DAFTAR ISI

YDAFTAR ISI...........................................................................................................i
DAFTAR TABEL....................................................................................................ii
DAFTAR GAMBAR..............................................................................................iii
BAB 1 PENDAHULUAN......................................................................................iv
1.1 Latar Belakang..............................................................................................1
BAB 2 TINJAUAN PUSTAKA...............................................................................3
2.1 Definisi........................................................................................................3
2.2 Epidemiologi...............................................................................................4
2.3 Faktor Risiko...............................................................................................5
2.3.1 Faktor Maternal........................................................................... 6
2.3.2 Riwayat Kehamilan Sebelumnya.................................................9
2.3.3 Riwayat Kehamilan Sekarang......................................................9
2.4 Peranan Inflamasi pada Persalinan Preterm....................................................10
2.4.1 Peranan Hormon dalam Persalinan.............................................11
2.4.2 Peranan Uterotonin dalam Persalin ............................................17
2.4.3 Proses Parturisi...........................................................................19
2.4.4 Perubahan Serviks......................................................................22
2.4.5 Aktivasi Desidua dan Fetal Membran .......................................23
2.4.6 Peningkatan Kontraktilitas Uterus..............................................24
2.4.7Aktivasi Desidua dan Fetal Membran ........................................23
2.4.8 Mediator – Mediator Inflamasi pada Persalinan Preterm...........27
2.5 Pencegahan Persalinan Preterm..............................................................38
2.5.1 Pencegahan Primer Persalinan Preterm..............................................38
2.5.2 Pencegahan Sekunder Persalinan Preterm................................39
2.6 Pemberian Kortikosteroid pada Kehamilan Preterm............................44
2.6.1 Mekanisme Kortikosteroid dalam Pematangan Paru Intrauterin45
2.6.2 Dosis dan Tehnik Pemberian Kortikosteroid..............................46
2.7 Tahap pertumbuhan dan Tahap Pematangan Paru Intrauterin ............48
2.7.1 Tahap Pematangan Paru Intrauterin..........................................48
2.7.2 Surfaktan.........................................................................................50
 2.8.3 Fisiologi Surfaktan.........................................................................51
2.8.4 Fisiologi Pernapasan Pada Neonatus............................................52
2.8 Pemeriksaan Penunjang Maturitas Paru..............................................54
2.8.1 Rasio Lesitin-sfngomielin.........................................................55
2.8.1.1 Interpretasi L/S Ratio.............................................................57
2.8.1.2 Komponen-komponen minor surfaktan..............................57
2.8.1.3 Fosfatidilgiserol.......................................................................58
2.8.1.4 Phosphatidate Phosphohydrolase (PAPase).........................60
2.8.1.5 P/S Ratio..................................................................................60
2.8.2 Foam Stability Test (Tes Busa).....................................................60
2.8.3 Taptest...............................................................................................62
2.8.4 Amniotic Fluid Turbidity .............................................................63
2.8.5 Prosedur Uji Goyang......................................................................66
2.8.6 HASIL.............................................................................................71
DAFTAR PUSTAKA............................................................................................72