ASUHAN KEBIDANAN KOMPREHENSIF sungsang risaku.docx

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY. “K” GIP0000 UK 38-39 MINGGU KALA I FASE LATEN DENGAN LETAK SUNGSANG DI IRNA DAHLIA I RSUD GAMBIRAN KOTA KEDIRI

OLEH: EVI RILISWATI NIM !0!"300#9

KEMENTERIAN KESEHATAN REPUBLIK INDONESIA POLITEKNIK KESEHATAN MALANG $URUSAN KEBIDANAN PRODI DIV KEBIDANAN KLINIK KEDIRI !03

KATA KATA PENGANTAR PENGA NTAR

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P%&' ()%*%+ *,' ,/&,*,/ ,1, T%2,/ Y,/ M,2, E(, ,,( (4,5, +,2, 1,/ *,+%/',/) *,+%/',/),, (42'/, (42'/, 1,, 1,, 4+(454(,'* 4+(454(,'*,//) ,//),, ,(%2,/ ,(%2,/ *46'1,/, *46'1,/,// '/'. D,5, ,(%2,/ ,(%2,/ *46'1,/, *46'1,/,// '/' 1'&,6,+*, 1'&,6,+*,// 6,,',/, 6,,',/, 45,),/,/ 45,),/,/ (42'/, (42'/, /,/'/), /,/'/), 4/&,1' 4/&,1' 6,2,/ 6,2,/ 4+'6,/,/ 1,5, 45,*%*,/ '/1,*,/ 1,/ 4/,6,2 4/4,2%,/ 4+%,,/), 6,' 4%,( *4(42,,/. *4(42,,/. M,*,5,2 '/' 4+(454(,'*,/ ,,( 6,/%,/ 6464+,, '2,*7 542 *,+4/, '% 4/%5'( 4/%,*,/ 4/%,*,/ 4+', *,('2 *4,1, : . D'+4*%+ D'+4*%+ R%,2 R%,2 S,*' S,*' RSUD 1+. 1+. S41 S41 T+4/ T+4/,54* ,54* !. D'+4*%+ D'+4*%+ P5'4*/'* P5'4*/'* K4(42,,/ K4(42,,/ K44/*4( K44/*4( M,5,/. M,5,/. 3. T4% T4% B%1',+'7 B%1',+'7 S.ST7 S.ST7 M.P1.7 M.P1.7 (45,*% (45,*% K4%, $%+%(,/ $%+%(,/ K46'1,/ K46'1,/,/ ,/ ". S+' R,2,)%7 R,2,)%7 S.K.N(7 S.K.N(7 M.K4( M.K4( (45,*% (45,*% K,+1' K,+1' DIV DIV K46'1,/ K46'1,/,/ ,/ K5'/'* K5'/'* . D;' E(%/'/ E(%/'/ R,2,) R,2,)%7 %7 S.P17 S.K.N( S.K.N(77 M(.7 M(.7 (45,*% (45,*% K4%, K4%, K45* K45* P+,*'* P+,*'* K5'/'* <. F'/, I(' K%/1,+ K%/1,+'7 '7 M.K467 M.K467 (45,*% (45,*% K+1'/, K+1'/,++ P+,*'*. P+,*'*. #. P46'6'/ P46'6'/ I/('%(' I/('%(' 1,+' 1,+' DIV K46'1,/, K46'1,/,// K5'/'* K5'/'* K41'+'. K41'+'. 8. S4%, S4%, 4,/-4 4,/-4,/ ,/ ),/ ),/ 4+*,' 4+*,' 1,5, 1,5, 4/)%(% 4/)%(%/,/ /,/ 5,+,/ 5,+,/ '/ ),/ ),/ '1,* 6'(, *,' (46%*,/ (,% 4+ (,% 1,/ *,' %,*,/ 4+', *,('2 ,,( 6,/%,//),. P4/%5'( 4/),1,+' (44/%2/), 6,2;, 4/%5'(,/ 5,+,/ '/' ,('2 6,/),* *4*%+,/, *4*%+,/,//), //),.. U/%* '% 4/%5'( 4/2,+, 4/2,+,*,/ *,/ *+''* *+''* 1,/ (,+,/

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T+4/,54*7 N>464+ !0

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BAB I PENDAHULUAN

A. LAT LATAR BELAKAN BELAKANG G L4,* (%/(,/ 4+&,1' 1,5, 3-"? 1,+' 4+(,5'/,/ ),/ ,1,. T4+&,1'/), 54,* (%/(,/ 64+*%+,/ 14/,/ 64+,6,2/), %%+ *42,'5,/. L4,* (%/(,/ ( %/(,/ 4+&,1 4+&,1'' ,1, ,1, !? 1,+' 1,+' 4+(,5 4+(,5'/, '/,// ),/ ),/ 4+&,1 4+&,1'' (4645% (4645%  %%+ %%+ *42, *42,'5, '5,// !8 '/%7 4+&,1' ,1, #? 4+(,5'/,/ ),/ 4+&,1' ,1, '/% *4 3! 1,/ 4+&,1' ,1, -3? 4+(,5'/,/ ),/ 4+&,1' ,1, *42,'5,/ ,4+. F,*+-=,*+ 5,'/ ),/ 44 44, ,/ / 4+, 4+,/, /,// 1,5, 1,5,  4+&, 4+&,1' 1'/) /),, 54, 54,** (%/ (%/(, (,/ / 1',/ 1',/, ,+, +,/) /),, ,1,5 ,1,5,2 ,2 %5' %5',+' ,+',( ,(77 *42, *42,'5, '5,// *46,+ *46,+77 2'1+, 2'1+,/' /'/7 /7 2'1+(4 2'1+(4=,5 =,5%(7 %(7 5,(4/ 5,(4/, , +4>', +4>',77 ,/%5 (4'7 1,/ *,1,/-*,1,/ *,1,/-*,1,/ 54,* (%/(,/ 1'(46,6*,/ 542 *45,'/,/ %4+%( %4+%( 1,/ 1,/ *45,'/ *45,'/,/ ,/ 64/% 64/%** %4+%( %4+%(77 S46,, S46,,'' /2 /277 37 4+(4/ 4+(4/ 1,+' 1,+' 3< 3<.! .!<< 4+(,5'/,/ %/,5 1,+' ,2%/ 990 (,,' 999 1' P,+*5,/1 H(',5 4+%,*,/ 54,* (%/(,/. @D'/' K:!009 L4,* &,/'/ 1,5, %4+%( 64+,/%/ ,1, +(4( ,1,,(' &,/'/ 4+2,1, +%,/,/ 1,5, %4+%(. P,1, *42,'5,/ (,,' *%+,/ 546'2 3! '/%7 &%5,2 ,'+ *4%6,/ +45,'= 546'2 6,/),*7 (42'/, 4%/*'/*,/ &,/'/ 64+4+,* 14/,/ 545%,(,. D4/,/ 14'*',/ &,/'/ 1,, 4/4,*,/ 1'+' 1,5, +4(4/,(' *4,5,. L4,* (%/(,/ ,,% 54,* 5'/,/. @V'*) :!00< P,1, *42,'5,/ +';%5,/ 4+,*2'+ &,/'/ %6%2 14/,/ 4, 1,/ &%5,2 ,'+ *4%6,/ +45,'= 64+*%+,/. K,+4/, 6*/ 14/,/ *41%, %/*,' 4+5', 546'2 64(,+ 1,+',1, *4,5,7 ,*, 6*/ 1',*(, %/%* 4/4,' +%,/ ),/ 546'2 5%,( 1' =%/1%( %4+'7 (41,/*,/ *4,5, 64+,1, +%,/,/ +%,/,/ ),/ 546'2 *4'5 1' (44/ 6,;,2 %4+%(. D4/,/ 14'*',/ 1,, 1'4/4+' 4/,, ,1, *42,'5,/ 645% %*% 6%5,/7 =+4*%4/(' 54,* (%/(,/ 546'2 '/'7 (41,/*,/ ,1, *42,'5,/ %*% 6%5,/7 &,/'/ (46,',/ 64(,+ 1'4%*,/ 1,5, +4(4/,(' *4,5,. S,),//),7 6464+,, =4%( '1,* (44+' '%. S46,',/ 1,+' 4+4*, 64+,1, 1,5, ('(' (%/(,/. @W'/*&(,(+ @W'/*&(,(+ : !009 D4/,/ 4/'/*,/), +6'1',( 1,/ +,5',(7 6,'* ,1, '6% ,%%/ 6,)' 14/,/ *42,'5,/ +4(4/,(' 6*/7 ,*, 1'%,),*,/ 6464+,, %(,2, %/%* 4/2'/1,+' 4+&,1'/), 4+(,5'/,/ 14/,/ 6,)' +4(4/,(' 6*/7 (,5,2 (,% 1',/,+,/) 1',/,+,/),, ,1,5,2 ,1,5,2 14/,/ 14/,/ ,+, (4*(' (4(,+4, (4(,+4, (45,'/ 14/,/ 4+(,5'/,/ 4+(,5'/,/ 4+>,'/, 14/,/ '/1,*,/. K,+4/, '% 4/%5'( '/'/ 464+'*,/ ,(%2,/ *4,1, N) K 14/,/ 54,*

















B. TU$UAN . T%&%, &%,/ U% U% S445,2 45,*(,/,*,/ +,*4* *5'/'* *46'1,/,/ ,1, '6% 64+(,5'/ 14/,/ 54,* (%/(,/7 1'2,+,*,/ ,2,('(;, ,% 464+'*,/ ,(%2,/ *46'1,/,/ ,1, '6% '/,+% 14/,/ 4/14*,,/ ,/,&44/ *46'1,/,/. !. T%&%,/ &%,/ K2%( K2%(%%( D4/,/ 1'(%(%//), 5,+,/ '/' 1'2,+,*,/ ,2,('(;, 1,, : ,. M4/ M4/% %% %5* 5*,/ ,/ 1,, 1,, (, (,,' ,' 14/ 14/,/ ,/ ,/,5 ,/,5'( '(,, 1,, 1,, 6. M4/'14/'='*,(' 1',/(, 1,/ ,(,5,2 14/,/ 14/,/ 54,* (%/(,/ (%/(,/ . M4/ M4/'1 '14/ 4/' '=' ='*, *,(' (' ,( ,(,5 ,5,2 ,2  4/ 4/(' (',5 ,5 ,1 ,1,, 54, 54,** (%/ (%/(, (,/ / 1. M4/ M4/'1 '14/ 4/' '=' ='*, *,(' (' *46 *46% %%2 %2,/ ,/ (4 (44+ 4+,, ,1, ,1, 54 54,* ,* (%/ (%/( (,/ ,/ 4. M4+4 M4+4/ /,/ ,/,* ,*,/ ,/ ,(%2 ,(%2,/ ,/ *46' *46'1, 1,/, /,// ,1, ,1, *,(% *,(%(( 54, 54,** (%/ (%/(, (,/ / =. M45, M45,*( *(,/ ,/,* ,*,/ ,/ ,(%2 ,(%2,/ ,/ *46' *46'1, 1,/, /,// ),/ ),/ 45 45,2 ,2 1'+4 1'+4/ /,/ ,/,* ,*,/ ,/ . M4/ M4/4> 4>,5 ,5%, %,(' (' '/1, '/1,*, *,// ),/ ),/ 45,2 45,2 1'5, 1'5,*% *%*, *,// ,1, ,1, *5'4/ *5'4/ 14/ 14/,/ ,/ 54, 54,* * (%/(,/ . METO METODE DE PENU PENULI LISA SAN N  ! 3 "

W,;,/,+, P44+'*(,,/ C O6(4+>,(' P+,*4* S%1' P%(,*, D. SISTEMA SISTEMAT TIKA PENULISAN PENULISAN BAB I PENDAHULUAN B4+'(' 5,,+ 645,*,/7 %&%,/7 414 4/%5'(,/ 1,/ ('(4,'*, 4/%5'(,/. BAB II TIN$AUAN TEORI B4+' B4+'(' (' */( */(4 4 1,(, 1,(,++ 54, 54,** (%/ (%/(, (,/ /77 */( */(4 4 1,(, 1,(,++ (4*( (4*(' ' (4(,+4,7 1,/ */(4 ,/,&44/ ,/,&44/ ,(%2,/ *46'1,/,/. *46'1,/,/. BAB III TIN$AUAN KASUS B4+' B4+'(' (' 4/ 4/*, *,&' &',/ ,/ 1,, 1,,77 1', 1',/ /(, (, 1,/ 1,/ ,(, ,(,5, 5,27 27 ,/' ,/'(' (',( ,('' ,(,5,2 ,(,5,2 4/(',57 4/(',57 '14/'='*, '14/'='*,(' (' *46%%2, *46%%2,// (44+,7 (44+,7 '/4+>4/(' '/4+>4/('77 '544/,(' 1,/ 4>,5%,('. BAB IV PEMBAHASAN B4+'(' *4(4/&,/,/ 1,/ 4+(,,,/ ,/,+, 4+' 1,/ *,(%( BAB V PENUTUP B4+'(' *4('%5,/ *,(%( 1,/ (,+,/ DAFTAR PUSTAKA

















BAB II TINJAUAN TEORI

I.

KONS ONSEP LE LET TAK SUNG SUNGSA SANG NG I. DEFINISI 

L4,* (%/(,/ 4+%,*,/ *4,1,,/ 1',/, &,/'/ 4+54,* 4,/&,/ 14/,/ *4,5, 1' =%/1%( %4+' 1,/ 6*/ 64+,1, 1' 6,',/ 6,;,2 *,>% %4+'. @W'*/&(,(+7 @W'*/&(,(+7 H,/'=,.!00:!00< H,/'=,.!00:!00<



P+4(4/,(' 6*/ ,1,5,2 6'5, 6,)' 54,* 5/'%1'/,5 1,/ 6*/ 6,)' 64+,1, 1'(44/ 6,;,2 %4+%( '6% . @,,/7V'*).!00<:!<

II. ETIOLOGI 

L4,* L4,* &,/'/ &,/'/ 1,5, 1,5, %4+%( %4+%( 64+, 64+,/% /%/ / ,1, ,1, + +(4( (4( ,1, ,1,,(' ,(' &,/'/ &,/'/ 4+2,1 4+2,1, , +%,/,/ 1' 1,5, %4+%(



$%5,2 ,'+ *4%6,/ +45,'= 546'2 6,/),*,1, *42,'5,/  3! '/%7 (42'/, 4%/*'/*,/ &,/'/ 64+4+,* 14/,/ 545%,(,. D4/,/ 14'*',/ &,/'/ 6'(, 4/4,*,/ 4/4,*,/ 1'+' 1,5, +4(4/,(' *4,5,7 54,* (%/(,/ ,,% 54,* 5'/,/.



M%5',+',(



H,'5 *46,+



H'1+,/'/



H'1+(4=,5%(



P5,(4/, P+4>',



P,/%5 (4'



K45,'/,/ %4+%( C *45,'/,/ 64/%* %4+%(



P5,( P5,(4/ 4/, , ),/ ),/ 4+54 4+54, ,** 1' 1,4+ 1,4+,2 ,2 *+/ *+/%% =%/1 =%/1%( %( %4+ %4+'7 '7 *,+4 *,+4/, /, 5,( 5,(4/ 4/, , 4/%+,/' 5%,( +%,/,/ 1' 1,4+,2 =%/1%(. @W'*/&(,(+7 H,/'=,.!00:< H,/'=,.!00:<



T,5' %(, 4/14* 1,/ 4/&4+,



P+4,%+',( @,,/7 V'*).!00<:!<



A6/+,5',( &,/'/

III. INSIDEN 

M4(*'%/ !? 6,)' 4/,5,' ('(' (%/(,/ (4*,5' ;,*% 1,5,



















*42, 2,'5, '5,/7 /, /,%/ 2,/) 2,/),, 3-" ? ),/ ,/ 4, 4, (%/ (%/(,/ (,/. @2 @2,,/ ,/77 V'*).!00<:!< K,+4/, ,1, *42,'5,/ +';%5,/ 4+,*2'+ &,/'/ %6%2 14/,/ 4, 1,/ &%5,2 ,'+ *4%6,/ +45,'= 64+*%+,/. K,+4/, 6*/ 14/,/ *41%, %/*,' ),/ 4+5', 546'2 64(,+ 1,+' ,1, *4,5,7 ,*, 6*/ 1',*(, %/%* 4/4,' +%,/ ),/546'2 5%,( 1' =%/1%( %4+'7 41,/*,/ *4,5, 64+1, 1,5, +%,/,/ ),/ 546'2 *4'5 1' (44/ 6,;,2 %4+%(. D4/,/ 14'*',/ 1,, 1'4/4+' 4/,, ,1, *42,'5,/ 645% %*% 6%5,/7 =+4*%4/(' 54,* (%/(,/ 546'2 '/'7 (41,/*,/ ,1, *42,'5,/ %*% 6%5,/7 &,/'/ 1'4%*,/ 1,5, ++4(4/,(' *4,5,. @W'*/&(,(+7 H,/'=,.!00:< H,/'=,.!00:< 

L4,* (%/(,/ 1'4%*,/ *'+,-*'+, ! - "?. G+44/22'55 45,+*,/ "  "7 ?. H55,/1 : !-3? 7 (41,/*,/ 1' R%,2 (,*' D+. P'+/,1' M41,/ 1'4%*,/ =+4*%4/(' "7"? 1,/ 1' R%,2 S,*' H,(,/ S,1'*'/ B,/1%/ "7


F+4*%4/(' +4(4/,(' 6*/ %*% '/' ,1, 4+(,5'/,/ +44+4. @S,'=%11'/7 A61%5 B,+'. !00!:M-<

IV. IV. DIAGNO AGNOSI SIS S 

P,1, 44+'*(,,/ 5%,+7 1' 6,',/ 6,;,2 %4+%( '1,* 1,, 1'+,6, 6,',/ ),/ *4+,( 1,/ 6%5,7 ),*/' *4,5,7 1,/ *4,5, 4+,6, 4+ ,6, 1' =%/1%( %4+'.



K,1,/ K,1,/-* -*,1, ,1,/ / 6* 6*/ / &,/'/ &,/'/ 4+,6, 4+,6, 6%5, 6%5, 1,/ 1,/ 1,, 1,, 464+ 464+'' *4(,/ *4(,/ (45,2-5,2 *4,5,7 4,' 6*/ '1,* 1,, 1'4+,**,/ (4%1,2 *4,5,.



S4+'/*,5' ;,/', 4+(46% 4/),,*,/ 6,2;, *42,'5,//), 4+,(, 5,'/ 1,+' ,1, *42,'5,/ ),/ 4+1,2%5%7 *,+4/, 4+,(, 4/%2 1' 6,',/ ,,( 1,/ 4+,*,/ 4+,(, 546'2 6,/),* 1' 6,',/ 6,;,2.



D&& ,1, %%/), 1'4%*,/ (4'/' ,,% (41'*' 546'2 '/' 1,+',1, %6'5'*%(.



A,6'5, A,6'5, 1',/('( 1',/('( 54,* (%/(,/ (%/(,/ 14/,/ 14/,/ 44+'*(,,/ 44+'*(,,/ 5%,+ '1,* 1,, 1,, 1'6%,7 1'6%,7 *,+4/, '(,5/), '(,5/), 1'/1'/ 1'/1'/ 4+% 46,57 %4+%( %4+%( %1,2 64+*/+,*(' 64+*/+,*(' ,,% ,,% 6,/) 6,/),* ,* ,'+ ,'+ *4% *4%6, 6,/7 /7 ,*, ,*, 1', 1',/ /(' ('(( 1'4 1'4, ,** **,/ ,/ 64+1 64+1,( ,(,+ ,+*, *,// 44+'*(,,/ 1,5,. 1,5,.



A,6 A,6'5 '5,, ,('2 ,('2 ,1, ,1, *4+, *4+,% %-+ -+, ,%, %,/7 /7 2,+% 2,+%(( 1'4 1'4+ +' '6, 6,/ /*, *,// %/% %/%* * 45,*%*,/ 44+'*(,,/ USG ,,% MRI @ M,/4' R4(/,/4 I,'/ .



S445, S445,22 *4%6, *4%6,// 4,2 4,2 1,, 1,, 1'+,6, 1'+,6, 546'2 546'2 &45,( &45,( ,1,/), ,1,/), 6* 6*/ / ),/ ),/ 1',/1,' 14/,/ ,1,/), (,*+%7 *41%, %64+ (('( '(*''7 1,/ ,/%(. B'5,



















'1,* '1,* (4&,&, (4&,&,++ 14/, 14/,// &,+'-&, &,+'-&,+' +' 5,'/ 5,'/ 1,/ ,/&,/ ,/&,/ &,+' &,+' *%+ *%+,/ ,/ 546'2 546'2 (,, (,, 14/,/ ,/&,/ 45,,* ,/,/. 

P,1, 4+(,5'/,/ 5,,7 6*/ &,/'/ 4/,5,' 414,7 (42'/, *,1,/*,1,/ (%5' %/%* 4641,*,/ 6*/ 14/,/ %*,. P44+'*(,,/ ),/ 45'' 1,, 4641,*,/ 6*/ 14/,/ %*,7 *,+4/, &,+' ),/ ,*,/ 1',(%**,/ *4 1,5, ,/%( ,*,/ 4/,5,' +'/,/,/ . S41,/ S41,/*, *,// &,+' &,+' ),/ ),/ 1',(% 1',(%**, **,// *4 1,5, 1,5, %5% %5% ,*,/ ,*,/ 4+,6, 4+,6, %5,/ %5,/ +,2,/ 1,/ ,5>45, ,/, ,1,/), 2,6,,/. P,1, +4(4/,(' 6*/ *,*' (4%+ (4%+/, /,77 *41%, *41%, *,*' *,*' 1,, 1,, 1'+,6, 1'+,6, (,'/ (,'/ 6* 6*/ /77 (41,/ (41,/*,/ *,/ ,1, ,1, +4(4/,(' 6*/ *,*' '1,* (4%+/,7 2,/), 4+,6, (,% *,*' 1'(,'/ 6*/. @W'*/&(,(+7 @W'*/&(,(+7 H,/'=,.!00:< H,/'=,.!00:<

V. KL KLAS ASIF IFIK IKAS ASII

B,)' +4(4/,(' 6*/ 6'(, 4/,5,' 64+6,,' ('('7 (44+' ,1, 6,)' (,=,5'*7 14/,/ (,*+% (46,,' 14/'/,+. 14/'/,+. . K54 K54 @ (%/(, (%/(,/ / =54*('C =54*('C (%/(,/ (%/(,/ 4/%2 4/%2  ,,% ,,% +4(4/ +4(4/,( ,('' 6* 6*/ / *,*' (4%+/,. 

Y,'% : %/*,' 6,)' 4+5', 1' ,/%5 1,/ 5%%7 *,*' 4+54,* 14*, 14/,/ 6*/ 6,)' 1,5, ('(' *,*' 4/)'5,/.



P(' P('(' ('

'/' '/'

,5' ,5'/ / (4+' (4+'/ / ,1, ,1, %5 %5' '+, +,>' >'1, 1,..

@W' @W'*/& */&(, (,( (+ +77

H,/'=,.!00:<08 !. I/*54 I/*54 @ (%/(,/ (%/(,/ 4*(4/( 4*(4/('' C =+,/* 6+442 6+442  ,,% ,,% +4(4/,(' +4(4/,(' 6*/ 6*/.. 

Y,'% : %/*,' 6,)' 4+5', 1' ,/%5 1,/ (4,/&,/ ('(' %6%27 ('(' *,*' 14*, 14/,/ 14/,/ *4,5, 6,)'1,5, 6,)'1,5, ('(' &,*-*/'=4. &,*-*/'=4.



P('(' '/' ,5'/ (4+'/ ,1, +''+,>'1,7 4/14*,' ,4+7 ,*'6, *4*,*%,/ %4+%( 1,/  ,614/ 46,,(' 4+,* 6,)'. @2,,/7V' @2,,/7V'*). *).!00<:!9 !00<:!9



P,1, +4(4/,(' 6*/7 ,*'6, 4*(4/(' *41%, (4/1' 5%%7 *41%, *,*' 4+,/ 4+,/*, *, *4 ,,( ,,( (42'/ (42'/, , %&%// %&%//), ), 4+1, 4+1,, , (4'/ (4'/' ' 6,2% 6,2% ,,% ,,%

















P,1, +4(4/,(' 6*/ *,*' '1,* (4%+/, 2,/), 4+1,, (,% *,*'



1' (,'/ (,'/ 6* 6*/ / (41,/ (41,/*, *,// *,*' *,*' ),/ ),/ 5,'/ 5,'/ 4+,/ 4+,/*, *, *4 ,,( ,,( @W'*/&(,(+7 @W'*/&(,(+7 H,/'=,.!00:<08 H,/'=,.!00:<08 ". L%% L%% 4/% 4/%6 6%/ %/ ,,% ,,% B4+5 B4+5%% %% 

S,% ,,% *41%, ,/%5 6,)' 4*(4/(' 1,/ 5%% =54*('7 5%% 4+54,* 1' 6,;,2 ,,% 14,/ 6*/ 6,)'.



P+4(4/,(' '/' &,+,/ 1,/ ,5'/ '1,* %% 1',/,+, ),/ 5,'/. @2,,/7V'*).!00<:30

VI. VI. TE TEKH KHNI NIK K PERS PERSAL ALIN INAN AN Berdasarkan Berdasarkan tenaga yang d!aka" !ersa#nan s$ngsang !er%agna& d'ag tga(

, P4+(,5' P4+(,5'/,/ /,/ (/ (/,/ ,/ 14/ 14/,/ ,/ ,+, ,+, B+,2 B+,2 $,/'/ 1'5,2'+*,/ 14/,/ *4*%,,/ 1,/ 4/,, '6% (4/1'+'. 6 M,/%,5 ,'1 @ ,+',5 6+442 6+442 4+,'/7 ,(('(41 ,(('(41 6+442 145'>4+)  $,/'/ 1'5,2'+*,/ (46,',/ 14/,/ 4/,, '6% 1,/ (46,',/ 5,' 14/,/ 4/,, 4/5/.  E*(+,*(' E*(+,*(' (%/(, (%/(,/ / @ ,5 6+442 6+442 4+, 4+,'/ '/  $,/'/ 1'5,2'+*,/ (45%+%2/), 45,5%' 4/,, 4/5/ @M,/(&4+7A+'=.!00:33 VII. KO)P O)PLIKA LIKASI SI

,. P,1, &,/ &,/'/ : 

K4,',/ ,+'/,,5



P+5,( =%/'*%5'



T+,% T+,%, , ,1, ,1, 6,)' 6,)' ,*'6 ,*'6, , : ,/ ,/,/ ,/ 4/ 4/,5 ,5, ,'' 4*(4 4*(4/( /('7 '7 *4, *4,5, 5, 4/ 4/,5 ,5, ,'' 4*( 4*(4/ 4/(' ('77 46 46%* %*,, ,,// (4+> (4+>'* '*(( 645% 645%  54/ 54/*, *,7 7 1,/ 1,/ 1'(++(' (4=,545>'*.



A(='*(' A(='*(',, *,+4/, *,+4/, + +5, 5,'( '( =%/ =%/'*% '*%5'7 5'7 *+4 *+4(' (' ,5' ,5' %(,7 %(,7 454, 454,(,/ (,/



















6*/ &%, ,(' ,(' '1,* 6'(, 1,/ 4+(,5'/,/ 4+(,5'/,/ '1,* ,&%.



H'4+4*(4/(' *4,5, 6,)' @ (,+ ,'/ 



D,, 4+&,1' ,*'6, :



T,5' %(, 4/&4+, 5424+ 6,)'



L*,(' 5,(4/,



S,(4  6,)'



A6/+,5',( %4+%( ,,%%/ 6,)'



B'(, 1'(46,6*,/ 4+(,5'/,/ 14/,/ '/4+>4/(' ),/ '1,* 5,' 542 6'1,/. H,+%( 4/4&,/ (/,/7 '1,* 1',+'*. K,+4/, 4/,+'*,/1,, 4/,+'*,/1,, 4/)46,6*,/

4*(4/('

54/,/

1,/

*4,5,

6,)'.

@2,,/7V'*).!00<:3 6. P,1, '6% : 

P454,(,/ 5,(4/, +4,%+ @2,,/7V'*).!00<:3!



P4+5%*,,/ >,'/, ,,% (4+>'*(



E/14+''( @S,'=%11'/7 A61%5 B,+'.!00<:M-<8

VIII. VIII. PENA PENAT TALAKSAN LAKSANAAN AAN A. DALA) KEHA)ILAN o

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&,/'/ ,(%* ,/%5 (42'/, 4+&,1' *5%(' 46%5%2 1,+,2 ,5'% ,5'%(, (, ,/,+, ,/,+, *4,5 *4,5,, 14/, 14/,// %5,/ %5,/ ,/ ,/%5. %5. D'(46% D'(46% =,(4 =,(4 4, 542 *,+4/, ,2,,/ '/' 2,+%( 4+(454(,'*,/ 1,5,   ! *,5' */+,*(' %4+%( @ (4*',+ 8 4/'. 1. Fase Fase #a&'a #a&'att ked ked$a( $a(

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2. )ANUAL )ANUAL AID AID + Patra# Patra# Bra-t Bra-t E3tra-t,n E3tra-t,n"" Asssted Asssted BreeBree-  De#%ery De#%ery /

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. B* B*/ / (,,' (,,' %6'5'*%( %6'5'*%( 5,2'+ 5,2'+ (4,+, (4,+, (/,/ (/,/ @,1, @,1, =+,/* 6+44 6+442. 2. !. P4+(,5'/,/ P4+(,5'/,/ 6,2% 1,/ 54/,/ 54/,/ 1'6,/ 1'6,/%% 542 542 4/5/ 4/5/. . 3. P4+(,5'/,/ P4+(,5'/,/ *4,5, *4,5, 1'6,/% 1'6,/% 542 4/5/ 4/5/.. @1+. B,6,/ W'1&,/,+*7 SOG. L,52(.CC0#C!009 0. EKSTRAKSI SUNGSANG +T,ta# Bre-t E3tra-t,n/

















4. INDIKASI INDIKASI SE1TIO SE1TIO 1AESAR 1AESAR PAD PADA A PRESENT PRESENTAS ASII SUNGSANG SUNGSANG •

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&%,' ,1, ,+%( 4+5,/,+7 1',/, (4645%/), 45,2 4+&,1' '/=4*(' '/+,,+,5 *,+4/, *4%6,/ ),/ 45,2 4,2 4+5,5% 5,,. 2)

Perdarahan

P4+1,+,2,/ 1,, 1'(46,6*,/ *,+4/, 6,/),*/), 46%5%2 1,+,2 ),/ 4+%%( 1,/ 4+6%*,7 ,/', %4+'7 1,/ 4+1,+,2,/ ,1, 5,4/,5 641. P4+1,+,2,/ 1,, 4/,*'6,*,/ 4+64/%*/), 64*%,/-64*%,/ 64*%,/-64*%,/ 1,+,2 ,1, 46%5%2 1,+,2 6,5'* 1' *,*' 1,/ +/, ,/%5. 3)

Luka Kandung Keih

T'/1, T'/1,*,/ *,/ (4*(' (4*(' (4(,+4 (4(,+4,7 ,7 ,,6'5 ,,6'5,, 1'5,*% 1'5,*%*,/ *,/ 14/, 14/,// '1,* '1,* 2,'-2 2,'-2,' ,' 1,, 1,, 4/,* 4/,*'6, '6,*, *,// 5%*, 5%*, ,1, ,1, + +,/ ,/ 5,'/ 5,'/ (44+ (44+'' *,/1%/ *,/1%/ *4'27 *4'27 ),/ ),/ 1,, 1,, 4/)46,6*,/ 4/)46,6*,/ '/=4*('.

















III. KONSEP KONSEP DASAR DASAR ASUHAN ASUHAN KEBIDAN KEBIDANAN AN

I.

PENGKA$IAN T,/,5 : ...............

$, : ........... WIB

T4, T4, : ................ ....... ......... .

D,, (%6)4*'= I14/',(



N,, '6% : N) .... U%+

: 4+&,1' ,1,

A,,

: (4%, ,,,

P4/1'1'*,/ : (4%, '/*, 4/1'1'*,/ P4*4+&,,/

:-

















R';,), *4(42,,/ ),/ 5,5% P,('4 P,('4// '1, '1,** 4+/ 4+/,2 ,2 4/1 4/14+ 4+' ',, 4/) 4/),* ,*' ' 4/% 4/%5, 5,+7 +7 4/% 4/%+% +%// 1,/ 1,/ 4/,2%/ (44+' DM7 HT7 ,+%-,+%7 (4(,* 1,/ '1,* 4+/,2 (,,' MRS. R';,), *4(42,,/ *45%,+, K45%,+, '6% '1,* ,1, ),/ 4/14+', 4/),*' 4/%5,+7 4/%+%/ 1,/ 4/,2%/ @DM7 HT7 ,+%-,+% 155 (4+, '1,* 4%/),' *4%+%/,/ *46,+. R';,), 2,'1 M4/,+24

: %%+ 4+,, *,5' 4/1,,*,/ 2,'1.

S'*5%( 2,'1

: 4+,%+ ,,% '1,*

L,, 2,'1

: 4/,5,' 2,'1 (,,' 64+,, 5,,

B,/),*/), 2,'1

: (,,' 4/2,6'(*,/ 64+,, (=4 ', *,5' 2,'1

K45%2,/

: 1'(4/+24,7 ,)%1,+, 4,/

F5%+ ,56%(

: ,1,C '1,*

HPHT

: %/%* 4/4,2%' 4+,*2'+ *,5' 2,'1 1,/

TP

: %/%* 4/,+' ,=('+,/ 4+(,5'/,/

R';,), 4+*,;'/,/ M4/'*,2

: ....... *,5'

U(', 4/'*,2

: U(', '6% : ....... ,2%/ U(', (%,'

: ...... ,2%/

L,, 4/'*,2 : ....... ,2%/ R';,), KB U/%* 4/4,2%' KB (4645%/), 1,/ +4/,/, KB (45,/&%/),



















T+'4(4 T+'4(4++ III

: AN 64+,, 64+,, *,5'7 *,5'7 1',/,7 1',/,7 *45%2, *45%2,/-*45 /-*45%2,/ %2,/ ),/ ),/ 1'+,(, 1'+,(,*,/ *,/ '6%7 '6%7 1'64+' 1'64+'*,/ *,/ 4+,' 4+,' ,,7 ,,7 4/)% 4/)%5%2 5%2,/ ,/- 4/)%5%2,/ ),/ 4+/,2 1'1,, '6%.

P5, *46',(,,/ (42,+'-2,+' -

P5, /%+'(' P,1, +'4(4+ 4+,, 4+&,1' +/'/ ('*/4(( - P,1, P,1, 45''/ 45''/,(' ,('

:

,1, ,1, '*('7 '*('7 (4+'/ (4+'/

4+&,1' */(',(' - P5, '('+,2, '('+,2,

:

64+2%6%/ 64+2%6%/,/ ,/

14/,/ *4%*%,/ '('+,2, - P5, ,*'>',( ,*'>',(

:

,*'>',( ,*'>',(

4/'/*, 44/,+%2' *4545,2,/ '6% - P5, *46',(, *46',(,,/ ,/ 5,'/ : *46',(,, *46',(,,// '6% 4+**7 4+**7 '/% &,%-&,%,/C '1,* - P5, S4(%,5

:

F+4*;4/('

1,5, 45,*%*,/ 2%6%/,/ (4(%,5 K4,1,,/ ('*((',57 6%1,), 1,/ ('+'%,5 P '* 5 '

'6%

















N,1'

: ...C4/' @/ : #0 - 90 C4/'

P4+/,=,(,/

: ...C4/'@/ : <  !" C4/'

S%2%

: ...0 @/ : 3<  3# 0

LILA

: ... @/ : !37 

P44+'*(,,/ ='('* ,.

I/(4*(' K4,5,

: ('4+'(7 +,6% 2',C 4+,27 5%+%(C '*,57 +/*C '1,*7 '1,* ,1, *45,'/,/.

M%*, M%*,

: ('4 ('4+' +'(C (C ,(' ,('4 4+' +'(7 (7 6%5, 6%5,C C >,5 >,577 %, %,C C '1, '1,*7 *7 414 414, ,CC '1, '1,*7 *7 ,1,* ,1,*,2 ,2 5, 5,( (,, +,> +,>'1 '1,+ ,+% %77 ,1,*,2 *45,'/,/.

M,, M,,

: ('4+ ('4+'(C '(C ,('4 ,('4+'(7 +'(7 4*%/ 4*%/C C'1, '1,*7 *7 */ */&%/ &%/' '>, >, %,C '1,*7 (54+, *%/'/C *%/'/C '1,*7 ,1,*,2 ,1,*,2 *45,'/,/.

H'1%/

: ('4+'(C ,('4+'(7 ,1,*,2 4/45%,+,/ (4*+4 1,/ 4+/,=,(,/ %'/ %'/ 2'1%/.

M%5%

: ('4+'(7 6,'* *4+'/7 %,C '1,*7 (,''(C '1,* 5'1,2 64+('2C *+7 ,1,*,2 ,+'4( ''.

T45'/, T45'/,

('4+'(7 ('4+ '(7 ,1,*,2

















L451 II :

U/%* 4/4/%*,/ 54,* %/%/ ,/,* ,1, 54,* 4,/&,/ 1,/ 4/4/%*,/ 54,* *4,5, ,1, 54,* 5'/,/

L451 III :

B,',/ 4+4/1,2 4+,6, 6*/7 6*/ (%1,2 ,(%* PAP

L45 511 IV :

U/% /%*

4/4 4/4/ /%%*,/ *,/

64+, 4+,,

&,%2 &,%2

,(%*/), 6,',/ 4+6,;,2 *4 PAP E*(+4',( .

: ,1,*,2 414, 1,/ >,+'(4(

A%(*%5,(' D,1,

: ,1,*,2 6%/)' +/2' 1,/ ;244'/.

D$$ D$$ @ @ : /+ /+,5 ,5/) /),, !0 !0  <0 <0 C4 C4/' /' 1', 1',,( ,( %(, %(,++ (464 (4645, 5,22 *,/,/C *'+'. 1.

P4+*%(' : R4=54* ,455, C-. P44+'*(,,/ ,/%5 I/1'*,(' P44+'*(,,/ P,/%5 , P+'' P+''+,> +,>'1, '1, *4,5 *4,5,, 645% ,(%* ,(%* ,1, ,1, 6%5,/ 6%5,/ 4+,*2'+ 4+,*2'+ @%(', @%(', 3< '/% 6 M%5'+,>'1, &'*, 4+(,5'/,/ 4+(,5'/,/ ),/ 5,5% +';,), +';,), 6(4+' &454*



















P,/%5 1,5, : •

K/&%,, >4+, 1'4+*'+,*,/ 1,+' %*%+,/ */&%,, 1',/,5'( @/  7   

•

K/&%,, +,/(>4+, @/  !-3 

•

K/&%,, 6'J%, @/  3 

•

K/&%,, 1',/,5'( 1,+' 4' 6,;,2 ('='('( *4 +/+'% @/  !7 

P44+'*(,,/ 4/%/&,/C 5,6+,+'% -

P5,/ P5,/ 4( 4( : %/%* %/%* 4/4 4/4,2 ,2%' %' (' (''= '= 2,'5C 2,'5C '1,* '1,*

-

USG USG : %/% %/%** 4/4 4/4, ,2% 2%'' UK 1,/ 54, 54,** &,/'/ &,/'/ @54, @54,** *4,5 *4,5,C ,C 54, 54,* * (%/(,/C 5'/,/ 1,/ &4/'( *45,'/ &,/'/.

I.

IDENTIFIKASI DIAGNOSA DAN )ASALAH

D

: N) ..... G ..... P ... A6 .... UK 38  "0 '/% '/% '/,+% '/,+% *,5, I =, =,(4 (4 5,4/ 14/,/ 54,* (%/(,/

D(

: 2,'5 64+,, 6%5,/. U(', ,/,* 4+,*2'+7 2,'1 4+,*2'+

D

: K4,1,,/ %% : 6,'* (,,' 54,2

















L451 II :

U/%* 4/4/%*,/ 54,* %/%/ ,/,* ,1, 54,* 4,/&,/ 1,/ 4/4/%*,/ 54,* *4,5, ,1, 54,* 5'/,/

L451 III :

B,',/ 4+4/1,2 4+,6, 6*/7 6*/ (%1,2 ,(%* PAP

L45 511 IV :

U/% /%*

4/4 4/4/ /%%*,/ *,/

64+, 4+,,

&,%2 &,%2

,(%*/), 6,',/ 4+6,;,2 *4 PAP 

A%(*%5,(' : D$$ @ N+,5 !0  <0 C4/' 1',,( %(,+.

III. III. 

P,1, '6% :



P,1, 6,)' : -

V.

IDEN IDENTI TIFI FIKA KASI SI DIA DIAGN GNOS OSA A DAN DAN )AS )ASAL ALAH AH POT POTEN ENSI SIAL AL

-

P4/(',5 (4(' 4(,+4, A(='*(',

IDENTIFIKASI KEBUTUHAN SEGERA

K5,6+,(' 14/,/ SOG .

INTERVENSI

D

: N) .... .... G.

P

A6

UK 38-"0 38-"0 '/% '/% '/,+ '/,+%% *,5, *,5, I 14

54,*



















.

O6(4+>,(' ,/1,  ,/1, >',5 '6% RC P,+,44+ 1'/' 144*(' ,1,/), *5'*,('

.

O6(4+>,(' D$$ (4', 30 4/' RC M4/4,2%' *4,1,,/ &,/'/. . O6(4+ O6(4+>,( >,('' *4,&% *4,&%,/ ,/ 4+(, 4+(,5'/ 5'/,/ ,/ ', ', " &, &, RC 4/4,2%' *4,&%,/ 4+(,5'/,/

I.

I)PLE)ENTASI

I544/,(' 1'5,*(,/,*,/ (4(%,' '/4+>4/('.

VII.

EVALUASI

















BAB III

















-

I6% &%, 4/,,*, 4/,,*,// 4/45% 4/45%,+*, ,+*,// ,'+,/ ,'+,/ *4%6,/ *4%6,/ (4&,* (4&,* %*% %*%55 !0.00 !0.00 WIB ,/,5  N>464+ !0

-

I6% 4/, 4/,,*,/ ,*,/ 1,,/ 1,,/ *4 6'1,/ ,/,5 ,/,5   N>464 N>464++ !0 !0 %*%5 %*%5 !.0 !.000 WIB7 WIB7 *,+4/, 4+%/), (%1,2 *4/4/-*4/4/ (4+'/ (4+, 4/45%,+*,/ 54/14+ 64+,%+ 1,+,2. 1,+,2.

-

K,+4/, K,+4/, 54,* 54,* (%/(, (%/(,/7 /7 ,*, '6% 1'+%&%* 1'+%&%* 1' RSUD 1+ S41 S41 T+4/ T+4/,54* ,54* ,/,5  N>464+ !0%*%5 !.30 WIB.

". ALASA ALASAN N KUN$U KUN$UNGA NGAN N SAA SAAT T INI R%&%*,/ B'1,/ *,+4/, 54,* (%/(,/ . RIWA RIWAYAT MENSTRUAS MENSTRUASII M4/,+24

: ! T,2%/

D'(4/+24

: T'1,*

















M'/% M'/% 

: #-8 #-8 45, 45,(C (C 2,+' 2,+' ,'+ ,'+ % %'2 '277 '6% '6% '1, '1,** (%* (%*,, * *'' 1,/ 1,/ (%(% (%(%.. K,1 K,1,/ ,/*,1,/ ;,*% ,' 2,+' '/% 24 2,/,.

8. POLA POLA AKTIV AKTIVIT ITA AS SEHARI SEHARI-HA -HARI RI P4*4+& P4*4+&,, ,,//

: '6% (4', (4', 2,+' 2,+' 464+ 464+('2 ('2*,/ *,/ ++%, %,27 27 4/) 4/),% ,%77 4/4 4/445 45 1,/ 1,/

4,(,*. I('+,2,

: '1%+ (',/ : '1%+ ,5, : #-8 &, @ !.00  0.00 WIB I6% &%, '('+,2, 4/// > %*%5 9.00 WIB  !.00 WIB

9. POLA POLA ELIM ELIMIN INAS ASII BAB :  @*/(' @*/('(4 (4// ,,* ,,* *4+, *4+,(7 (7 ;,+/, ;,+/, **4 4*5, *5,,/ ,/

















$%5,2 *45%,+, ),/ '/,5 (4+%,2

: ! +,/7 (%,' 1,/ ,/,*

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