ˇ Refer Out Flow Chart Refer in MSKH - KKU Web Hosting · CPG Flow Chart Refer in MSKH ... Fetal...
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1 • กก • กกก • ก !"#Refer ((ก) Yes NO , LR ., -/!,ก0/!, - /!, /.2 /. Refer Out LR MSKH 90CPG Flow Chart Refer in MSKH !"#0Refer -LR !" -",E#E ((ก) Yes NO ER Rx 0E /!, //,0LR 0 Pt!"# ER/LR ER ER Rx 0E /!, //,0LR /!, //,0LR 0 Pt !"#ER/LR LR - - ก C/S OR Yes NO Flow Chart Refer in MSKH /.J. 2552 ; N!2EกO PNQ!J Intern E#00ก /.J.2553 ; 90Eก0 12 / . 0UกVWก!กกO!"#
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Transcript of ˇ Refer Out Flow Chart Refer in MSKH - KKU Web Hosting · CPG Flow Chart Refer in MSKH ... Fetal...
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Flow Chart Refer in MSKH
/.J. 2552 ; N��!2�����E�ก���� �����������O�
�PNQ����!J Intern ��E#���00ก���� ��
/.J.2553 ; �9�0� � ������E�ก���� ������0�� 12
�/� . ��0U���ก���VWก!�ก��ก������O������!"#�������
2
/.J.2553 ; - ����U� MCH Board !Uก 3 ��E�
- Case conference /.J. 2554 ; ก2����(!�ก�����������(���/!,
Emergency case !"#�/!, .�/,�0���U�� ��.!�������
1. Eclampsia2. Mild or Severe PIH !"#�"��ก���(�J"��� ���(��E�NUก��� �����ab3. Prolapsed cord4. Breech presentation with fully dilated5. APH with active bleeding with shock/anemia6. PPH with active bleeding with shock/anemia
7. Fetal distress !"# intrauterine resuscitation ��,� 15 �!"���( ����"�j�8. Failed V/E 9. Case OB or Gyn !"# shock10. Case OB or Gyn !"# Active bleeding with anemia
/.J. 2555 ;• �0������9�0� �ก��opqo�!�ก��ก��������� ������ !"#����กV�ก����
• �0������9�0� �ก��opqo�!�ก��ก��������� ������ !"#�������
• �0������9�0� �ก���/E#�ก����(,opq�E�"/!��ก��ก�ก�����ก���� ��
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28
1513
7 43 2.5
20
5
10
15
20
25
30
P/S
Medical disease PND
Malposition
Twin
Placenta previa
ThalassemiaIUGR
Referal rate 15 %
Refer in ANC 2555
Total 50 patients ( 2.4%)
3
�� ��ก����0 Refer LR !�����
0
10
20
30
2553 2554 2555
21.6124.76
18.75
���� Uก��2��� 5 ����0��ก!"# LR
8.04
6.61
5.71
9.35
7.59
6.75
20.11
10.7
8.57
22.6219.07
21.84
22.833.57
28.57
0 5 10 15 20 25 30 35
Mal pre
Se.PIH
F.distress
Preterm
CPD
2555
2554
2553
Refer out LR 2555
Total 8 case
O�ก���2���� �a 2553 �a 2554 �a 2555
�� ��ก����0 Refer QUก�Q� 15.37% 13.77% 10.95%
�� ��ก���� ��!"#���v�ก �� 1.49% 0.92% 0.39%
�� ��ก���ก����(��!�กw�����(��ก���� ��
1.65% 0% 0.3%
ก��������/ก���� �������� ก��� �",��(��/����ก��2��� ก������ Preterm !"#�����0,�,�0,��ก������� ก����� Dexamethasone
ก������ PIH �������0ก��� �ก�����O� EFM
ก��N��!2� CPG ����0N��(��
ก�� consult O� EFM .�, Fax
�/�#�ก���"��(��(����/!, �/�.� MCH Board
/�x�����U���/ก��V�ก���� �/� .
2���� 3 �2����
4
