KEGAWATDAR

URATA
MATERNAL
DAN
Kelompok 1 :

NEONATAL
 Devina Luvi
 Shepia Asriyari
 Jumiyati



Gabriel
Renzha Firmansyah
Didin Suparja
 Hofifah  Afifah
 Dewi Setiawati  Desty Ramadhani Putri
Definisi Kegawatdaruratan Maternal
Perdarahan yang mengancam nyawa selama kehamilan dan dekat
cukup bulan meliputi perdarahan yang terjadi pada minggu awal
kehamilan (abortus, mola hidatidosa, kista vasikuler, kehamilan
ekstrauteri/ ektopik) dan perdarahan pada minggu akhir kehamilan
dan mendekati cukup bulan (plasenta previa, solusio plasenta,
ruptur uteri, perdarahan persalinan per vagina setelah seksio
sesarea, retensio plasentae/ plasenta inkomplet), perdarahan pasca
persalinan, hematoma, dan koagulopati obstetri.
Jenis-jenis Kegawatdaruratan Obstetri
Yang termasuk kegawatdaruratan obstetrik , yaitu :

A. Abortus

Abortus adalah pengeluaran hasil konsepsi yang usia kehamilannya kurang

dari 20 minggu. Diagnosis ditegakkan berdasarkan adanya amenore, tanda-
tanda kehamilan, perdarahan hebat per vagina, pengeluaran jaringan
plasenta dan kemungkinan kematian janin.Pada abortus septik, perdarahan
per vagina yang banyak atau sedang, demam (menggigil), kemungkinan
gejala iritasi peritoneum, dan kemungkinan syok.
Etiol Abortus pada wanita hamil bisa terjadi karena

ogi beberapa sebab diantaranya :

Kelainan pertumbuhan hasil konsepsi. Kelainan inilah yang paling

0 umum menyebabkan abortus pada kehamilan sebelum umur

kehamilan 8 minggu.

1 Kelainan pada plasenta. Kelainan ini bisa berupa gangguan pembentukan

0 pembuluh darah pada plasenta yang disebabkan oleh karena penyakit

darah tinggi yang menahun.
2
03 Faktor ibu seperti penyakit penyakit khronis yang diderita oleh sang ibu seperti
radang paru paru, tifus, anemia berat, keracunan dan infeksi virus toxoplasma.

Kelainan yang terjadi pada organ kelamin ibu seperti gangguan pada
04 mulut rahim, kelainan bentuk rahim terutama rahim yang
lengkungannya ke belakang (secara umum rahim melengkung ke
depan), mioma uteri, dan kelainan bawaan pada rahim.
 Klasifik
asi
Abortus pun dibagi bagi lagi menjadi beberapa
bagian, antara lain :

 Abortus Komplet. Seluruh hasil konsepsi telah keluar dari rahim

pada kehamilan kurang dari 20 minggu.
 Abortus Inkomplet. Sebagian hasil konsepsi telah keluar dari rahim
dan masih ada yang tertinggal.
 Abortus Insipiens. Abortus yang sedang mengancam yang ditandai
dengan serviks yang telah mendatar, sedangkan hasil konsepsi
masih berada lengkap di dalam rahim.
 Abortus Iminens. Abortus tingkat permulaan, terjadi perdarahan
per vaginam, sedangkan jalan lahir masih tertutup dan hasil
konsepsi masih baik di dalam rahim.
 Missed Abortion. Abortus yang ditandai dengan embrio atau fetus
terlah meninggal dalam kandungan sebelum kehamilan 20 minggu
dan hasil konsepsi seluruhnya masih dalam kandungan.
 Abortus Habitualis. Abortus yang terjadi sebanyak tiga kali
berturut turut atau lebih.
 Abortus Infeksius. Abortus yang disertai infeksi organ genitalia.
Abortus Septik. Abortus yang terinfeksi dengan penyebaran
mikroorganisme dan produknya kedalam sirkulasi sistemik ibu.
 Tera
pi
Terapi untuk perdarahan yang tidak mengancam nyawa adalah dengan
Macrodex, Haemaccel, Periston, Plasmagel, Plasmafundin (pengekspansi
plasma pengganti darah) dan perawatan di rumah sakit. Terapi untuk
perdarahan yang mengancam nyawa (syok hemoragik) dan memerlukan
anestesi, harus dilakukan dengan sangat hati-hati jika kehilangan darah
banyak. Pada syok berat, lebih dipilih kuretase tanpa anestesi kemudian
Methergin. Pada abortus pada demam menggigil, tindakan utamanya dengan
penisilin, ampisilin, sefalotin, rebofasin, dan pemberian infus.
 Identifying Information
Solusio (Abrupsio) Etiologi
Plasenta Penyebab utama dari
solusio plasenta masih
belum diketahui pasti.
Meskipun demikian ada
beberapa factor yang
diduga mempengaruhi
nya, antara lain :
Klasifikasi
Secara klinis solusio
plasenta dibagi dalam :
1. solusio placenta ringan
2. solusio placenta sedang
3. solusio placenta berat

Solusio plasenta adalah 1. penyakit hipertensi menahun

lepasnya sebagian atau 2. pre-eklampsia
seluruh jaringan plasenta 3. tali pusat yang pendek
yang berimplantasi normal 4. trauma Mercury is the closest planet to the
pada kehamilan di atas 22 5. tekanan oleh rahim yang Sun and the smallest one in our
membesar pada vena cava Solar System
minggu dan sebelum anak
inferior
lahir.
Venus
Identifying Information

Mercury
Mercury is the closest planet to the Sun
and the smallest one in the Solar System
—it’s only a bit larger than our Moon.
The planet’s name has nothing to do with
the liquid metal, since it was named after
the Roman messenger god
 Review of Systems

Neptune Saturn
Neptune is the Saturn is composed

01 farthest planet from

the Sun 02 mostly of hydrogen
and helium

Mercury Jupiter Mars

Mercury is the This gas giant is the Despite being red,

03 smallest planet in
our Solar System 04 biggest planet in our
Solar System 05 Mars is actually a
cold place
 Physical Examination

Neptune Saturn Mars Venus Mercury

45% 12% 78% 36% 62%

To change the size of Yes, Saturn is the Mars is a cold place Venus has a beautiful Mercury is the closest
the graph, click the ringed one. It’s a gas full of iron oxide dust, name and is the planet to the Sun and
arc of the circle and giant, composed which gives the planet second planet from the smallest one our
drag one of the orange mostly of hydrogen its reddish cast the Sun. It’s terribly the Solar System
handles and helium hot
Results
Mercury is the closest planet to the Sun and
the smallest one in the Solar System—it’s
only a bit larger than our Moon. The planet’s
name has nothing to do with the liquid metal,
since it was named after the Roman
messenger god
 4,497,374
Big numbers catch your audience’s attention
 Findings
Evolution Prevalence

32%
Pluto
24%
Venus

12%
Saturn
32%
Mars

If you want to modify this graph, click on it,

follow the link, change the data and replace it 200,000,000
Big number
 02
Discussion
You could enter a subtitle here if you need it
Discussions

“Neptune is the farthest planet from the Sun

and the fourth-largest in our Solar System’’ Dr. John Doe

“Venus has a beautiful name and is the second

planet from the Sun. It’s terribly hot’’ Dr. Jenna James

“Mercury is the closest planet to the Sun and Dr. Daniel

the smallest one in our Solar System’’
Patterson
Discussions Summary

01
Venus has a beautiful name and is the second
planet from the Sun. It’s terribly hot and its
atmosphere is extremely poisonous

02
Jupiter is a gas giant and the biggest planet in our
Solar System. It’s also the fourth-brightest object
in the sky

03
Mercury is the closest planet to the Sun and also
the smallest one in our Solar System. It’s only a
bit larger than our Moon
 03
Diagnosis
You could enter a subtitle here if you need it
 Diagnosis
Neptune Mercury
Neptune is the fourth-largest Mercury is the closest planet to
planet by diameter in our Solar the Sun and the smallest one in
System our Solar System

Saturn Mars
Saturn is the ringed one. It’s a Despite being red, Mars is
gas giant, composed mostly of actually a cold place. It’s full of
hydrogen and helium iron oxide dust

Venus Jupiter
Venus has a beautiful name and It’s the fourth-brightest object in
is the second planet from the the sky and the biggest planet in
Sun. It’s terribly hot our Solar System
 Comparison

01 02 03 04
Saturn

Venus

Jupiter

Pluto
 04
Treatment
You could enter a subtitle here if you need it
 Treatment
Mars is full of iron oxide
Week 1 dust, which gives the planet
its reddish cast

Saturn is the ringed one. It’s

a gas giant, composed of
hydrogen and helium
Week 2

Venus has a beautiful name

Week 3 and is the second planet
from the Sun

Jupiter is a gas giant and the

biggest planet in our Solar
System
Week 4
A Picture
Always
Reinforces the
Concept
A Picture Is
Worth a
Thousand
Words
05
Patient Monitoring
You could enter a subtitle here if you need it
 Patient Monitoring
Week 1 Week 2
To change the size of the graph, click the circle and drag the colored handle
Venus has a beautiful name and is the
second planet from the Sun
Venu Satur
Mars Pluto
Venus s n

Mars

Saturn Week 3
Mercury is the
Venu Satu
Marss rn
closest planet to the
Pluto Sun Plut
o
 Contraindications - Indications
Saturn is the ringed one. It’s a Despite being red, Mars is
gas giant, composed of actually a cold place. It’s full
hydrogen and helium of iron oxide dust

Jupiter is a gas giant and the

Neptune is the fourth-largest
fourth-brightest object in the
planet in our Solar System
sky

Venus has a beautiful name Pluto is in the Kuiper belt and

and is the second planet from is considered a dwarf planet
the Sun since 2006

Mercury is the closest planet Ceres is a dwarf planet and

to the Sun and the smallest in the biggest object in the
our Solar System asteroid belt
 Post-prevention

Jupiter is a gas giant and

the biggest planet in our
Jupiter Mercury Mercury is the smallest
planet in our Solar
Solar System System

Venus is terribly hot and

its atmosphere is
Venus Mars Despite being red, Mars
is actually a cold place
extremely poisonous

Neptune is the fourth-

largest planet in our
Neptune Saturn It’s a gas giant,
composed mostly of
Solar System hydrogen and helium
 Case Timeline

Phase 1 Phase 2 Phase 3 Phase 4

Neptune is the fourth- Saturn is the ringed one. Venus has a beautiful name Mars is full of iron oxide
largest planet in our Solar It’s a gas giant, composed and is the second planet dust, which gives the planet
System of hydrogen and helium from the Sun its reddish cast
 Conclusions
Mercury is the closest planet to the Sun
and the smallest one in the Solar
System—it’s only a bit larger than our
Moon. The planet’s name has nothing to
do with the liquid metal, since it was
named after the Roman messenger god,
Mercury
 References

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

 Our Team

Helena James John Doe Jenna

Here you can talk a bit Here you can talk a bit Patterson
Here you can talk a bit
about this person about this person about this person
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