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BLOK EMERGENCY SKENARIO 1 “PERDARAHAN “PERDARAHAN PERSALINAN”
KELOMPOK B - 3 KETUA
: Putri Elinda Karina
1102013231
SEKRETARIS: Mutiara Adysti ANGGOTA
1102013190
:Santi Di Ra!"aati
11020132#2
Ri$%y &aran''(n(
11020132)*
Mu!a""ad R+$%i Sa,utra
11020131-.
/usrina Ra!"aati
1102013319
Mit Mita! a!ur urra ra!" !"a! a! Gal Galu! u! May Mayan an' '
110201 020131 31#9 #9
Nun'%i Pra"ita Sari
110201321* 110201321*
Orin Ar!i
110201021)
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PERDARAHAN PERSALINAN
S+(ran' ,asi+n usia 2* ta!un datan' %+ IGD RSUD d+n'an %+lu!an ny+ri ,ada ,+ru s+5a% 3 5a" yan' lalu dis+rtai d+n'an %+luar dara! dari %+"aluan Usia %+!a"ilan di!itun' dari !aid t+ra%!ir dida,at%an 3. "in''u Pasi+n "+la%u%an Ant+natal &ar+ di Pus%+s"as s+anya% . %ali dan t+ra%!ir (ntr(l satu "in''u yan' lalu Pasi+n 5u'a ,+r'i %+ ,ara5i dan ,+ri%sa t+ra%!ir s++lu" %+ RS untu% diurut S+la"a %+!a"ilan ,asi+n "+n'ala"i %+nai%an +rat adan 10 %' dan tida% ada +d+"a ,ada tun'%ai Dar riayat riayat ,+nya%it ,+nya%it %+luar'a di%+ta!ui tida% ada riayat riayat ,+nya%it ,+nya%it 5antun'6 5antun'6 'in5al6 DM dan !i,+rt+nsi dala" %+luar'anya Dila%u%an ,+"+ri%saan isi% d+n'an !asil ,asi+n ta",a% sa%it s+dan' dan dida,at%an t+%anan dara! 110*0 110*0 "";'6 r+%u+nsi nadi 1 %ali ,+r "+nit6su!u 3* & dan naas 20 %ali ,+r"+nit Dari status (st+tri dida,at%an tin''i undus ut+ri 2- "6 d+nyut 5antun' 5anin tida% 5+las Dila%u%an ,+"+ri%saan ins,+%ul( ta",a% dara! %+!ita"an "+n'alir dari OUI dan ,+"u%aan +r
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1 &TG : =&ardi(t(('ra,!y> suatu alat yan' di'una%an untu% "+n'u%ur D ,ada saa %(ntra%si "au,un tida% Pada &TG %(ntra%si iu 5u'a t+r+%a" dan %+"udian dili!at ,+rua!an D ,ada saat %(ntra%si dan diluar %(ntra%si 2 Gaat anin : =7+tal Distr+ss> %+adaan atau r+a%si 5anin tida% "+",+r(l+! (%si'+n yan' u%u, 3 AN& : =Ant+natal &ar+> ,+"+ri%saan %+!a"ilan yan' dila%u%an untu% "+"+ri%sa %+adaan iu dan 5anin s+ara +r%ala6 yan' dii%uti d+n'an untu% %(r+%si t+r!ada, ,+nyi",an'an yan' dit+"u%an PERTANYAAN
1 S+ut%an a,a sa5a tanda?tanda 'aat 5anin @ 2 M+n'a,a d+nyut 5antun' 5anin tida% 5+las @ 3 . ) #
M+n'a,a dara! yan' "+n'alir +rarna %+!ita"an @ A,a !uun'an usia dan 5u"la! ,aritas ,ada %asus ini @ S+ut%an a,a sa5a yan' da,at "+ny+a%an ,+rdara!an ,ada iu !a"il @ Tinda%an a,a yan' !arus dila%u%an ,+rta"a %ali ,ada %asus ini s+a'ai s+(ran' d(%t+r u"u" @ * A,a a%iat yan' da,at t+r5adi 5i%a %+adaan ini tida% ditan'ani s+ara +,at @ - Ka,an ,+"+ri%saan AN& dila%u%an dan a,a sa5a yan' t+r"asu% ,+"+ri%saan AN& @ S+ut%an You're Reading a Preview 9 A,a dia'n(sis %asus ini @ Unlock full access with a free trial.
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A!ABAN
1 7r+%u+nsi d+nyut 5antun' 5anin =D> %uran' dari 100 ,+r "+nit atau l+i! dari 1-0 ,+r "+nit6 +r%uran'nya '+ra%an 5anin =n(r"al '+ra%an 5anin 10 %ali ,+r !ari> dan air %+tuan !i5au %+ntal =t+la! +ra",ur d+n'an "+%(niu"> 2 Kar+na su,lai (%si'+n untu% 5anin turun 3 Dara! +rarna %+!ita"an dis+a%an t+r5adi ,+"+%uan dara! atau dara! +ra",ur d+n'an (%si'+n s+rta da,at dis+a%an 5u'a dara! +ra",ur d+n'an a"ni(n . Usia l+i! dari 3) ta!un s+rta ,ri"i'ra
: 1 %ali ,+r ulan Tri"+st+r 2 =usia %+!a"ilan 1.?2- "in''u> : 1 %ali ,+r ulan Tri"+st+r 3 =usia %+!a"ilan 2-?3# "in''u> : 1 %ali ,+r ulan =usia %+!a"ilan 3# "in''u> : 1 %ali ,+r ulan You're Reading a Preview P+"+ri%saan yan' dila%u%an: Unlock full access with a free trial. Ana"n+sis =;P;T6 dll> Ins,+%si =%l(as"a 'ra Pal,asi =tin''i undus ut+ri6 all(t+"+nt6 l+(,(ld> Aus%ultasi =D> 9 Pr++%la",sia dan ,+rdara!an ant+,artu" = 20 "in''u>
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HIPOTESIS
P+rdara!an ,ada %+!a"ilan da,at dis+a%an (l+! ,las+nta ,r+
SASARAN BELAAR
I I1 I2 I3 I. I) I# I* I-
M+"a!a"i dan M+n5+las%an P+rdara!an ,ada K+!a"ilan You're Reading a Preview Unlock full access with a free trial. D+inisi Eti(l('i dan Klasii%asi Pat(isi(l('i Download With Free Trial Mani+stasi Klinis Dia'n(sis dan Dia'nisis andin' P+natala%sanaan K(",li%asi Pr('n(sis
19 P+n+'a!an Sign up to vote on this title
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I M"%$#$%& $( M"(."'$/$( P"$$#$( $$ K"#$%&'$( I1 D"4&(&/&
P+rdara!an Ant+,artu": P+rdara!an ,+r
A9(rtus I"in+ns You're Reading a Preview
A9(rtus Insi,i+ns
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K+!a"ilan C 20 "in''u
A9(rtus K(",l+tus
A9(rtus
A9(rtus In%(",l+tus
K+!a"ilan +%t(,i%
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Useful Not useful;a9itualis !idatid(sa
P+rdara!an Plas+nta
A9(rtus
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You're Reading a Preview Unlock full access with a free trial.
I P+rdara!an Ant+,artu" a P+rdara!an ,ada %+!a"ilanDownload "uda: P+rdara!an With Free ,ada Trial %+!a"ilan "uda t+r5adi ,ada usia '+stasi 20 "in''u P+ny+a %(ndisi ini adala! a(rtus6 "(la !idatid(sa "au,un %+!a"ilan +%t(,i% t+r'an''u =KET>
P+rdara!an ,ada %+!a"ilan tua: P+rdara!an ,ada %+!a"ilan tua adala! ,+rdara!an yan' t+r5adi ,ada %+!a"ilan 20 "in''u P+ny+a %(ndisi ini antara lain: •
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Plas+nta ,r+
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d Plas+nta l+ta%?r+nda! ,las+nta yan' l+ta%nya an(r"al ,a s+'"+n?aa! ut+rus6 a%an t+ta,i +lu" sa",ai "+nutu,i 5alan?la!ir
M+nurut P+risa+i6 S!+il+ndra6 Pa!ay6 Rian =200-> ,las+nta ,r+
S(lusi( ,las+nta S(lusi( ,las+nta =abruptio placentae, ablatio placentae, accidenta hemorrhage> adala! t+rl+,asnya ,las+nta yan' l+ta%nya n(r"al ,a %(r,us ut+ri s++lu" la!irnya 5anin iasanya t+r5adi ,ada triulan %+ti'a alau,un da,at ,ula t+r5adi s+tia, saat dala" %+!a"ilan S(lusi( ,las+nt iala! t+rl+,asnya s+a'ian atau s+luru! ,+r"u%aan "at+rnal ,las+nta dar t+",at i",lantasinya yan' n(r"al ,ada la,isan d+sidua +nd("+tri s++lu" a%tunya ya%ni s++lu" ana% la!ir S+ara %linis s(lusi( ,las+nta dia'i "+n5adi s(lusi( ,las+nta rin'an s+dan' dan +rat /an' rin'an iasanya aru di%+ta!ui s+t+la! ,las+nta la!i d+n'an adanya !+"at("a yan' tida% luas ,ada ,+r"u%aan "at+rnal atau ada ru,tura sinus "ar'inalis You're Reading a Preview Plas+nta da,at t+rl+,as !anya ,ada ,in''irnya sa5a =ru,tura si Unlock full access with a free trial. "ar'inalis>6 da,at ,ula t+rl+,as l+i! luas =s(lusi( ,las+nta ,arsialis>6 ata isa s+luru! ,+r"u%aan "at+rnal ,las+nta t+rl+,as =s(lusi( ,las+nta t(talis> Download With Free Trial P+rdara!an yan' t+r5adi dala" anya% %+5adian a%an "+r+"+s ant ,las+nta dan "i("+triu" untu% s+t+rusnya "+ny+lina, di aa! s+la,u %+tuan dan a%!irnya "+",+r(l+! 5alan %+ %analis s+r A%an t+ta,i" ada %alany alau,un 5aran'6 ,+rdara!an t+rs+ut tida% %+luar "+lalui 5i%a a'ian ,las+nta s+%itar ,+rdara!an "as "+l+%at ,ada dindin' ra!i"6 s+la,ut %+tuan "asi! "+l+%at ,ada dindin' Sign%+tuan up to vote on this title ra!i"6 ,+rdara!an "asu% %+ dala" %ant(n' s+t+la! s+la,ut %+tuan Not useful %+tat ,ad Useful ,+a!6 a'ian t+raa! 5anin 6 u"u"nya %+,ala"+n+",+l s+'+n aa! ra!i" S(l si ,l ta rin luas ,las+nta yan' t+rl+,as C 1# a'ian
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sy(% dan !a",ir s+"ua 5aninnya "+nin''al K(",li%asi %(a'ul(,at dan 'a'al 'in5al yan' ditandai ,ada (li'uria iasanya t+la! ada Ru,tura ut+ri Ru,tura ut+ri %(",lit iala! %+adaan r(+%an ,ada Ra!i" di"ana t+la! t+r5adi !uun'an lan'sun' antara r(n''a a"ni(n dan r(n''a ,+rit(n+u" P+rit(n+u"
2 Ru,tur ut+ri trau"ati% a T+r5adi ,ada ,+rsalinan Ti"ulnya ru,tura ut+ri %ar+na tinda%an s+,+rti +%stra%si (rs+, +%stra%si
3 Ru,tur ut+ri ,ada +%as lu%a ut+rus T+r5adinya s,(ntan atau +%as s+%si( s+sar+a dan +%as (,+rasi ,ad Download With Free Trial ut+rus P+"a'ian ru,tur+ ut+ri "+nurut r(+%nya dia'i "+n5adi : 1 Ru,tur ut+ri %(",l+ta a arin'an ,+rit(n+u" i%ut r(+% anin t+rl+",ar %+ ruan'an ad("+n T+r5adi ,+rdara!an %+ dala" ruan'an ad("+n Sign up to vote on this title d Muda! t+r5adi in+%si Useful Not useful 2 Ru,tura ut+ri in%(",l+ta a arin'an ,+rit(n+u" tida% i%ut r(+%
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usia lan5ut6 aat ra!i" "isalnya +%as +da! s+sar6 %+r(%an6 "i("+%t("i6 dan s+a'ainya +r,+ran dala" ,r(s+s ,+radan'an dan %+5adian atr(i di +nd("+triu" yan' s+"uanya da,at di,andan' s+a'ai a%t(r r+si%( t+r5adinya ,las+nta ,r+
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Basa ,r+ ila ,+"ulu! dara! t+rs+ut ,+a! "a%a a%an t+r5adi r(+%an ,+"ulu! dar s+!in''a t+r5adi +%san'uisasi dan %+"atian 5anin Ins+rsi <+la"+nt(sa ini iasany t+r5adi ,ada %+!a"ilan 'anda '+"+li6 %ar+na ,ada %+!a"ilan 'anda su"+r "a%anan yan' ada ,ada ,las+nta a%an "+n5adi r+utan (l+! 5anin6 s+!in''a d+n'an adany r+utan t+rs+ut a%an "+",+n'aru!i %+,+nana"an tali ,usat ins+rsi Sign up to vote on this title
Eti(l('i Ru,tur ut+ri: S+%si( s+sar+a
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P+rdara!an ant+,artu" yan' dis+a%an (l+! ,las+nta ,r+
P$54&/&'*& /'+/& '$/"(5$8 You're Reading a Preview
P+rdara!an da,at t+r5adi Unlock dari full,+"ulu! dara! access with a free trial. ,las+nta atau ut+rus y "+"+ntu% !+"at("a ,ada d+sidua6s+!in''a ,las+nta t+rd+sa% dan a%!irnya t+rl+,as Downloadyan' With%+il Free itu Trial!anya a%an "+nd+sa% 5arin'an A,aila ,+rdara!an s+di%it6!+"at("a ,las+nta6,+dara!an dara! antara ut+rus dan ,las+nta +lu" t+r'an''u6dan tanda s+rt '+5ala ,un +lu" 5+las K+5adian aru di%+ta!ui s+t+la! ,las+nta la!ir6yan' ,ad ,+"+ri%saan di da,at%an +%un'an ,ada ,+r"u%aan "at+rnalnya d+n'an +%uan dara! yan' +rarna %+!ita"?!ita"an iasanya ,+rdara!an a%an +rlan'sun' t+rus?"+n+rus %ar+na (t(t ut+rus yan' t+la! "+r+'an' (l+! %+!a"ilan itu tida% "a",u untu% l+i! +r%(ntra%si "+n'!+nti%an ,+rdara!annya A%iatnya !+"at("a r+tr(,las+nt+r a%an +sar6s+!in'' Sign up to+rta"a! vote on this title s+a'ian dan s+luru! ,las+nta l+,as dari dindin' ut+rusS+a'ian Not useful dara! a% Useful "+ny+ludu, di aa! s+la,ut %+tuan %+luar dari
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K+adaan 5anin t+r'antun' dari luasnya ,las+nta yan' t+rl+,as dari dindin' ut+rus A,aila s+a'ian +sar atau s+luru!nya t+rl+,as6a%an t+r5adi an(%sia s+!in' "+n'a%iat%an %+"atian 5anin A,aila s+a'ian %+il yan' t+rl+,as6"un'%in tida% +r,+n'aru! sa"a s+%ali6atau 5u'a a%an "+n'a%iat%an 'aat 5anin a%tu san'a "+n+ntu%an +ratnyaa 'an''uan ,+"+%uan dara!6%+lainan 'in5al6dan %+adaan 5anin Ma%in la"a ,+nan'anan s(lusi( ,las+nta sa",ai ,+rsalinan s+l+sai6u"u"nya "a%i !+at %(",li%asinya
Pada s(lusi( ,las+nta6dara! dari t+",at ,+l+,asan a%an "+nari 5alan %+luar antar s+la,ut 5anin dan dindin' ra!i" !in''a a%!irnya %+luar dari s+r
P"$$#$( "'+$
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1 K+adaan u"u" ,+nd+rita r+lati<+ l+i! ai% 2 Plas+nta t+rl+,as s+a'ian atau in%(",lit 3 aran' +r!uun'an d+n'an !i,+rt+nsi
1 K+adaan ,+nd+rita 5au!
2 Plas+nta t+rl+,as %+rast+'an' 3 S+rin' +r%aitan d+n'an ! Sign up to vote on this title
Not useful dara! antara T+rl+,asnya ,las+nta s++lu" a%tunya "+ny+a%an Useful ti"unan ,las+nta dan dindin' ut+rus yan' "+ni"ul%an 'an''uan ,+nyulit t+r!ada, iu dan 5anin
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s+!in''a irin('+n "a%in +r%uran' dan "+"uda!%an t+r5adinya ,+rdara!an =!i,(irin('+n+"ia> ) Da,at ti"ul ,+rdara!an ,a%a,artu" s+t+la! ,+rsalinan %ar+na at(nia ut+ri atau 'an''uan ,+"+%uan dara! # Da,at ti"ul 'an''uan un'si 'in5al dan t+r5adi +"(li yan' "+ni"ul%an %(",li%asi s+%und+r * Ti"unan dara! yan' "+nin'%at di+la%an' ,las+nta da,at "+ny+a%an ut+rus "+n5adi %+ras6,adat dan %a%u
P$54&/&'*& $/$ "&$8 P+ny+a dari ,+ndara!an
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M$(&4"/5$/& '&(&/ '$/"(5$ "&$8 &iri yan' "+n(n5(l ,ada ,las+nta ,r+ s+rin' di5u",ai %+lainan l+ta% 5anin Sign up to vote on this title P+ndara!an ,+rta"a =irst l++din'> iasanya tida% anya% dan tida% atal6 %+ual Useful Not useful ,asi+n ila dila%u%an ,+ri%sa dala" s++lu"nya6 s+!in''a s+",at di%iri" %+ ru"a sa%it T+ta,i ,+rdara!an +ri%utnya =r+ur+nt l++din'> iasanya l+i! anya%
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)> 7undus ut+ri "a%in la"a "a%in ai% #> unyi 5antun' iasanya tida% ada *> Pada t(u!+r t+raa %+tuan yan' t+r+'an' t+rus?"+n+rus =%ar+na ra!i" +rta"a!> -> S+rin' t+r5adi ,r(t+inuria %ar+na dis+rtai ,r++%la",si
M$(&4"/5$/& '&(&/ +5+" +5"&8 ila t+r5adi ru,tur+ ut+ri %(",lit suda! ,asti ada ,+rdara!an yan' i di,antai ,ada ; dan t+%anan dara! yan' "+nurun6 nadi yan' +,at dan %+li!atan an+"is dan tanda?anda lain dari !y,(<(l+"ia s+rta ,+rna,asan yan' sulit +r!uun' ny+ri ad("+n a%iat r(+%an Ra!i" yan' "+n'i%uts+rta%an ,+rit(n+u
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. P+"+ri%saan ins,+%ul(6 d+n'an "+n''una%an s,+%ulu" s+ara !ati?!at dili!at dari "ana su"+r ,+rdara!an6 a,a%a! dari ut+rus6 atau,un t+rda,a %+lainan ,ada s+r ) P+"+ri%saan radi(?is(t(, a Plas+nt('rai 5arin'an luna% Sit('rai Plas+nt('rai indir+% d Art+ri('rai + A"ni('rai Radi( is(t ,las+nt('rai # Ultras(n('rai6 transad("inal ultras(n('rai dala" %+adaan %andun %+"i! yan' di%(s(n'%an a%an "+"+ri%an %+,astian dia'n(sa ,las+nt ,r+ P+n+ntuan l(%asi ,las+nta s+ara ultras(n('rais san'a t+,at dan tida% "+ni"ul%an a!aya radiasi t+r!ada, 5anin * P+"+ri%saan dala"6 ,+"+ri%saan ini "+ru,a%an s+n5ata dan ara ,alin' a%!ir yan' ,alin' a",u! dala" idan' (st+tri% untu% dia'n(sa ,las+nt ,r+Reading Dan ,+"+ri%saan a Preview dala" ,ada ,las+nta ,r+ S+lain itu 5u'a da dila%u%an ,+"+ri%saan (rnis+s d+n'an !ati?!ati i%a tulan' %+,ala t+raa Download With Free Trial "a%a %+"un'%inan ,las+nta ,r+ Dia'n(sis s(lusi( ,las+nta %adan' su%ar dit+'a%%an 2> P+nd+rita iasanya datan' d+n'an '+5ala %linis : a> P+rdara!an ,+r > Ny+ri ad("+n atau ,in''an' dan ny+ri t+%an ut+rus Sign up to vote on this=*0F> title > Gaat 5anin =#0 F> Useful Not useful d> K+lainan %(ntra%si ut+rus =3)F> +> K+lainan ,r+"atur+ idi(,ati% =2)F>
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)> P+"+ri%saan ,+nun5an' ultras(n('rai =USG> "+"antu "+n+ntu%a l(%asi ,las+nta =untu% "+nyin'%ir%an %+"un'%inan ,las+nta ,r+ Saa ini l+i! dari )0F ,asi+n yan' didu'a "+n'ala"i s(lusi( ,las+nta da,a t+rid+ntii%asi "+lalui USG #> ;+"at(" r+tr(,las+nt+r da,at di%+nali s+%itar 2?1)F dari s+"ua s(lusi ,las+nta P+n'+nalan !+"at("a t+r'antun' ,ada d+ra5at !+"at("a =+sa dan la"anya> s+rta %+a!lian (,+rat(r *> P+"+ri%saan !ist(l('i% s+t+la! ,las+nta di%+luar%an da "+",+rli!at%an !+"at("a r+tr(,las+nt+r -> P+n+"uan lain yan' "un'%in adala! adanya +%tra S+ara %linis di%+ta!ui dari adanya ny+ri dan t+'an' ,ada ut+rus 10> Dia'n(sis andin' lain ,+rdara!an ,ada tri"+st+r %+ti'a s+lain ,las+nt ,r+
1> a"ann+sis6ya%ni : iu "+n'+lu! t+r5adi ,+rdara!an dis+rtai sa%it ya tia?tia di,+rut untu% "+n+ntu%an t+",at t+rl+,asnya ,las+ P+rdara!an ,+r K+,ala ,usin'6l+"as6,uat6,andan'a You're Reading a Preview +r%unan'?%unan'6iu %+li!atan an+"is tida% s+suai d+n'an anya%ny dara! yan' %+luar Unlock Kadan'0%adan' full access with iu a freeda,at trial. "+n+rita%an trau"a 2> P+ri%a ,andan' =ins,+%si >: ,asi+n ta",a% '+lisa!6,asi+n t+rl ,uat6sian(sis dan %+rin'at din'in6t+rli!at dara! %+luar ,+r Pada saat ,al,asi : dida,at%an !asil undus ut+ri t+raa nai% %ar+ t+r+ntu%"ya r+tr(,las+nta !+"at("a6ut+rus tida% s+suai d+n' %+!a"ilan: ut+rus t+raa t+'an' dan% +ras s+,+rti ,a,an dis+ut ut+rus i (is =((d+n ut+rus ai% a%tu !is "au,un di luar !is>6ny+ri t+%an t+ruta"a dit+",at ,las+nta6a'ian?a'ian 5anin suda! di%+nali6%ar+n ,+rut =ut+rus> t+'an' .> Aus%ultasi sulit6%ar+na ut+rus t+'an' ila d+nyut 5antun' 5anin t+rd+n' Sign up to vote on this title iasanya di atas 1.0 8"+nit6%+"udian turun diaa! 100 8"+nit dan Useful Not useful a%!irnya !ilan' iila ,las+nta yan' t+rl+,as dari s+,+rti'anya )> Pada ,+"+ri%saan dala" t+raa s+r
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!+"('l(in =;> an+"i6 ,+"+i%saan '(l(n'an dara!6%alau isa cros match tets -> P+"+ri%saan ,las+nta s+suda! ayi dan ,las+ta la!ir6"a%a %ita !a "+"+ri%sa ,las+ntanya iasanya ,las+nta ta",a% ti,is dan +% dia'ian ,las+nta yan' t+rl+,as =%rat+r> dan t+rda,at %(a'ulan atau dara! di+la%an' ,las+nta yan' dis+ut !+"at("a r+tr(,las+nt+r
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• KET • Mola • Kehamilan dengan kelainan pada seriks • !erdarahan implan"asi
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• 'n(eksi pelik • Kis"a (olikel • $%or"&s %iasa • )adang pangg&l • Torsi ki"a oari&m • Endome"riosis You're Reading a Preview
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D&$*(/&/ 9$(&(* /'+/& '$/"(5$
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I6 P"($5$'$/$($$(
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,ada 5anin yan' t+la! "+nin''al dan ,+rdara!an yan' tida% a%ti %ar+na s+rin'%al "+ni"ul%an ,+rdara!an ,ada %ulit %+,ala 5anin =M(!tar6 199-> ? M+tr+urynt+r &ara ini da,at dila%u%an d+n'an "+"asu%%an %ant(n' %ar+t yan' diis udara dan air s+a'ai ta",(n6 na"un ara ini suda! tida% di,a%ai la'i =M(!tar 199-> ? B+rsi ra8t(n?;i%s &ara ini da,at dila%u%an ,ada 5anin l+ta% %+,ala6 untu% "+nar %a%inya s+!in''a da,at ditari% %+luar &ara ini dila%u%an d+n'an "+n'i%at%an %a% d+n'an %ain %asa6 di%atr(l6 dan 5u'a di+ri%an +an s++rat )0?100 'r =M(!tar 199-> D+n'an ara s+%si( s+sar+a6 yan' di"a%sud untu% "+n'(s(n'%an ra!i" s+!in''a ra!i" da,at +r%(ntra%si dan "+n'!+nti%an ,+rdara!an S+lain itu s+%si( s+sar+a 5u'a da,at "+n+'a! t+r5adinya r(+%an s+r P+rsalinan s+%si( s+sa di,+rlu%an !a",ir ,ada s+luru! %asus ,las+nta ,r+ M+nurut M(!tar =199-> Indi%asi dila%u%annya ,+rsalinan s+%si( s+sar+a ,ad ,las+nta ,r+ dala" Si!al(!( =2009> 5anin "au,un %+"atian 5anin dan u%an "+ru,a%an !alan'an untu% dila%u%annya ,+rsalinan s+%si( s+sar+a6 d+" %+s+la"atan iu T+ta,i a,aila di5u",ai 'aat iu %+"un'%inan ,+rsalinan s+%si( s+sar+a ditunda sa",ai %+adaan iunya da,at di,+rai%i6 a,aila asili "+"un'%in%an untu% s+'+ra "+",+rai%i %+adaan iu6 s+ai%nya dila%u%an s+%si( s+sar+a 5i%a itu "+ru,a%an satu?satunya tinda%an yan' t+rai% untu% "+n'at ,+rdara!an yan' anya% ,ada ,las+nta ,r+
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Tu5uan uta"a ,+la%sanaan iu d+n'an s(lusi( ,las+nta6,ada ,rinsi,nya adala!
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3> P+"+ri%saan la(rat(riu" : !+"('l(in6!+"at(%rit6&OT=&l(t Os+r6%adar irin('+n ,las"a6urin+ l+n'%a,6un 'in5al .> Pasi+n =iu> '+lisa! di+ri%an (at anal'+ti%a )> T+r"inasi %+!a"ilan : ,+rsalina s+'+ra6,+r ila t+r5adi 'an''uan ,+"+%uan dara! =&OT 30 "+nit> di+ri%an dara! s+'ar dala" 5u"la! +sar dan ila ,+rlu irin('+n d+n'an "(nit(rin' +r%ala ,+"+ri%saan &OT dan !+"('l(in *> Untu% "+n'uran'i t+%anan intraut+rin+ yan' da,t "+ny+a%an n+%r(s 'in5al =r+l+% ut+r( 'in5al> s+la,ut %+tuan s+'+ra di,+a!%an /an' ,+rlu di%+ta!ui (l+! s+"ua idan yaitu ,+nan'anan di t+",a ,+layanan %+s+!atan tin'%at dasar iala! "+n'atasi sy(%,r+?sy(% "+",+rsia,%an ru5u%an s+ai%?ai%nya dan s++,at?+,atnya M+n'in'at %(",li%asi yan' da,t t+r5adi yaitu ,+rdara!an anya% dan sy(% +rat !in''a %+"atian6at(nia ut+ri6%+lainan ,+"+%uan dara! (li'uria Ma%a si%a, ,alin' uta"a dari idan dala" "+n'!ada,i s(lusi ,las+nta adala! s+'+ra "+la%u%an ru5u%an %+ ru"a! sa%it
S+tia, ,asi+n yan' diuri'ai s(lusi( a,las+nta You're Reading Preview !arus diraat di ru"a! sa%i %+r+na "+"+rlu%an "(nit(rin' yan' l+n'%a, ai% dala" %+!a"ilan "au,u Unlock full access with a free trial. ,+rsalinan P+n'+l(laan ,ada s(lusi( ,las+nta adala! s+a'ai +ri%ut : 1> Tida% t+rda,at r+n5atan : usia '+stasi %uran' dari 3# "in''u atau ta%siran +ra Download With Free Trial +tus %uran' dari 2)00 'r : a> S(lusi( ,las+nta rin'an dila%u%an ,+n'+l(laan s+ara a E%s,+%tati "+li,uti tira! arin' i S+dati<+ ii M+n'atasi an+"ia iii M(nit(rin' %+adaan 5anin d+n'an %ardi(t(%('rai dan USG i< S+rta "+nun''u ,+rsalinan s,(ntan A%ti d+n'an "+n'a%!iri %+!a"ilan s,(ntan : Sign up to vote on this title i K+adaan "+"uru% ii P+rdara!an +rlan'sun' t+rus Useful Not useful iii K(ntra%si ut+rus +rlan'sun' i< Da,at "+n'ana" iu atau 5anin
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S(lusi( ,las+nta rin'ans+dan'+rat : ,artus ,+rad("inal ila ,+rsali ,+r
P+nan'anan ru,tura ut+ri "+"+rlu%an tinda%an s,+sialistis dan !anya "un'%in dila%u%an di ru"a! sa%it d+n'an asilitas transusi dara! Si%a, idan %al "+n+ri"a %iri"an ,+nd+rita d+n'an ru,tura ut+ri di ,+d+saan adala! "+la%u%an (s+r
1 +ri%an s+'+ra airan is(t(ni% =rin'+r la%tat atau 'ara" isi(l('is> )00 " dala" 1)?20 "+nit danYou're sia,%an la,ar(t("i Reading a Preview 2 4a%u%an la,arat("i untu% "+la!ir%an ana% dan ,las+nta6 asilitas ,+laya Unlock full access with a free trial. %+s+!atan dasar !arus "+ru5u% ,asi+n %+ ru"a! sa%it ru5u%an 3 ila %(ns+r
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I7 K%'&$/&
K%'&$/& '$/"(5$ "&$8 M+nurut Dutta =200.> %(",li%asi da,at t+r5adi ,ada iu dan ayi yaitu: S+la"a %+!a"ilan ,ada iu da,at "+ni"ul%an ,+rdara!an ant+,artu" yan' da,a "+ni"ul%an sy(%6 %+lainan l+ta% ,ada 5anin s+!in''a "+nin'%atnya l+ta% (%(n' dan l+ta% lintan' S+lain itu 5u'a da,at "+n'a%iat%an %+la!iran ,r+"atur S+la"a ,+rsalinan ,las+nta ,r+6 ada ti'a %(",li%asi yan' isa t+r5adi ,ada iu dan 5anin antara lain: You're Reading aT+r+ntu%nya s+'"+n aa! ra!i" s+araa Preview +rta!a, t+r5adila! ,+l+,asan ta,a ,las+nta dari ins+rsi s+!in''a t+r5adi la!with ,+rdara!an yan' tida% da,at di+'a Unlock full access a free trial. +rulan' %ali6 ,+nd+rita an+"ia dan sy(% Freera!i" Trial ti,is s+!in''a d+n'an "uda! Plas+nta yan' +ri",lantasi Download di s+'"+nWith aa! 5arin'an tr,(las inasi "+n+r((s %+ dala" "i("+triu" a!%an %+ ,ara"+triu" dan "+n5adi s+a dari %+5adian ,la+nta a%r+ta dan "un'%in in%+rta S+r K(",li%asi ,ada iu
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"+ni"ul%an ,+rdara!an %ar+na at(nia ut+ri6%+'a'alan ,+"+%uan dara! "+na"a! +rtanya ,+rdara!an + K(a'ul(,ati %(nsu"ti6DI&: s(lusi( ,las+nta "+ru,a%an ,+ny+a %(a'ul(,ati %(nsu"ti yan' t+rs+rin' ,ada %+!a"ilan Ut+r( r+nal r+l+8 ' Ru,tur ut+ri 2> K(",li%asi ,ada 5anin a Asi%sia rin'an sa",ai +rat dan %+"atian 5anin6%ar+na ,+rdara!an yan' t+rti"un di+la%an' ,las+nta yan' "+n''an''u sir%ulasi dan nutrisi %+ara! 5anin Rintan'an %+5adian asi%sia sa",ai %+"atian 5anin dala" ra!i" t+r'antun' ,ada ++ra,a s+a'ian ,la+nta t+la! l+,as dari i",lantasinya di undus ut+ri K+lainan susunan syst+" sara ,usat R+tardasi ,+rtu"u!an d An+"i I- Pr('n(sis
PLASENTA PREVIA Pr('n(sis iu ,ada ,las+nta ,r+
SOLUSIO PLASENTA S(lusi( ,las+nta "+",unyai ,r('n(sis uru% a'i iu !a"il dan l+ i! uru% la'i a' 5anin 5i%a diandin'%an d+n'an ,las+nta ,r+
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ini ,+rlu dila%u%an a'ar tinda%an da,at s+'+ra dila%u%an 5i%a '+5ala?'+5ala ru,tura ut+ri "+"a%at6 s+!in''a ru,tura ut+ri da,at di+'a! t+r5adinya ,ada a%tu yan' t+,at I? P"(@"*$#$(
I P+n+'a!an Pri"+r P+n+'a!an ,ri"+r adala! u,aya untu% "+",+rta!an%an %(ndisi (ran' s+!at a'ar t+ta, s+!at atau "+n+'a! (ran' yan' s+!at "+n5adi sa%it P+n'aasan ant+natal "+"+'an' ,+ranan yan' san'at ,+ntin' untu% "+n'+ta!ui dan "+n+'a! %asus?%asus d+n'an ,+rdara!an ant+,artu" ++ra,a ,+"+ri%saan dan ,+r!atian yan' iasa dila%u%an ,ada ,+n'aasan ant+natal yan' da,at "+n'uran'i %+sulitan yan' "un'%in t+r5adi iala! ,+"+ri%saan %+!a"ilan6 ,+n'(atan an+"ia %+!a"ilan6 "+n'an5ur%an iu untu% +rsalin di ru"a! sa%it atau di asilitas %+s+!atan lainnya6 "+",+r!ati%an %+"un'%inan adanya %+lainan ,las+nta dan "+n+'a!s+rta "+n'(ati ,+nya%it !i,+rt+nsi "+na!un dan ,r++%la"sia Pr('ra" %+s+!atan iu di ind(n+sia "+n'an5ur%an a'ar iu !a"il "+"+ri%sa%an %+!a"ilannya ,alin' s+di%it . %ali6 d+n'an 5adal 1 %un5un'an ,ada tri"+st+r ,+rta"a6 1 %un5un'an ,ada tri"+st+r %+ dua6 dan 2 %un5un'an ,ada tri"+st+r %+ ti'a You're Reading Preview "+"+ri%an ,+n+ran'an T+ta,i a,aila ada %+lu!an6 s+ai%nya ,+tu'asa%+s+!atan t+ntan' ara "+n5a'a diri a'ar Unlock t+ta, full s+!at dala" !a"il,+rlu 5u'a "+"+ri%an access with a "asa free trial. ,+n+ran'an t+ntan' ,+n'aturan 5ara% %+!a"ilan6 s+rta ara "+n'+nali tanda?tanda Download With Free Trial a!aya %+!a"ilan s+,+rti : ny+ri ,+rut6 ,+rdara!an ,ada %+!a"ilan6 (d+"a6 sa%it %+,ala t+rus "+n+rus6 dan s+a'ainya Para iu yan' "+nd+rita an+"ia dala" %+!a"ilan a%an san'at r+ntan t+r!ada, in+%si dan ,+rdara!an K+"atian iu %arna ,+rdara!an 5u'a l+i! s+rin' t+r5adi ,ada ,ara iu yan' "+nd+rita an+"ia %+!a"ilan s+n+lu"nya An+"ia dala" %+!a"ilan6 yan' ,ada u"u"nya dis+a%an (l+! d+isi+nsi +si6 da,at d+n'an "uda! di(ati d+n'an 5alan "+"+ri%an ,r+,arat +si s+la"a %+!a"ilan Ol+! %arna itu6 ,+n'(atan an+"ia dala" %+!a"ilan tida% (l+! diaai%an untu% "+n+'a! %+"atian Sign up to vote on this title iu a,aila nantinya "+n'ala"i ,+rdara!an Useful Not useful alau,un ru"a! sa%it yan' t+rd+%at l+ta%nya 5au!6 ,ara iu !a"il yan' diuri'ai a%an "+n'ala"i ,+rdara!an ant+,artu" !+nda%nya diusa!a%an s+da,at "un'%in
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P+n+'a!an s+%und+r adala! u,aya untu% "+n+'a! (ran' yan' t+la! sa%it "+n5adi s+"a%in ,ara! dan "+n'usa!a%an a'ar s+"u! d+n'an "+la%u%an tinda%an ,+n'(atan yan' +,at dan t+,at S+tia, ,+rdara!an ,ada %+!a"ilan l+i! dari 2- "in''u yan' l+i! anya% dari ,+rdara!anyan' iasa6 !arus dian''a, s+a'ai ,+rdara!an ant+,artu" A,a,un ,+ny+anya6 ,+nd+rita !arus diaa %+ ru"a! sa%it yan' "+"ili%i asilitas untu% transusi dara! dan (,rasi an'an "+la%u%an ,+"+ri%saan dala" di ru"a! atau di t+",at yan' tida% "+"un'%in%an tinda%an (,+rati s+'+ra6 %arna ,+"+ri%saan itu da,at "+na"a! anya%nya ,+rdara!an P+"asan'an ta",(n dala"
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Pada ,las+nta ,r+ S+dan'%an ,+rsalinan ,+rad("inal d+n'an s+si( +sar+a dila%u%an ,ada ,las+nta ,r+ yan' ditu%an t+r!ada, ,+nd+rita yan' aru ,uli! dari ,+rdara!an ant+,artu" "+li,uti r+!ailitasi "+ntal dan s(sial6 yaitu d+n'an "+"+ri%an du%un'an "(ral a'i ,+nd+rita a'ar Reading Preview tida% +r%+il!ati6 "+",unyai You're s+"an'at untu%a t+rus +rta!an !idu, dan tida% ,utus asa s+!in''a da,at "+n5adi an''(ta "asyara%at +rdaya 'una Unlock full access with ayan' free trial. Download With Free Trial Ga"ar S(lusi( Plas+nta
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Ant!(nius udi M6 K+!a"ilan E%t(,i%6 7a%ultas K+d(%t+ran Uni<+rsitas Ind(n+sia6 a%arta6 2001 (a% d%% 199) K+,+raatan "at+rnitas a%arta P+n+rit u%u %+d(%t+ran EG& &!ali% TMA 200- P+rdara!an ,ada %+!a"ilan lan5ut dan ,+rsalinan Il"u K +idanan Edisi K++",at &+ta%an P+rta"a a%arta : PT ina Pusta%a Sar(n( Prair(!ard5(
&unnin'!a"6 76 G6 M D(nal P Gant N6 199) Ost+tri illia" Edisi %+ 1- EG& a%arta 7adlun6 d%% 2011 Asu!an K+idanan Pat(l('is a%arta : Sal+"a M+di%a Mans5(+r Ari d%% 2001 Ka,ita S+l+%ta K+d(%t+ran ilid I M+dia A+sula,lus a%arta M(!tar6 Rusta" 199- Sin(,sis Ost+try ilid I EG&: a%arta P+d("an P+n'(atan Dasar Pus%+s"as 200Prair(!ard5(6 Sar(n( 2002 Il"u K+idanan a%arta : /P J SP Prit!ard A6 MaD(nald P&6 Gant N7 illia"s Ost+tris6 20t! +d R ;ariadi6 R Pra5itn( Pra((6 S(+dart(6 ,+n+r5+"a! Ost+tri illia"s Edisi 20 Suraaya: You're Reading a Preview Airlan''a Uni<+rsity Pr+ss6 2001 .)#?*0 Unlock full access with a free trial. in%5(sastr(6 !ania 200) Ilmu Kebidanan a%arta : /PSP Download With Free Trial &!ali% TM; ;+"(ra'i Uta"a Ost+tri dan Gin+%(l('i a%arta: idya M+di%a6 199* 109?2#
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