1900
79 10/6/1900
80 10/6/1900
Jumlah 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 432 ###432 415 430 432 430 523 424 17 96 13 2 4 34 56 134 0 11
Kom s/d bl. ini 432 ###432 415 430 432 430 603 424 17 96 13 2 4 34 56 134 0 11
0
TB < 145 cm

Panggul

sblmya

peny. Kronis
Riwayat Kehamilan
buruk
Riwayat partus dg
tindakan
Riwayat Nifas dg
komplikasi

Kel. Jmlh Janin
Serotinus

>40cm)

> 32 mgg
Lain - lain
Masy
Nakes
Deteksi dini Oleh
Dirujuk
Pusk RS
Normal
SC
Partus
Lainnya
Tindakan
Abortus
Lain-lain
(Sebutkan
fasyankesnya)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
TAHUN 2023
Nama Puskesmas :
Bulan : Mei
Faktor Res
Umur Ibu Saat

Primigravida
< 23.5 cm
Hamil ini
Hamil diluar nikah
HB<11 gr/dl
Paritas > 4
<20th >35th <20th >35th
Lila
280
1 10/6/1900
2 10/6/1900
3 10/6/1900
4 10/6/1900
5 10/6/1900
6 10/6/1900
7 10/6/1900
8 10/6/1900
9 10/6/1900
10 10/6/1900
11 10/6/1900
12 10/6/1900
13 10/6/1900
14 10/6/1900
15 10/6/1900
16 10/6/1900
17 10/6/1900
18 10/6/1900
19 10/6/1900
20 10/6/1900
21 10/6/1900
22 10/6/1900
23 10/6/1900
24 10/6/1900
25 10/6/1900
26 10/6/1900
27 10/6/1900
28 10/6/1900
29 10/6/1900
30 10/6/1900
31 10/6/1900
32 10/6/1900
33 10/6/1900
34 10/6/1900
35 10/6/1900
36 10/6/1900
37 10/6/1900
38 10/6/1900
39 10/6/1900
40 10/6/1900
41 10/6/1900
42 10/6/1900
43 10/6/1900
44 10/6/1900
45 10/6/1900
46 10/6/1900
47 10/6/1900
48 10/6/1900
49 10/6/1900
50 10/6/1900
51 10/6/1900
52 10/6/1900
53 10/6/1900
54 10/6/1900
55 10/6/1900
56 10/6/1900
57 10/6/1900
58 10/6/1900
59 10/6/1900
60 10/6/1900
61 10/6/1900
62 10/6/1900
63 10/6/1900
64 10/6/1900
65 10/6/1900
66 10/6/1900
67 10/6/1900
68 10/6/1900
69 10/6/1900
70 10/6/1900
71 10/6/1900
72 10/6/1900
73 10/6/1900
74 10/6/1900
75 10/6/1900
76 10/6/1900
77 10/6/1900
78 10/6/1900
79 10/6/1900
80 10/6/1900
Jumlah 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 432 ###432 415 430 432 430 603 424 17 96 13 2 4 34 56 134 0 11
Kom s/d bl. ini 432 ###432 415 430 432 430 683 424 17 96 13 2 4 34 56 134 0 11
0
TB < 145 cm

Panggul

sblmya

peny. Kronis
Riwayat Kehamilan
buruk
Riwayat partus dg
tindakan
Riwayat Nifas dg
komplikasi

Kel. Jmlh Janin
Serotinus

>40cm)

> 32 mgg
Lain - lain
Masy
Nakes
Deteksi dini Oleh
Dirujuk
Pusk RS
Normal
SC
Partus
Lainnya
Tindakan
Abortus
Lain-lain
(Sebutkan
fasyankesnya)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
TAHUN 2023
Nama Puskesmas :
Bulan : Juni
Faktor Res
Umur Ibu Saat

Primigravida
< 23.5 cm
Hamil ini
Hamil diluar nikah
HB<11 gr/dl
Paritas > 4
<20th >35th <20th >35th
Lila
280
1 10/6/1900
2 10/6/1900
3 10/6/1900
4 10/6/1900
5 10/6/1900
6 10/6/1900
7 10/6/1900
8 10/6/1900
9 10/6/1900
10 10/6/1900
11 10/6/1900
12 10/6/1900
13 10/6/1900
14 10/6/1900
15 10/6/1900
16 10/6/1900
17 10/6/1900
18 10/6/1900
19 10/6/1900
20 10/6/1900
21 10/6/1900
22 10/6/1900
23 10/6/1900
24 10/6/1900
25 10/6/1900
26 10/6/1900
27 10/6/1900
28 10/6/1900
29 10/6/1900
30 10/6/1900
31 10/6/1900
32 10/6/1900
33 10/6/1900
34 10/6/1900
35 10/6/1900
36 10/6/1900
37 10/6/1900
38 10/6/1900
39 10/6/1900
40 10/6/1900
41 10/6/1900
42 10/6/1900
43 10/6/1900
44 10/6/1900
45 10/6/1900
46 10/6/1900
47 10/6/1900
48 10/6/1900
49 10/6/1900
50 10/6/1900
51 10/6/1900
52 10/6/1900
53 10/6/1900
54 10/6/1900
55 10/6/1900
56 10/6/1900
57 10/6/1900
58 10/6/1900
59 10/6/1900
60 10/6/1900
61 10/6/1900
62 10/6/1900
63 10/6/1900
64 10/6/1900
65 10/6/1900
66 10/6/1900
67 10/6/1900
68 10/6/1900
69 10/6/1900
70 10/6/1900
71 10/6/1900
72 10/6/1900
73 10/6/1900
74 10/6/1900
75 10/6/1900
76 10/6/1900
77 10/6/1900
78 10/6/1900
79 10/6/1900
80 10/6/1900
Jumlah 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 432 ###432 415 430 432 430 683 424 17 96 13 2 4 34 56 134 0 11
Kom s/d bl. ini 432 ###432 415 430 432 430 763 424 17 96 13 2 4 34 56 134 0 11
0
TB < 145 cm

Panggul

sblmya

peny. Kronis
Riwayat Kehamilan
buruk
Riwayat partus dg
tindakan
Riwayat Nifas dg
komplikasi

Kel. Jmlh Janin
Serotinus

>40cm)

> 32 mgg
Lain - lain
Masy
Nakes
Deteksi dini Oleh
Dirujuk
Pusk RS
Normal
SC
Partus
Lainnya
Tindakan
Abortus
Lain-lain
(Sebutkan
fasyankesnya)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
TAHUN 2023
Nama Puskesmas :
Bulan : Juli
Faktor Res
Umur Ibu Saat

Primigravida
< 23.5 cm
Hamil ini
Hamil diluar nikah
HB<11 gr/dl
Paritas > 4
<20th >35th <20th >35th
Lila
280
1 10/6/1900
2 10/6/1900
3 10/6/1900
4 10/6/1900
5 10/6/1900
6 10/6/1900
7 10/6/1900
8 10/6/1900
9 10/6/1900
10 10/6/1900
11 10/6/1900
12 10/6/1900
13 10/6/1900
14 10/6/1900
15 10/6/1900
16 10/6/1900
17 10/6/1900
18 10/6/1900
19 10/6/1900
20 10/6/1900
21 10/6/1900
22 10/6/1900
23 10/6/1900
24 10/6/1900
25 10/6/1900
26 10/6/1900
27 10/6/1900
28 10/6/1900
29 10/6/1900
30 10/6/1900
31 10/6/1900
32 10/6/1900
33 10/6/1900
34 10/6/1900
35 10/6/1900
36 10/6/1900
37 10/6/1900
38 10/6/1900
39 10/6/1900
40 10/6/1900
41 10/6/1900
42 10/6/1900
43 10/6/1900
44 10/6/1900
45 10/6/1900
46 10/6/1900
47 10/6/1900
48 10/6/1900
49 10/6/1900
50 10/6/1900
51 10/6/1900
52 10/6/1900
53 10/6/1900
54 10/6/1900
55 10/6/1900
56 10/6/1900
57 10/6/1900
58 10/6/1900
59 10/6/1900
60 10/6/1900
61 10/6/1900
62 10/6/1900
63 10/6/1900
64 10/6/1900
65 10/6/1900
66 10/6/1900
67 10/6/1900
68 10/6/1900
69 10/6/1900
70 10/6/1900
71 10/6/1900
72 10/6/1900
73 10/6/1900
74 10/6/1900
75 10/6/1900
76 10/6/1900
77 10/6/1900
78 10/6/1900
79 10/6/1900
80 10/6/1900
Jumlah 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 432 ###432 415 430 432 430 763 424 17 96 13 2 4 34 56 134 0 11
Kom s/d bl. ini 432 ###432 415 430 432 430 843 424 17 96 13 2 4 34 56 134 0 11
0
TB < 145 cm

Panggul

sblmya

peny. Kronis
Riwayat Kehamilan
buruk
Riwayat partus dg
tindakan
Riwayat Nifas dg
komplikasi

Kel. Jmlh Janin
Serotinus

>40cm)

> 32 mgg
Lain - lain
Masy
Nakes
Deteksi dini Oleh
Dirujuk
Pusk RS
Normal
SC
Partus
Lainnya
Tindakan
Abortus
Lain-lain
(Sebutkan
fasyankesnya)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
TAHUN 2023
Nama Puskesmas :
Bulan : Agustus
Faktor Res
Umur Ibu Saat

Primigravida
< 23.5 cm
Hamil ini
Hamil diluar nikah
HB<11 gr/dl
Paritas > 4
<20th >35th <20th >35th
Lila
280
1 10/6/1900
2 10/6/1900
3 10/6/1900
4 10/6/1900
5 10/6/1900
6 10/6/1900
7 10/6/1900
8 10/6/1900
9 10/6/1900
10 10/6/1900
11 10/6/1900
12 10/6/1900
13 10/6/1900
14 10/6/1900
15 10/6/1900
16 10/6/1900
17 10/6/1900
18 10/6/1900
19 10/6/1900
20 10/6/1900
21 10/6/1900
22 10/6/1900
23 10/6/1900
24 10/6/1900
25 10/6/1900
26 10/6/1900
27 10/6/1900
28 10/6/1900
29 10/6/1900
30 10/6/1900
31 10/6/1900
32 10/6/1900
33 10/6/1900
34 10/6/1900
35 10/6/1900
36 10/6/1900
37 10/6/1900
38 10/6/1900
39 10/6/1900
40 10/6/1900
41 10/6/1900
42 10/6/1900
43 10/6/1900
44 10/6/1900
45 10/6/1900
46 10/6/1900
47 10/6/1900
48 10/6/1900
49 10/6/1900
50 10/6/1900
51 10/6/1900
52 10/6/1900
53 10/6/1900
54 10/6/1900
55 10/6/1900
56 10/6/1900
57 10/6/1900
58 10/6/1900
59 10/6/1900
60 10/6/1900
61 10/6/1900
62 10/6/1900
63 10/6/1900
64 10/6/1900
65 10/6/1900
66 10/6/1900
67 10/6/1900
68 10/6/1900
69 10/6/1900
70 10/6/1900
71 10/6/1900
72 10/6/1900
73 10/6/1900
74 10/6/1900
75 10/6/1900
76 10/6/1900
77 10/6/1900
78 10/6/1900
79 10/6/1900
80 10/6/1900
Jumlah 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 432 ###432 415 430 432 430 843 424 17 96 13 2 4 34 56 134 0 11
Kom s/d bl. ini 432 ###432 415 430 432 430 923 424 17 96 13 2 4 34 56 134 0 11
0
TB < 145 cm

Panggul

sblmya

peny. Kronis
Riwayat Kehamilan
buruk
Riwayat partus dg
tindakan
Riwayat Nifas dg
komplikasi

Kel. Jmlh Janin
Serotinus

>40cm)

> 32 mgg
Lain - lain
Masy
Nakes
Deteksi dini Oleh
Dirujuk
Pusk RS
Normal
SC
Partus
Lainnya
Tindakan
Abortus
Lain-lain
(Sebutkan
fasyankesnya)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
TAHUN 2023
Nama Puskesmas :
Bulan : Sept
Faktor Res
Umur Ibu Saat

Primigravida
< 23.5 cm
Hamil ini
Hamil diluar nikah
HB<11 gr/dl
Paritas > 4
<20th >35th <20th >35th
Lila
280
1 10/6/1900
2 10/6/1900
3 10/6/1900
4 10/6/1900
5 10/6/1900
6 10/6/1900
7 10/6/1900
8 10/6/1900
9 10/6/1900
10 10/6/1900
11 10/6/1900
12 10/6/1900
13 10/6/1900
14 10/6/1900
15 10/6/1900
16 10/6/1900
17 10/6/1900
18 10/6/1900
19 10/6/1900
20 10/6/1900
21 10/6/1900
22 10/6/1900
23 10/6/1900
24 10/6/1900
25 10/6/1900
26 10/6/1900
27 10/6/1900
28 10/6/1900
29 10/6/1900
30 10/6/1900
31 10/6/1900
32 10/6/1900
33 10/6/1900
34 10/6/1900
35 10/6/1900
36 10/6/1900
37 10/6/1900
38 10/6/1900
39 10/6/1900
40 10/6/1900
41 10/6/1900
42 10/6/1900
43 10/6/1900
44 10/6/1900
45 10/6/1900
46 10/6/1900
47 10/6/1900
48 10/6/1900
49 10/6/1900
50 10/6/1900
51 10/6/1900
52 10/6/1900
53 10/6/1900
54 10/6/1900
55 10/6/1900
56 10/6/1900
57 10/6/1900
58 10/6/1900
59 10/6/1900
60 10/6/1900
61 10/6/1900
62 10/6/1900
63 10/6/1900
64 10/6/1900
65 10/6/1900
66 10/6/1900
67 10/6/1900
68 10/6/1900
69 10/6/1900
70 10/6/1900
71 10/6/1900
72 10/6/1900
73 10/6/1900
74 10/6/1900
75 10/6/1900
76 10/6/1900
77 10/6/1900
78 10/6/1900
79 10/6/1900
80 10/6/1900
Jumlah 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 432 ###432 415 430 432 430 923 424 17 96 13 2 4 34 56 134 0 11
Kom s/d bl. ini 432 ###432 415 430 432 430 1003 424 17 96 13 2 4 34 56 134 0 11
0
TB < 145 cm

Panggul

sblmya

peny. Kronis
Riwayat Kehamilan
buruk
Riwayat partus dg
tindakan
Riwayat Nifas dg
komplikasi

Kel. Jmlh Janin
Serotinus

>40cm)

> 32 mgg
Lain - lain
Masy
Nakes
Deteksi dini Oleh
Dirujuk
Pusk RS
Normal
SC
Partus
Lainnya
Tindakan
Abortus
Lain-lain
(Sebutkan
fasyankesnya)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
TAHUN 2023
Nama Puskesmas :
Bulan : Oktober
Faktor Res
Umur Ibu Saat

Primigravida
< 23.5 cm
Hamil ini
Hamil diluar nikah
HB<11 gr/dl
Paritas > 4
<20th >35th <20th >35th
Lila
280
1 10/6/1900
2 10/6/1900
3 10/6/1900
4 10/6/1900
5 10/6/1900
6 10/6/1900
7 10/6/1900
8 10/6/1900
9 10/6/1900
10 10/6/1900
11 10/6/1900
12 10/6/1900
13 10/6/1900
14 10/6/1900
15 10/6/1900
16 10/6/1900
17 10/6/1900
18 10/6/1900
19 10/6/1900
20 10/6/1900
21 10/6/1900
22 10/6/1900
23 10/6/1900
24 10/6/1900
25 10/6/1900
26 10/6/1900
27 10/6/1900
28 10/6/1900
29 10/6/1900
30 10/6/1900
31 10/6/1900
32 10/6/1900
33 10/6/1900
34 10/6/1900
35 10/6/1900
36 10/6/1900
37 10/6/1900
38 10/6/1900
39 10/6/1900
40 10/6/1900
41 10/6/1900
42 10/6/1900
43 10/6/1900
44 10/6/1900
45 10/6/1900
46 10/6/1900
47 10/6/1900
48 10/6/1900
49 10/6/1900
50 10/6/1900
51 10/6/1900
52 10/6/1900
53 10/6/1900
54 10/6/1900
55 10/6/1900
56 10/6/1900
57 10/6/1900
58 10/6/1900
59 10/6/1900
60 10/6/1900
61 10/6/1900
62 10/6/1900
63 10/6/1900
64 10/6/1900
65 10/6/1900
66 10/6/1900
67 10/6/1900
68 10/6/1900
69 10/6/1900
70 10/6/1900
71 10/6/1900
72 10/6/1900
73 10/6/1900
74 10/6/1900
75 10/6/1900
76 10/6/1900
77 10/6/1900
78 10/6/1900
79 10/6/1900
80 10/6/1900
Jumlah 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 432 ###432 415 430 432 430 1003 424 17 96 13 2 4 34 56 134 0 11
Kom s/d bl. ini 432 ###432 415 430 432 430 1083 424 17 96 13 2 4 34 56 134 0 11
0
TB < 145 cm

Panggul

sblmya

peny. Kronis
Riwayat Kehamilan
buruk
Riwayat partus dg
tindakan
Riwayat Nifas dg
komplikasi

Kel. Jmlh Janin
Serotinus

>40cm)

> 32 mgg
Lain - lain
Masy
Nakes
Deteksi dini Oleh
Dirujuk
Pusk RS
Normal
SC
Partus
Lainnya
Tindakan
Abortus
Lain-lain
(Sebutkan
fasyankesnya)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
TAHUN 2023
Nama Puskesmas :
Bulan : November
Faktor Res
Umur Ibu Saat

Primigravida
< 23.5 cm
Hamil ini
Hamil diluar nikah
HB<11 gr/dl
Paritas > 4
<20th >35th <20th >35th
Lila
280
1 10/6/1900
2 10/6/1900
3 10/6/1900
4 10/6/1900
5 10/6/1900
6 10/6/1900
7 10/6/1900
8 10/6/1900
9 10/6/1900
10 10/6/1900
11 10/6/1900
12 10/6/1900
13 10/6/1900
14 10/6/1900
15 10/6/1900
16 10/6/1900
17 10/6/1900
18 10/6/1900
19 10/6/1900
20 10/6/1900
21 10/6/1900
22 10/6/1900
23 10/6/1900
24 10/6/1900
25 10/6/1900
26 10/6/1900
27 10/6/1900
28 10/6/1900
29 10/6/1900
30 10/6/1900
31 10/6/1900
32 10/6/1900
33 10/6/1900
34 10/6/1900
35 10/6/1900
36 10/6/1900
37 10/6/1900
38 10/6/1900
39 10/6/1900
40 10/6/1900
41 10/6/1900
42 10/6/1900
43 10/6/1900
44 10/6/1900
45 10/6/1900
46 10/6/1900
47 10/6/1900
48 10/6/1900
49 10/6/1900
50 10/6/1900
51 10/6/1900
52 10/6/1900
53 10/6/1900
54 10/6/1900
55 10/6/1900
56 10/6/1900
57 10/6/1900
58 10/6/1900
59 10/6/1900
60 10/6/1900
61 10/6/1900
62 10/6/1900
63 10/6/1900
64 10/6/1900
65 10/6/1900
66 10/6/1900
67 10/6/1900
68 10/6/1900
69 10/6/1900
70 10/6/1900
71 10/6/1900
72 10/6/1900
73 10/6/1900
74 10/6/1900
75 10/6/1900
76 10/6/1900
77 10/6/1900
78 10/6/1900
79 10/6/1900
80 10/6/1900
Jumlah 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 432 ###432 415 430 432 430 1083 424 17 96 13 2 4 34 56 134 0 11
Kom s/d bl. ini 432 ###432 415 430 432 430 1163 424 17 96 13 2 4 34 56 134 0 11
0
TB < 145 cm

Panggul

sblmya

peny. Kronis
Riwayat Kehamilan
buruk
Riwayat partus dg
tindakan
Riwayat Nifas dg
komplikasi

Kel. Jmlh Janin
Serotinus

>40cm)

> 32 mgg
Lain - lain
Masy
Nakes
Deteksi dini Oleh
Dirujuk
Pusk RS
Normal
SC
Partus
Lainnya
Tindakan
Abortus
Lain-lain
(Sebutkan
fasyankesnya)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
TAHUN 2023
Nama Puskesmas : Lasem

Bulan : Desember
Faktor Res
Umur Ibu Saat

Primigravida
< 23.5 cm
Hamil ini
Hamil diluar nikah
HB<11 gr/dl
Paritas > 4
<20th >35th <20th >35th
Lila
280
1 10/6/1900
2 10/6/1900
3 10/6/1900
4 10/6/1900
5 10/6/1900
6 10/6/1900
7 10/6/1900
8 10/6/1900
9 10/6/1900
10 10/6/1900
11 10/6/1900
12 10/6/1900
13 10/6/1900
14 10/6/1900
15 10/6/1900
16 10/6/1900
17 10/6/1900
18 10/6/1900
19 10/6/1900
20 10/6/1900
21 10/6/1900
22 10/6/1900
23 10/6/1900
24 10/6/1900
25 10/6/1900
26 10/6/1900
27 10/6/1900
28 10/6/1900
29 10/6/1900
30 10/6/1900
31 10/6/1900
32 10/6/1900
33 10/6/1900
34 10/6/1900
35 10/6/1900
36 10/6/1900
37 10/6/1900
38 10/6/1900
39 10/6/1900
40 10/6/1900
41 10/6/1900
42 10/6/1900
43 10/6/1900
44 10/6/1900
45 10/6/1900
46 10/6/1900
47 10/6/1900
48 10/6/1900
49 10/6/1900
50 10/6/1900
51 10/6/1900
52 10/6/1900
53 10/6/1900
54 10/6/1900
55 10/6/1900
56 10/6/1900
57 10/6/1900
58 10/6/1900
59 10/6/1900
60 10/6/1900
61 10/6/1900
62 10/6/1900
63 10/6/1900
64 10/6/1900
65 10/6/1900
66 10/6/1900
67 10/6/1900
68 10/6/1900
69 10/6/1900
70 10/6/1900
71 10/6/1900
72 10/6/1900
73 10/6/1900
74 10/6/1900
75 10/6/1900
76 10/6/1900
77 10/6/1900
78 10/6/1900
79 10/6/1900
80 10/6/1900
Jumlah 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 432 ###432 415 430 432 430 1163 424 17 96 13 2 4 34 56 134 0 11
Kom s/d bl. ini 432 ###432 415 430 432 430 1243 424 17 96 13 2 4 34 56 134 0 11
0
TB < 145 cm

Panggul

sblmya

peny. Kronis
Riwayat Kehamilan
buruk
Riwayat partus dg
tindakan
Riwayat Nifas dg
komplikasi

Kel. Jmlh Janin
Serotinus

>40cm)

> 32 mgg
Lain - lain
Masy
Nakes
Deteksi dini Oleh
Dirujuk
Pusk RS
Normal
SC
Partus
Lainnya
Tindakan
Abortus
Lain-lain
(Sebutkan
fasyankesnya)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56
11 0 20 15 88 91 0 2 4 1 2 2 19 0 397 360 37 21 26 1 1 56

by Name Deteksi Dini Faktor Resiko Maternal (Konflik2023-03-24-10-24-44)

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by Name Deteksi Dini Faktor Resiko Maternal (Konflik2023-03-24-10-24-44)

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DETEKSI DINI FAKTOR RESIKO KEBIDANAN OLEH NAKES MAUPUN MASYARAKAT

Nama Puskesmas : Lasem

Jarak Prsalinan <2 th

Hamil diluar nikah

<20th >35th <20th >35th

Jumlah 173 173 169 173 173 173 173 173 6 41 4 1 0 16 21 58

kel. Btk pggl dan tl.

Riwayat hipertensi keh

Riw. Klg menderita DM,

Kel. Jmlh Janin

Kel. besar janin (TFU

Kel. Letak janin usia keh

Lain-lain (Sebutkan fasyankesnya)

RSI Arafah, 27/1/23, JK=L BB=3100gr, PB=49cm

PKM Lasem,10/1/23,JK:P BB:3600gr,PB:51cm

RSUD Rmbng ,22/12/2022,JK:P BB:2950cm,PB:49cm

RS Bhina 27/01/2023 JK: P BB: 3060gr PB: 50cm

Tgl 19/1/23 jk L BB 2566gr PB 49cm, RS PKU Pamotan

Tgl 30/1/2023 BB 3000 gr, PB 47 cm, Lk 32 cm, LD 31 cm, RSI Arafah

Tgl 25/1/2023, JK L, BB 3350 gr, PB 48 cm, RSI Arafah

RSI Arafah 16/12/2022 JK: L BB:3600gr PB:49cm

Nama Puskesmas : LASEM

Hamil diluar nikah

<20th >35th <20th >35th

Jumlah 170 170 165 169 171 170 170 163 4 35 3 1 2

kel. Btk pggl dan tl.

Riwayat hipertensi keh

Riw. Klg menderita DM,

Kel. Jmlh Janin

Kel. besar janin (TFU

Kel. Letak janin usia keh

Abortus Lain-lain (Sebutkan fasyankesnya)

RS Bhina 7/2/23, JK=L BB=3,1 PB=49cm

Tgl 8/2/23, JK P,BB2600gr,PB49cm, SC di RS Bhina

Tgl 19/2/23, JK L,BB 3400gr,PB 49cm, spomtan di RSI Arafah

RSI Arafah15/02/2023 jk: P BB:2450gr PB:45cm

RS Bhina 11/02/2023 jk: P BB:3255gr PB:47cm

RSUD Rembang,tgl 9-2-2023 JK P BB 3240 gr PB 50 cm

RS Bhina, tgl 8-2-2023 JK L BB 4040 gr PB 51 cm

RSI Arafah tgl 19/2/2023 JK L BB 2900 PB 48

Nama Puskesmas : LASEM

Jarak Prsalinan <2 th

Hamil diluar nikah

<20th >35th <20th >35th

pe(+) BB < 9kg slm hml

kel. Btk pggl dan tl.

Riwayat hipertensi keh

Riw. Klg menderita DM,

Kel. Jmlh Janin

Kel. besar janin (TFU

Kel. Letak janin usia keh

KPD+lilitan tali pusat 3x

RSI Arafah Tgl 18/03/2023

Rwyt SC v v v Partus tgl 24/2/2023 JK

Lain-lain (Sebutkan fasyankesnya)

Tgl 4/3/2023,JK L,BB1280gr,PB36cm,SC di RS Bhina

Tgl 18/3/2023,JK P,BB3200gr,PB49cm,SC di RS Bhina

Tgl 26/2/2023,JK P,BB3500gr,PB50cm,Spontan di RS Bhina

Tgl 18/3/2023,JK L,BB3700gr,PB49cm,SC di RS Bhina

RSUD Rembang Tgl 02/03/2023 JK: L BB: 2500gr PB: 50cm

RSI Arafah Tgl 18/03/2023 JK: L BB: 3300gr PB: 49cm

Partus tgl 24/2/2023 JK L BB 2640 gr PB 48cm

Partus RSI Arafah tgl 18/3/2023, JK : P, BB: 3100 gr, PB : 47