PENSÆLtNÆN MÆLÆ tt

LÆMÆ
0:./
~«. <-.::+-:-
_ooozoa 9osos
ÞIKÐðH0L0ðK
W PersuIinun proses mekunik
W ßiIu wuktu persuIinun memun|unq muku
disebut kuIu II Iumu
|unin Tenuqu ibu
ÞIKÐðH0L0ðK
Þenyebub utumu kulu ll lumu
e Þuttenner
e Þeluit utuu puttune
e Þower
e lntidenti z,8 ~ 4,9%
e komplihuti pudu ibu dun iunin
ÐIffKfIf
KaIa pengeIuaran janin yang dimuIai
sejak pembukaan Iengkap hingga janin
Iahir dan berIangsung 22 jam untuk
primigravida dan 21 jam untuk
muItipara
E4tofogt
e Hit yunn tiduh udehuut
e Fuhtor iunin
e Fuhtor iulun luhir
e Fuhtor penolonn
e Þrimituu
e Þerut nuntunn, nrundemultipuru
e ketubun pecuh dini
6FJAlA KlltlS
!ada Ibu
W eIisah
W Letih
W Suhu badan
meningkat,
berkeringat,
W Nadi cepat,
pernafasan cepat
dan meteorismus.
Di daerah IokaI
sering ditemui :
W BandI
W Edema vuIva
W Edema cerviks
W Cairan ketuban
berbau
W Terdapat mekonium.
6FJAlA KlltlS
Þudu Iunin
e 0enyut iuntunn iunin ceput/tiduh terutur
buhhun {-), uir hetubun hentul,
hehiiuuun, berbuu dun terduput
mehonium
e kuput tuhtudeneum yunn betur
e Muulune hepulu yunn hebut
e kemutiun iunin dulum hundunnun
e kemutiun iunin intru purtum
Ðfð0K0IfI
Þembuhuun ceruih yunn lennhup tunpu
ditertui hemuiuun pertulinun ·z ium
untuh priminruuidu dun ·t ium untuh
multipuru ditertui tindrom pudu ibu dun
unuh
HomµIIAaiI
e Ierhudup ibu bitu mennuhibuthun :
~ lnfehti tumpui teptit
~ Atidotit dun nunnnuun elehtrolit
~ 0ehidruti, tyoh dun henunulun funnti ornun
~ Robehun iulun luhir
~ Fittulu buli-buli, uuninu, ruhim dun rectum
HomµIIAaiI
Þudu iunin :
e 0uwut iunin tumpui meninnnul dulum
ruhim
e Luhir dennun utfihtiu berut tehinnnu
duput menimbulhun cucut otuh menetup
e Iruumu pertulinun, fruhtur tulunn dudu,
lennun, huhi, hepulu
!03,9,,8,3,,3
e Memperbuihi heuduun umum
e Mennuhhiri pertulinun ternuntunn tebub
dun iunin hidup utuu muti
e Þenunnunun hhutut
%0zmtaost 90omtIoa
lnertiu uteri
e CÞ0 {-)
e Þecuhhun hetubun
e ketubun belum pecuh drip ohtitotin s
tutuun dlm lur nluhotu s% tz-so tetet/',
tetetun dinuihhun perluhun tumpui hit
udehuut
e £uuluuti z ium
%0zmtaost 90omtIoa
Fuhtor iunin
e Iunin betur dun punnnul yunn tempit IC
e Mulpretentuti, mulpotiti penunnunun
hhutut
Fuhtor iulun luhir
e keluinun punnnul
e Þunnnul tempit
IC
%0zmtaost 90omtIoa
Iunin hidup utuu muti
e Þembuhuun lennhup dun
tyurut peruuninum
terpenuhi
e Þembuhuun belum lennhup
dun tyurut peruuninum
tiduh terpenuhi
uuhum/forcept/e
mbriotomi
IC
Fowuw=uwuw MHunun
kulu ll memuniunn
e Mulpretentuti dun/utuu tuh udu
hemuiuun penurunun hepulu
Fowuw=uwuw MHunun
e Iihu hepulu < t/s diutut timfitit pubit utuu
buniun tulunn hepulu di ttution {o) luhuhun
ehttruhti uuhum utuu forcept
e Iihu hepulu unturu t/s-s/s diutut timfitit pubit
utuu buniun tulunn hepulu di ttution {o)
tumpui {-z), luhuhun ehttruhti uuhum, iihu
operutor hetulitun diluhuhun tinduhun IC
e Iihu hepulu × s/s diutut timfitit pubit utuu
buniun tulunn hepulu ti ttution {-z) luhuhun IC
'uHuw BHn#uuHnI
Iinduhun pertulinun buutun dimunu
iunin diluhirhun dennun ehttruhti tenunu
nenutif {uuhum) di hepulunyu
fKÐfKðIf
e Þenyuhit iuntunn pd ibu
e 0uwut iunin
e kulu ll lumu
K0KT0ð fKÐfKðIf
e Ruptur uteri
e Mulpretentuti
e Þreterm
'uHuw BHn#uuHnI
Iyurut-tyurut
e Þembuhuun teruiht lennhup
e Iiduh udu ditproporti tefulopeluih
e Adu hit/tenunu menneiun
e ketubun tuduh pecuh/dipecuhhun
e kepulu iunin tuduh berudu di Hodne lll+
ennuned
MowpIIHunI 'B
lbu
e perduruhun uhibut
utoniu
uteri/truumu
e truumu iulun luhir
e infehti
Buyi
e £hthoriuti hulit hepulu
e Ieful hemutomu,
tubnuleul hemutomu
e Nehrotit hulit hepulu
e Þerduruhun
intruhruniul
e Iuundice
e Fruhtur hluuihulu,
herutuhun N vl dun vll
'uHuw BHn#uuHnI
kriteriu teriudinyu henunulun duri
tinduhun uuhum ehttruhti uduluh:
e 0ulum ½ ium truhti tiduh berhutil
e Munnhuh {cup) terleput s huli
FowmoEuE Mo=u=uIuw 'B
e Ienunu uuhum yunn
terlulu renduh
e Iehunun nenutif
dibuut terlulu ceput
e Ieluput hetubun
melehut
e Buniun iulun iuhir
teriepit
e koordinuti tunnun
hurunn buih
e Iruhti terlulu huut
e Cucut ulut
e 0itproporti
tefulopeluih yunn
tebelumnyu tiduh
dihetuhui.
LðÞ00ðK KðI0I
l. ldentitut
Numu : Ny. R Numu tuumi : In. Þ
0mur : z8 thn 0mur : ss thn
Anumu : ltlum Anumu : ltlum
Iuhu : Buniur Iuhu : Buniur
Þeheriuun: lRI Þeheriuun : Iwuttu
LðÞ00ðK KðI0I
e Alumut : Il. Ioetoyo I. 00. Þurnuwiruwun
RI ze Buniurmutin
e MRI : zt Iuli zoo8
e RMk : z9 s9 8s
Mefuhan M4ama:
Inqin meIuhirkun
##
e ] t huri IMRI, ot menneluh tuhit perut
yunn hemudiun ditertui heluurnyu lendir.
e 0t perni he bidun dun dihutuhun
mennulumi pembuhuun t cm.
e ] s ium IMRI di rumuh bidun, hetubun
pecuh tendiri dun ot dipimpin untuh
meluhuhun pertulinun hurenu dihutuhun
pembuhuun teluh lennhup
##
e Riwuyut Þenyuhit 0uhulu
Iiduh udu riwuyut hipertenti, diubetet
mellitut, dun utmu.
e Riwuyut Huid
Menurche umur tz tuhun, tihlut huid so
huri, terutur, lumu z huri, tiduh udu
nyeri huid. HÞHI : s-to-zooz, IÞ: tz-z-
zoo8
##
e Riwuyut kontrutepti
kontrutepti tuntih tiup s bulun tlm s thn
e Riwuyut Þerhuwinun
kuwin t huli, lumu perhuwinun z tuhun.
e Riwuyut 0bttetri
0zÞtAo :
l. zooz/rmh bidun/uterm/Þr/z8oo/hdp
ll. zoo8/tehurunn
FowouIHnuuw VInIH
e k0 :tumpuh buih
e ketudurun :compotmentit
Iundu uitul
e Iehunun duruh : too/zo mmHn
e Nudi : 8o x/menit
e Þernuputun : zo x/menit
e Iuhu : se,s oC
FowouIHnuuw VInIH
e BB: sz hn
e IB : t4z cm
e kepulu/leher: dulum butut normul
e Ihorux : dulum butut normul
e Abdomen: tetuui ttutut nineholonih
e £httremitut : dulum butut normul
ÞIMI0fKIððK 00ITIT0f :
lntpehti : Þerut tumpuh membuncit utimetrit
Þulputi :
e Leopold l : fundut uteri terubu z iuri di
buwuh Þx {IF0 = sz cm)
e Leopold ll : memuniunn, punnnunn hunun
e Leopold lll : pretentuti hepulu
e Leopold lv : s/s.
e Hit : sx/to'/so-ss*
e IBI : szss nrum
ÞIMI0fKIððK 00ITIT0f :
Authultuti : 0II tse x/menit.
vuninul Iouche :
e portio tiduh terubu, uruh mendutur,
hetubun {-)
e Þembuhuun lennhup
e Buniun hepulu terbuwuh di Hodne lll +.
ketun Þunnnul : luut
lA6t0SlS
Þ1ð0, HðMfL 40-41 MfK000 fK Þð0T0
KðLð ff LðMð ÷ Þ0WI0 f00 K00ðK0.
IðKfK T0K00ðL, HfÐ0Þ, fKT0ð 0TI0fK,
Þ0IIIKTðIf KIÞðLð
Fowu#uIuHnuwuuw
e lvF0 RL
e Cefotuxim t nr
e Þerceput hulu ll dennun uuhum ehttruhti
_ooozoa goztos
e 0iunnotu Þre v£ : 0zÞt-tAo, humil 4o-4t
minnnu in purtu hulu ll lumu + inertiu
uteri tehunder. IIHl0, pretentuti hepulu.
e Iunnnul tinduhun : zt Iuli zoo8
{Þuhul os.zo t/d os.4s WlIA)
e Ienit Anetteti : Locul Anetteti
e 0perutor : dr. Muriunu
e Buyi : Lh/s-s-z/sooonr/sscm
gost goztos
Ierupi pott purtut
~lvF0 0s%
~lniehti Cefotuxim s x t nrum {lv)
~Atum mefenumut tub soo mn s x t {p.o)
~vit B complex tub z x t {p.o)
~vit C tub z x t {p.o)
Tgl
SOAP
21 22 23
Subjektif
Nyeri
Perdarahan
Mobilisasi
+
+
+
<
<
+
<
<
+
Objektif
TD (mmHg)
Nadi (x/menit)
RR (x/menit)
Temperatur (
o
C)
FU teraba 1 jari bwh pusat
Kontraksi uterus
120/80
80
22
37
+
baik
120/80
80
22
36.5
+
baik
120/80
80
20
36.5
+
baik
Assesment P2A0 post VE ai kala II lama 1THIU pres kepala
Penatalaksanaan
IVFD D5º
Inj. Cefotaxim 3 x 1 (IV)
Cefadroxil tab 3 x 500 mg
Asam mefenamat tab 3 x 500 mg
Vit B comp tab 2 x 1
Vit C tab 2 x 1
+
+
-
+
+
+
-
+
-
+
+
+
-
-
+
+
+
+
MRHUH
e kulu ll lumu lebih duri s ium
e Iiduh udu ruptur uteri
e Þembuhuun teruiht lennhup
e Hit {+), sx/to mnt tlm so-ss detih
e ketubun tuduh pecuh
e Iiduh udu ditproporti tefulopeluih
e kepulu iunin berudu di Hodne lll+ ennuned
e Þretentuti hepulu
e kemunnhinun udu nuwut iunin
Fowu#uIuHnuwuuw
e vuhum ehttruhti
e Þerbuihi heuduun umum
e Antibiotih
e Anulnetih
e Iuplemen multiuitumin
!FtuTu!
e Ieluh diluporhun putien wunitu utiu z8
tuhun dennun diunnotu 0zÞtAo humil
4t-4z minnnu in purtu hulu ll lumu +
inertiu uteri tehunder. IIHl0 pretentuti
hepulu. Þudu penderitu ini diluhuhun
pertulinun tecuru uuhum ehttruhti.

!&&
W !078,3,3 574808 20,3 
,33 %03,,-:

W , ,9: 5078,3,3 202,3,3 2,, /80-:9 ,,  ,2,

!&&
!030-,-:9,2,,,,2, W !,880307 W !0;8,9,:5,88,0 W !407 W 38/038    W 425,85,/,-:/,3,33

$ 
,, 5030:,7,3 ,33 ,3 /2:, 80, 502-:,,3 03,5 3, ,33 ,7 /,3 -07,38:3 _ ,2 :39: 5727,;/, /,3 _ ,2 :39: 2:95,7,

947./3 .39:3 7.7.9 W .3. W !07:9.33 W ./0:.944 W 8.7 W .947..350...39/.947503443 W !729:. W 09:-.3/02:95.

 /02..3 -07-.05.4.9  5073.-: W 08..9  -07073./. W 09 W $::-./.9 /.:..92043:2 W W W W W .3/ /02.: %07/.07.8 .8./.5. 8073/902: .309:-.320904782:8 /.1.07.$ !.7.05.3.9  W .3 2033.

05../.33 W 03:9.39:3.$ !.33.9.

9.3.33/..7 W ./030:2..3 W 02..3.:..9.907.9:7 -.9/.3039.:.3 -07-.  0.33397.5.709:-.3907/.9 2043:2 W .:/.9 W 02.005.3-08.79:2 .2.3/:3.5:98:8.3 .5.30-.

./.-:/..35.3.7. . /8079.07..2:39: 2:95.3488 !02-:./.3.35078.3 .:.83/7425.3_./.59.303./8079.3.3_.02.2 :39:5727./.

3.2/.3.80588 8/488/.5-:-8.370.203.3./.25.30..-: -: .-.8 84/.3009749 0/7.3 31088.8 W %07.3:...3 #4-0. 7.3..9:2 .7 89:.425.9.31:3847.

20309.25..818.5.8 !.338.9803.5078.425.9:79:...3 17.. .3.92032-:. 05.3 .3..2033./.949. /.:2.3.  03.33 W .2 7.2 W .3/..7/03.-07./../.9.5 W %7.

3:8:8 .3.- /.:2.0../.33/:5.8.3907.3 W 02507-.9.9.3.39:380-...!03.3.3.3.9 W !03.3:2:2 W 03.75078.

.%0723./75489483 8.3 W 09:-.2.80..9:.:907 W ! W !0..7:48.309:-.3-0:250.3 3078.  90908.3/2.

8 .2 ./0:.9 W .3/3...8.3507.:.  90908..25.38.

35.380259$ W .5488503.35.5708039.7 W 0.947.3:.33-08.3 .3.3.3.2.%0723.80.947.3: $ W !.3.3:80259 .3 :8:8 .33 W .8 2.7/..

80.907503: .3 .7...3.9.%0723..3.:2.38.7..9507..2 9/.5 /.2.9 W !02-:.3 8.:2.2 907503: W !02-:.33/:5.3-0:203.9507.303.5/.

058.147.

0 2-74942 $ .

8/..3:8:8 .5708039.3.3.3.!03.3 W .202.3.

/.:. ...9.:9.3503:7:3. 02..305.

!03.3:8:8 W ..05.3.3..

/.9..39:.3 0897.05..305.: -.7.058 W .8821885:-8..:147../89..9.:.39.8.:2.843 .9..

 .

/.30897....  . 4507.3 $ W .:.25.393/..94708:9.8821885:-8 ..39:.:-..843  8.9.:.:2 .3 /.8.305.9./89.05.

/..889.8821885:-8.3$ .:.39:..305.9.9.843  .: -.

3..8 W !709072 .8 903.3 5078.3 0897.9.8 W !03..:2897.33 /.3 /2.7.9.9..2.3.3/..39:35/-: W .5708039.3.3 -:. 4397.3 /03.. 30.91 .8 W #:59:7:907 W . .:2 / 05.33 W . 3/...'.8 %3/.

450..9 W !02-:.5 W %/.7. W /.:2897.'./.9 8..8 $.3807.7.8.803./85745478801.

2030.38:/..50..3 W 09:-..903.

.3 W 05..0/ ./50.-07./4/0  03../.338:/..

3.943.9 .7.. :907.8' -: W 507/.-.425.

. W 97.02..:3/..:2..0.7 W 3108 . W 847.7..9:7.7. W !07/.8:905. W .3' .3.97.942..3'/.  8:-.02..942.3.3 397.  07:8.:. W 07488:905.0 W 7. W $01.:2.

3/..:2897.'.7 93/.-07.297. .2 .0...8.3: ..907.:5 90705..89/./3.8.3.8 W ..:20897./.8 7907. W .

9 W .!030-.-0.7 907059 W 447/3.:.3.3.3 200...3 907.330. W %7.450. /09.9 W $0.3.:2.5:909:-.3 80-0:23.3-..3' W %03.::.9 W 85745478 801...9907.89... W %0.05.91 /-:.:  .9 W .3..8907.9/..3 :7.9.:703/...

3#% !007. .  #.8 .3.! #$&$  /0399. 8.89.2.3 $.7 $:: ..7 !007.3.2.2.8:.8..2 .2 $:: .2.2%3 ! &2:7 93 &2:793 .

2.3&9.3 . 3320.3 #%..3.7.2.7.83 W #$ :  W #  0:.! #$&$ W .72.9  $40944$  !:73.

.3 203.348/5253:39: 20.03.2  W ] ..5 .390.2502-:.35078.## W ] .0:.-/.9.03/7  W 85070-/....3.9.3 50.803/7/.3/.73.302:/.7$#$ 482030:8.3.2$#$/7:2.3 502-:.:./.3/8079.3.9507:9 .3/.703..3 09:-.

## W #.. 307..3.9./ !%    %!    . W #.9:7 ...7.7 9/.82.9!03./ 03./..:: %/.-0908 209:8 /.2.9.95079038 /./  .7 907.7../.0:2:79.:3 8:8.

9 -89097 !   .39.:3 #..## W W W   #.38293 #.80588:399.3.507.2. .3.94397..8058 4397.3.5-:..3 .9!07.

3.72-/.

.9072.

!7.

 .

/5  .

3 .80.7.

.9.  .-.3/.7. W %0.7..25.318 W & 9.!02078.4254820398 %.3./.3/.3 . W 08.

 22 W ./   .

8.3   .2039 W !073.5.

2039 W $::     .

2 W 05..318 W   W % ..!02078.

9.89.83472... W %47. /.8 /.83472. .007/. W -/4203808:..9.2-.9:83044 W 897029.2-.83472.9.2-.

25.820978 !.805..7/ -.3 W 0454/ 5708039.202-:3..5.9.! %&.8  W 0454/ 1:3/:8:907907. W 0454/' .3 5:3:3..3.2 W 0454/ 202.!02078.3.-.3 -89097 38508 !07:99..

 W 8 .

 .

  W % 7.2 .

3 -89097 :8:9..!02078.8 .

.907.9.203/..3::.3!.907-.3 W !02-:./4/0 08.3.-.%4:.7.303. ..305.7  09:-..2039 '.8 .5 W .0 W 547949/.

 $$ ! .2 23:35.. 5407-::7..805.. /:5 397.79: .:9073  5708039.339:3. .3  .2.

05..8..27 W !07.9.3../03.8 .3.:20897.9.3 W '# W 0149..!03.

3 :  !::   8.805.348..!70' !  .2  23:35.79:. 3078. W %.547.93/.3!..2..3...79:8 W . :90780:3/07 %& 5708039.

3.308908 W 507. . W ..947 /7 .7./  % W 0383089084.

  .

 7.

.2 .

79:8 ' 3080149.220103.- 5 4 '99.99.554895.!489!.- 2 5 4 '9.42509.79:8 %07.2.27.2 ' 8.- 5 4 .

.3 4-8.8 -091 % 22 ./ .7.% $ ! $:-091 07 !07/.

2039 ## .

2039 %02507.7-5:8..2 ' 01.9 4397.3 ' 3 0149.220103.2.9.8.3.- 2 8.4259.- 2 '9.8:907:8 88082039 !03./749.9:7 4 &907.- '99..99.-         .-..

  .    -.

     -.  .

.. .2.%&570805.     -. ! 5489'...

.

803.2 %/.5 8 ..3807...2.0-/./.7..$&$ W W W W W W W W W .7:59:7:907 !02-:.

.33-07. %/. 02:33./.....33 .805.3.450.38:/.50./85745478801. 05..0/ !708039././.9. 23982 /09 09:-./4/0 03..

9..3..8 W !07-.9.3:2:2 W 39-49 W 3.!03.09 W $:502032:9.3 W '.8..23 .0./.:20897.

35.803. 9.3 5078.!&%&! W %0..3/.  3078.:3/03.79:./..:.503/079.:20897...547.3/.8 05.! ..2  23:35..7./.348. !.8  .:8.380.:90780:3/07 %&5708039.2.39.3.

Sign up to vote on this title
UsefulNot useful