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Komunitas Mahasiswa Kedokteran Se-Indonesia

Dari: Anthonius Budi Marjono


Dibuat oleh Mahasiswa Fakultas Kedokteran Universitas Indonesia

Introduksi Kesehatan Reproduksi Wanita ................................................................................................... 2


Pengantar Kependudukan .......................................................................................................................... 6
Anatomi dan FisiologiSistem Reproduksi Wanita ....................................................................................... 11
Gametogenesis, Fertilisasi dan Implantasi ................................................................................................. 17
Plasenta, Tali Pusat, Selaput Janin dan Cairan Amnion............................................................................ 24
Pertumbuhan dan Fisiologi Janin............................................................................................................... 29
Perubahan Anatomi dan Fisiologi Wanita Hamil ........................................................................................ 34
Pemeriksaan Obstetri dan Asuhan Antenatal ............................................................................................ 38
Pemantauan Janin (Fetal Monitoring) ........................................................................................................ 43
Konseling Genetika dan Diagnosis Prenatal .............................................................................................. 45
Anatomi Rongga Panggul ........................................................................................................ .................. 47
Hubungan antara Fetus dengan Jalan Lahir .............................................................................................. 50
Fisiologi Proses Persalinan Normal ............................................................................................ ............... 55
Partograf ..................................................................................................................... ............................... 60
Pimpinan Proses Persalinan Normal ......................................................................................................... 63
Masa Nifas dan Laktasi (Periode Pasca Persalinan) ................................................................................. 66
Pengantar Perinatologi ........................................................................................................ ...................... 70
Special Aspects of Perinatal Pharmacology (Drug Therapy in Pregnancy and Lactation)......................... 76
Congenital Malformations ...................................................................................................... .................... 81
Resusitasi dan Perawatan Intensif Neonatus ............................................................................................ 89
Penyakit-penyakit yangMempengaruhi / Dipengaruhi Kehamilan.............................................................. 97
Hipertensi pada Kehamilan Pre-eklampsia/Eklampsia .............................................................................. 98
Diabetes Mellitus pada Kehamilan............................................................................................................ 105
Kelainan Jantung pada Kehamilan ........................................................................................................... 110
Kelainan pada Lamanya Kehamilan (Abortus, Preterm, Lewat Waktu) .................................................... 115
Perdarahan dalam Masa Kehamilan......................................................................................................... 125
Kehamilan Ektopik ............................................................................................................. ....................... 128
Distosia ...................................................................................................................... ............................... 130
Persalinan Sungsang ............................................................................................................................. ... 138
Kehamilan Multipel / Kembar .................................................................................................................... 144
Ketuban Pecah Dini dan Infeksi Intrapartum............................................................................................. 147
Perdarahan Pasca Persalinan .................................................................................................................. 149
Induksi Persalinan....................................................................................................................... .............. 151
Pengantar Ilmu Bedah Obstetri................................................................................................. ................ 153
Anestesia / Analgesia dalam Obstetri Ginekologi ..................................................................................... 161
Resusitasi Jantung Paru (Aplikasi Khusus pada Wanita Hamil) ............................................................... 166
Management of the Injured Pregnant Patient ........................................................................................... 172
Pemeriksaan Umum Ginekologi ................................................................................................... ............ 178
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Forum Ukhuwah Lembaga Dakwah Fakultas Kedokteran Se-Indonesia

Edited by: www.medicalzone.org


Komunitas Mahasiswa Kedokteran Se-Indonesia

Introduksi Kesehatan Reproduksi Wanita


Kuliah Obstetri Ginekologi
Prof. dr. Abdul Bari Saifuddin / dr. Biran Affandi / dr. J.M. Seno Adjie
Tulisan tentang Penyakit Hubungan Seksual / Kuliah Kulit dan Kelamin
dr. Sjaiful Fahmi Daili

KESEHATAN REPRODUKSI (Reproductive Health)


International Conference on Population and Development, Cairo, 1994 (WHO/PBB) :
"Reproductive health is a state of complete physical, mental, and social well-being, and not merely the absence of
disease or infirmity, in all matters relating to the reproductive system, its functions and its processes."
"Reproductive health therefore implies that people are able to have a responsible, satisfying and safe sex life and that
they have the capability to reproduce and the freedom to decide if, when and how often to do so."
"Implicit in this last condition are the rights of men and women to be informed and to have access to safe, effective,
affordable and acceptable methods of family planning of their choice, as well as other methods of their choice for
regulation of fertility which are not against the law, and the right of access to appropriate health care services that will
enable women to go safely through pregnancy and childbirth, and provide couples with the best chance possible of
having a healthy infant."
"In line with the above definition of reproductive health, reproductive health care is defined as the constellation of
methods, techniques, and services that contribute to reproductive health and well-being by preventing and solving
reproductive health problems. It also includes sexual health, the purpose of which is the enhancement of the quality of
life and personal relations, and not merely counselling and care related to reproduction and sexually transmitted
diseases."
What are the essential elements of reproductive health, and how do these elements bear on every problems of
fertility and infertility ?
1. Reproductive health is the opportunity, particularly for women, to regulate and control fertility. This includes not only
family planning, but for some couples, the proper treatment of infertility.
2. Reproductive health should allow all women to have a safe pregnancy and childbirth.
3. Reproductive health is the striving for neonatal excellence, allowing every newborn to have the benefits of a healthy
infancy.
4. Finally, reproductive health is the freedom from sexually-transmitted diseases.

KELUARGA BERENCANA (Family Planning)


International Conference on Population and Development, Cairo, 1994 (WHO/PBB)
"The aim of family planning programmes must be to enable couples and individuals to decide freely and responsibly
the number and spacing of their children, and to have the information and means to do so and to ensure informed
choices and make available a full range of safe and effective methods."
"The success of population education and family planning programmes in a variety of settings demonstrates that
informed individuals everywhere can and will act responsibly in the light of their own needs and those of their families
and communities."
"The principle of informed free choice is essential to the long-term success of family planing programmes."
"Govermental goals for family planning should be defined in termes of unmet needs for information and services."
"Demographic goals, while legitimately the subject of government development strategies, should NOT be imposed on
family planning providers in the form of targets or quotas for the recruitment of clients."

PROGRAM "SAFE MOTHERHOOD" (WHO, 1988)


Meliputi empat program / target utama :
1. Family Planning : Keluarga Berencana
2. Antenatal Care : Asuhan / Perawatan Antenatal
3. Clean and Safe Delivery : Persalinan yang Bersih dan Aman
4. Essential Obstetric Care : Pelayanan Obstetrik Esensial

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Forum Ukhuwah Lembaga Dakwah Fakultas Kedokteran Se-Indonesia