PELATIHAN ASUHAN PERSALINAN NORMAL

ACUAN
Kata Pengantar ..........................................................................................................
Sambutan....................................................................................................................
Pendahuluan ..............................................................................................................
Pergeseran Paradigma................................................................................................
Pelatihan Asuhan Persalinan Normal.........................................................................
Asuhan Persalinan Normal........................................................................................

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1
2
3

Bab 1 Lima Benang Merah dalam Asuhan Persalinan dan Kelahiran Bayi . . .
Tujuan................................................................................................
Membuat Keputusan Klinik...............................................................
Asuhan Sayang Ibu............................................................................
Pencegahan Infeksi............................................................................
Pencatatan (Dokumentasi).................................................................
Rujukan..............................................................................................

5
5
5
12
14
32
33

Bab 2 Kala Satu Persalinan ..................................................................................

Pendahuluan.......................................................................................
Tujuan................................................................................................
Batasan...............................................................................................
Fase-fase dalam Persalinan Kala Satu...............................................
Anamnesis dan Pemeriksaan Fisik Ibu Bersalin................................
Pengenalan Dini Terhadap Masalah dan Penyulit.............................
Persiapan Asuhan Persalinan.............................................................
Partograf.............................................................................................

37
37
37
37
38
38
45
50
55

Bab 3 Kala Dua Persalinan ...................................................................................

Pendahuluan.......................................................................................
Tujuan................................................................................................
Batasan...............................................................................................
Persiapan Penolong Persalinan..........................................................
Penatalaksanaan Fisiologis Kala Dua................................................
Menolong Kelahiran Bayi..................................................................
Pemantauan Selama Kala Dua Persalinan ........................................

75
75
75
75
76
78
83
94

Bab 4 Asuhan Bayi Baru Lahir............................................................................

Pendahuluan.......................................................................................
Tujuan................................................................................................
Pencegahan Infeksi............................................................................
Penilaian.............................................................................................
Pencegahan Kehilangan Panas...........................................................
Merawat Tali Pusat............................................................................
Pemberian ASI...................................................................................
Pencegahan Infeksi pada Mata...........................................................
Profilaksis Perdarahan Bayi Baru Lahir............................................
Pemberian Imunisasi Hepatitis B ......................................................

95
95
95
95
96
96
99
100
105
106
106

Asuhan Persalinan Normal

Bab 5 Penatalaksanaan Bayi Baru Lahir dengan Asfiksia.................................

Pendahuluan.......................................................................................
Tujuan................................................................................................
Asfiksia..............................................................................................
Persiapan Resusitasi Bayi Baru Lahir................................................
Penilaian Segera.................................................................................
Langkah-langkah Resusitasi BBL......................................................
Asuhan Pascaresusitasi......................................................................
Langkah-langkah Resusitasi BBL dengan Air Ketuban Bercampur
Mekonium..........................................................................................

122

Bab 6 Kala Tiga dan Empat Persalinan..............................................................

Pendahuluan.......................................................................................
Tujuan................................................................................................
Batasan...............................................................................................
Fisiologi Persalinan Kala Tiga...........................................................
Manajemen Aktif Kala Tiga..............................................................
Atonia Uteri.......................................................................................
Asuhan dan Pemantauan Pada Kala Empat.......................................
Pemantauan Keadaan Umum Ibu.......................................................

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123
123
123
123
124
131
137
139

Lampiran 1
Lampiran 2
Lampiran 3
Lampiran 4
Lampiran 5
Lampiran 6

145
146
149
151
158
161

Amniotomi.........................................................................................
Melakukan Episiotomi dengan Anestesi Lokal ...............................
Penatalaksanaan Distosia Bahu .........................................................
Menjahit Laserasi Perineum atau Episiotomi ...................................
AKDR (IUD) Post plasenta ..............................................................
Perlengkapan, Bahan dan Obat Esensial ...........................................

Asuhan Persalinan Normal

107
107
107
107
110
112
112
118