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ABORTUS IMINENS

(Penolongan kegawatdaruratan obstetric ibu hamil )

Disebuah desa texsas, tinggallah seorang wanita malam yang sedang bercanda
dengan sesama rekan kerjanya sambil merokok dan minum-minum seperti
biasanya. Dan salah satu dari mereka sedang mengandung janin yang baru saja
berumur 12 minggu.

Ratna : ( menghembuskan asap rokok ) anak gua bakal nambah satu biji nih.

Uly : serius lo rat, wah lo perlu cuti dong kerjanya. Hahaha ( meneguk
minuman)

Ratna : sialan lo, emang apaan. Yah, tapi mau gimana lagi. Anak gua juga kali,
gini-gini masih gua biarin idup, siapa tau udah gede bisa kerjakan.

Uly : setuju gua rat, minum dulu kita. ( chears minuman )

Keesokan paginya dirumah ratna sedang menonton tv sambil merokok seperti


biasanya.

Dan tiba-tiba perutnya kembali terasa mules dan terlihat seperti keluar darah dari
vaginanya.

Ratna : aduh, kok perut mules sih, ya ampun darah !!!!. Mass, mass!!!

Thono : iya beb, bentar nasi gorengnya belum matang

Ratna : woy perut ada darah, cepat kesini.

Thono : apa??? ( berlari mendekati istri ) ya ampun sayang, ayo kita kebidan, kok
berdarah, pasti ada apa-apa. Ayo sayang

Sesampainya di rumah bidan.

Thono : assalmualaikum, bidan bu bu bidan.

Bidan : iya pak thono, bisa saya bantu.?


Ratna : bu bidan, kok perut saya nyeri terus keluar darah kayak gini.

Bidan : yaampun ibu, ayo marimasuk kedalam.

Kemudian bidan membaringkan ratna ketempat tidur dan melihat perdarah yang
keluar, kemudian melakukan pemeriksaan vital sign ratna sambil menayakan usia
kehamilan.

Bidan : ibu usia kehamilannya, berapa bulan bu?

Ratna : 3 bulan bu

Bidan : tadi sakit gak bu? Atau mules?

Ratna : sedikit mules buk, tiba-tiba saja darah keluar.

Bidan : kita periksa dulu ya bu, ( kemudian bidan memeriksa servik adanya
pembukaan atau tidak )

Ratna : iya buk bidan.

Setelah melakukan pemeriksaan ternyata ratna mengalami abortus iminens, yaitu


abortus yang janinnya masih bisa dipertahankan

Bidan : mari bu kita bicara di sana saja mari pak,

Thono : iya bu bidan

Bidan : gini pak, buk, ibu ratna mengalami abortus iminens, yaitu keguguran
tingkat permulaan, jadi nanti ibu harus jaga sekali kehamilannya, kalo tidak dijaga
nanti bisa keguguran beneran pak, jadi ibu ratna harus istirahat total, harus istirahat
ditempat tidur tidak boleh kemana-mana dulu.

Ratna : jadi saya gak boleh kemana-mana bu bidan.

Bidan : iya bu ratna, kemudian kalo bisa pak thono puasa dulu ya, untuk
berhubungan suami istri saama ibu ya pak, kalau memang ingin melkukannya
jangan berlebihan karena ibu ratna sangat rentan sekali. Nanti kalau perdarahan
berhenti saya bisa kerumah ibu untuk mengontrol ibu ratna, tapi bu, ibu juga harus
periksa kerumah sakit juga ya, periksa USG lihat apa penyebabnya dan kondisi
bayi ibu ya buk.
Ratna : iya buk bidan.

Bidan : iya pak thono bisa kan pak,

Thono : bisa bu bidan

Bidan : jadi, pak buk, apa saja yang harus dijaga

Thono : tidur ditempat tidur dan tidak boleh banyak bergerak, dan berpuasa dulu
berhubungan kalo mau juga pelan-pelan ya bu bidan. Hahahah

Bidan : iya pak, besok sya kerumah ibu ratna memeriksanya lagi bu, tapi saya
anjurkna ibu kerumah sakit ya buk untuk pemeriksaan USG, dan ibu ratna
merokok ya? Kalau bisa masa kehamilan jangan dulu merokok ya bu, sayang
bayinya kan,?

Ratna : iya bu bidan terima kasih bu bidan, saya janji masakehamilan saya tidak
merokok lagi, dan periksa USG. Ya sudah bu bidan kami pamit dulu ya bu bidan

Bidan : iya bu ratna, hati-hati ya.

Dan sesampainya dirumah Ratna istirahat bedres total selama kehamilannya, dan
menghentikan rokoknya juga tidak melakukan hubungan seks selama masa
istirahat bedres total
ABORTUS IMINENS
(Obstacle obstetric emergency care for pregnant women)

In a Texsas village, there remains a night woman who is joking with her co-
workers while smoking and drinking as usual. And one of them is pregnant with a
fetus who is just 12 weeks old.
Ratna: (exhaling cigarette smoke) my child will add one seed.
Uly: I'm serious, you need to take a break from work. Hahaha (drink drink)
Ratna: damn lo, what the hell. Yeah, but what can I do? I also have kids, this is
how I still live, who knows it's already big to do it.
Uly: agree with me rat, drink us first. (drink chears)
The next morning at home Ratna was watching TV while smoking as usual.
And suddenly his stomach returned to mules and looked like blood coming out of
his vagina.
Ratna: oh, how come my stomach is mules, gosh, blood !!!! Mass, mass !!!
Thono: yes beb, for a while the fried rice isn't cooked yet
Ratna: woy stomach has blood, hurry here.
Thono: what ??? (running close to his wife) gosh dear, let's go kebidan, how come
it's bleeding, there must be something. Come on, dear
Arriving at the midwife's house.
Thono: assalmualaikum, midwife bu bu midwife.
Midwife: yes sir thono, can I help you?
Ratna: Mrs. midwife, how come my stomach hurts and keeps bleeding like this.
Midwife: mother, let's go inside.
Then the midwife laid Ratna to bed and saw the bleeding coming out, then
performed a vital sign examination while asking for gestational age.
Midwife: mother's gestational age, how many months is she?
Ratna: 3 months mom
Midwife: Didn't you hurt earlier? Or mules?
Ratna: a little mules, suddenly blood comes out.
Midwife: we check first ma'am, (then the midwife checks the cervix for opening or
not)
Ratna: yes buk midwife.
After carrying out the examination, it turns out that the rat had an iminent abortion,
which is an abortion whose fetus can still be maintained
Midwife: let's just talk there let's sir,
Thono: yes ma'am midwife
Midwife: here sir, buk, Mrs. Ratna has an imminent abortion, which is an early
stage miscarriage, so later the mother must take care of her pregnancy, if not taken
care of later it will be a real miscarriage, so the mother must rest completely, where
to rest where first.
Ratna: so I can't go anywhere ma'am midwife.
Midwife: yes Mrs. Ratna, then if you can, Pak Thono fasting first, to connect with
your husband and wife as well, sir, if you really want to do it, don't overdo it
because Mrs. Ratna is very vulnerable. Later, if the bleeding stops, I can go to the
mother's house to control her mother, but mom, the mother also has to check the
hospital too, check ultrasound, see what causes it and the condition of the baby's
mother is not right.
Ratna: yes buk midwife.
Midwife: yes sir thono can you sir
Thono: you can be a midwife ma'am
Midwife: so, sir, what should be taken care of
Thono: sleeping in bed and not being able to move a lot, and fasting when dealing
with it, if you want it too slowly, ma'am midwife. Hahahah
Midwife: yes sir, tomorrow the house of mother Ratna examined her again ma'am,
but I suggest that the mother is hospitalized or not for an ultrasound examination,
and the mother is smoking, huh? If you can get pregnant, don't smoke, mom, baby,
right?
Ratna: yes ma'am midwife thank you midwife, I promise you that my pregnancy
will not smoke again, and check for ultrasound. Yes it's already bu our midwife
said goodbye first, ma'am midwife
Midwife: Yes, Mrs. Ratna, be careful.
And when he arrived at Ratna's house, he rested the bedres in total during his
pregnancy, and stopped his cigarettes from having sex during the total bed rest
period.

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