Asuhan Kebidanan Ibu Hamil Pathologi

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\kerning2 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe2052
\langfenp2052 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \ql \fi0 \li0 \ri0 \sb0
\lisb0 \sa0 \lisa0 \sbauto0 \saauto0 \widctlpar \aspalpha \aspnum \faroman
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 LAPORAN PENDAHULUAN}
PARTUS PREMATURUS IMINENS}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\par }\pard \plain \qj \fi0 \li0 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0 \saauto0
\caps0 \par }\pard \plain \qj \fi-426 \li426 \ri0 \sb0 \lisb0 \sa0 \lisa0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 A.}{\b0 \i0 \fs14
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1
\u32893 ?}}{\b1 \i0 \fs24 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0
\expndtw0 \chcbpat18 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf8
\nosupersub0 \caps0 PENGERTIAN}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 Pada haid yang teratur, persalinan preterm
dapat didefinisikan sebagai persalinan yang terjadi antara usia kehamilan 20-37
minggu dihitung dari hari pertama haid terakhir (ACOG, 1997)}{\i0 \fs22
\langnp1033 \langfe2052 \langfenp2052 \cf8 \caps0 \par }\pard \plain \qj \fi567
\aspalpha \aspnum \faroman \adjustright \lin426 \rin0 \cbpat18 \itap0 \fs24
\nosupersub0 \caps0 Partus prematur adalah kelahiran bayi pada saat masa kehamilan
kurang dari 259 hari dihitung dari hari terakhir haid ibu (Firmansyah, 2006)}
\nosupersub0 \caps0 Partus prematur adalah persalinan pada kehamilan 28-37 minggu,
berat badan lahir 1000-2000 gram}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\caps0 \par }\pard \plain \qj \fi567 \li426 \ri0 \sb0 \lisb0 \sa0 \lisa0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Partus prematurus
adalah persalinan pada umur kehamilan kurang dari 37 minggu atau berat badan lahir
antara 500-2499 gram (Sastrawinata, 2003)}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\cf8 \caps0 \par }\pard \plain \qj \fi567 \li426 \ri0 \sb0 \lisb0 \sa0 \lisa0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Dari beberapa
pengertian tersebut dapat disimpulkan bahwapartus prematurus iminens adalah suatu
ancaman pada kehamilan dimana akan timbul persalinan yang belum aterm (28 sampai 37
minggu) atau berat janin kurang dari 2500 gram.}{\i0 \fs22 \kerning2 \dbch \af5
\langfenp2052 \cf8 \caps0 \par }\pard \plain \qj \fi567 \li426 \ri0 \sb0 \lisb0
\sa0 \lisa0 \sbauto0 \saauto0 \sl338 \slmult0 \widctlpar \aspalpha \aspnum \faroman
\loch \af0
\langfenp2052 \cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}}{\i0 \fs22
\langnp1033 \langfe2052 \langfenp2052 \cf8 \caps0 \par }\pard \plain \qj \fi-426
\langfenp2052 {\b1 \i0 \fs24 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0
\nosupersub0 \caps0 B.}{\b0 \i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}}{\b1 \i0 \fs24
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 ETIOLOGI DAN FAKTOR
RESIKO}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf8 \caps0 \par }\pard \plain
\qj \fi0 \li426 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0 \saauto0 \sl338 \slmult0
\widctlpar \aspalpha \aspnum \faroman \adjustright \lin426 \rin0 \cbpat18 \itap0
\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033
\langfe2052 \langfenp2052 {\i0 \fs24 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 Pada kebanyakan kasus, penyebab pasti belum diketahui,
namum menurut Rompos (2004) ada beberapa resiko yang dapat menyebabkan partus
prematurus :}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\qj \fi-360 \li786 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0 \saauto0 \sl338
\slmult0 \widctlpar \aspalpha \aspnum \faroman \adjustright \lin786 \rin0
\langfenp2052 \cf8 \nosupersub0 \caps0 1.}{\i0 \fs14 \kerning0 \dbch \af5 \hich
\langfenp2052 \cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}}{\i0 \fs24
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Faktor resiko mayor}
\nosupersub0 \caps0 Kehamilan multiple, hidramnion, anomaly uterus, serviks terbuka
lebih dari 1 cm pada kehamilan 32 minggu, serviks mendatar / memendek kurang dari 1
cm pada UK 32 minggu, riwayat abortus pada TM II lebih dari 1 kali, riwayat preterm
dll}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Faktor resiko minor}
\nosupersub0 \caps0 Penyakit yang disertai demam, pendarahan pervaginam setelah
kehamilan 12 minggu, riwayat pielonefritis, riwayat abortus}{\i0 \fs22 \kerning2
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Sedangkan faktor
predisposisi partus prematurus menurut Manuaba (1998) adalah}{\i0 \fs22
\nosupersub0 \caps0 1.}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0
\nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}}{\i0 \fs24 \kerning0 \dbch \af5 \hich
\langfenp2052 \cf8 \nosupersub0 \caps0 Faktor ibu}{\i0 \fs22 \kerning2 \dbch
\af5 \hich \af5 \loch \f5 \expnd0 \expndtw0 \lang1033 \langnp1033 \langfe2052
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Gizi kurang, umur
kurang dari 20 tahun, atau lebih dari 35 tahun, terlalu dekat, penyakit menahun
(hipertensi, jantung, gangguan pembuluh darah dll), serta faktor pekerjaan yang
terlalu berat}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\par }\pard \plain \qj \fi-360 \li786 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0
\saauto0 \sl338 \slmult0 \widctlpar \aspalpha \aspnum \faroman \adjustright \lin786
\rin0 \cbpat18 \itap0 \fs24 \kerning2 \dbch \af2 \hich \af0 \loch \af0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Faktor kehamilan}
\nosupersub0 \caps0 Hidramnion, gemelli, pendarahan antepartum, komplikasi hamil
(peeklamsi
dan eklamsi) ketuban pecah dini}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 3.}{\i0 \fs14
\u32893 ?}}{\i0 \fs24 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0
\nosupersub0 \caps0 Faktor janin}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\caps0 \par }\pard \plain \qj \fi0 \li786 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0
\langfenp2052 \cf8 \nosupersub0 \caps0 Cacat bawaan, infeksi dalam rahim}{\i0 \fs22
\langfenp2052 \cf8 \nosupersub0 \caps0 C.}{\b0 \i0 \fs14 \kerning0 \dbch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 DIAGNOSIS}{\i0 \fs22
\langfenp2052 \cf8 \nosupersub0 \caps0 Kriteria}{\i0 \fs22 \kerning2 \dbch \af5
\langfenp2052 \cf8 \caps0 \par }\pard \plain \qj \fi-360 \li1146 \ri0 \sb0
\lisb0 \sa0 \lisa0 \sbauto0 \saauto0 \sl338 \slmult0 \widctlpar \aspalpha
\aspnum \faroman \adjustright \lin1146 \rin0 \cbpat18 \itap0 \fs24 \kerning2
-}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat18
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 \dbch \f5
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}}
Usia gestasi 22-36 minggu}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 -}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}}{\i0 \fs24 \kerning0 \dbch \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 His 1 kali/10 menit durasi 30 detik}{\i0
\li1146 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0 \saauto0 \sl338 \slmult0
\widctlpar \aspalpha \aspnum \faroman \adjustright \lin1146 \rin0 \cbpat18
\itap0 \fs24 \kerning2 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033
\cf8 \nosupersub0 \caps0 -}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0
{\uc1 \u32893 ?}{\uc1 \u32893 ?}}{\i0 \fs24 \kerning0 \dbch \af5 \hich \af0
\langfenp2052 \cf8 \nosupersub0 \caps0 Dilatasi serviks 2 cm atau perubahan
dilatasi pada waktu 1 jam}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 Pendataran serviks > 50-80 %}{\i0 \fs22
\langfenp2052 \cf8 \nosupersub0 \caps0 Pemeriksaan Laboratorium}{\i0 \fs22
\expnd0 \expndtw0 \chcbpat18 \lang1033
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 -}{\i0 \fs14
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}}{\i0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Darah
rutin, kimia darah, golongan darah dan rhesus}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\cf8 \caps0 \par }\pard \plain \qj \fi-360 \li1146 \ri0 \sb0 \lisb0 \sa0 \lisa0
\adjustright \lin1146 \rin0 \cbpat18 \itap0 \fs24 \kerning2 \dbch \af2 \hich
\af0 \loch \af0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 {\i0 \fs24
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 -}{\i0 \fs14
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}}{\i0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Urinalis
dan kultur urin}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Bakteriologi vagina}{\i0 \fs22 \kerning2
Amniosintesis : susfakten}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 USG untuk
mengetahui}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Usia gestari, jumlah janin, besar janin,
kativitas grafasik}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Cacat kongetital}{\i0 \fs22 \kerning2
Letak dan maturasi plasenta}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 Volume cairan dan kelainan uterus}{\i0 \fs22
\nosupersub0 \caps0 \dbch \f5 {\uc1
\nosupersub0 \caps0 CTG untuk menilai}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\caps0 \par }\pard \plain \qj \fi-360 \li1146 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0
\langfenp2052 \cf8 \nosupersub0 \caps0 Kesejahteraan janin}{\i0 \fs22 \kerning2
Frekuensi dan kekuatan kontraksi}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 D.}{\b0 \i0 \fs14
\nosupersub0 \caps0 TANDA GEJALA PARTUS PREMATURUS IMINENS}{\i0 \fs22 \kerning2
\langfenp2052 \cf8 \caps0 \par }\pard \plain \qj \fi-360 \li786 \ri0 \sb0 \lisb0
\nosupersub0 \caps0 Kontraksi uterus dengan atau tanpa rasa sakit}{\i0 \fs22
\langfenp2052 \cf8 \nosupersub0 \caps0 Rasa berat dipinggul}{\i0 \fs22 \kerning2
\nosupersub0 \caps0 Kejang uterus yang mirip dengan dismenorea}{\i0 \fs22 \kerning2
\nosupersub0 \caps0 Keluarnya cairan per vaginam}{\i0 \fs22 \kerning2 \dbch \af5
\nosupersub0 \caps0 Nyeri punggung}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch
\f5 \expnd0 \expndtw0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf8
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0
\caps0 E.}{\b0 \i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}}{\b1 \i0 \fs24 \kerning0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 PENCEGAHAN}{\i0
\langfenp2052 \cf8 \nosupersub0 \caps0 Melakukan pengawasan hamil dengan seksama
dan teratur}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Melakukan konsultasi
terhadap penyakit yang dapat menyebabkan kehamilan dan persalinan preterm}{\i0
\langfenp2052 \cf8 \nosupersub0 \caps0 Memberikan nasehat tentang gizi saat
kehamilan, meningkatkan pengetahuan KB interval, memperhatikan tentang berbagai
kelainan yang timbul dan segera melakukan konsultasi, menganjurkan untuk
pemeriksaan tambahan sehingga secara dini penyakit ibu dapat diketahui dan
diawasi / diobati}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Meningkatkan keadaan
sosial \dbch \f5 {\uc1 \u37413 ?}}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 Menurut Mochtar 1998, partus prematurus
dapat dicegah dengan :}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Jangan kawin terlalu
muda dan jangan pula terlalu tua (idealnya 20-30 tahun)}{\i0 \fs22 \kerning2
\nosupersub0 \caps0 Perbaiki keadaan sosial ekonomi}{\i0 \fs22 \kerning2 \dbch \af5
\nosupersub0 \caps0 Mencegah infeksi saluran kencing}{\i0 \fs22 \kerning2 \dbch
\u32893 ?}}{\i0 \fs24 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 Memberikan makanan ibu yag baik, cukup lemak dan protein}
\langfenp2052 \cf8 \nosupersub0 \caps0 Cuti hamil}{\i0 \fs22 \kerning2 \dbch
\nosupersub0 \caps0 Prenata care yang baik dan teratur}{\i0 \fs22 \kerning2
\nosupersub0 \caps0 Pakailah kontrasepsi untuk menjarangkan anak}{\i0 \fs22
\par }\pard \plain \qj \fi0 \li426 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 F.}{\b0 \i0 \fs14
\u32893 ?}{\uc1 \u32893 ?}}{\b1 \i0 \fs24 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 PENANGANAN}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 Prinsip penanganan persalinan preterm
adalah\dbch \f5 {\uc1 \u32893 ?} melakukan evaluasi keadaan umum ibu, mengupayakan
melakukan konfirmasi umur kehamilan bayi. Adapun hal yang perlu diketahui dalam
penanganan umum persalinan prematurus adalah}{\i0 \fs22 \kerning2 \dbch \af5
\nosupersub0 \caps0 Umur kehamilan untuk menentukan prognosis}{\i0 \fs22
\langfenp2052 \cf8 \nosupersub0 \caps0 Demam / tidak}{\i0 \fs22 \kerning2 \dbch
\nosupersub0 \caps0 Kondisi janin (jumlah, letak/presentas, TBJ, hidup / gawat
janin /mati, kelainan congenital dan sebagainya dengan USG)}{\i0 \fs22 \kerning2
\expndtw0 \chcbpat18 \lang1033
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Letak plasenta
perlu diketahui untuk mengantisipasi irisan section cesarean}{\i0 \fs22
\langfenp2052 \cf8 \nosupersub0 \caps0 Fasilitas dari petugas yang mampu menangani
calon bayi terutama adanya seorang neonatologis, bila perlu dirujuk (Saifudin,
2002)}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\langfenp2052 \cf8 \nosupersub0 \caps0 G.}{\b0 \i0 \fs14 \kerning0 \dbch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 PENATA LAKSANAAN}
\langfenp2052 \cf8 \nosupersub0 \caps0 Segera lakukan penilaian tentang}{\i0
\cf8 \nosupersub0 \caps0 a.}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Usia kehamilan
(untuk prognosis)}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 b.}{\i0 \fs14 \kerning0 \dbch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Demam ada/tidak}{\i0
\cf8 \nosupersub0 \caps0 c.}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Kondisi janin}
\cf8 \nosupersub0 \caps0 d.}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\langfenp2052 \cf8 \nosupersub0 \caps0 Letak plasenta}{\i0 \fs22 \kerning2 \dbch
e.}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0 \expndtw0
\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\langfenp2052 \cf8 \nosupersub0 \caps0 Kesiapan untuk menangani bayi prematur}
\langfenp2052 \cf8 \nosupersub0 \caps0 Menentukan kemungkinan penanganan
selanjutnya}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\expndtw0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 \cf8 \caps0 \par }\pard \plain \qj \fi-
360 \li1146 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0 \saauto0 \sl338 \slmult0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Pertahanan janin
hingga kelahiran aterm}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Tunda persalinan 2-3
hari untuk memberikan obat pematangan paru janin}{\i0 \fs22 \kerning2 \dbch \af5
c.}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0 \expndtw0
\langfenp2052 \cf8 \nosupersub0 \caps0 Biarkan terjadi persalinan}{\i0 \fs22
\nosupersub0 \caps0 }{\i0 \fs14 \kerning0 \dbch \af3 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 \dbch \f3 }{\i0 \fs24 \kerning0 \dbch \af5 \hich \af0
\langfenp2052 \cf8 \nosupersub0 \caps0 Pi\dbch \f5 {\uc1 \u24125 ?}atalaksanaan
sebelum persalinan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 a.}{\i0 \fs14 \kerning0 \dbch \af5 \hich
Bedrest}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\slmult0 \widctlpar \aspalpha \aspnum \faroman \adjustright \lin1146 \rin0 \cbpat18
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\li426 \ri0 \sb0
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{\uc1 \u32893 ?} Nama Suami{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :
{\uc1 \u32893 ?} Tn. P}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
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{\uc1 \u32893 ?} :{\uc1 \u32893 ?} IRT{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893
{\uc1 \u32893 ?} Pekerjaan{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
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Congokan Timur 1/2{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Alasan Datang}
\cf8 \nosupersub0 \caps0 Ibu mengatakan saat ini sedang hamil anak kedua dan hari
perkiraan lahir pada 13 November 2014, dan hari pertama haid terakhir 06 Februari
\cf8 \nosupersub0 \caps0 Ibu mengatakan mengeluarkan flek darah berwarna merah
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\cltxlrtb \clpadt108 \clpadr108 \clpadft3 \clpadfr3 \clcbpat14 \cellx6286
\clpadt108 \clpadr108 \clpadft3 \clpadfr3 \clcbpat14 \cellx7977 {\i0 \fs24
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 No}{\i0 \fs19
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Perempuan}{\i0 \fs19 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
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\langfenp2052 \cf8 \nosupersub0 \caps0 e.}{\i0 \fs14 \kerning0 \dbch \af5 \hich
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\langfenp2052 \cf8 \nosupersub0 \caps0 {\uc1 \u36335 ?}}{\i0 \fs14 \kerning0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Ibu mengatakan ini
merupakan kehamilan yang kedua, pernah melahirkan satu kali dan belum pernah
keguguran (G}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0 \expndtw0
2}{\i0 \fs24 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat18
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\lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 A}{\i0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 )}{\i0
\cf8 \nosupersub0 \caps0 {\uc1 \u36335 ?}}{\i0 \fs14 \kerning0 \dbch \af6 \hich
\langfenp2052 \cf8 \nosupersub0 \caps0 Ibu mengatakan hari pertama haid terakhir 06
Februari 2014}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Pemeriksaan ANC}{\i0
\cf8 \nosupersub0 \caps0 TM I}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch
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\cf8 \nosupersub0 \caps0 Keluhan\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :
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{\uc1 \u32893 ?} tablet Fe 60 mg 1x1, Calc 1x1 dan Bg 1x1}{\i0 \fs22 \kerning2
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\cf8 \nosupersub0 \caps0 TM II}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
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\cf8 \nosupersub0 \caps0 Keluhan\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
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{\uc1 \u32893 ?} tablet Fe 60 mg 1x1, Calc 1x1}{\i0 \fs22 \kerning2 \dbch \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Nasehat\dbch \f5
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\langfenp2052 \cf8 \nosupersub0 \caps0 TM III}{\i0 \fs22 \kerning2 \dbch \af5 \hich
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\cf8 \nosupersub0 \caps0 Nasehat\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
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\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Ibu mengatakan
meraskan gerakan janin pertama kali pada usia kehamilan 6 atau 7 bulan sampai
sekarang gerakan janin masih aktif}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch
pernah mendapatkan imunisasi TT 5 kali yaitu}{\i0 \fs22 \kerning2 \dbch \af5 \hich
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{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} Desember 2006}{\i0 \fs22
\cf8 \nosupersub0 \caps0 TT2\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893
?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1
\u32893 ?} Januari 2007}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 TT3\dbch \f5 {\uc1 \u32893 ?}{\uc1
\u32893 ?} :{\uc1 \u32893 ?} Juli 2007}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 TT4\dbch \f5
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} Juli 2008}{\i0 \fs22
\cf8 \nosupersub0 \caps0 TT5\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893
?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1
\u32893 ?} Juli 2009}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Riwayat Kesehatan}
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Riwayat Kesehatan
yang lalu}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Ibu mengatakan tidak pernah menderita penyakit menular,
seperti :}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\langfenp2052 \cf8 \nosupersub0 \caps0 TBC dengan tanda gejala : batuk berdahak
disertai keluarnya darah, sesak nafas, nyeri dada, demam (meriang panas dingin)
lebih dari 1 bulan, berkeringat dimalam hari, badan terasa lemah, lesu, BB turun
drastic}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\langfenp2052 \cf8 \nosupersub0 \caps0 Hepatitis dengan tanda gejala : warna kulit
dan area mata berwarna kekuningan, mual, muntah, nyeri perut, urin berwarna gelap,
hilang nafsu makan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 HIV/AIDS dengan tanda gejala : demam tinggi
berkepanjangan, hilangnya nafsu makan, mual
muntah, diare kronis, BB turun hingga 10 %, batuk berkepanjangan}{\i0 \fs22
\cf8 \nosupersub0 \caps0 Ibu mengatakan tidak pernah menderita penyakit menurun
seperti :}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\langfenp2052 \cf8 \nosupersub0 \caps0 Hipertensi dengan tanda gejala : sakit
kepala, jantung berdebar \dbch \f5 {\uc1 \u37413 ?}}{\i0 \fs22 \kerning2 \dbch \af5
Diabetes mellitus dengan tanda gejala : dehidrasi, rasa haus terus menerus,
peningkatan frekuensi kencing, kelelahan, penurunan BB, luka sukar sembuh}{\i0
\langfenp2052 \cf8 \nosupersub0 \caps0 Asma dengan tanda gejala : susah bernafas,
sesak didaerah dada}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Ibu mengatakan tidak pernah menderita
penyakit menahun seperti :}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 Penyakit jantung dengan tanda gejala kurang
nafsu makan, sering lelah, nyeri dada (sebelah kiri), berkeringat, denyut jantung
tidak teratur}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Penyakit ginjal dengan tanda gejala
hilangnya nafsu makan, dan penurunan BB, bengkak kaki / tangan, kelelahan}{\i0
\langfenp2052 \cf8 \nosupersub0 \caps0 Penyakit paru \dbch \f5 {\uc1 \u37413 ?}}
\cf8 \nosupersub0 \caps0 Ibu mengatakan belum pernah dirawat di rumah sakit dan
belum pernah dioperasi}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
Sekarang}{\i0 \fs22 \kerning2 \dbch
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Ibu mengatakan saat
ini sedang hamil anak kedua. Ibu mengatakan mengeluarkan flek darah berwarna merah
kecoklatan sejak satu hari yang lalu.}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 Ibu mengatakan saat ini tidak sedang
menderita penyakit menular seperti :}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 TBC dengan tanda gejala : batuk berdahak
disertai keluarnya darah, sesak nafas, nyeri dada, demam (meriang panas dingin)
lebih dari 1 bulan, berkeringat dimalam hari, badan terasa lemah, lesu, BB turun
drastic}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\langfenp2052 \cf8 \nosupersub0 \caps0 Hepatitis dengan tanda gejala : warna kulit
dan area mata berwarna kekuningan, mual, muntah, nyeri perut, urin berwarna gelap,
hilang nafsu makan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
berkepanjangan, hilangnya nafsu makan, mual muntah, diare kronis, BB turun hingga
10 %, batuk berkepanjangan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 Ibu mengatakan saat ini tidak sedang
menderita penyakit menurun :}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch
\langfenp2052 \cf8 \nosupersub0 \caps0 Ibu mengatakan saat ini\dbch \f5 {\uc1
\u32893 ?} tidak sedang menderita penyakit menahun :{\uc1 \u32893 ?}}{\i0 \fs22
\li1985
\ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0 \saauto0 \sl338 \slmult0 \widctlpar
\nosupersub0 \caps0 -}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0
Keluarga}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Ibu mengatakan didalam keluarga tidak ada riwayat
keturunan kembar serta tidak pernah menderita penyakit menular, menurun dan
menahun.}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Penyakit menular seperti :}{\i0 \fs22 \kerning2 \dbch \af5
TBC dengan tanda gejala : batuk berdahak disertai keluarnya darah, sesak nafas,
nyeri dada, demam (meriang panas dingin) lebih dari 1 bulan, berkeringat dimalam
hari, badan terasa lemah, lesu, BB turun drastic}{\i0 \fs22 \kerning2 \dbch \af5
Hepatitis dengan tanda gejala : warna kulit dan area mata berwarna kekuningan,
mual, muntah, nyeri perut, urin berwarna gelap, hilang nafsu makan}{\i0 \fs22
berkepanjangan, hilangnya nafsu makan, mual muntah, diare kronis, BB turun hingga
10 %, batuk berkepanjangan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 Penyakit menurun seperti :}{\i0 \fs22
\kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Penyakit menahun seperti :}{\i0 \fs22
\langfenp2052 \cf8 \nosupersub0 \caps0 Pola Fungsional}{\i0 \fs22 \kerning2
\aspnum \faroman \adjustright \lin1647 \rin0 \cbpat18 \itap0 \fs24 \kerning2 \dbch
\af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 {\i0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 a.}{\i0
\langfenp2052 \cf8 \nosupersub0 \caps0 Pola makan}{\i0 \fs22 \kerning2 \dbch
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Sebelum
hamil\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
ibu mengatakan makan 3x/hari jenis nasi}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 putih, lauk dengan
porsi 1 piring, terkadang makan buah (pisang, jeruk, dll). Ibu mengatakan minum 5-7
gelas/hari jenis air putih, teh, susu dengan porsi 1 gelas}{\i0 \fs22 \kerning2
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Selama hamil\dbch
\u32893 ?} :{\uc1 \u32893 ?} ibu mengatakan makan 3x/hari, jenis nasi}{\i0 \fs22
\cf8 \nosupersub0 \caps0 putih, lauk dengan porsi 1 piring, terkadang makan buah,
roti dan cemilan lain. Ibu mengatakan minum 6-8 gelas/hari jenis air putih, teh,
susu dengan porsi 1 gelas}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 ibu mengatakan sebelum maupun selama hamil
tidak ada pantangan terhadap makanan apapun. Ibu mengatakan tidak mengkonsumsi
jamu, alcohol serta ibu tidak merokok}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Pola aktivitas}
\cf8 \nosupersub0 \caps0 Sebelum hamil\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} :{\uc1 \u32893 ?} ibu mengatakan melakukan aktivitas}{\i0 \fs22
\cf8 \nosupersub0 \caps0 sebagai ibu rumah tangga seperti memasak, mencuci,
membersihkan rumah dan mengurus anak}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Selama hamil\dbch
\u32893 ?} :{\uc1 \u32893 ?} ibu mengatakan masih melakukan aktivitas}{\i0 \fs22
\cf8 \nosupersub0 \caps0 sebagai ibu rumah tangga, namun banyak dibantu oleh suami
dan keluarganya, seperti memasak, mencuci, membersihkan rumah dan mengurus anak.
Ibu mengatakan sering jalan \dbch \f5 {\uc1 \u37413 ?}}{\i0 \fs22 \kerning2
\langfenp2052 \cf8 \nosupersub0
\caps0 Pola istirahat}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Sebelum hamil\dbch \f5 {\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} ibu mengatakan tidur malam {\uc1
\u21348 ?} 7-8 jam}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 /hari dengan kualitas tidur nyenyak, dan
terkadang tidur siang \dbch \f5 {\uc1 \u21348 ?} 1 jam / hari dengan kualitas tidur
nyenyak}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Selama hamil\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} ibu mengatakan
tidur malam {\uc1 \u21348 ?} 7-8 jam}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 /hari dengan kualitas tidur kadang nyeyak
dan kadang kurang, serta tidur siang \dbch \f5 {\uc1 \u21348 ?} 1 jam /hari}{\i0
\langfenp2052 \cf8 \nosupersub0 \caps0 Pola eliminasi}{\i0 \fs22 \kerning2 \dbch
ibu mengatakan BAB 1x/hari dengan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 konsistensi lunak warna feses kuning
kehitaman, bau khas feses, tidak ada keluhan. Ibu mengatakan BAK 4-5 x/hari,
konsistensi cair, warna kunng jernih, tidak pekat, bau khas urin, tidak ada
keluhan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
BAB 1x/hari dengan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 konsistensi lunak, warna feses kuning
kehitaman, bau khas feses, tidak ada keluhan. Ibu mengatakan BAK 5-6 x/hari,
konsistensi cair, warna kuning jerbih pekat, bau khas, tidak ada keluhan}{\i0 \fs22
e.}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0 \expndtw0
\langfenp2052 \cf8 \nosupersub0 \caps0 Pola kebersihan}{\i0 \fs22 \kerning2
ibu mengatakan mandi 2x/hari, pagi dan}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\sbauto0
\langfenp2052 \cf8 \nosupersub0 \caps0 sore menggunakan sabun dan air bersih
dikamar mandi, keramas 2-3 x/minggu dengan shampoo dan air bersih, gosok gigi
2x/hari pagi dan sore dengan pasta gigi, ganti pakaian setiap setelah mandi}{\i0
mandi 2x/hari pagi dan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 sore menggunakan sabun mandi dan air bersih
dikamar mandi, keramas 2-3 x/minggu dengan shampoo dan air bersih, gosok gigi
2x/hari pagi dan sore dengan pasta gigi, ganti pakaian setiap setelah mandi, dang
anti celana dalam 2x/hari}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 f.}{\i0 \fs14 \kerning0 \dbch \af5 \hich
Pola seksual}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Sebelum hamil\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} :{\uc1 \u32893 ?} ibu mengatakan melakukan hubungan}{\i0 \fs22
\cf8 \nosupersub0 \caps0 seksual (hubungan suami istri) sebanyak 3-4 kali dalam
seminggu dan tidak ada keluhan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 Selama hamil\dbch \f5 {\uc1 \u32893 ?}
ibu mengatakan melakukan hubungan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 seksual (hubungan suami istri) sebanyak 1-2
kali dalam semingu dan tidak ada keluhan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Data Psikologi,
Sosial Budaya dan Spiritual}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 a.}{\i0 \fs14 \kerning0 \dbch \af5 \hich
Penerimaan terhadap kehamilan ini}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 Ibu mengatakan kehamilan ini sudah
direncanakan, ibu mengatakan bahwa dia, suami dan keluarga menerima kehamilan ini}
\langfenp2052 \cf8 \nosupersub0 \caps0 Kesiapan ibu dalam menerima keadaannya
sekarang dan bayinya}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\expnd0 \expndtw0 \lang1033
\cf8 \nosupersub0 \caps0 Ibu mengatakan ada rasa cemas dan khawatir tentang
keadaannya dan bayinya saat ini, karena berkaitan tentang keluarnya flek darah
berwarna merah kecoklatan sejak 1 hari yang lalu}{\i0 \fs22 \kerning2 \dbch \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 Jenis kelamin yang diharapkan}{\i0 \fs22
\cf8 \nosupersub0 \caps0 Ibu mengatakan tidak mengharapkan jenis kelamin tertentu
pada anaknya, baik perempuan maupun laki \dbch \f5 {\uc1 \u37413 ?}}{\i0 \fs22
\langfenp2052 \cf8 \nosupersub0 \caps0 Pengambil keputusan dalam keluarga}{\i0
\cf8 \nosupersub0 \caps0 Ibu mengatakan bahwa pengambil setiap keputusan adalah
suaminya}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 e.}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Hubungan dengan
keluarga dan lingkungan sekitar}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch
\langfenp2052 \cf8 \nosupersub0 \caps0 Ibu mengatakan hubungannya dengan keluarga
dan lingkungan sekitar sangat baik dan mereka juga mendukung kehamilan ini}{\i0
\cf8 \nosupersub0 \caps0 f.}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Hubungan spiritual}
\cf8 \nosupersub0 \caps0 Ibu mengatakan beragama islam dan taat dalam menjalankan
ibadah sholat 5 waktu}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Data Pengetahuan ibu
tentang kehamilan ini}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 Ibu mengatakan merasa cemas tentang
kehamilan dan keadaan janinnya saat ini, karena ibu mengeluarkan flek darah
berwarna merah kecoklatan dari jalan lahirnya. Ibu mengatakan keluarnya darah dari
jalan lahir adalah tanda bahaya dalam kehamilan. Ibu mengatakan mendapatkan
informasi tersebut dari keluarganya.}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \caps0 \par }\pard \plain \qj \fi-360
\langfe2052 \langfenp2052 {\b1 \i0 \fs24 \kerning0 \dbch \af5 \hich \af0 \loch
\f0 \expnd0 \expndtw0 \chcbpat18 \lang1033 \langnp1033 \langfe2052 \langfenp2052
\cf8 \nosupersub0 \caps0 B.}{\b0 \i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch
\langfenp2052 \cf8 \nosupersub0 \caps0 DATA OBYEKTIF}{\i0 \fs22 \kerning2 \dbch
\cf8 \nosupersub0 \caps0 Keadaan umum :\dbch \f5 {\uc1 \u32893 ?} cukup}{\i0
\cf8 \nosupersub0 \caps0 Kesadaran\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?} : composmentis}{\i0 \fs22 \kerning2 \dbch \af5
\cf8 \nosupersub0 \caps0 Vital sign\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 TO\dbch \f5 {\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 110/70 mmHg{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} S{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 35,5{\uc1
\nosupersub0 \caps0 0}{\i0 \fs24 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 C}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 N\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
90 x/menit{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?} R{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
24 x/menit}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 HPL\dbch \f5
{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 13 November 2014}{\i0 \fs22 \kerning2 \dbch \af5
\cf8 \nosupersub0 \caps0 Pemeriksaan fisik}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Kepala\dbch \f5
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} meshocepal, tidak ada benjolan
abnormal, tidak ada nyeri}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\adjustright \lin1440 \rin0 \cbpat18 \itap0 \fs24 \kerning2
\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?} tekan, rambut dan kulit bersih,
distrbusi rambut merata, {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}warna
hitam}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Muka\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} bersih, tidak pucat, tidak oedema}{\i0
\cf8 \nosupersub0 \caps0 Mata\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} bersih, simetris,
sklera putih, konjungtiva sedikit pucat,}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 ada gambaran tipis pembuluh darah, tidak
oedema, tidak ada kelainan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 Hidung\dbch \f5 {\uc1 \u32893 ?} :{\uc1
\u32893 ?} bersih, simetris, tidak ada secret abnormal, tidak ada}{\i0 \fs22
\cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?} nyeri tekan}
\cf8 \nosupersub0 \caps0 Mulut\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} bersih, simetris, bibir lembab,
berwarna merah}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 kehitaman, tidak ada kelainan, lidah bersih,
berwarna merah muda, tidak ada bau mulut}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 Telinga\dbch \f5 {\uc1 \u32893 ?}{\uc1
\u32893 ?} :{\uc1 \u32893 ?} bersih, simetris, tidak ada serumen abnormal, tidak
ada}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\qj \fi153 \li2007 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0 \saauto0 \sl338
\cf8 \nosupersub0 \caps0 Leher\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} bersih, tidak ada pembesaran tyroid,
kelenjar limfe dan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
vena sugularis}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Dada\dbch \f5 {\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?}
bersih, simetris, pernafasan teratur, tidak ada retraksi}{\i0 \fs22 \kerning2 \dbch
\u32893 ?}{\uc1 \u32893 ?} dinding dada}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0
\caps0 Payudara:\dbch \f5 {\uc1 \u32893 ?} bersih, simetris, ada pembesaran sesuai
usia kehamilan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 (gestasi), putting susu menonjol, areola
hiperpigmentasi, tidak ada benjolan abnormal, belum ada pengeluaran}{\i0 \fs22
\cf8 \nosupersub0 \caps0 Ketiak\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?} :{\uc1 \u32893 ?} bersih, tidak ada pembesaran getah bening, tidak ada}
\cf8 \nosupersub0 \caps0 Abdomen: bersih, ada linea nigra, tidak ada striae
gravidarum, tidak}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
ada bekas operasi}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 LI\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} TFU pertengahan
antara prochesus xyphoideus dan pusat}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 bagian fundus teraba bulat, lunak, tidak
melenting (bokong)}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 LII\dbch \f5 {\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} bagian kanan teraba keras memanjang
seperti papan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 (punggung) bagian kiri teraba bagian
\dbch \f5 {\uc1 \u37413 ?}}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 LIII\dbch \f5
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} bagian terbawah janin teraba
bulat, keras dan melenting}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
(kepala) belum masuk PAP}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 LIV\dbch \f5 {\uc1 \u32893 ?}{\uc1
\u32893 ?} :{\uc1 \u32893 ?} -}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 Panjang uterus \dbch \f5 {\uc1 \u32893 ?} :
{\uc1 \u32893 ?} 24 cm}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 TBJ\dbch
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :
{\uc1 \u32893 ?} (24-12) x 155 = 1860 gram}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Auskultasi\dbch \f5
0JJ (+) 140 x/menit}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Punatum maximum\dbch \f5 {\uc1 \u32893 ?}
{\uc1 \u32893 ?} :{\uc1 \u32893 ?} perut kanan bawah pusat}{\i0 \fs22 \kerning2
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Kontraksi
uterus\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} belum ada}{\i0 \fs22
\cf8 \nosupersub0 \caps0 Punggung dan pinggang bentuk tulang punggung lordosis, ada
nyeri pinggang}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Genetalia\dbch \f5 {\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :
{\uc1 \u32893 ?} vulva dan vagina tidak varises, tidak oedema,}{\i0 \fs22 \kerning2
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 tidak ada pembesaran
kelenjar bartholini dan skene, tidak ada luka}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Ada pengeluaran
berupa flek darah berwarna merah kecoklatan \dbch \f5 {\uc1 \u21348 ?}2cc}{\i0
\nosupersub0 \caps0 anus\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
tidak hemoroid}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 VT\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} possio tebal dan mencucu,
pembukaan 0 cm}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
{\uc1 \u32893 ?}{\uc1 \u32893 ?} {\uc1 \u32893 ?}{\uc1 \u32893 ?} Sarung tangan
darah (+)}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Ekstremitas atas\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :}
\cf8 \nosupersub0 \caps0 Simetris, tidak oedema, tidak ada kelainan, tidak nyeri
saat digerakkan, tidak ada kelainan\dbch \f5 {\uc1 \u32893 ?}}{\i0 \fs22
\cf8 \nosupersub0 \caps0 Ekstremitas bawah\dbch \f5 {\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893
?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :}{\i0 \fs22 \kerning2 \dbch
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Simetris, tidak
oedema, tidak varises, tidak ada kekakuan sendi, tidak nyeri saat digerakkan, tidak
ada kelainan, reflek pateik ko/ki\dbch \f5 {\uc1 \u32893 ?}}{\i0 \fs20 \kerning0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 (+)}{\i0 \fs24
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 /}{\i0 \fs20
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 (+)}{\i0 \fs22
\langfenp2052 \cf8 \nosupersub0 \caps0 C.}{\b0 \i0 \fs14 \kerning0 \dbch \af5 \hich
\langfenp2052 \cf8 \nosupersub0 \caps0 PEMERIKSAAN PENUNJANG}{\i0 \fs22
\nosupersub0 \caps0 Tanggal\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :
{\uc1 \u32893 ?} 13 September 2014}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch
\langfenp2052 \cf8 \nosupersub0 \caps0 Pukul\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 20.41 WIB}
\nosupersub0 \caps0 Laboratorium \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} HB {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?} {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 9,8
g/di}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} Golongan
darah{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :
{\uc1 \u32893 ?} A}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
Al{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 9,9 10{\uc1 \u32893 ?}}{\i0 \fs20 \kerning0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 /mm}{\i0 \fs20
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} HBSog{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} negative (-)}{\i0
\langfenp2052 \cf8 \nosupersub0 \caps0 II.}{\b0 \i0 \fs14 \kerning0 \dbch \af5
INTERPRETASI DATA}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Diagnosa Kebidanan}{\i0 \fs22 \kerning2
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Ny. S usia 34 tahun
G}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat18
{\uc1 \u32893 ?}UK 32 minggu dengan partus prematurus iminens dan anemia ringan}
\nosupersub0 \caps0 Janin tunggal, hidup, puka, presentasi kepala, belum masuk PAP}
\nosupersub0 \caps0 Dasar}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 Data Subyektif}{\i0 \fs22 \kerning2 \dbch
\nosupersub0 \caps0 Ibu mengatakan ini kehamilan yang kedua, pernah melahirkan 1
kali, dan belum pernah keguguran}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\nosupersub0 \caps0 Ibu mengatakan mengeluarkan flek darah dari jalan lahir
berwarna merah kecoklatan sejak 1 hari yang lalu}{\i0 \fs22 \kerning2 \dbch \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Data Obyektif}
\langfenp2052 \cf8 \nosupersub0 \caps0 Keadaan umu \dbch \f5 {\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} cukup}{\i0 \fs22 \kerning2 \dbch
\af5 \hich
\af5 \loch \f5 \expnd0 \expndtw0 \lang1033 \langnp1033 \langfe2052
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Kesadaran\dbch \f5
composmentis}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Vital sign}{\i0
\nosupersub0 \caps0 TO\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?}
110/70 mmHg{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
35,5{\uc1 \u32893 ?}}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 0}{\i0 \fs24 \kerning0 \dbch \af5 \hich \af0 \loch \f0
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 90
x/menit{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?} R{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Pemeriksaan fisik}
\nosupersub0 \caps0 Muka\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} bersih, simetris, tidak pucat,
tidak oedema}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Mata\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?} :{\uc1 \u32893 ?} bersih, simetris, sclera putih, konjungtiva sedikit
pucat,}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 ada gambaran tipis pembuluh darah, tidak oedema, tidak ada
kelinan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Dada\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?} :{\uc1 \u32893 ?} bersih, simetris, pernafasan teratur, tidak ada
retraksi}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 dinding dada}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 Payudara\dbch \f5 {\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?}
bersih, simetris,
ada pembesaran, putting susu menonjol,}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 areok
hiperpigmentasi, tidak ada benjolan abnormal, belum ada pengeluaran}{\i0 \fs22
\nosupersub0 \caps0 Abdomen\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} bersih, ada linea nigra, tidak ada
striae gravidarum, tidak}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
ada bekas operasi}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 LI\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} TFU pertengahan
antara prochesus xyphoideus dan pusat}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
{\uc1 \u32893 ?}{\uc1 \u32893 ?} {\uc1 \u32893 ?}{\uc1 \u32893 ?} Bagian fundus
teraba bulat, lunak, tidak melenting}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\u32893 ?}{\uc1 \u32893 ?} (bokong)}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} sebelah kanan teraba keras memanjang
\langfenp2052 \cf8 \nosupersub0 \caps0 (punggung) sebelah kiri teraba bagian
\langfenp2052 \cf8 \nosupersub0 \caps0 LIII\dbch \f5 {\uc1 \u32893 ?}{\uc1
\u32893 ?} :{\uc1 \u32893 ?} bagian bawah janin teraba bulat, keras dan melenting}
\cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?} (kepala) belum
masuk PAP}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 LIV\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893
-}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Auskultasi\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} :{\uc1 \u32893 ?} DJJ (+) 140 x/menit}{\i0 \fs22 \kerning2
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 VT\dbch \f5 {\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} possio
tebal dan mencucu, pembukaan 0 cm sarung}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\caps0
tangan darah (+)}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Pemeriksaan
penunjang}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Tanggal\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :
\langfenp2052 \cf8 \nosupersub0 \caps0 Laboratorium\dbch \f5 {\uc1 \u32893 ?}
HB{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 9,8 g/di}{\i0 \fs22 \kerning2 \dbch \af5
\u32893 ?}{\uc1 \u32893 ?} {\uc1 \u32893 ?}{\uc1 \u32893 ?} Golongan darah{\uc1
\u32893 ?} :{\uc1 \u32893 ?} A}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
{\uc1 \u32893 ?}{\uc1 \u32893 ?} Al{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} 9,9 10}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 /mm}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0 \loch
{\uc1 \u32893 ?}{\uc1 \u32893 ?} HBSog{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} negatif (-)}{\i0 \fs22 \kerning2
\nosupersub0 \caps0 III.}{\b0 \i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch
DIAGNOSA POTENSIAL}{\i0 \fs22 \kerning2 \dbch \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Persalinan Prematur}
\langfenp2052 \cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}}{\b1 \i0 \fs24
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 IV.}{\b0 \i0
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}}{\b1 \i0 \fs24 \kerning0 \dbch
\af5 \hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat18 \lang1033 \langnp1033
\langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 ANTISIPASI}{\i0 \fs22
\nosupersub0 \caps0 Kolaborasi dengan dokter SPOG}{\i0 \fs22 \kerning2 \dbch
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 V.}{\b0 \i0 \fs14
\u32893 ?}{\uc1 \u32893 ?}}{\b1 \i0 \fs24 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 PERENCANAAN}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 Tanggal\dbch \f5 {\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 13 September 2014}{\i0 \fs22 \kerning2
\u32893 ?} :{\uc1 \u32893 ?} 20.43 WIB}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\nosupersub0 \caps0 Beritahu ibu keadaannya saat ini}{\i0 \fs22 \kerning2 \dbch
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 R/ :\dbch \f5
{\uc1 \u32893 ?} hak ibu untuk mengetahui keadaanya dan janinya}{\i0 \fs22
\langfenp2052 \cf8 \nosupersub0 \caps0 Lakukan kolaborasi dengan dokter SPOG}
\nosupersub0 \caps0 R/ :\dbch \f5 {\uc1 \u32893 ?} agar ibu dan janin mendapatkan
penanganan yang sesuai sehingga ibu dan bayi dapat terselamatkan}{\i0 \fs22
\nosupersub0
\caps0 3.}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Lakukan observasi keadaan ibu dan janin}{\i0
\nosupersub0 \caps0 R/ :\dbch \f5 {\uc1 \u32893 ?} untuk memantau keadaan ibu dan
janin}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Anjurkan ibu untuk
bedrest total / tirah baring}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch
\langfenp2052 \cf8 \nosupersub0 \caps0 R/ :\dbch \f5 {\uc1 \u32893 ?} untuk
mempertahankan kehamilan}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Anjurkan ibu untuk
mengkonsumsi makanan tinggi zat besi}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 R/ :\dbch \f5 {\uc1 \u32893 ?} agar ibu
tidak anemia}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\langfenp2052 \cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}}{\b1 \i0 \fs24
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 VI.}{\b0 \i0
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}}{\b1 \i0 \fs24 \kerning0 \dbch
\langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 PELAKSANAAN}{\i0 \fs22 \kerning2
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Tanggal\dbch \f5
{\uc1 \u32893 ?} {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 13 September 2014}{\i0 \fs22
\nosupersub0 \caps0 Pukul\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 20.44 WIB}
\langfenp2052 \cf8 \nosupersub0 \caps0 Memberitahu ibu keadaannya saat ini, bahwa
dia mengalami partus premature iminens, yaitu suatu keadaan kehamilan dimana
terjadi persalinan sebelum waktunya / sebelum janin matang, namun keadaan ini masih
bisa dipertahankan sehingga ibu tidak perlu cemas akan kehamilan ini}{\i0 \fs22
\af0 \loch \f0 \expnd0 \expndtw0 \chcbpat18 \lang1033 \langnp1033
\langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Melakukan kolaborasi dengan
dokter SPOG}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Advis dokter :}{\i0 \fs22 \kerning2 \dbch
a.}{\i0 \fs14 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0 \expndtw0
\langfenp2052 \cf8 \nosupersub0 \caps0 Pasang infus RL 20 tpm}{\i0 \fs22
\langfenp2052 \cf8 \nosupersub0 \caps0 Memberikan terapi, berupa}{\i0 \fs22
\cf8 \nosupersub0 \caps0 Hystolan 20 mg 3x \dbch \f5 {\uc1 \u38470 ?}}{\i0 \fs22
\cf8 \nosupersub0 \caps0 Fe 60 mg 1x1}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 Asam metenamat 500 mg 3x1}{\i0 \fs22
\cf8 \nosupersub0 \caps0 Injeksi dexamethason 5 mg/1 ampul setiap 6 jam}{\i0
\langfenp2052 \cf8 \nosupersub0 \caps0 Mengobservasi keadaan ibu dan janin}{\i0
\langfenp2052 \cf8 \nosupersub0 \caps0 Menganjurkan ibu untuk tirah baring (bedrest
total) yaitu melakukan istirahat total serta menghindari aktivitas fisik yang
berat}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Menganjurkan ibu
untuk mengkonsumsi makanan tinggi zat besi yaitu seperti sayuran berwarna hijau tua
(bayam, kangkung, dll) daging berwarna merah}{\i0 \fs22 \kerning2 \dbch \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 VII.}{\b0 \i0
EVALUASI}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf8 \caps0 \par }\pard
\plain \qj \fi0 \li567 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0 \saauto0 \sl338
\u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 13 September 2014}{\i0 \fs22 \kerning2
\u32893 ?} :{\uc1 \u32893 ?} 20.44 WIB}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\nosupersub0 \caps0 Ibu sudah mengetahui keadaannya dan janinya dan Ibu merasa lega
karena kehamilannya masih bisa dipertahankan}{\i0 \fs22 \kerning2 \dbch \af5
\nosupersub0 \caps0 Infus RL 20 tpm telah dipasang ditangan kiri ibu}{\i0 \fs22
\nosupersub0 \caps0 Injeksi dexamethason 5 mg /1 ampul telah diberikan secara 1M}
\nosupersub0 \caps0 Hytolan 20 mg 3x \dbch \f5 {\uc1 \u38470 ?} telah diberikan dan
ibu telah minum 1 tablet}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 Asam metenamat 500 mg 3x1 telah diberikan
dan ibu telah minum 1 tablet}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch
\nosupersub0 \caps0 Hasil observasi keadaan ibu dan janin}{\i0 \fs22 \kerning2
\nosupersub0 \caps0 Keadaan umu \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?} :{\uc1 \u32893 ?} cukup}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch
\langfenp2052 \cf8 \nosupersub0 \caps0 Kesadaran\dbch \f5 {\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} : composmentis}{\i0 \fs22 \kerning2
\nosupersub0 \caps0 Vital sign\dbch \f5 {\uc1 \u32893 ?}}{\i0 \fs22 \kerning2 \dbch
\adjustright \lin1276 \rin0 \cbpat18 \itap0 \fs24 \kerning2
TO\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} 110/80 mmHg{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} S{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} 36,1{\uc1 \u32893 ?}}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0
\langfenp2052 \cf8 \nosupersub0 \caps0 0}{\i0 \fs24 \kerning0 \dbch \af5 \hich \af0
\langfenp2052 \cf8 \nosupersub0 \caps0 C}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
88 x/menit{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?} R{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 DJJ (+) 144 x/menit}
\cf8 \nosupersub0 \caps0 {\uc1 \u36335 ?}}{\i0 \fs14 \kerning0 \dbch \af6 \hich
\langfenp2052 \cf8 \nosupersub0 \caps0 Pendarahan : flek darah berwarna coklat
kehitaman \dbch \f5 {\uc1 \u21348 ?} 1cc}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\nosupersub0 \caps0 Ibu bersedia melakukan bedrest total}{\i0 \fs22 \kerning2 \dbch
\nosupersub0 \caps0 Ibu bersedia mengkonsumsi makanan tinggi zat besi}{\i0 \fs22
\langnp1033 \langfe2052 \langfenp2052 \cf8 \caps0 \par }\pard \plain \ql \li0
\ri0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs24
\langfenp2052 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \ql \fi0 \li0 \ri0 \sb0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 DATA PERKEMBANGAN I}
Tanggal\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 14 September 2014}{\i0 \fs22 \kerning2 \dbch
\langfenp2052 \cf8 \caps0 \par }\pard \plain \qj \fi0 \li0
\ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0 \saauto0 \sl338 \slmult0 \widctlpar
Pukul\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} 08.30 WIB}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 SUBYEKTIF}{\i0 \fs22 \kerning2 \dbch \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Ibu mengatakan masih
mengeluarkan flek darah dari jalan lahirnya}{\i0 \fs22 \kerning2 \dbch \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 OBYEKTIF}{\i0
\cf8 \nosupersub0 \caps0 Keadaan umum \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} composmentis}
Vital sign\dbch \f5 {\uc1 \u32893 ?}}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 TO\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 110/80 mmHg{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} S{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 36,1{\uc1 \u32893 ?}}{\i0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 C}{\i0
N\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 88 x/menit{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} R{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 22 x/menit}{\i0 \fs22
\cf8 \nosupersub0 \caps0 Pemeriksaan fisik\dbch \f5 {\uc1 \u32893 ?}{\uc1
\cbpat18 \itap0 \fs24
\nosupersub0 \caps0 Muka\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} :{\uc1 \u32893 ?} bersih, simetris, tidak pucat, tidak oedema}{\i0
Mata\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\cf8 \nosupersub0 \caps0 Abdomen\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :
{\uc1 \u32893 ?} bersih, ada linea nigra, tidak ada striae gravidarum, tidak}
\cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?} ada bekas
operasi}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 LI\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} TFU pertengahan antara prochesus
xyphoideus dan pusat}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 LIII\dbch \f5 {\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :
{\uc1 \u32893 ?} bagian bawah janin teraba bulat, keras dan melenting}{\i0 \fs22
\cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?} (kepala) belum
masuk PAP}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 LIV\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?} :{\uc1 \u32893 ?} -}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch
\u32893 ?} Auskultasi{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} DJJ (+) 138 x/menit}
\u32893 ?}{\uc1 \u32893 ?} Genetalia{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?} :{\uc1 \u32893 ?} ada pengeluaran pervaginom berupa flek darah {\uc1
\u21348 ?} 1 cc}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 ASSEMENT}{\i0 \fs22 \kerning2 \dbch \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Ny. S usia 34 tahun
G}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat18
{\uc1 \u32893 ?}UK 34{\uc1 \u32893 ?}}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0
\langfenp2052 \cf8 \nosupersub0 \caps0 +1}{\i0 \fs24 \kerning0 \dbch \af5 \hich
\langfenp2052 \cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}minggu dengan
portus prematurus iminens dan anemia ringan}{\i0 \fs22 \kerning2 \dbch \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Janin tunggal,
hidup, puka, presentasi kepala, belum masuk PAP}{\i0 \fs22 \kerning2 \dbch \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 PLANNING}{\i0
Tanggal \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 08.31 WIB}{\i0 \fs22
\cf8 \nosupersub0 \caps0 Memberitahu ibu keadaannya saat ini bahwa kondisi bayi
dalam keadaan baik}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langnp1033 \langfe2052 \langfenp2052 {\i0 \fs24 \kerning0 \dbch \af5
\hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat18 \lang1033 \langnp1033
\langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 R/ :\dbch \f5 {\uc1 \u32893 ?}
hak ibu untuk mengetahui kondisinysa dan janinnya}{\i0 \fs22 \kerning2 \dbch
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Ibu telah mengetahui
kondisinya dan janinnya}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Melanjutkan terapi
dari dokter SPOG}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Terapi}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Pukul 03.00 WIB}{\i0
Injeksi dexamethason 5 mg secara 1M setiap 6 jam sekali (pukul 21.00, 03.00, 09.00
dan 15.00 WIB)}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Hystolan 20 mg 3x \dbch \f5 {\uc1 \u38470 ?}
tablet}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Asam metenamat 500 mg 3x1 tablet, Fe 60 mg 1x1}{\i0
R/ :\dbch \f5 {\uc1 \u32893 ?} agar kondisi ibu cepat membaik}{\i0 \fs22
Ibu telah diberikan injeksi dexamethason 5 mg secara 1M pukul 03.00 WIB, 09.00 WIB,
dan 15.00 WIB}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Ibu telah meminum hystolan 20 mg \dbch \f5
{\uc1 \u38470 ?} tablet pukul 06.30 WIB, {\uc1 \u38470 ?} tablet pukul 14.00 WIB
dan {\uc1 \u38470 ?} tablet pukul 21.00 WIB}{\i0 \fs22 \kerning2 \dbch \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Ibu telah meminum
asam metenamat 500 mg 1 tablet pukul 06.30 WIB, 1 tablet pukul 14.00 WIB dan 1
tablet pukul 21.00 WIB}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Ibu telah meminum Fe 60 mg 1 tablet pukul
21.00 WIB}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
untuk tetap bedrest total}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\cbpat18 \itap0 \fs24 \kerning2 \dbch \af2 \hich \af0 \loch
\langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 R/ :\dbch \f5 {\uc1 \u32893 ?}
untuk mempertahankan kehamilan ibu}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch
\langfenp2052 \cf8 \nosupersub0 \caps0 Ibu bersedia untuk bedrest total}{\i0
\cf8 \nosupersub0 \caps0 Mengobservasi keadaan ibu dan janin}{\i0 \fs22
R/ :\dbch \f5 {\uc1 \u32893 ?} untuk mengetahui dan memantau kondisi ibu dan janin}
Keadaan umum \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} {\uc1
\u32893 ?} :{\uc1 \u32893 ?} compos mentis}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Vital sign\dbch \f5
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} S{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 36{\uc1 \u32893 ?}}{\i0 \fs20
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 C}{\i0 \fs22
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} R{\uc1 \u32893 ?}
DJJ (+) 148 x/menit}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Pendarahan \dbch \f5 {\uc1 \u32893 ?}
flek darah berwarna coklat kehitaman {\uc1 \u21348 ?} 1 cc}{\i0 \fs22 \kerning2
\li0 \ri0 \sb0 \lisb0 \sa0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 DATA PERKEMBANGAN
II}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0 \lang1033
Tanggal\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 15 September 2014}{\i0 \fs22 \kerning2 \dbch
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 09.00
WIB}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\langfenp2052 \cf8 \nosupersub0 \caps0 SUBYEKTIF}{\i0 \fs22 \kerning2 \dbch \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Ibu mengatakan masih
mengeluarkan flek darah dari jalan lahirnya}{\i0 \fs22 \kerning2 \dbch \af5
merasa keadaannya lebih baik dari kemarin}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} S{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 36{\uc1 \u32893 ?}}{\i0 \fs20
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 C}{\i0 \fs22
\aspalpha \aspnum
\faroman \adjustright \lin0 \rin0 \cbpat18 \itap0 \fs24 \kerning2 \dbch \af2 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 N\dbch \f5 {\uc1
\u32893 ?} :{\uc1 \u32893 ?} 86 x/menit{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} R{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 20 x/menit}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\nosupersub0 \caps0 Pemeriksaan fisik\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}
Muka\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :
{\uc1 \u32893 ?} bersih, simetris, tidak pucat, tidak oedema}{\i0 \fs22
Mata\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\cf8 \nosupersub0 \caps0 Abdomen\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :
{\uc1 \u32893 ?} bersih, ada linea nigra, tidak ada striae gravidarum, tidak}
\cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?} ada bekas
operasi}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 LI\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} TFU pertengahan antara prochesus
xyphoideus dan pusat}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\dbch \f5 {\uc1 \u37413 ?}}{\i0
LIII\dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} bagian bawah janin teraba bulat, keras
dan melenting}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
(kepala) belum masuk PAP}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 LIV\dbch \f5 {\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :
{\uc1 \u32893 ?} -}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\u32893 ?} Auskultasi{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} DJJ (+) 148 x/menit}
\u32893 ?}{\uc1 \u32893 ?} Genetalia{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?} :{\uc1 \u32893 ?} pendarahan flek darah berwarna coklat
kehitaman{\uc1 \u32893 ?} {\uc1 \u21348 ?} 1cc}{\i0 \fs22 \kerning2 \dbch \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 ASSEMENT}{\i0
Ny. S usia 34 tahun G}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 P}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 A}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}UK 34{\uc1 \u32893 ?}}{\i0 \fs20
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 +2}{\i0 \fs24
\u32893 ?}minggu dengan portus prematurus iminens dan anemia ringan}{\i0 \fs22
Janin tunggal, hidup, puka, presentasi kepala, belum masuk PAP}{\i0 \fs22 \kerning2
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 PLANNING}{\i0
Tanggal \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?} :{\uc1 \u32893 ?} 15 September 2014}{\i0 \fs22 \kerning2 \dbch \af5
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 09.01
WIB}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\qj \fi-360 \li0 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0 \saauto0 \sl338 \slmult0
\langfenp2052 \cf8 \nosupersub0 \caps0 Memberitahu ibu keadaannya saat ini bahwa
kondisi ibu baik dan kondisi janin dalam keadaan baik dengan denyut jantung
148x/menit (normal)}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 R/ :\dbch \f5 {\uc1 \u32893 ?} hak ibu untuk
mengetahui kondisinysa dan janinnya}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 Ibu telah mengetahui kondisinya dan
janinnya}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\qj \fi-360 \li0 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0 \saauto0 \sl338 \slmult0
\langfenp2052 \cf8 \nosupersub0 \caps0 Melanjutkan terapi dari dokter SPOG}{\i0
Terapi}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Hystolan 20 mg 3x \dbch \f5 {\uc1 \u38470 ?} tablet}
Asam metenamat 500 mg 3x1 tablet,}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 Fe 60 mg 1x1tablet}{\i0 \fs22 \kerning2
{\uc1 \u32893 ?} untuk memperbaiki keadaan ibu}{\i0 \fs22 \kerning2 \dbch \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Ibu telah meminum
hystolan 20 mg \dbch \f5 {\uc1 \u38470 ?} tablet pukul 06.00 WIB, 14.00 WIB dan
21.00 WIB}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Ibu telah meminum asam metenamat 500 mg 1 tablet pukul
06.00 WIB, \dbch \f5 {\uc1 \u32893 ?}14.00 WIB dan 21.00 WIB}{\i0 \fs22
Ibu telah meminum Fe 60 mg 1 tablet pukul 21.00 WIB}{\i0 \fs22 \kerning2 \dbch \af5
\langfenp2052 \cf8 \caps0 \par }\pard \plain \qj \fi-360 \li0 \ri0 \sb0 \lisb0 \sa0
\u32893
?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\nosupersub0 \caps0 Menganjurkan ibu untuk tetap bedrest total}{\i0 \fs22 \kerning2
{\uc1 \u32893 ?} untuk mempertahankan kehamilan ibu}{\i0 \fs22 \kerning2 \dbch \af5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Ibu bersedia untuk
bedrest total}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Memberikan KIE
kebutuhan zat besi ibu hamil}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch
\langfenp2052 \cf8 \nosupersub0 \caps0 R/ :\dbch \f5 {\uc1 \u32893 ?} agar ibu
tidak anemia}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Ibu telah mengerti tentang kebutuhan zat besi ibu hamil}
\cf8 \nosupersub0 \caps0 Mengobservasi keadaan ibu dan janin}{\i0 \fs22
R/ :\dbch \f5 {\uc1 \u32893 ?} untuk memantau keadaan ibu dan janin}{\i0 \fs22
Keadaan umum \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} compos mentis}{\i0 \fs22 \kerning2
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Vital sign\dbch \f5
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} S{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 36,2{\uc1 \u32893 ?}}{\i0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 C}{\i0
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} R{\uc1 \u32893 ?}
DJJ (+) 138 x/menit}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Pendarahan \dbch \f5 {\uc1 \u32893 ?}
{\uc1 \u32893 ?}{\uc1 \u32893 ?} : tidak ada}{\i0 \fs22 \kerning2 \dbch \af5
DATA PERKEMBANGAN III}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 16
September 2014}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
SUBYEKTIF}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Ibu mengatakan sudah tidak mengeluarkan flek darah dan
merasa keadaannya lebih baik serta tidak ada keluhan}{\i0 \fs22 \kerning2 \dbch
{\i0 \fs24 \kerning0 \dbch \af5
\hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat18 \lang1033 \langnp1033
\langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 2.}{\i0 \fs14 \kerning0 \dbch
\langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}
110/80 mmHg{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
36{\uc1 \u32893 ?}}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0 \loch \f0 \expnd0
\nosupersub0 \caps0 0}{\i0 \fs24 \kerning0 \dbch \af5 \hich \af0 \loch \f0
{\uc1 \u32893 ?} :{\uc1 \u32893 ?} 86 x/menit {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?}{\uc1 \u32893 ?} R{\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1 \u32893 ?}
{\uc1 \u32893 ?} 20 x/menit}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 DJJ (+) 138 x/menit}
\cf8 \nosupersub0 \caps0 Pendarahan \dbch \f5 {\uc1 \u32893 ?}{\uc1 \u32893 ?}{\uc1
\u32893 ?} :{\uc1 \u32893 ?} tidak ada}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 ASSEMENT}{\i0
Ny. S usia 34 tahun G}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 P}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 A}{\i0 \fs20 \kerning0 \dbch \af5 \hich \af0 \loch \f0
\cf8 \nosupersub0 \caps0 \dbch \f5 {\uc1 \u32893 ?}UK 34{\uc1 \u32893 ?}}{\i0 \fs20
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 +3}{\i0 \fs24
\u32893 ?}minggu dengan portus prematurus iminens dan anemia ringan}{\i0 \fs22
Janin tunggal, hidup, puka, presentasi kepala, belum masuk PAP}{\i0 \fs22 \kerning2
\dbch \af5 \hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat18 \lang1033 \langnp1033
\langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 PLANNING}{\i0 \fs22 \kerning2
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Tanggal \dbch \f5
16 September 2014}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\cf8 \nosupersub0 \caps0 Memberitahu ibu keadaannya saat ini bahwa kondisi ibu dan
janin baik dan hari ini diperbolehkan untuk pulang}{\i0 \fs22 \kerning2 \dbch
{\uc1 \u32893 ?} untuk mengetahui keadaan ibu}{\i0 \fs22 \kerning2 \dbch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Ibu telah mengetahui
kondisinya dan janinnya}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
untuk banyak mengkonsumsi sayuran berwarna hijau tua dan daging berwarna merah,
sehingga ibu tidak mengalami anemia}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
\langfenp2052 \cf8 \nosupersub0 \caps0 R/ :\dbch \f5 {\uc1 \u32893 ?} untuk
mengatasi anemia}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\langfenp2052 \cf8 \nosupersub0 \caps0 Ibu bersedia mengkonsumsi sayuran berwarna
hijau tua dan daging berwarna merah}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5
untuk beristirahat total dirumah, dan tidak melakukan aktivitas / pekerjaan yang
berat}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 R/ :\dbch \f5 {\uc1 \u32893 ?} untuk menjaga kehamilan
ibu}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Ibu bersedia melakukan anjuran yang telah diberikan}
\cf8 \nosupersub0 \caps0 Menganjurkan ibu untuk tetap mengkonsumsi obat sesuai
dengan anjuran}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0
\expndtw0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf8 \caps0 \par }\pard
\plain \qj \fi0 \li0 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sbauto0 \saauto0 \sl338
\cf8 \nosupersub0 \caps0 Terapi}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch
\langfenp2052 \cf8 \nosupersub0 \caps0 Hystolan 20 mg 3x \dbch \f5 {\uc1 \u38470 ?}
tablet}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Asam metenamat 500 mg 3x1 tablet,}{\i0 \fs22 \kerning2
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Fe 60 mg 1x1tablet}
R/ :\dbch \f5 {\uc1 \u32893 ?} untuk membantu memperbaiki kondisi ibu}{\i0 \fs22
Ibu bersedia meminum obat sesuai dengan anjuran}{\i0 \fs22 \kerning2 \dbch \af5
\langfenp2052 \cf8 \caps0 \par }\pard \plain \qj \fi-360 \li0 \ri0 \sb0 \lisb0 \sa0
\nosupersub0 \caps0 Mempersiapkan ibu untuk pulang dan menganjurkan ibu untuk
kontrol 1 minggu lagi}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\langfenp2052 \cf8 \nosupersub0 \caps0 Melakukan aff infus\dbch \f5 {\uc1
\langfenp2052 \cf8 \nosupersub0 \caps0 R/ :\dbch \f5 {\uc1 \u32893 ?} agar ibu bisa
pulang}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \expnd0 \expndtw0
\cf8 \nosupersub0 \caps0 Aff infus telah dilakukan}{\i0 \fs22 \kerning2 \dbch
\langnp1033 \langfe2052 \langfenp2052 \cf8 \nosupersub0 \caps0 Ibu bersedia untuk
melakukan kontrol (kunjungan ulang) 1 minggu lagi atau jika ada keluhan}{\i0
Ibu pulang pukul 11.00 WIB}{\i0 \fs22 \kerning2 \dbch \af5 \hich \af5 \loch \f5
\par }\pard \plain \ql \li0 \ri0 \nowidctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \itap0 \fs24 \kerning2 \dbch \af2 \hich \af0 \loch \af0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 {\fs24 \kerning2 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \par }}

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