referat yudha
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P E M B I M B I N G : D R . B A M B A N G B A S U K I S P. O G ( K )
RISK FACTORS OF POST PARTUM HEMORRHAGE IN INDONESIA
YUDHA IRLA SAPUTRA (20100310221)
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JURNAL
• Preeklampsia• Plasenta previa• Ketuban pecah dini• Kehamilan prematur atau
post matur
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POSTPARTUM HEMORRHAGE
• Perdarahan postpartum adalah perdarahan pervaginam 500 cc atau lebih setelah kala III selesai (setelah plasenta lahir) (Wiknjosastro, 2000)
Trias penyebab kematin ibu
Eklampsia
Infeksi
Perdarahan
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ETIOLOGI
Tonus
Tissue
Trauma
Trombin
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KLASIFIKASI
Perdarahan postpartum primer
• Perdarahan yang terjadi 24 jam pertama setelah persalinan
Perdarahan postartum sekunder
• Perdarahan yang terjadi lebih dari 24 jam setelah persalinan
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PENATALAKSANAAN
MassaseUterotonikaKompresi bimanualKondom kateter
Atonia uteri
UterotonikaManual plasenta
Retensi plasenta
Eksplorasi
Jahit luka
Laserasi Trombin
Transfusi trombosit dan fibrinogen
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PENATALAKSANAAN
Kompresi bimanual Pemasangan kondom kateter
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PREEKLAMPSIA
• Preeklampsia merupakan sindrom spesifik-kehamilan berupa berkurangnya perfusi organ akibat vasospasme dan aktivasi endotel, yang ditandai dengan peningkatan tekanan darah dan proteinuria (Cunningham et al, 2003, Matthew warden, MD, 2005).
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PATOGENESIS
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MANIFESTASI KLINIS
Hipertensi
Proteinuria
Edema
Edema retina
Blood and coagulation
Cerebral hemorrhage
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PENATALAKSANAAN
Antikonvulsi Antihipertensi Maturasi paru
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JURNAL
• How preeclampsia can affect postpartum hemorrhage?
Disfungsi endotel Efek pemberian MgSO4
TONUS
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JURNAL
HELLP syndrome
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CONCLUSION
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