LAPORAN KASUS

LETAK SUNGSANG

Oleh:
Nor Hanis binti Arshad

0610710098

Rusannah binti Abu Samah

0710714037

Yaniar Uzlifatin

0710710010

Supervisor:
Dr. Rahajeng, SpOG (K)
Pembimbing:
dr. I Ketut Widnyana

LABORATORIUM OBSTETRI & GINEKOLOGI

FAKULTAS KEDOKTERAN UNIVERSITAS BRAWIJAYA
RSU Dr. SAIFUL ANWAR

MALANG 2011
HALAMAN PENGESAHAN

LAPORAN KASUS

LETAK SUNGSANG

Oleh:
Nor Hanis binti Arshad

0610710098

Rusannah binti Abu Samah

0710714037

Yaniar Uzlifatin

0710710010

Supervisor

Pembimbing

dr. Rahajeng, SpOG (K)

dr. I Ketut Widnyana

ii

DAFTAR ISI
Halaman
Halaman Judul
................................................................................................................................
i
Halaman Pengesahan
................................................................................................................................
ii
Daftar Isi
................................................................................................................................
iii
BAB I PENDAHULUAN
................................................................................................................................
1
1.1

Latar Belakang
1

1.2

Tujuan

1.3

Manfaat

BAB II TINJAUAN PUSTAKA

................................................................................................................................
3
2.1 Letak Sungsang
................................................................................................................................
3
2.1.1 Definisi
.........................................................................................................................
3
2.1.2 Insiden
.........................................................................................................................
3
2.1.3 Etiologi
.........................................................................................................................
4

iii

2.1.4 Patofisiologi
.........................................................................................................................
4
2.1.5 Gejala Klinis
.........................................................................................................................
4
2.1.6 Diagnosis
.........................................................................................................................
5
2.1.7 Komplikasi
.........................................................................................................................
7
2.1.8 Penatalaksanaan
.........................................................................................................................
7
2.1.9 Prinsip Dasar Penatalaksanaan Letak Sungsang
.........................................................................................................................
10
BAB III LAPORAN KASUS
................................................................................................................................
21
3.1 Identitas
................................................................................................................................
21
3.1.1 Identitas Pasien
.........................................................................................................................
21
3.2 Anamnesis
................................................................................................................................
22
3.3 Pemeriksaan Fisik
................................................................................................................................
23
3.3.1 Status Interna
.........................................................................................................................
23
3.3.2 Status Obstetri

iv

.........................................................................................................................
23
3.4 Assesment
24
3.5 Planning
24
3.6 Follow Up
24
3.7 Hasil Pemeriksaan Penunjang
28
BAB IV PERMASALAHAN KASUS
29
4.1 Permasalahan
29
BAB V PEMBAHASAN
30
5.1 Faktor Resiko terjadinya Kehamilan Letak Sungsang
................................................................................................................................
30
5.2 Merujuk Pasien dengn Kehamilan Letak Sungsang
................................................................................................................................
30
5.3 Pemeriksaan Ultrasonografi (USG) pada Letak Sungsang
................................................................................................................................
31
5.4 Tindakan Versi Luar pada Letak Sungsang
................................................................................................................................
32
5.5 Persalinan Pervaginam pada Letak Sungsang
................................................................................................................................
33
5.6 Manual Aid (Partial Breech Extraction) pada Persalinan Letak Sungsang
................................................................................................................................
34

5.7 Penilaian Outcome Bayi Baru Lahir

................................................................................................................................
35
BAB IV PENUTUP
................................................................................................................................
37
6.1 Kesimpulan
................................................................................................................................
37
6.2 Saran
................................................................................................................................
37
DAFTAR PUSTAKA
................................................................................................................................
39

vi