DASAR-DASAR PHANTOM...Passage =jalan lahir •1. jalan lahir keras (tulang panggul) - Beraturan :...
Transcript of DASAR-DASAR PHANTOM...Passage =jalan lahir •1. jalan lahir keras (tulang panggul) - Beraturan :...
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DASAR-DASAR PHANTOM
Inu Mulyantoro, dr, SpOG(K)
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Persalinan
• Cardinal Movement:
• Engaged
• Descent
• Flexi
• Internal rotation
• Extention
• External rotation
• expultion
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Manajemen Persalinan
• Kala I (inpartu-hampir lengkap):
-Tunggu
# Primi: 1cm/jam
# Multi: 0,5 cm/jam
-Pengawasan 10
-Evaluasi
• Kala II (pembukaan lengkap-bayi lahir):
-Pecah KK (kulit ketuban) pimpin mengejan.
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• Kala III (setelah bayi lahir-plasenta lahir):
-Manajemen kala III aktif:
# Injeksi oksitosin
# CCT(cord control traction)/peregangan tali pusat terkendali.
• Kala IV (sp 2 jam setelah plasenta lahir):
-Observasi
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PROGNOSIS PERSALINAN
• Dtentukan 3P+1K:
1. passage
2. passenger
3. power
1K : kondisi ibu: penyakit jantung, pre eklampsia, anemia dsb
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Passage =jalan lahir
• 1. jalan lahir keras (tulang panggul) - Beraturan : Platipeloid, ginekoid, android, - Tak beraturan : rakhitis, tumor, fraktur, dislokasi NORMAL : GINEKOID TAK SEMPIT • 2. jalan lahir lunak (cerviks, vagina, vulva): - Dipengaruhi massa tumor, septum, obesitas
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PASSENGER
1. Jumlah: tunggal, gemelli, triplet, quadriplet
2. Presentation:
- vertex/belakang kepala:
- Puncak
- Dahi
- muka
3. Penurunan
4. Putaran paksi dalam
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2. OCCIPITOFRONTALIS: 11,5 cm PRESENTASI PUNCAK
3. MENTO OCCIPITALIS/ MENTO- VERTIKALIS :13,5-14,5cm PRESENTASI DAHI
4. SUBOCCIPITOBREGMATICA: 9,5 cm PRESENTASI MUKA
1. SUBOCCIPITOBREGMATICA PRESENTASI LETBELKEP
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HIS
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INDIKASI AKHIRI PERSALINAN
• IBU :
- Plasenta previa berdarah
- solusio plasenta
- eklampsia
- Ruptur uteri iminens
- Vasa previa pecah
- HELLP syndrome
- ablatio retinae
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• JANIN:
- Fetal distres
- compound presntation
- tali pusat menumbung
- tali pusat terkemuka
- Presentasi dahi
- Presentasi muka dagu belakang
- serotinus
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• WAKTU:
- Partus tak maju
- Partus macet
- Partus lama
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INGAT
• Indikasi
• Syarat
• Kontra indikasi
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Syarat ekstraksi vakum/forceps
• 1. CPD – (osborn test)
• 2. KK pecah atau dipecah
• 3. kepala turun minimal di H III+
• 4. cakap
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PLASENTA PREVIA
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PLASENTA PREVIA
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VASA PREVIA
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EKLAMPSIA
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RUPTUR UTERI
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COMPOUND PRESENTATION/GANDA
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TALI PUSAT MENUMBUNG
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GEMELLI
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TERIMA KASIH
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• G3P2A0, 30 th, hamil 39 minggu
• Anak 1 hidup intra uterin
• Let belkep, puki
• Inpartu kala 1
• Fetal Distres
• HASIL PEMERIKSAAN DALAM (VAGINAL TOUCHER(VT):
• pembukaan lengkap, KK+,Eff:75%
• POD uuk, kepala sdh masuk HII.
SOAL 1.
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• 2. Idem 1 , pembukaan lengkap
• 3. idem 2, penurunan kepala HIII
• 4. Idem 3, penurunan kepala HIII+