tag:blogger.com,1999:blog-76218673798382568992024-02-21T07:45:09.162+07:00_My World_Berbagi ilmu untuk sesama ^^Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.comBlogger28125tag:blogger.com,1999:blog-7621867379838256899.post-23794524883371046252014-05-11T01:36:00.000+07:002014-05-11T01:36:29.017+07:00IMUNISASI HEPATITIS B<!--[if gte mso 9]><xml>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">PENGERTIAN
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Imunisasi
Hepatitis B adalah usaha khusus untuk mencegah timbulnya penyakit hepatitis B
baik dengan menimbulkan kekebalan sementara (HBg) maupun kekebalan tetap
(vaksin Hb/HBsAg).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pemberian
Hepatitis B Imunoglobin (HBIg) merupakan imunisasi pasif dimana daya lindug
HBIg diperkirakan dapat menetralkan virus yang infeksius dengan menggumpalkan
virus tersebut. HBIg dapat memberikan perlindungan pada postexpossure maupun
ereexpossure.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Imunisasi
Hepatitis B secara aktif dilakukan dengan pemberian vaksin HB atau HBsAg.
Priritas utama imunisasi aktif adalah bayi baru lahir dilakukan segera setelah
lahir.</span></div>
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<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l13 level1 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">TUJUAN</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; text-indent: -92.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Imunisasi pasif
→ menimbulkan kekebalan sementara hepatitis B dengan memberikan hepatitis B
imunoglobulin.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; text-indent: -92.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Imunisasi aktif
→ memberikan kekebalan tubuh yang tetap terhadap hepatitis B secara aktif
dengan pemberian vaksin HB</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; text-indent: -92.15pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l13 level1 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">JENIS
VAKSIN </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l9 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Vaksin
HB / HBsAg</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Merupakan vaksin yang dibuat
dari virus yaitu lapisan paling luar / mantel virus yang telah mengalami proses
memurnian yang digunakan dalam imunisasi<span style="mso-spacerun: yes;">
</span>secara aktif hepatitis B</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l9 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">HBIg</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Merupakan Hepatitis B
Imunoglobulin yang mempunyai daya lindung terhadap virus Hepatitis dengan cara
menetralkan virus yang infeksius dengan menggumpalkannya yang digunakan untuk
imunisasi pasif Hepatitis B.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l13 level1 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">CARA
PENYIMPANAN </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Vaksin paling baik disimpan
di lemari es khusus vaksin yang tidak dicampur dengan makanan pad asuhu 2 – 8<sup>o</sup>c.
Vaksin akan rusak jika dibekukan atau dipanaskan. Vaksin yang telah dilarutkan
tidak dapat digunakan setelah 6 jam.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l13 level1 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">POLA
PEMBERIAN IMUNISASI HEPATITIS B</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pada
bayi normal </span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 46.35pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Status Ibu</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 59.95pt;" valign="top" width="80">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Imunisasi</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.5pt;" valign="top" width="147">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Dosis</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.5pt;" valign="top" width="107">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Jadwal</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.25pt;" valign="top" width="115">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Keterangan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Pengidap </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 59.95pt;" valign="top" width="80">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Aktif </span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Pasif </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.5pt;" valign="top" width="147">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Vaksin HB/HBsAg 0,5 ml</span></div>
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">HBIg 0,5 ml</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.5pt;" valign="top" width="107">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">0, 1, 6 bulan </span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">0 bulan </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.25pt;" valign="top" width="115">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">24 jam</span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">48 jam<span style="mso-spacerun: yes;"> </span></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Buakan pengidap</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 59.95pt;" valign="top" width="80">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Aktif </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.5pt;" valign="top" width="147">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">HBsAg 0,5 ml</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.5pt;" valign="top" width="107">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">0, 1, 6 bulan </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.25pt;" valign="top" width="115">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Segera setelah lahir atau
secepatnya 6 bulan pertama</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Tidak diketahui </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 59.95pt;" valign="top" width="80">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Aktif </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.5pt;" valign="top" width="147">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">HBsAg 0,5 ml</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.5pt;" valign="top" width="107">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">0, 1, 6 bulan </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.25pt;" valign="top" width="115">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Segera setelah lahir </span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Status hepatitis B ibu yang
semula tidak diketahui tetapi bila dalam waktu 7 hari pertama sejak bayi lahir
ternyata ibu terbukti mengidap hepatitis B maka segera berikan HBIg.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pada
bayi kurang bulan – berat lahir rendah </span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 46.35pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Status Ibu</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 59.95pt;" valign="top" width="80">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Imunisasi</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.5pt;" valign="top" width="147">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Dosis</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.5pt;" valign="top" width="107">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Jadwal</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.25pt;" valign="top" width="115">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Keterangan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Pengidap </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 59.95pt;" valign="top" width="80">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Aktif </span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Pasif </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.5pt;" valign="top" width="147">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Vaksin HB/HBsAg 0,5 ml</span></div>
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">HBIg 0,5 ml</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.5pt;" valign="top" width="107">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">0, 1, 6 bulan </span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">0 bulan </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.25pt;" valign="top" width="115">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">24 jam</span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">42 jam<span style="mso-spacerun: yes;"> </span></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Buakan pengidap</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 59.95pt;" valign="top" width="80">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Aktif </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.5pt;" valign="top" width="147">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">HBsAg 0,5 ml</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.5pt;" valign="top" width="107">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">0, 1, 6 bulan </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.25pt;" valign="top" width="115">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Berat ≥ 2 kg/usia ≥ 2
bulan </span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Tidak diketahui </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 59.95pt;" valign="top" width="80">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Aktif </span></div>
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">pasif</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.5pt;" valign="top" width="147">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">HBsAg 0,5 ml</span></div>
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">HBIg 0,5 ml</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.5pt;" valign="top" width="107">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">0, 1, 6 bulan </span></div>
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">1 x</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.25pt;" valign="top" width="115">
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">12 jam pertama tidak
diberikan kecuali bila < 7 hari diketahui ibu mengidapr </span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pada bulan ke 7, idealnya diperiksa anti HBs, bila
negatif berikan vaksin dosis keempat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jadwal pemberian HBsAg 3 kali ini dapat bervariasi
sebagai berikut :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l15 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Internal
terpendek antara suntikan ke -1 dan ke-2 adalah satu bulan antara suntikan ke-2
dan ke -3 adalah dua bulan, tetapi suntikan ke-3 tidak boleh diberikan sebelum
bayi berusia 6 bulan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l15 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Individu
yang memperoleh imunisasi pada usia lebih dari 2 bulan, jarak antara suntikan
ke-1 dan ke-3 minimal 4 bulan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l15 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pada
bayi, imunisasi harus lenkap 3 x paling lambat pada usia 18 bulan. Pada anak
besar/remaja imunisasi diberikan dengan jadwal 0, 1, 6 bulan /0, 2, 4 bulan.</span></div>
<div class="MsoNoSpacing" style="margin-left: 64.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l13 level1 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jadwal
Pemberian Vaksin Hepatitis B menurut APN 2007 </span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 1.0cm; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.75pt;" valign="top" width="149">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Imunisasi</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jumlah Pemberian</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 206.4pt;" valign="top" width="275">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jadwal Pemberian</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.75pt;" valign="top" width="149">
<div class="MsoNoSpacing" style="line-height: 150%;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Regimen Tunggal </span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Regimen Kombinasi </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">3 kali </span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">4 kali </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 206.4pt;" valign="top" width="275">
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 12.35pt; mso-list: l1 level1 lfo5; text-indent: -12.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Usia o<span style="mso-spacerun: yes;"> </span>bulan
(segera setelah lahir)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 12.35pt; mso-list: l1 level1 lfo5; text-indent: -12.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Usia 1 bulan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 12.35pt; mso-list: l1 level1 lfo5; text-indent: -12.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Usia 6 bulan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.9pt; mso-list: l4 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Usia 0 bulan (segera setelah lahir)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.9pt; mso-list: l4 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Usia 2 bulan </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> DPT + Hb</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.9pt; mso-list: l4 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Usia<span style="mso-spacerun: yes;"> </span>2 bulan </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> DPT + Hb</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.9pt; mso-list: l4 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Usia 4 bulan </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> DPT + Hb</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l13 level1 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VII.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">INDIKASI
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l0 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Imunisasi
Pasif</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diindikasikan kepada paparan akut terhadap HBV
inokulasi darah yang mengandung antigen permukaan, tertelan atau terciprat pada
mukosa dan konjungtiva</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l0 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Imunisasi
aktif </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo8; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bayi
baru lahir</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo8; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anak
yang belum memperoleh imunisasi pada masa bayi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo8; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kelompok
yang beresiko tinggi mendapat inveksi HBV, misalnya transfusi darah defisiensi
imune dan anak yang tinggal didaerah endemik </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo8; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anak-anak
dari pengidap HBV</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo8; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kontak
serumah dengan pengidap HBV</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l13 level1 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VIII.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">KONTRAINDIKASI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anak yang sedang sakit berat </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l13 level1 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">IX.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">BUKAN
KONTRAINDIKASI </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l3 level1 lfo9; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mencret
1 – 2 kali </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l3 level1 lfo9; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Batuk
pilek sedikit </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l3 level1 lfo9; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Alergi
terhadap non vaksin, misalnya makanan dan obat-obatan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l13 level1 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">X.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">CARA
PEMBERIAN </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dilakukan secara intramuskuler pada daerah vastus
laterolis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l13 level1 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">XI.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">HAL-HAL
YANG PERLU DIPERHATIKAN </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Vaksin
bermutu :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Belum kadaluasa, kemasan
utuh, alat pemantau paparan panas/beku baik, penampakan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Waktu<span style="mso-spacerun: yes;"> </span>penyuntikan tepat </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tidak
ada kontraindikasi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ada
prosedur baku pelaksanaan imunisasi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Petugas
bekerja aseptis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penggunaan
alat suntuk sekali pakai</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Teknik
penyuntikan benar</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cara melarutkan dan mengisi alat sunti, posisi anak,
lokasi penyuntikan, dosis vaksin dan cara/rute penyuntikan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penangulangan
limbah alat suntik dengan benar </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l13 level1 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">XII.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">TEKNIK
PEMBERIAN IMUNISASI </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Persiapan :</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Persiapan
ibu / orang tua :</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Melakukan inform concent. Ada beberapa hal yang
dilakukan dalam inform concent </span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tanyakan
pada orang tua / pengasuh bayi hal-hal berikut :</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Status
kesehatan bayi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.35pt; mso-list: l8 level1 lfo13; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengalaman
/ reaksi tehadap imunisasi yang pernah didapat sebelumnya</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penyakit
yang dialami dimasa lalu dan sekarang </span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Berikan
informasi kepada orang tua / pengasuh tentang :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.35pt; mso-list: l7 level1 lfo14; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tindakan
yang akan dilakukan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.35pt; mso-list: l7 level1 lfo14; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tujuan
pemberian imunisasi hepatitis B</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cara
pemberian imunisasi hepatitis B</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Efek
samping imunisasi hepatitis B dan penanggulangannya</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Buat
persetujuan medik. Simpan dalam catatan medik </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l14 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Persiapan
Lingkungan </span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bersih,
aman dan nyaman bagi bayi</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tenang
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Interaksi
yang baik dengan anak agar anak tidak takut </span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Persiapan
alat </span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Vaksin
Hepatitis B</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Termos
(vaccine carries)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Spuit
1 cc</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kom
tutp dan kapas alkohol</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jarum
23 g</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bengkak
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pinset
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Buku
pencatatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tas
imunisasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Persiapan vaksin </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Siapkan
vaksin yang akan diberikan secara IM</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Larutkan
vaksin sesuai anjuran </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Siapkan
dalam jumlah dosisi yang diberikan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cara pengisian semprit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pegang
botol vaksin dan bagian ujung barel dengan tangan kiri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tarikan
pangkal piston dengan ibu jari dan jari telunjuk tangan kanan ke arah bawah </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cara mengosongkan semprit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Peganglah
bagian atas barel diantara telunjuk dan jari tengah tangan kanan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kemudian
doronglah pangkal piston dengan ibu jari tangan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tangan
kiri memegang botol kosong dan memasukan isi sempit tersebut ke dalamnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l14 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Persiapan
bayi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Letakkan
bayi dengan posisi punggung dibawah atau dipangku oleh ibu.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l6 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Lakukan
definisi pada bagian tubuh yang akan disuntik, yaitu pada paha bagain luar.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pelaksanaan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l16 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cuci
tangan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l16 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Siapkan
alat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l16 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pilih
daerah otot yang akan disuntik </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l16 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bersihkan
daerah yang akan disuntik dengan kapas alkohol dan biarkan sampai kering atau
dibersihkan dengan kapas + air sterill</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l16 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Yakinkan
bahwa jenis obat dan dosis yang diberikan sudah tepat </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l16 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Isap
obat yang akan disuntikkan ke dalam spuit dan pasang jarumnya</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l16 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bila
memungkinkan pegang bagian otit yang akan disuntik dengan menggunakan<span style="mso-spacerun: yes;"> </span>ibu jari dan telunjuk </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l16 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dengan
satu gerakan cepat, masukkan jarum tegek lurus melalui kulit </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l16 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tarik
tuas perlahan untuk memungkinkan bahwa jarum tidak masuk ke pembuluh darah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l16 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bila tidak dijumpai darah, suntikkan otot dengan
tekana dalam waktu 3 – 5 detik </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l16 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bila telah selesai, tarik jarum dengan sekali gerakan
halus dan pelan dengan bola kasa sterill kering.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pemberesan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bayi
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pakaikan
kembali pakaian bayi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Serahkan
bayi pada ibu untuk ditenangkan, misal dengan diberi ASI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ibu
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Menulis
tanggal imunisasi di KMS dan dibuku (anak / ibu) sesuai tanggal imunisasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mengingatkan<span style="mso-spacerun: yes;"> </span>agar KMS disimpan dengan baik dibawa pada
kunjungan berikutnya</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mengingatkan
ibu untuk jadwal imunisasi berikutnya</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penolong
/ petugas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cuci
tangan setelah melakukan imunisasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mencatat
tanggal imunisasi dan jenis imunisasi yang diberikan di buku petugas </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cuci
tangan setelah membereskan alat dan ruangan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Alat
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Buang
sampah sesuai golongannya, yaitu benda tajam, non tajam, infeksi, limbah non
infeksi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tempatkan
jarum dan alat suntik dalam kotak pengaman segera setelah melakukan imunisasi
tanpa memasang kembali jarum dan tanpa memisahkan kembali jarum dan tanpa memisahkan
jarum terlebih dahulu.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tutup
dan isolasikan kotak tempat pembuangan jarum sampai dapat dimusnahkan (dikubur
dalam tanah, dibakar)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Lakukan
dekontaminasi kemudian dicuci dan terakhir disterilkan pada alat-alat yang
tidak habis pakai kemudian letakkan alat ditempat semula.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ruangan
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bersihkan dan rapikan
ruangan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l13 level1 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">XIII.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">EFEK SAMPING DAN PENANGGULANGAN </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l11 level1 lfo18; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Efek
samping</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jarang ada efek samping dari imunisasi hepatitis B
yang serius efek samping yang paling umum dari vaksin biasanya ringan dan cepat
hilang. Efek samping ini ada 2 yaitu :</span></div>
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</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Efek
lokal, seperti rasa sakit dan pembengkakan<span style="mso-spacerun: yes;">
</span>pada tempat yang disuntik </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo17; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Efek
sistemik, seperti sedikit demam, lesu, perasaan tidak enak pada saluran cerna </span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Efek samping ini akan hilang dalam waktu 48 jam </span></div>
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</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penanggulangan<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Efek samping tersebut dapat ditanggulangi dengan
istirahat yang cukup. Pemenuhan cairan dan nutrisi yang cukup.</span></div>
Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-37529075189352841552014-05-11T01:29:00.002+07:002014-05-11T01:29:47.541+07:00PERSALINAN PERVAGINAM PASCA BEDAH SESAR (VAGINAL BIRTH AFTER CESAREAN)<!--[if gte mso 9]><xml>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BATASAN</span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">VBAC adalah persalinan
pervaginam pada penderita dengan riwayat bedah sesar pada kehamilan sebelumnya.
Keberhasilan VBAC pada penderita dengan insisi segmen bawah rahim pada populasi
umum sekitar 60 – 80%.</span></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">RIWAYAT
VBAC</span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Dahulu ada anggapan
bahwa sekali bedah sesar harus melahirkan dengan bedah sesar. Sejak mulai
diperkenalkan insisi transversal rendah pada SBR yang memiliki risiko ruptura
uteri lebih rendah 10 kali lipat dibanding dengan insisi vertikal pada uterus,
mulai tahun 1980-an diperkenalkan VBAC. Wanita yang pernah melahirkan dengan
bedah sesar, mempunyai dua kemungkinan untuk persalinan pada kehamilan
berikutnya, yaitu bedah sesar ulang elektif atau mencoba untuk persalinan
pervaginam. Sampai saat ini tidak ada penelitian yang membandingkan keamanan,
komplikasi, dan morbiditas serta mortalitas pada bayi dan maternal diantara
kedua cara persalinan tersebut.</span></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">KONTRAINDIKASI
VBAC</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kontraindikasi
Mutlak:</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Komplikasi medis atau obstetrik yang
melarang persalinan pervaginam.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ketidakmampuan untuk melakukan bedah
sesar emergensi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Insisi uterus pada operasi sesar
sebelumnya klasik / vertikal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Defek uterus pada fundus atau sekitar
fundus akibat operasi sebelumnya (misalnya miomektomi yang melibatkan seluruh
ketebalan uterus).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Riwayat ruptura uteri sebelumnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kontraindikasi
Relatif:</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Adanya parut multipel pada uterus
(misalnya <u>></u> 2 kali SC).</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Setiap faktor lain (yang tersebut di
atas) yang berkaitan dengan risiko ruptura uteri lebih dari 1%.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Jika tidak didapatkan
kontraindikasi, penderita dengan riwayat 1 kali bedah sesar segmen bawah rahim,
dapat dianjurkan untuk melakukan VBAC dengan terlebih dahulu melakukan diskusi
yang adekuat (<i style="mso-bidi-font-style: normal;">informed consent</i>)
tentang manfaat dan risiko bagi maternal dan perinatal.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">KRITERIA
PENENTUAN PENDERITA UNTUK VBAC</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Beberapa faktor yang
perlu dipertimbangkan dalam menentukan penderita untuk VBAC adalah:</span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Menjalani satu kali bedah sesar insisi
melintang rendah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Secara klinis memiliki pelvis yang adekuat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tidak ada riwayat pembedahan uterus atau
riwayat ruptura uteri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Adanya dokter kebidanan yang siap
setiapp saat pada fase aktif persalinan dan mampu melakukan bedah sesar
emergensi.</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ada dokter anestesi dan personil kamar
operasi untuk melakukan operasi sesar emergensi. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">KOMPLIKASI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ruptura uteri merupakan
komplikasi yang paling sering pada VBAC, dan dipengaruhi oleh banyak faktor.
Kemungkinan terjadinya ruptura pada wanita yang pernah melahirkan pervaginam
dan menjalani 2 kali bedah sesar sekitar 0,5%, tidak lebih besar dibanding yang
1 kali bedah sesar.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">FAKTOR
YANG MEMPENGARUHI KEBERHASILAN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tingkat keberhasilan
VBAC pada populasi umum pada wanita dengan riwayat insisi transversal rendah
sekitar 60 – 80%. Faktor-faktor yang mempengaruhi keberhasila atau kegagalan
VBAC antara lain adalah:</span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Riwayat persalinan pervaginal setelah
bedah sesar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Indikasi bedah sesar sebelumnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Jumlah operasi sesar sebelumnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Obesitas maternal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Makrosomia janin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Status kematangan serviks.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Induksi atau augmentasi persalinan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tipe insisi uterus.</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Usia maternal.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENGELOLAAN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pasien dengan
kontraindikasi untuk melakukan VBAC, harus dilakukan bedah sesar ulang elektif
pada kehamilan 39 minggu, atau dapat dilakukan lebih awal jika telah terjadi
persalinan atau adanya indikasi khusus yang lain.</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Konseling
pasien</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">VBAC dapat dianjurkan kepada pasien
dengan riwayat 1 kali bedah sesar dengan insisi SBR dengan <i style="mso-bidi-font-style: normal;">informed consent</i> yang baik. Keberhasilan VBAC sekitar 60 – 80%.
Risiko komplikasi perinatal yang serius secara keseluruhan sekitar 1:2000 VBAC,
yang sedikit lebih besar dibanding Bedah Sesar ulang. Keputusan untuk melakukan
VBAC atau tidak<span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;">“tergantung pada pasien”</b> setelah konsling yang baik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pendidikan
prenatal</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pendidikan prenatal secara individual
yang dilakukan untuk menghindari persalinan dengan bedah sesar, tidak
meningkatkan tingkat keberhasilan VBAC.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Consent</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Presentasi
bukan kepala</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pada presentasi bukan kepala, dapat
dilakukan versi eksternal sefalik (ECV) dengan aman pada wanita dengan riwayat
bedah sesar. Tingkat keberhasilan ECV sama atau setingkat lebih tinggi pada
wanita dengan riwayat SC dibanding yang tidak SC. Jika ECV berhasil dilakukan
tingkat keberhasila VBAC sekitar 65 – 75%.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pemeriksaan
USG pada SBR</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tidak ada wanita yang memiliki ketebalan
SBR <u>></u> 4,5 mm mengalami dehiscence atau ruptura, sedangkan proporsi
komplikasinya akan meningkat jika ketebalan SBR berkurang, dan jika didapatkan
ketebalan SBR < 3,5 mm atau ditemukan adanya defek lebih menguntungkan
dilakukan bedah sesar ulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kepentingan
untuk mengurangi risiko</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Untuk mengurangi risiko VBAC, hal yang
berikut harus siap setiap (siap 24 jam dalam seminggu) saat melakukan VBAC,
yaitu: dokter kebidanan yang berpengalaman, dokter anestesia, perawat dan
personil kamar operasi, kemampuan untuk melakukan bedah sesar emergensi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Deteksi
ruptura intrapartum</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Gangguan FHR sering terjadi, meskipun
tidak selalu, sebagai tanda adanya ruptura sekitar 55 – 85%. Meskipun gangguan
FHR dapat sebabkan oleh penyebab yang lain, akan tetapi adanya gangguan FHR
pada kasus dengan riwayat bedah sesar kemungkinan ruptur harus dipertimbangkan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Adanya nyeri pada daerah di atas bekas
parut uterus merupakan prediktor yang buruk. Pemakaian epidural anestesi
biasanya tidak menutupi gejala ruptura.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Hilangnya / tidak terabanya bagian bawah
janin secara bermakna, terutama pada kala dua mungkin terjadi akibat ruptura,
tetapi manfaatnya terbatas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tidak ada data yang cukup untuk menilai
manfaat eksplorasi uterus pasca persalinan pasca bedah sesar yang berhasil.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Cost-effectiveness</span></i></b></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Keberhasilan melakukan persalinan pervaginam pasca
bedah sesar, akan mengurangi besarnya biaya yang diperlukan dibanding dengan
melakukan bedah sesar ulang.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">DAFTAR
PUSTAKA</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Cunningham
FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Prior cesarean delivery.
In: Williams Obstetric. 23rd Ed. McGrawHill Medical, New York, 2010.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ness
A. Vaginal birth after cesarean. In: Berghella V. Obstetric evidence based guidelines.
Series in Maternal Fetal Medicine. Informa healthcare, UK, 2007.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Martel
MJ, MacKinnon CJ. Guidelines for vaginal birth after previous cesarean birth.
SOGC Clinical Practice Guidelines. JOGC, Februari 2005.</span></div>
Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-26918482448650742532013-12-16T02:15:00.002+07:002013-12-16T02:15:48.666+07:00Sampling and sampling distributions<b> </b>Sumber : Book Petrie&Sabine, Medical Statistics at a Glance<br />
<br />
<b>Why do we sample?</b><br />In statistics, a population represents the entire group of individuals in whom we are interested. Generally it is costly and labourintensive to study the entire population and, in some cases, may be impossible because the population may be hypothetical (e.g.patients who may receive a treatment in the future). Therefore we collect data on a sample of individuals who we believe are representative of this population (i.e. they have similar characteristics to the individuals in the population), and use them to draw conclusions (i.e. make inferences) about the population. When we take a sample of the population, we have to recognize that the information in the sample may not fully reflect what is true in the population. We have introduced sampling error by studying only some of the population. In this chapter we show how to use theoretical probability distributions (Chapters 7 and 8) to quantify this error.<br />
<br /><b>Obtaining a representative sample</b><br />Ideally, we aim for a random sample. Alist of all individuals from the population is drawn up (the sampling frame), and individuals are selected randomly from this list, i.e. every possible sample of a given size in the population has an equal probability of being chosen. Sometimes, we may have difficulty in constructing this list or the costs involved may be prohibitive, and then we take a convenience sample. For example, when studying patients with a particular clinical condition, we may choose a single hospital, and investigate some or all of the patients with the condition in that hospital. Very occasionally, non-random schemes, such as quota<br />sampling or systematic sampling, may be used. Although the statistical tests described in this book assume that individuals are selected for the sample randomly, the methods are generally reasonable as long as the sample is representative of the population.<br />
<br /><b>Point estimates</b><br />We are often interested in the value of a parameter in the population (Chapter 7), e.g. a mean or a proportion. Parameters are usually denoted by letters of the Greek alphabet. For example, we usually<br />refer to the population mean as m and the population standard deviation as s. We estimate the value of the parameter using the data collected from the sample. This estimate is referred to as the sample statistic and is a point estimate of the parameter (i.e. it takes a single value) as opposed to an interval estimate (Chapter 11) which takes a range of values.<br />
<br /><b>Sampling variation</b><br />If we take repeated samples of the same size from a population, it is unlikely that the estimates of the population parameter would be exactly the same in each sample. However, our estimates should all be close to the true value of the parameter in the population, and the estimates themselves should be similar to each other. By quantifying the variability of these estimates, we obtain information on the precision of our estimate and can thereby assess the sampling error. In reality, we usually only take one sample from the population.<br />However, we still make use of our knowledge of the theoretical distribution of sample estimates to draw inferences about the population parameter.<br />
<br /><b>Sampling distribution of the mean</b><br />Suppose we are interested in estimating the population mean; we could take many repeated samples of size n from the population, and estimate the mean in each sample. Ahistogram of the estimates of these means would show their distribution (Fig. 10.1); this is the sampling distribution of the mean. We can show that:<br />• If the sample size is reasonably large, the estimates of the mean follow a Normal distribution, whatever the distribution of the original data in the population (this comes from a theorem known as the Central Limit Theorem).<br />• If the sample size is small, the estimates of the mean follow a Normal distribution provided the data in the population follow a Normal distribution.<br />• The mean of the estimates is an unbiased estimate of the true mean in the population, i.e. the mean of the estimates equals the true population mean.<br />• The variability of the distribution is measured by the standard deviation of the estimates; this is known as the standard error of the mean (often denoted by SEM). If we know the population standard deviation (s), then the standard error of the mean is given by:<br />When we only have one sample, as is customary, our best estimate of the population mean is the sample mean, and because we rarely know the standard deviation in the population, we estimate the standard<br />error of the mean by:<br />where s is the standard deviation of the observations in the sample (Chapter 6). The SEM provides a measure of the precision of our estimate.<br />
<br /><b>Interpreting standard errors</b><br />• Alarge standard error indicates that the estimate is imprecise.<br />• Asmall standard error indicates that the estimate is precise.<br />The standard error is reduced, i.e. we obtain a more precise estimate, if:<br />• the size of the sample is increased (Fig. 10.1);<br />• the data are less variable.<br />
<br /><b>SD or SEM?</b><br />Although these two parameters seem to be similar, they are used for different purposes. The standard deviation describes the variation in the data values and should be quoted if you wish to illustrate variability<br />in the data. In contrast, the standard error describes the precision of the sample mean, and should be quoted if you are interested in the mean of a set of data values.<br />SEM =s n<br />SEM =s n<br />10 Sampling and sampling distributions Sampling and sampling distributions Sampling and estimation 27<br />
<br /><b>Sampling distribution of the proportion</b><br />We may be interested in the proportion of individuals in a population who possess some characteristic. Having taken a sample of size n from the population, our best estimate, p, of the population proportion, p, is given by:<br />where r is the number of individuals in the sample with the characteristic. If we were to take repeated samples of size n from our population and plot the estimates of the proportion as a histogram, the p = r n<br />resulting sampling distribution of the proportion would approximate a Normal distribution with mean value, p. The standard deviation of this distribution of estimated proportions is the standard error of the proportion. When we take only a single sample, it is estimated by:<br />This provides a measure of the precision of our estimate of p; a small standard error indicates a precise estimate.Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-29216270273371465582012-11-29T09:04:00.000+07:002012-11-29T09:04:16.188+07:00PERDARAHAN POST PARTUM<!--[if gte mso 9]><xml>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PERDARAHAN POST PARTUM</span></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BATASAN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Perdarahan
post partum</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> adalah perdarahan yang melebihi 500 ml
(pada persalinan pervaginam) atau melebihi 1000 ml (pada persalinan dengan
bedah sesar) yang terjadi setelah bayi lahir (<i style="mso-bidi-font-style: normal;">Williams Obstetrics</i> menggunakan batasan perdarahan yang terjadi
setelah kala III lengkap). Perdarahan post partum dapat mulai terjadi sebelum
maupun setelah terlepasnya plasenta. Disebut <b style="mso-bidi-font-weight: normal;">perdarahan post partum primer</b> jika perdarahan post partum terjadi
dalam 24 jam, jika terjadi setelah 24 jam tetapi sebelum 12 minggu post partum
disebut <b style="mso-bidi-font-weight: normal;">perdarahan post partum sekunder</b>.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Untuk kepentingan
klinik, setiap kehilangan darah yang berpotensi menyebabkan instabilitas
hemodinamik ibu harus dianggap sebagai perdarahan post partum.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PATOFISIOLOGI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Secara normal, setelah
bayi lahir uterus akan mengecil secara mendadak dan akan berkontraksi untuk melahirkan
plasenta, menghentikan perdarahan yang terjadi pada bekas insersi plasenta
dengan menjepit pembuluh darah (disebut “<i style="mso-bidi-font-style: normal;">living
ligatures of the uterus</i>”) pada tempat tersebut. Apabila mekanisme ini tidak
terjadi atau terdapat sesuatu yang menghambat mekanisme ini (adanya sisa
plasenta, adanya selaput plasenta yang tertinggal, adanya bekuan darah, dsb.)
akan terjadi perdarahan akibat lumen pembuluh darah pada bekas insersi plasenta
tidak tertutup atau tertutup tidak optimal. Perdarahan juga dpat terjadi akibat
adanya robekan pada jalan lahir, dan gangguan pembekuan darah.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">GEJALA
KLINIS</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Penyebab terjadinya
perdarahan post partum, secara mudah adalah <b style="mso-bidi-font-weight: normal;">4-T</b>:</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">T</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">onus<span style="mso-tab-count: 1;"> </span>: atonia uteri, kandung kemih yang over
distensi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">T</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">issue<span style="mso-tab-count: 1;"> </span>: retensi plasenta (sisa plasenta) dan
bekuan darah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">T</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">rauma<span style="mso-tab-count: 1;"> </span>: perlukaan pada vagina, serviks, atau
uterus.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">T</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">rombin<span style="mso-tab-count: 1;"> </span>: gangguan pembekuan darah (bawaan atau
didapat).</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">FAKTOR
RISIKO</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Faktor risiko untuk
terjdinya perdarahan post partum adalah: kehamilan pertama kali, ibu gemuk,
bayi besar, kehamilan kembar, persalinan lama atau persalinan dengan
augmentasi, dan perdarahan antepartum. Paritas tinggi bukan faktor risiko yang
kuat. <b style="mso-bidi-font-weight: normal;">Yang penting untuk diingat adalah</b>:
perdarahan post partum primer bahkan sering terjadi pada wanita risiko rendah,
yang sering tidak diperkirakan.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENGELOLAAN
PERDARAHAN POST PARTUM PRIMER</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Mintalah
bantuan apabila menghadapi kejadian ini (perlu pendekatan multidisipliner).
Pasanglah infus dengan jarum besar (jika belum terpasang) untuk menjamin
sirkulasi yang adekuat dan untuk memudahkan memasukkan obat-obatan, sebelum
sirkulasi menjadi kolaps.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Lakukan
pijat uterus (masase uterus) sampai berkontraksi baik. Banyak bukti yang
mendukung bahwa “masase uterus” dapat mencegah terjadinya perdarahan post
partum akibat atonia uterus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Identifikasi
adanya laserasi jalan lahir dan lakukan perbaikan. Tempatkan jahitan pertama
kali setidaknya 1 cm di atas ujung luka. Lakukan pengamatan daerah yang akan
dijahit dengan adekuat, jika perlu penjahitan dilakukan di kamar operasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Lakukan
eksplorasi rongga rahim untuk memastikan tidak adanya laserasi uterus dan
menjamin tidak adanya sisa plasenta dan bekuan darah dalam rongga rahim.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ambilah
contoh darah untuk pemeriksaan darah lengkap dan jumlah trombosit, golongan
darah, fibrinogen, produk-produk pemecahan fibrin, <i style="mso-bidi-font-style: normal;">prothrombin time</i>, dan <i style="mso-bidi-font-style: normal;">partial
prothrombin time</i>.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Berikan
uterotonika:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Oksitosin 20 – 80 UI dalam 1000 cc NaCl /
RL secara drip. Pemberian 20 U oksitosin dalam 1000 ml NaCl / RL cukup efektif
jika diberikan dengan secara drip dengan dosis 10 ml/ menit (20 mU oksitosin
per menit) yang disertai dengan masase uterus yang efektif; dan atau</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Misoprostol 800 – 1000 ug (4 – 5 tablet)
secara rektal. Misoprostol dapat diberikan sebagai alternatif pada persalinan
pervaginam jika oksitosin tidak tersedia.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Methil ergometrin 0,2 mg secara IM
(jangan diberikan pada penderita darah tinggi) setiap 2 – 4 jam, dan atau</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Carboprost tromethamine (jika tersedia)
0,25 mg IM setiap 15 – 90 menit. Dosis maksimal 2 mg (jangan diberikan pada
penderita asthma).</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pemberian
misoprostol 800 ug secara rektal biasanya dipergunakan sebagai <b style="mso-bidi-font-weight: normal;">“obat lini pertama”</b> untuk pengelolaan
perdarahan post partum, oleh karena secara bermakna menurunkan risiko
kemungkinan tetap adanya perdarahan setelah intervensi. Akan tetapi tidak ada
cukup bukti untuk menunjukkan bahwa misoprostol lebih baik dibanding dengan
kombinasi oksitosin dan ergometrin saja dalam pengelolaan perdarahan post
partum.<span style="mso-spacerun: yes;"> </span>Juga tidak cukup bukti untuk
menentukan kombinasi obat terbaik, cara pemberian, dan dosis obat dalam
pengelolaan perdarahan post partum.</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pasang
kateter menetap untuk memantau produksi urine.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Jika
dicurigai adanya retensi sisa plasenta, dapat dilakukan kuretase.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Jika diperlukan dapat diberikan
transfusi darah dan produk darah.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">j)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tetap monitor penderita, jangan
ditinggalkan sendirian.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENGELOLAAN
PERDARAHAN POST PARTUM SEKUNDER</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Sampai saat ini tidak
ada informasi penelitian secara RCTs (randomised controlled trials) untuk
pengelolaan perdarahan post partum sekunder.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PADA
KASUS TIDAK RESPONSIF TERHADAP OXYTOCIN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Perdarahan yang masih
tetap berlangsung setelah pemberian oksitosin berulangkali, mungkin disebabkan
oleh adanya laserasi jalan lahir. Segera lakukan langkah-langkah yang berikut:</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Lakukan
kompresi bimanual.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Cari
bantuan tenaga.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pasang
infus jalur ke dua dengan jarum yang besar, sehingga drip oksitosin tetap dapat
diberikan, dan dapat diberikan cairan lain/darah melalui infus yang ke dua.
Oleh karenanya setiap pasien obstetri harus diketahui golongan darahnya sebelum
persalinan. Pada kondisi sangat darurat, golongan darah “O” dengan golongan
“Rhesus Negatif” dapat diberikan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Lakukan
ekplorasi rongga rahim kembali untuk memastikan tidak adanya sisa plasenta,
tidak adanya bekuan darah, dan laserasi uterus/robekan uterus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Lakukan
eksplorasi jalan lahir untuk memastikan tidak adanya robekan serviks dan
vagina. Lakukan penjahitan secara benar jika ditemukan laserasi jalan lahir.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Lakukan
pemasangan kateter menetap untuk memantau produksi urine.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pada
kasus yang tetap tidak memberikan respon terapi dengan langkah-langkah di atas,
pertimbangkan untuk melakukan intervensi pembedahan. Tindakan yang dapat
dilakukan: mengikat arteria uterina, mengikat arteria iliaka interna, melakukan
kompresi uterus dengan tehnik <b style="mso-bidi-font-weight: normal;">B-Lynch</b>,
penggunaan tampon uterus atau dengan mempergunakan Foley kateter 24F yang
kemudian diisi dengan 60 – 80 NaCl (pada penderita yang menginginkan<span style="mso-spacerun: yes;"> </span>fertilitasnya dipertahankan). Tindakan
tersebut dapat dikombinasikan sebelum memutuskan untuk melakukan histerektomi.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENYULIT</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Penyulit yang dapat
terjadi pada perdarahan post partum adalah: syok hipovolemik, DIC, gagal
ginjal, gagal hati, ARDS, dan kematian penderita.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">DAFTAR
PUSTAKA</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Cunningham
FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Obstetrical hemmorrhage.
In: Williams Obstetric. 23rd Ed. McGrawHill Medical, New York, 2010.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Crawford
JT, Tolosa JE. Abnormal third stage of labor. In: Berghella V. Obstetric
evidence based guidelines. Series in Maternal Fetal Medicine. Informa
healthcare, UK, 2007.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Hofmeyr
<span style="mso-spacerun: yes;"> </span>GJ, Neilson JP, Alfirevic Z, Crowther
CA, Gulmezoglu AM, Hodnett ED, Gyte GML, Duley L. A cochrane pocketbook.
Pregnancy and childbirth. John Wiley and Son Ltd. The Cochrane Collaboration.
2008.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Thorp
JM, Jr. Clinical aspects of normal and abnormal labor. In: Creasy RK, Resnik R,
Iams JD, Lockwood CJ, Moore TR. Creasy and Resnik’s maternal – fetal medicine.
Principles and practice. 6th Ed. Saunders elsevier, 2009. p 691 – 717.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Leduc
D, senikas V, Lalonde AB. Activemanagement of the third stage of labour:
prevention and treatment of postpartum hemorrhage. SOGC Clinical Practice
Guideline. JOGC, Oktober 2009. p 980 – 93. </span></div>
<div class="MsoNormal">
<br /></div>
Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com1tag:blogger.com,1999:blog-7621867379838256899.post-5968460351776608572012-11-16T23:22:00.001+07:002012-11-16T23:22:08.497+07:00KEHAMILAN POSTTERM<!--[if gte mso 9]><xml>
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<br />
<div style="border-bottom: solid windowtext 1.0pt; border: none; mso-border-bottom-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 0cm 0cm 1.0pt 0cm;">
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">KEHAMILAN<span style="mso-spacerun: yes;"> </span>POSTTERM</span></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BATASAN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kehamilan <b style="mso-bidi-font-weight: normal;">postterm</b> adalah kehamilan yang
berlangsung <span style="mso-spacerun: yes;"> </span>lebih atau sama dengan 42
minggu, atau lebih dari 294 hari, atau lebih dari atau sama dengan 14 hari dari
hari perkiraan<span style="mso-spacerun: yes;"> </span>persalinan. Batasan <b style="mso-bidi-font-weight: normal;">postdate</b> dipergunakan untuk kehamilan
yang berlangsung lebih dari atau sama dengan 40 minggu, atau melebihi atau sama
dengan 280 hari dari hari perkiraan persalinan. Akan tetapi batasan postdate merupakan
batasan yang buruk dan sebaiknya tidak dipergunakan.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PATOFISIOLOGI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kebanyakan penyebab
kehamilan postterm adalah kesalahan dalam menentukan usia kehamilan, oleh
karena kesalahan dalam mengingat kembali HPHT atau karena ovulasi yang mundur.
Faktor risiko yang berkaitan dengan postterm adalah:</span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l5 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">HPHT yang salah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l5 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Riwayat kehamilan post term</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l5 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Nuliparitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l5 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Siklus haid yang panjang, lebih dari 28
hari, tanpa konfirmasi USG pada awal kehamilan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l5 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Defisiensi sulfatase plasenta</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l5 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Janin anencephalus (jika tidak disertai
adanya hidramnion)</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l5 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Janin laki-laki</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">INSIDENSI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kejadian kehamilan
postterm sekitar 7%. Menurut Divon dan Feldman-Leidner (2008) kejadiannya
berkisar antara 4 sampai 19%. Kejadian kehamilan postterm dipengaruhi oleh
beberapa faktor, antara lain: tingkat pendidikan masyarakat, frekuensi
persalinan preterm, frekuensi induksi persalinan, frekuensi bedah sesar
elektif, pemakaian ultrasonografi untuk menentukan usia kehamilan, batasan
kehamilan postterm itu sendiri (umur kehamilan 41 atau 42 minggu).</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">DIAGNOSIS
BANDING</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kesalahan dalam
menentukan usia kehamilan.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENGELOLAAN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Konseling
prekonsepsi dan Pencegahan</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Oleh karena adanya
kemungkinan berulangnya kehamilan postterm pada wanita dengan riwayat kehamilan
postterm sebelumnya, segala usaha harus dilakukan untuk mencegah kejadian
kehamilan postterm. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ultrasonografi
(USG) rutin.</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> Pemeriksaan USG rutin pada kehamilan
sebelum 20 minggu dapat mengurangi kejadian kehamilan postterm sekitar 32 – 39%
dan menurunkan induksi persalinan dengan indikasi postterm.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Stripping
of the membrane.</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> Apabila dilakukan pada kehamilan
setelah 41 minggu, dan dilakukan setiap 48 jam, dapat menurunkan risiko
kehamilan postterm dari 41% menjadi 23%. Akan tetapi tindakan ini menyebabkan
ketidaknyamanan penderita, dan kadang disertai adanya komplikasi perdarahan dan
kontraksi yang irreguler, meskipun tidak berkaitan dengan terjadinya komplikasi
postterm.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Breast
and nipple stimulation.</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> Perangsangan payudara dan puting
susu yang dilakukan mulai kehamilan 39 minggu belum ada data penelitian yang
cukup mendukung, akan tetapi nampaknya dapat menurunkan kejadian postterm
sekitar 48%.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Intervensi
antepartum</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Secara umum dapat
diterima bahwa diperlukan intervensi antepartum apabila telah ditetapkan
diangnosis sebagai kehamilan postterm. Intervensi yang dilakukan dapat berupa <i style="mso-bidi-font-style: normal;">induksi persalinan atau melakukan
serangkaian test pemantauan janin antepartum</i>. Sampai saat ini kapan waktu
yang tepat untuk intervensi ataupun tipe intervensi itu sendiri masih belum ada
kesepakatan pendapat.</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Antenatal fetal surveillance</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">:
postterm merupakan indikasi yang umum untuk dilakukan monitoring janin periode
antenatal, meskipun manfaat tindakan ini belum diebaluasi dengan penelitian
random prospektif. Pemeriksaan yang dapat dilakukan adalah: NST dengan
penilaian cairan amnion, biofisikal profile atau midifikasi BPP, oxytosin
challenge test, atau kombinasi dari metode tersebut.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Waktu persalinan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">:
Janin lebih baik dilahirkan apabila risiko yang dihadapi janin lebih besar bila
kehamilan tetap dilanjutkan dibanding risiko jika bayi dilahirkan. Faktor yang
harus dipertimbangkan sebelumnya adalah:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Hasil penilaian janin antepartum</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">.
Segera lahirkan janin apabila didapatkan bukti adanya gangguan kesejahteraan
janin dan oligohidramnion. Oligohidramnion dapat disebabkan karena insufisiensi
fetoplasental dan dapat menyebabkan terjadinya kompresi tali pusat, dengan
akibat hipoksemia janin intermiten, keluarnya mekoneum, atau aspirasi mekoneum.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kematangan dari serviks uteri</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Usia kehamilan</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">.
Kebanyakan ahli saat ini melakukan induksi persalinan pada usia kehamilan
antara 41 – 42 minggu, dan kehamilan tidak akan dibiarkan berlangsung sampai 43
minggu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pilihan ibu hamil</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">,
setelah mendiskusikan risiko, manfaat, dan alternatif pengelolaan ekspektatif
dengan pemantauan antepartum dibanding dengan induksi persalinan.</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l3 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ada tidaknya kontra indikasi untuk
induksi persalinan</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">. (Indikasi dan kontra indikasi
persalinan dapat dilihat pada pembahasan induksi persalinan).</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENYULIT</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kehamilan postterm
berkaitan dengan risiko mortalitas dan morbiditas bagi ibu dan janin.</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Risiko
bagi JANIN:</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Mortalitas perinatal meningkat 2 kali
lipat setelah usia kehamilan > 42 minggu dibanding kehamilan aterm,
meningkat 4 kali lipat pada kehamilan 43 minggu, dan meningkat 5 – 7 kali lipat
pada kehamilan 44 minggu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Insufisiensi fetoplasental.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Asfiksia (dengan atau tanpa mekoneum).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Infeksi intrauterine.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Janin makrosomia (dengan EFW > 4500
gram), yang dapat menyebabkan prolonged<span style="mso-spacerun: yes;">
</span>labor, disproporsi sefalopelvik, distosia bahu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Fetal dysmaturity/postmaturity syndrome.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Risiko
bagi IBU:</span></b></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Meningkatnya kejadian distosia persalinan, perlukaan
perineum yang berat, kejadian bedah sesar, endometritis, perdarahan, dan
penyakit tromboembolik.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">DAFTAR
PUSTAKA</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Moeloek
FA, Nuranna L, Wibowo N, Purbadi S. Standar pelayanan medik. Obstetri dan
Ginekologi. Perkumpulan Obstetri dan Ginekologi Indonesia, Jakarta, 2002.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Cunningham
FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Postterm pregnancy. In:
Williams Obstetric. 23rd Ed. McGrawHill Medical, New York, 2010.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Berghella
V. Post term pregnancy. In: Berghella V. Obstetric evidence based guidelines.
Series in Maternal Fetal Medicine. Informa healthcare, UK, 2007.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Norwitz
ER. The management of postterm pregnancy. Departement of obstetrics,
gynecology, dan reproductive science, Yale-New Haven Hospital, New Haven, CT
06520.</span></div>
Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-50331512789770716992012-11-16T23:02:00.003+07:002012-11-16T23:02:41.807+07:00PRETERM BIRTH<!--[if gte mso 9]><xml>
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<br />
<div style="border-bottom: solid windowtext 1.0pt; border: none; mso-border-bottom-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 0cm 0cm 1.0pt 0cm;">
<div align="center" class="MsoNormal" style="border: none; mso-border-bottom-alt: solid windowtext .5pt; mso-padding-alt: 0cm 0cm 1.0pt 0cm; padding: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PRETERM BIRTH</span></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BATASAN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Persalinan preterm (PTB)
adalah persalinan yang terjadi pada usia kehamilan<span style="mso-spacerun: yes;"> </span>antara 20 (0/7) minggu dan<span style="mso-spacerun: yes;"> </span>usia kehamilan 36 (6/7) minggu.</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l8 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Very
early PTB adalah persalinan yang terjadi pada usia kehamilan antara 20 (0/7)
minggu dan 23 (6/7) minggu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l8 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Early
PTB adalah persalinan yang terjadi pada usia kehamilan antara 24 (0/7) minggu
dan 31 (6/7) minggu.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l8 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Late
PTB adalah persalinan yang terjadi pada usia kehamilan antara 32 (0/7) minggu
dan 36 (6/7) minggu.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PATOFISIOLOGI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Terdapat beberapa
faktor patofisiologi yang mungkin dapat merangsang / menjadi penyebab
terjadinya persalinan preterm, yaitu:</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Stress
maternal / pelepasan “corticotropin releasing hormone (CRH)”.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Overdistensi
uterus (kehamilan kembar, polihidramnion), tidak adanya ‘prostaglandin
dehydrogenase’.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Perdarahan.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Infeksi.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Infeksi nampaknya
menjadi penyebab paling penting pada awal kehamilan, sedangkan overdistensi
uterus dan stress maternal menjadi penyebab yang penting pada usia kehamilan
lebih tua.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">FAKTOR
RISIKO PERSALINAN PRETERM</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Meskipun patofisiologi
persalinan preterm belum jelas diketahui, akan tetapi terdapat faktor risiko
yang diketahui berperan dan penapisan yang cermat menjadi bagian yang penting
dalam pemeriksaan persalinan preterm. Faktor tersebut dibagi dalam 3 golongan:</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Variabel
sosiobiologik:</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Usia maternal (adlescence, usia maternal
lanjut).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Paritas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ukuran maternal (ibu pendek, berat badan
rendah).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Status sosial ekonomi rendah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ras.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Merokok, ketergantungan obat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Stress karena faktor lingkungan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Riwayat
obstetrik sebelumnya:</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Riwayat persalinan preterm.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Riwayat abortus spontan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Riwayat abortus terapeutikus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Inkompetensia servikalis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Abnormalitas genital maternal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Komplikasi
kehamilan saat ini:</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Persalinan preterm elektif
(preeklampsia, eklampsia, isoimunisasi, plasenta previa, solusio plasentae).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kehamilan kembar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Perdarahan antepartum.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ketuban pecah dini pada kehamilan
preterm.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Infeksi maternal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pembedahan abdominal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Trauma maternal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Polihidramnion.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kelainan janin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Jenis kelamin laki-laki.</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l2 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tidak pernah / terlambat melakukan ANC.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">DIAGNOSIS</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Usia
kehamilan antara 20 minggu dan 36 minggu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Terdapat
kontraksi uterus lebih dari atau sama dengan<span style="mso-spacerun: yes;">
</span>4 kali kontraksi tiap 20 menit atau lebih atau sama dengan 8 kali
kontraksi perjam.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Terdapat
perubahan pada serviks dengan ketuban utuh pada usia kehamilan 20 – 36 minggu.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENGELOLAAN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pada prinsipnya
pengelolaan persalinan preterm adalah:</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Antenatal
glukokortikoid</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tidak terdapat cukup bukti untuk
pemakaian kortikosteroid untuk pematangan paru-paru janin pada kehamilan
sebelum 23 minggu dan setelah usia kehamilan 33 (6/7) minggu. Kortikosteroid
yang dipergunakan adalah:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l9 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Betametason</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">:
Dosis yang diberikan adalah 12 mg IM setiap 24 jam, dan diberikan sampai 2 kali
pemberian (dosis total 24 mg).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l9 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Deksametason</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">:
Dosis yang diberikan adalah 6 mg IM setiap 6 jam, dan diberikan sampai 4 kali
pemberian (dosis total 24 mg).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l9 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pemberian
antibiotika</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pada pengelolaan persalinan preterm,
manfaat pemberian antibiotika tetap tidak jelas. Studi meta-analisis gagal
menunjukkan manfaat pemberian antibiotika profilaksis pada luaran neonatal,
oleh karenanya tidak direkomendasikan pemakaiannya secara rutin dalam pengelolaan
persalinan preterm dengan ketuban utuh dan tidak ada bukti adanya infeksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pemberian
tokolitik</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pemberian tokolitik bertujuan untuk
menunda terjadinya persalinan preterm seoptimal mungkin untuk dapat memberikan
kesempatan janin tumbuh lebih besar dan lebih matur, atau setidaknya memberikan
kesempatan kortikosteroid yang diberikan memberikan efek. Apabila terdapat indikasi
pemberian tokolitik, “calsium channel blockers” lebih dipilih dibanding dengan
tokolitik yang lain.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kontraindikasi pemberian tokolitik
adalah: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l6 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Maternal</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">:
korioamnionitis, perdarahan pervaginam yang banyak/solusio plasenta,
preeklampsia, kontraindikasi medis untuk pemberian tokolitik tertentu, kondisi
maternal lain yang tidak menganjurkan untuk kehamilan dilanjutkan.</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l6 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Fetal</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">:
Janin mati, kelainan janin mayor atau yang bersifat letal, kelainan kromosom
janin, kondisi janin yang lain yang tidak menganjurkan untuk melanjutkan
kehamilan, telah ditetapkan maturitas paru janin.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-84044042538445876562012-10-06T22:43:00.000+07:002012-10-06T22:43:01.628+07:00KETUBAN PECAH DINI<!--[if gte mso 9]><xml>
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<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">KETUBAN PECAH DINI</span></b></div>
<div style="border-bottom: solid windowtext 1.0pt; border: none; mso-border-bottom-alt: solid windowtext .75pt; mso-element: para-border-div; padding: 0cm 0cm 1.0pt 0cm;">
<div align="center" class="MsoNormal" style="border: none; mso-border-bottom-alt: solid windowtext .75pt; mso-padding-alt: 0cm 0cm 1.0pt 0cm; padding: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">( PRELABOR RUPTURE OF
MEMBRANES )</span></b></div>
</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">BATASAN:</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Adalah pecahnya
kulit ketuban secara spontan sebelum timbulnya tanda-tanda persalinan. Dapat
terjadi setiap saat dalam kehamilan. Yang dimaksud dengan periode laten adalah
interval antara pecahnya ketuban dengan onset persalinan. Lamanya periode laten
bervariasi, berbanding terbalik dengan usia kehamilan. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">ETIOLOGI :</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Penyebab ketuban
pecah dini adalah:</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l7 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Idiopatik.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l7 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Infeksi.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l7 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Polihidramnion.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l7 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Serviks inkompetens.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l7 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Abnormalitas uterus.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l7 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Akibat servikal sirklase atau
amniosentesis.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l7 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Trauma.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">DIAGNOSIS:</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Pemeriksaan
vaginal sebaiknya dihindari, oleh karena meningkatkan risiko infeksi asenden.
Diagnosis dapat ditegakkan dengan pemeriksaan speculum secara steril, akan
didapatkan :</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Terlihat keluarnya amnion
melalui canalis servikalis pada pemeriksaan inspekulo.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Nitrazine test memberikan hasil
positif (Hasil false positif sekitar </span><span style="mso-ansi-language: IN;">2</span><span lang="EN-US">5%</span><span style="mso-ansi-language: IN;">;
hasil false positif dapat disebabkan oleh kontaminasi darah atau cairan
seminalis</span><span lang="EN-US">).</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gambaran ferning pada
pemeriksaan cairan amnion dengan mikroskop (Tidak selalu dikerjakan).</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gambaran oligohidramnion pada
USG sangat mendukung diagnosis, apabila terdapat riwayat keluar cairan dari
vagina.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">DIAGNOSIS BANDING:</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l6 level1 lfo9; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Cairan dalam vagina, dapat
fluor albus atau urine.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l6 level1 lfo9; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Hind water dan fore water
rupture of the membarane.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PENGELOLAAN:</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Pengelolaan
ketuban pecah dini yang terjadi pada usia kehamilan berapapun diperlukan:</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Konfirmasi / penentuan
diagnosis yang akurat.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penilaian kondisi ibu hamil dan
kesejahteraan janin.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penilaian adanya kondisi /
keadaan lain yang memerlukan penanganan segera atau keadaan yang memerlukan
persalinan segera.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penilaian kondisi serviks,
meskipun bila mungkin pemeriksaan vaginal (VT) dihindarkan, hal ini terutama
pada kehamilan preterm, atau pada ketuban pecah dini pada kehamilan aterm yang
memilih pengelolaan konservatif.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Peningkatan temperature menjadi
38,5<sup>0</sup> C atau takikardia pada ibu atau janin.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pengelolaan ketuban pecah dini pada kehamilan aterm (</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: IN;"> </span></b><b style="mso-bidi-font-weight: normal;"><u><span style="mso-ansi-language: IN;">></span></u><span lang="EN-US"> 37 minggu ):</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Pada penelitian,
pengelolaan kehamilan aterm dengan ketuban pecah dini, apakah segera melakukan
induksi persalinan atau konservatif yang dipilih tidak ditemukan perbedaan
outcome. Apabila setelah 6 – 12 jam tidak terjadi persalinan lebih baik
dilakukan induksi persalinan. Akan tetapi pilihan penderita perlu diperhatikan.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Hindari pemeriksaan vaginal /
VT (apabila mungkin; terutama jika memilih pengelolaan konservatif).</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Antibiotika profilaksis. Dapat
diberikan injeksi Ampicillin 2 gram kemudian diberikan setiap 6 jam atau
Clindamycin 300 mg setiap 8 jam.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Induksi persalinan atau
pengelolaan ekspektatif tergantung kondisi penderita atau pilihan pasien.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">Rekomendasi klinis:</span></i></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span style="mso-ansi-language: IN;">Pada pasien dengan KPD pada kehamilan aterm,
direkomendasikan induksi persalinan. Induksi persalinan harus sudah dilakukan
dalam 6 – 12 jam KPD, jika mungkin dilakukan lebih awal. Oksitosin lebih aman
pada usia kehamilan aterm dengan KPD.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pengelolaan ketuban pecah dini pada kehamilan < 37
minggu:</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Pada usia
kehamilan ini, pilihan induksi persalinan atau pengelolaann ekspektatif sangat
dipengaruhi kemampuan unit perawatan, terutama perawatan neonatus. Apabila usia
kehamilan kurang dari 34 minggu lebih baik dikelola secara konservatif, kecuali
jika terdapat tanda korioamnionitis.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Pada prinsipnya
pengelolaan pada usia kehamilan ini adalah:</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Hindari pemeriksaan vaginal.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pemberian antenatal kortikosteroid:
betametason 12 mg IM setiap 12 jam (dua kali pemberian) atau deksametason 5 mg
IM setiap 6 jam (empat kali pemberian). Kortikosteroid tidak boleh diberikan
apabila terdapat infeksi.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pemberian antibiotika
profilaksis : Injeksi Ampicillin 2 gram </span><span style="mso-ansi-language: IN;">dan eritromisin 250 mg keduanya secara IV setiap 6 jam untuk 48 jam,
kemudian diikuti pemberian secara oral 5 hari lagi dapat memperbaiki luaran
neonatal. </span><span lang="EN-US">Apabila terdapat tanda korioamnionitis,
berikan spectrum antibiotika yang lebih luas.</span><span style="mso-ansi-language: IN;"> Pada klinikal korioamninitis dapat diberikan Ampicilin 2 gram IV setiap 6
jam, ditambah Gentamisin 1,5 mg / kg BB diberikan IV setiap 8 jam.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pemberian tokolitik untuk
menghentikan kontraksi uterus: Drip Terbutaline (Bricasma<sup>R</sup>) 1 ampul
dalam D5% mulai 10 tetes/menit. Boleh dinaikkan setiap 30 menit 10 tetes/menit
sampai maksimal 40 tetes/menit atau ditemukan tanda-tanda: Nadi > 120
x/menit, Tekanan darah sistolik < 90 mmHg, </span><span style="mso-ansi-language: IN;">atau i</span><span lang="EN-US">bu mengeluh berdebar-debar. Bila kontraksi
stop: pertahankan tetesan sampai minimal 12 jam setelah kontraksi hilang.
Maintenance dapat diberikan secara per oral.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pengawasan penderita, terutama
apabila terdapat tanda-tanda infeksi. (Monitor terhadap: Nadi ibu, temperature
rektal ibu, denyut jantung janin, adanya nyeri tekan uterus, PPV berbau,
Lekositosis).</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Apabila pengelolaan konservatif
berhasil, usia kehamilan kurang dari 34 minggu penderita boleh rawat jalan
dengan pesan: apabila demam atau keluar cairan lagi kembali ke rumah sakit,
tidak boleh coitus, tidak boleh manipulasi vaginal.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Apabila penderita tidak
menghendaki pengelolaan konservatif, berikan <i style="mso-bidi-font-style: normal;">informed consent</i> yang jelas (risiko terhadap bayi yang lahir,
risiko kegagalan tindakan,dsb), kemudian lakukan induksi persalinan sesuai
protap yang ada.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">KOMPLIKASI:</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Komplikasi ketuban
pecah dini pada kehamilan aterm:</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Infeksi pada janin/neonatus.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Infeksi pada ibu.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kompresi / prolapsus tali
pusat.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kegagalan induksi persalinan.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Komplikasi
ketuban pecah dini pada kehamilan preterm:</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l8 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Persalinan preterm.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l8 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Infeksi pada janin/neonatus.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l8 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Infeksi pada ibu.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l8 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kompresi / prolapsus tali
pusat.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l8 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kegagalan induksi persalinan.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l8 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Hipoplasia pulmonalis.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l8 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Deformitas pada janin.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">DAFTAR PUSTAKA:</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Saifuddin AB</span><span style="mso-ansi-language: IN;">, Rachimhadi T</span><span lang="EN-US">. Buku acuan
nasional: Pelayanan kesehatan maternal dan neonatal. Ed.1. Yayasan Bina Pustaka
Sarwono Prawirohardjo, Jakarta,2001.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Anonim. Alarm International: A
program to reduce maternal</span><span lang="EN-US" style="mso-ansi-language: IN;"> </span><span lang="EN-US">mortality and morbidity. Jakarta, 2003.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Leveno K.J; Cunningham F.G;
Alexander J.M; et al. Williams Manual of obstetrics pregnancy complications. 22<sup>nd</sup>
Ed. Preterm ruptured membranes. McGraw Hill, 2007.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Myers VS.
Premature rupture of membranes at or near term. In: Berghella V. Obstetric
evidence based guidelines. Series in maternal fetal medicine. Informa
heathcare. Informa UK Ltd, 2007.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Cunningham FG, Leveno KJ, Bloom
SL, Hauth JC, Rouse DJ, Spong CY. Premature Birth. In: Williams Obstetric. 23rd
Ed. McGrawHill Medical, New York, 2010.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Bergehella V.
Prevention of preterm burth. In: Berghella V. Obstetric evidence based
guidelines. Series in maternal fetal medicine. Informa heathcare. Informa UK
Ltd, 2007.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Locatelli A,
Andreani M, Vergani P. Preterm premature rupture of membranes (PPROM). In:
Berghella V. Obstetric evidence based guidelines. Series in maternal fetal
medicine. Informa heathcare. Informa UK Ltd, 2007.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal">
<br /></div>
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<br />
<div class="WordSection1">
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">INDUKSI PERSALINAN</span></b></div>
</div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BATASAN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Induksi persalinan
adalah tindakan untuk merangsang terjadinya kontraksi uterus sebelum onset
persalinan yang terjadi secara spontan dengan tujuan untuk melahirkan hasil
konsepsi. Sedangkan <i style="mso-bidi-font-style: normal;">“cervical ripening”</i>
adalah proses yang terjadi sebelum persalinan di mana serviks uteri menjadi
lunak, tipis dan terbuka.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">INDIKASI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Induksi persalinan
harus dipertimbangkan apabila manfaat yang didapat dengan terjadinya persalinan
pervaginam melebihi potensial risiko bagi ibu dan janin akibat induksi
persalinan itu sendiri. Hal ini HARUS didiskusikan dengan wanita<span style="mso-spacerun: yes;"> </span>hamil tersebut sebelum dilakukan tindakan
induksi persalinan. Indikasi induksi persalinan adalah:</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kehamilan
postterm.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ketuban
pecah dini.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kondisi
medis maternal (DM tipe 1, penyakit ginjal, penyakit paru-paru, hipertensi
gestasional, hipertensi kronik).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kehamilan
dengan potensi terjadinya gangguan kesejahteraan janin (IUGR, hasil pemantauan janin
yang tidak menguntungkan).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Anti
phospholipid sindrom (APS).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Dicurigai
atau terbukti adanya korioamnionitis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Solusio
plasentae.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Intra
Uterine fetal Death.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kadangkala dilakukan atas alasan
“sosial” atau “geografik”, tanpa alasan medis atau obstetrik.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">KONTRA
INDIKASI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Yang merupakan kontra
indikasi induksi persalinan juga merupakan kontra indikasi untuk terjadinya
persalinan atau persalinan pervaginam.</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l7 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kontra
indikasi MUTLAK:</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kontra
indikasi maternal</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">: Herpes genitalis aktif, kondisi medis
kronis yang serius, disproporsi sefalopelvik mutlak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kontra
indikasi janin</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">: Malpresentasi janin, Fetal distress.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kontra
indikasi uteroplasental</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">: Tali pusat menumbung, Plasenta
previa, Vasa previa, Riwayat histerotomi dengan insisi vertikal/kalsik.</span></div>
</div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<div class="WordSection2">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l7 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kontra
indikasi RELATIVE:</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kontra
indikasi maternal</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">: Karsinoma serviks, Grandemultipara,
Over distensi uterus (karena hidramnion atau kehamilan kembar).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kontra
indikasi janin</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">: Makrosomia janin.</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kontra
indikasi uteroplasental</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">: Plasenta letak rendah, Perdarahan
vaginal dengan sebab tidak jelas, Presentasi tali pusat/Tali pusat<span style="mso-spacerun: yes;"> </span>terkemuka, Riwayat miomektomi yang mencapai
cavum uteri.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">SYARAT
</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Sebelum melakukan
induksi persalinan, hal-hal tersebut berikut harus dievaluasi:</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Indikasi
untuk induksi persalinan / adanya kontra indikasi induksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Usia
kehamilan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kematangan
serviks ( dinilai dengan skore Bishop)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Penilaian
keadekuatan panggul dan ukuran janin atau presentasi janin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kondisi
kulit ketuban (intak atau telah pecah).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kesejahteraan
janin / monitoring DJJ sebelum induksi persalinan.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Dokumentasi
hasil diskusi dengan penderita tentang indikasi induksi persalinan dan
penjelasan faktor risiko.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">METODE
INDUKSI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Terdapat dua cara untuk
induksi persalinan / pematangan serviks, yaitu: secara mekanis atau secara
farmakologis (dengan obat-obatan).</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Metode Mekanis</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">:
Mekanisme kerja metode mekanis adalah mendilatasi serviks dengan memberikan
tekanan secara mekanis dan meningkatkan produksi prostaglandin. Keuntungan
metode ini adalah: mudah digunakan, reversibel, efek samping tertentu lebih
rendah (misalnya aktivitas uterus yang berlebihan), dan biaya lebih murah. Dapat
mempergunakan dilatator higroskopik (laminaria, lamicel), dengan balon kateter,
dengan balon dan infus salin ekstra amnion (EASI), stripping of the membrane,
dan amniotomi.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Metode Farmakologis</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">:
Dapat dipergunakan prostglandins (PGE<sub>1</sub>, misoprostol; PGE<sub>2</sub>,
dinoprostone; dan PGF<sub>2</sub> alfa), mifepriston, estrogen, relaksin, dan
oksitosin.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENGGUNAAN
MISOPROSTOL UNTUK INDUKSI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Misoprostol adalah <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">analog
prostaglandin E<sub>1</sub> sintetik</i></b> yang tidak mahal yang dijual
dengan tujuan untuk mencegah terjadinya tukak lambung atau duodenum akibat
pemakaian NSAIDs. Banyak penelitian mendukung pemakaian misoprostol pervaginam
cukup efektif sebagai obat untuk pematangan serviks dan<span style="mso-spacerun: yes;"> </span>induksi persalinan.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Misoprostol dapat
diberikan secara oral, vaginal, atau sub lingual. Pemberian pervaginal dengan
menempatkan tablet pada forniks posterior vagina. Misoprostol vaginal dengan
dosis lebih dari 25 ug setiap 4 jam lebih efektif, tetapi lebih sering menyebabkan
hiperstimulasi uterus. Oleh karena itu lebih dianjurkan pemberian dengan <b style="mso-bidi-font-weight: normal;">dosis 25 ug dengan interval pemberian 4 – 6
jam</b>. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PEMAKAIAN
OXYTOCIN UNTUK INDUKSI PERSALINAN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Oksitosin intravena
telah lama dipergunakan sebagai obat untuk induksi persalinan, kurang lebih
sejak tahun 1950 an.</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l8 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Oksitosin
memiliki waktu paro 5 – 12 menit, dan tetap mempunyai respon terhadap
uterus<span style="mso-spacerun: yes;"> </span>dalam 30 menit atau lebih.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l8 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Dosis
ideal oksitosin tidak diketahui. Pada penelitian didapatkan peningkatan dosis
tidak lebih sering dari 30 menit didapatkan: lebih jarang menyebabkan aktivitas
uterus yang berlebihan, lebih besar kemungkinan untuk persalinan pervaginam,
lebih jarang menyebabkan infeksi post partum dan perdarahan post partum, lebih
jarang berakhir dengan bedah sesar.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l8 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Dosis
permulaan adalah 0,5 – 2,0 mUI/menit, ditingkatkan 1,0 mUI/menit setiap 30 – 60
menit dengan dosis maksimum 16 – 40 mUI/menit.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENGELOLAAN
PADA KASUS HIPERSTIMULASI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Jika terjadi
hiperstimulasi uterus (aktifitas uterus yang berlebihan), yang menyebabkan gambaran
denyut jantung janin yang buruk, segera lakukan tindakan untuk menghentikan
kontraksi uterus yang berlebihan.</span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l0 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Jika mempergunakan tablet vaginal,
segera ambil sisa obat yang mungkin masih terdapat dalam vagina. Jika
mempergunakan infus oksitosin segera stop tetesan infus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Segera anjurkan penderita untuk tidur
miring ke kiri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Segera berikan oksigen dengan masker.</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l0 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Jika tidak ada perbaikan dengan langkah
di atas, dapat diberikan tokolitik. Dapat diberikan terbutalin 250 mcg subkutan
atau intravena, atau nitrogliserine 50 – 200 mcg secara intravena.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">DAFTAR
PUSTAKA</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Moeloek
FA, Nuranna L, Wibowo N, Purbadi S. Standar pelayanan medik. Obstetri dan
Ginekologi. Perkumpulan Obstetri dan Ginekologi Indonesia, Jakarta, 2002.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Cunningham
FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Postterm pregnancy. In:
Williams Obstetric. 23rd Ed. McGrawHill Medical, New York, 2010.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Denney
JM, Sciscione A. Induction of labor. In: Berghella V. Obstetric evidence based
guidelines. Series in Maternal Fetal Medicine. Informa healthcare, UK, 2007.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Norwitz
ER. The management of postterm pregnancy. Departement of obstetrics,
gynecology, dan reproductive science, Yale-New Haven Hospital, New Haven, CT
06520.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Crane
J. Induction of labour at term. SOGC clinical practice guideline. <i style="mso-bidi-font-style: normal;">JOGC</i>, August 2001, No. 107. P.1-9.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com1tag:blogger.com,1999:blog-7621867379838256899.post-53228726333225111892012-10-06T22:39:00.001+07:002012-10-06T22:39:30.930+07:00<!--[if gte mso 9]><xml>
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<br />
<div class="WordSection1">
<div style="border-bottom: solid windowtext 1.0pt; border: none; mso-border-bottom-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 0cm 0cm 1.0pt 0cm;">
<div align="center" class="MsoNormal" style="border: none; mso-border-bottom-alt: solid windowtext .5pt; mso-padding-alt: 0cm 0cm 1.0pt 0cm; padding: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PERDARAHAN ANTEPARTUM</span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"></span></b></div>
<div align="center" class="MsoNormal" style="border: none; mso-border-bottom-alt: solid windowtext .5pt; mso-padding-alt: 0cm 0cm 1.0pt 0cm; padding: 0cm; text-align: center;">
<br /></div>
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<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">BATASAN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Adalah
perdarahan pervaginam yang terjadi setelah usia kehamilan lebih dari 20 minggu.
Setiap wanita hamil, yang mengalami perdarahan pervaginam pada separo akhir
kehamilan, harus selalu dicurigai sebagai plasenta previa atau solusio
plasentae, sampai dibuktikan bukan.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">KLASIFIKASI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Secara umum,
berdasarkan penyebab perdarahannya, dapat dibagi menjadi dua kelompok besar,
yaitu:</span></div>
<ol start="1" style="margin-top: 0cm;" type="A">
<li class="MsoNormal" style="mso-list: l16 level1 lfo1; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Plasenter, digolongkan menjadi:</span></li>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="mso-list: l16 level2 lfo1; tab-stops: list 72.0pt; text-align: justify;"><span lang="EN-US">Plasenta previa.</span></li>
<li class="MsoNormal" style="mso-list: l16 level2 lfo1; tab-stops: list 72.0pt; text-align: justify;"><span lang="EN-US">Solusio Plasentae.</span></li>
<li class="MsoNormal" style="mso-list: l16 level2 lfo1; tab-stops: list 72.0pt; text-align: justify;"><span lang="EN-US">Vasa Previa.</span></li>
</ol>
<li class="MsoNormal" style="mso-list: l16 level1 lfo1; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Non Plasennter, digolongkan
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<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="mso-list: l16 level2 lfo1; tab-stops: list 72.0pt; text-align: justify;"><span lang="EN-US">Akibat kelainan / patologi jalan
lahir: polip serviks, karsinoma serviks, dll.</span></li>
<li class="MsoNormal" style="mso-list: l16 level2 lfo1; tab-stops: list 72.0pt; text-align: justify;"><span lang="EN-US">Akibat Trauma / Laserasi jalan
lahir.</span></li>
</ol>
</ol>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div style="border-bottom: solid windowtext 1.0pt; border: none; mso-border-bottom-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 0cm 0cm 1.0pt 0cm;">
<div class="MsoNormal" style="border: none; mso-border-bottom-alt: solid windowtext .5pt; mso-padding-alt: 0cm 0cm 1.0pt 0cm; padding: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PLASENTA PREVIA</span></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">BATASAN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Adalah plasenta
yang insersinya (implantasinya) tidak normal (pada segmen bawah rahim) sehingga
menutupi sebagian atau seluruh ostium uteri internum. Kejadiannya sekitar 0,4%
– 0,6% dari seluruh persalinan. Semua jenis plasenta previa mempunyai potensi
untuk menyebabkan perdarahan yang cukup serius bagi ibu hamil. Perdarahan pada
plasenta previa biasanya tidak disertai rasa nyeri.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">KLASIFIKASI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Klasifikasi
plasenta previa berdasarkan klasifikasi fisiologis, bukan klasifikasi anatomis,
sehingga tingkat / derajat penutupan plasenta terhadap ostium uteri internum
dapat berubah setiap saat dengan semakin lanjutnya usia kehamilan,<span style="mso-spacerun: yes;"> </span>terjadinya pendataran dan pembukaan serviks.</span><span style="mso-ansi-language: IN;"> Misalnya: plasenta previa totalis<span style="mso-spacerun: yes;"> </span>asimetrik pada kehamilan 20 minggu mungkin
dapat menjadi plasenta previa marginalis pada kehamilan trimester tiga. </span><span lang="EN-US">Berdasarkan tingkat / derajat penutupan plasenta terhadap ostium
uteri internum, </span><span style="mso-ansi-language: IN;">dengan menggunakan
transvaginal ultrasonografi, </span><span lang="EN-US">plasenta previa
digolongkan menjadi:</span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="mso-list: l12 level1 lfo2; tab-stops: list 36.0pt; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Plasenta previa totalis</span></b><span lang="EN-US">, jika
insersi plasenta menutupi seluruh ostium uteri internum.</span><span style="mso-ansi-language: IN;"> Batasan plasenta previa partial sebaiknya
tidak dipergunakan lagi. Plasenta previa totalis dapat menutupi oui secara
simetris atau asimetris.</span></li>
<li class="MsoNormal" style="mso-list: l12 level1 lfo2; tab-stops: list 36.0pt; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Plasenta Previa Marginalis</span></b><span lang="EN-US">, jila
insersi tepi plasenta sampai di tepi pembukaan serviks / tepi ostium uteri
internum</span><span style="mso-ansi-language: IN;">, dengan jarak sekitar
0,1 – 2,0 dari tepi ostium uteri internum tetapi tidak menutupi ostium
uteri internum</span><span lang="EN-US">.</span></li>
<li class="MsoNormal" style="mso-list: l12 level1 lfo2; tab-stops: list 36.0pt; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Plasenta letak rendah</span></b><span lang="EN-US">, jika insersi
tepi plasenta berada sekitar </span><span style="mso-ansi-language: IN;">2,1
– 3,5</span><span lang="EN-US"> cm dari tepi ostium uteri internum.</span></li>
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<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">ETIOLOGI/PATOFISIOLOGI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Penyebab
terjadinya plasenta previa tidak diketahui. Kerusakan endometrium pada
kehamilan sebelumnya dan vaskularisasi desidua yang tidak sempurna dianggap
sebagai factor penyebabnya. Penyebab perdarahan spontan pada plasenta previa
adalah terlepasnya sebagian plasenta dari insersinya pada saat segmen bawah
rahim terbentuk. Perdarahan akan menjadi tambah banyak oleh karena ketidak
mampuan segmen bawah rahim untuk menjepit pembuluh darah yang terbuka setelah
plasenta terlepas.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">DIAGNOSIS</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perdarahan pervaginam yang
terjadi secara tiba-tiba dan tidak disertai rasa nyeri. Biasanya perdarahan
terjadi pada trimester dua dan tiga.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bagian terbawah janin biasanya
tidak masuk panggul, dan sering ditemukan malpresentasi.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pemeriksaan dengan
ultrasonografi memberikan ketepatan lebih dari 95% dalam mendiagnosis plasenta
previa. Dengan transabdominal USG lebih baik dilakukan dengan kandung kencing
terisi penuh.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pemeriksaan dalam vagina di
Kamar Operasi (PDKO) merupakan diagnosis definitive untuk plasenta previa. Saat
ini PDKO jarang dilakukan</span><span style="mso-ansi-language: IN;">, tidak
perlu lagi dilakukan, </span><span lang="EN-US">oleh karena lokasi insersi
plasenta dapat diketahui dengan pemeriksaan ultrasonografi.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pemeriksaan dalam vagina (VT)
tidak boleh dilakukan, kecuali dilakukan di kamar operasi dengan persiapan
operasi (PDKO) oleh karena akan menyebabkan perdarahan bertambah banyak.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</div>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<div class="WordSection2">
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">DIAGNOSIS BANDING</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">--</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">PENATALAKSANAAN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Pengelolaan
penderita dengan plasenta previa tergantung kepada usia kehamilan dan banyak
sedikitnya perdarahan. Pemeriksaan dengan seksama terhadap stabilitas
hemodinamik ibu, kondisi janin dan kontraksi uterus harus dilakukan untuk
menentukan tindakan lebih lanjut.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Jika penderita tidak stabil :</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Dua hal utama
yang dilakukan pada penderita dengan perdarahan aktif dan kondisi<span style="mso-spacerun: yes;"> </span>hemodinamik tidak stabil adalah mengganti
cairan tubuh yang hilang dan segera terminasi kehamilan.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l9 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Resusitasi cairan dengan <i style="mso-bidi-font-style: normal;">NaCl</i> atau <i style="mso-bidi-font-style: normal;">Ringer Lactate</i> dengan jarum besar (nomor 16 atau 18), jika perlu
pasang dua jalur dengan transfuse set.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l9 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lakukan pemeriksaan darah
lengkap, lakukan <i style="mso-bidi-font-style: normal;">cross match</i> dan
siapkan darah (sesuaikan dengan kebutuhan).</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l9 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Monitor ketat kondisi janin.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berikan oksigen apabila
penderita mengalami hipoksia.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l9 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Terminasi kehamilan tanpa memandang
maturitas paru janin.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Jika penderita stabil :</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Tetap lakukan
pengawasan ketat terhadap stabilitas hemodinamik ibu. Perawatan ekspektatif
terutama ditujukan untuk merangsang pematangan paru janin, sehingga janin tidak
terlahir premature.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l10 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berikan cairan <i style="mso-bidi-font-style: normal;">maintenance</i> dengan <i style="mso-bidi-font-style: normal;">NaCl</i> atau <i style="mso-bidi-font-style: normal;">Ringer Lactate</i>
dengan transfusi set dan jarum besar (nomor 16 atau 18).</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l10 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lakukan pemeriksaan darah
lengakap. Jika kadar hemoglobine kurang dari 10 gram% berikan transfusi darah
(Whole blood).</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l10 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berikan kortikosteroid : deksametason
IM 5 mg setiap 6 jam (4x) atau betametason IM 12 mg setiap 12 jam (2x) untuk
merangsang pematangan paru janin.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l10 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Dapat diberikan tokolitik jika
timbul kontraksi. Obat terpilih adalah MgSO4 : 4 gram sebagai dosis awal,
dilanjutkan 4 gram setiap 6 jam.</span><span style="mso-ansi-language: IN;"> Akan
tetapi sampai saat ini belum ada bukti yang cukup untuk menilai efektifitas
tokolitik dalam pengelolaan plasenta previa.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l10 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Terminasi
kehamilan: usia kehamilan paling baik untuk melakukan terminasi kehamilan pada
penderita plasenta preia tidak diketahui, kebanyakan ahli menganjurkan pada
usia kehamilan 36 – 38 minggu, jika perlu sebelumnya lakukan test kematangan
paru janin. Cara persalinan tergantung derajat penutupan plasenta.</span></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">KOMPLIKASI</span></b></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l13 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Terjadi syok akibat perdarahan
banyak.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l13 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Komplikasi akibat persalinan
bedah Caesar.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l13 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Komplikasi akibat transfuse
darah.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l13 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Komplikasi yang berkaitan
dengan plasenta previa: plasenta akreta, inkreta dan prekreta yang dapat
menyebabkan kehilangan banyak darah dan risiko dilakukannya histerektomi jika
perdarahan tidak dapat diatasi.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">KONSULTASI DENGAN BAGIAN LAIN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l13 level2 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bagian Anestesiologi untuk
kemungkinan pembedahan.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l13 level2 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bagian lain sesuai indikasi /
kelainan yang ada.</span></div>
<div class="MsoNormal" style="margin-left: -36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</div>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<div class="WordSection3">
<div style="border-bottom: solid windowtext 1.0pt; border: none; mso-border-bottom-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 0cm 0cm 1.0pt 0cm;">
<div class="MsoNormal" style="border: none; mso-border-bottom-alt: solid windowtext .5pt; mso-padding-alt: 0cm 0cm 1.0pt 0cm; padding: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">SOLUSIO PLASENTAE</span></b></div>
</div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">BATASAN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Adalah lepasnya
plasenta yang insersinya normal, baik sebagian maupun seluruhnya<span style="mso-spacerun: yes;"> </span>sebelum janin dilahirkan. Keadaan ini dapat
terjadi setelah usia kehamilan lebih dari 20 minggu dan sebelum kala III
persalinan. Kejadiannya sekitar 1:100 persalinan.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">KLASIFIKASI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Secara klinis
berat ringannya solusio plasenta dikelompokkan menjadi:</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l11 level1 lfo9; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Derajat I</span></b><span lang="EN-US">, RINGAN (40% kasus) : Biasanya
perdarahan pervaginam ringan atau tidak ada (kurang dari 100 ml), tonus uterus
sedikit meningkat, DJJ biasanya normal, tidak ada tanda-tanda syok atau
koagulopati.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l11 level1 lfo9; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Derajat II</span></b><span lang="EN-US">, SEDANG ( 45% kasus) : perdarahan
pervaginam bisa tidak ada atau sedang (100 – 500 ml), tonus uterus meningkat,
DJJ dapat distress atau negative, ditemukan tanda-tanda syok, ditemukan
tanda-tanda awal koagulopati.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l11 level1 lfo9; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Derajat III</span></b><span lang="EN-US">, BERAT (15% kasus) :
perdarahan pervaginam bisa sedang atau sangat banyak (lebih dari 500 cc) atau
mungkin tersembunyi, uterus nyeri pada perabaan dan tetani, biasanya janin
mati, sering ibu dalam keadaan syok dan terjadi gangguan koagulopati.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">ETIOLOGI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Penyebab pasti
terjadinya solusio plasenta tidak diketahui, tetapi pembuluh darah plasenta
yang tidak sempurna dianggap sebagai fa</span><span style="mso-ansi-language: IN;">k</span><span lang="EN-US">tor yang berperan. Biasanya disertai fa</span><span style="mso-ansi-language: IN;">k</span><span lang="EN-US">tor risiko yang
mempermudah terjadinya solusio plasentae.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">FAKTOR RISIKO</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-ansi-language: IN;">Sekitar 50% kasus solusio plasentae tidak ditemukan adanya faktor risiko.
Yang menjadi faktor risiko adalah:</span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Riwayat
solusio plasenta.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Hipertensi
kronik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Preeklampsia
berat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Merokok.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Cocain.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Korioamnionitis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">g)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Peningkatan
MS-AFP yang tidak diketahui sebabnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">h)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Ketuban pecah
dini pada kehamilan preterm.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">i)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Ibu hamil
usia tua.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">j)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Polihidramnion.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">k)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Kehamilan
kembar.</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">l)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Trauma.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">DIAGNOSIS</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo10; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sebagian besar kasus disertai
perdarahan pervaginam (80%) dan sekitar 20% kasus perdarahan tersembunyi.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo10; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Nyeri perut yang biasanya
muncul tiba-tiba, menetap, biasanya terlokalisir pada uterus atau pinggang.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo10; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tonus uterus biasanya
meningkat, uterus bertambah besar jika terjadi perdarahan tersembunyi.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo10; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Terjadinya syok bervariasi,
tergantung jumlah perdarahan yang terjadi.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo10; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sering disertai gangguan
kesejahteraan janin dengan derajat bervariasi.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo10; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sering disertai gangguan
koagulopati.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo10; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pemeriksaan ultrasonografi
dapat membantu menentukan diagnosis, meskipun sensitivitas dalam mendeteksi
solusio plasenta hanya sekitar 15%.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">DIAGNOSIS BANDING</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">---</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">PENATALAKSANAAN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">Pengelolaan
penderita dengan solusio plasenta sangat tergantung usia kehamilan, konsisi ibu
dan kondisi janin.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Solusio Plasentae Ringan:</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l7 level1 lfo15; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pada kondisi hemodinamik ibu
stabil dan kondisi janin baik dengan janin belum mature, dapat dilakukan
pengelolaan konservatif dengan pengawasan ketat. Setiap saat harus dapat
dilakukan persalinan segera apabila kondisi ibu dan janin memburuk.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l7 level1 lfo15; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lakukan pemeriksaan darah
lengkap, factor pembekuan dan golongan darah. Apabila ditemukan kelainan
lakukan perbaikan sesuai kelainan yang ada.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l7 level1 lfo15; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jika diperlukan tokolitik,
meskipun masih kontroversial dan kadang tidak efektif, dapat diberikan dengan
sangat hati-hati dengan pertimbangan janin premature untuk pematangan paru-paru
janin. Obat terpilih adalah magnesium sulfate.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l7 level1 lfo15; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Persalinan dilakukan dengan
Bedah Caesar apabila:</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l17 level1 lfo14; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Janin hidup dan pembukaan belum
lengkap.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l17 level1 lfo14; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Janin hidup, gawat janin tetapi
persalinan pervaginam tidak dapat dilaksanakan dengan segera.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l17 level1 lfo14; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Janin mati tetapi kondisi
serviks tidak memungkinkan persalinan pervaginam dapat berlangsung dalam waktu
singkat.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Solusio Plasentae Sedang dan Berat:</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l14 level1 lfo11; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Atasi kegawat-daruratan yang
terjadi untuk mencegah timbulnya atau meminimalkan komplikasi jangka panjang.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l14 level1 lfo11; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lakukan pemeriksaan darah
lengkap, factor pembekuan dan golongan darah. Apabila ditemukan kelainan
lakukan perbaikan sesuai kelainan yang ada.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l14 level1 lfo11; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sebagai panduan untuk pemberian
transfusi pergunakan <b style="mso-bidi-font-weight: normal;">“rule of 30’s”</b>
:</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l14 level2 lfo11; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penderita dapat kehilangan
darah sampai 30% volume darahnya tanpa menunjukkan perubahan tanda-tanda vital.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l14 level2 lfo11; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pertahankan jumlah output urine
tetap lebih dari 30 cc / jam.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l14 level2 lfo11; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pertahankan kadar Hematokrit
lebih dari 30%.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">KOMPLIKASI</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">Komplikasi Maternal:</span></b></div>
<ol start="1" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="mso-list: l3 level1 lfo12; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Syok hemoragik.</span></li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo12; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Koagulopati konsumtif.</span></li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo12; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Uterus Couvelaire.</span></li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo12; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Nekrosis iskemik organ-organ,
misalny: ginjal, hati, hipofise, dll. </span></li>
</ol>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">Komplikasi Perinatal:</span><span lang="EN-US"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l15 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Kematian
perinatal (berkisar 4 – 12/1000).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l15 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Prematuritas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l15 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Janin
hipoksia.</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l15 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Restriksi
pertumbuhan janin.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">KONSULTASI DENGAN BAGIAN LAIN</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l8 level1 lfo13; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bagian Anestesiologi, untuk
kemungkinan pembedahan.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l8 level1 lfo13; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bagian lain, sesuai dengan
kelainan / patologi yang ditemukan.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">DAFTAR PUSTAKA</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l6 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Cunningham FG, Leveno KJ, Bloom
SL, Hauth JC, Rouse DJ, Spong CY. </span><span style="mso-ansi-language: IN;">Obstetric
hemorrhage</span><span lang="EN-US">. In: Williams Obstetric. 23rd Ed. McGrawHill
Medical, New York, 2010.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l6 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Saifuddin AB. Buku acuan
nasional: Pelayanan kesehatan maternal dan neonatal. Ed.1. Yayasan Bina Pustaka
Sarwono Prawirohardjo, Jakarta,2001.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l6 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Anonim. Alarm International: A
program to reduce maternalmortality and morbidity. Jakarta, 2003.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l6 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Leveno K.J; Cunningham F.G;
Alexander J.M; et al. Williams Manual of obstetrics pregnancy complications. 22<sup>nd</sup>
Ed. Placenta previa. McGraw Hill, 2007.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l6 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Evans A.T. Manual of
obstetrics. 7<sup>th</sup> Ed. Third trimester bleeding. Lippincott Williams
& Wilkins. 2007.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l6 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Berghella V.
Placenta previa, placenta accreta, and vasa previa. In: Berghella V. </span><span lang="EN-US">Obstetric evidence based guidelines. Series in Maternal Fetal
Medicine. Informa healthcare, UK, 2007.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-2184279087465746922012-10-06T22:33:00.000+07:002012-10-06T22:34:44.605+07:00EKLAMPSIA<!--[if gte mso 9]><xml>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">EKLAMPSIA</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">I.<span style="mso-tab-count: 1;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Etiologi / Patogenesis</span></b></div>
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<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Etiologi dan patogenesis preeklampsia dan eklampsia
sampai saat ini masih belum sepenuhnya difahami, masih banyak ditemukan
kontroversi, itulah sebabnya penyakit ini sering disebut <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">“the disease of theories”.</i></b>
Pada saat ini hipotesis utama yang dapat diterima untuk menerangkan terjadinya
preeklampsia adalah : faktor imunologi, genetik, penyakit pembuluh darah dan
keadaan dimana jumlah trophoblast yang berlebihan dan dapat mengakibatkan
ketidakmampuan invasi trofoblast terhadap arteri spiralis pada awal trimester
satu dan trimester dua. Hal ini akan menyebabkan arteri spiralis tidak dapat
berdilatasi dengan sempurna dan mengakibatkan turunnya aliran darah di
plasenta. Berikutnya akan terjadi stress oksidasi, peningkatan radikal bebas,
disfungsi endotel, agregasi dan penumpukan trombosit yang dapat terjadi
diberbagai organ.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">II.<span style="mso-tab-count: 1;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Faktor Predisposisi Terjadinya
Preeklampsia dan Eklampsia</span></b></div>
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<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Primigravida, kehamilan ganda, diabetes melitus,
hipertensi essensial kronik, mola hidatidosa, hidrops fetalis, bayi besar,
obesitas, riwayat pernah menderita preeklampsia atau eklamsia, riwayat keluarga
pernah menderita preeklampsia atau eklamsia, lebih sering dijumpai pada
penderita preeklampsia dan eklampsia.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">III.<span style="mso-tab-count: 1;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Terminologi</span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Dahulu, disebut pre eklampsia jika dijumpai trias tanda
klinik yaitu : tekanan darah ≥ 140/90 mmHg, proteinuria dan edema. Tapi
sekarang edema tidak lagi dimasukkan dalam kriteria diagnostik, karena edema
juga dijumpai pada kehamilan normal. Pengukuran tekanan darah harus diulang berselang
4 jam, tekanan darah diastol ≥ 90 mmHg digunakan sebagai pedoman.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Eklampsia adalah
pre eklampsia yang mengalami komplikasi kejang tonik klonik yang bersifat umum.
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Koma yang fatal tanpa
disertai kejang pada penderita pre eklampsia juga disebut eklampsia. Namun kita
harus membatasi definisi diagnosis tersebut pada wanita yang mengalami kejang
dan kematian pada kasus tanpa kejang yang berhubungan dengan pre eklampsia
berat. Mattar dan Sibai (2000) melaporkan komplikasi – komplikasi yang terjadi
pada kasus persalinan dengan eklampsia antara tahun 1978 – 1998 di sebuah rumah
sakit di Memphis, adalah solutio plasentae (10 %), defisit neurologis (7 %),
pneumonia aspirasi (7 %), edema pulmo (5 %), cardiac arrest (4 %), acute renal
failure (4 %) dan kematian maternal (1 %)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">IV.<span style="mso-tab-count: 1;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gambaran Klinis Eklampsia</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Seluruh kejang
eklampsia didahului dengan pre eklampsia. Eklampsia digolongkan menjadi kasus
antepartum, intrapartum atau postpartum tergantung saat kejadiannya sebelum
persalinan, pada saat persalinan atau sesudah persalinan. Tanpa memandang waktu
dari onset kejang, gerakan kejang biasanya dimulai dari daerah mulut sebagai
bentuk kejang di daerah wajah. Beberapa saat kemudian seluruh tubuh menjadi
kaku karena kontraksi otot yang menyeluruh, fase ini dapat berlangsung 10
sampai 15 detik. Pada saat yang bersamaan rahang akan terbuka dan tertutup
dengan keras, demikian juga hal ini akan terjadi pada kelopak mata, otot – otot
wajah yang lain dan akhirnya seluruh otot mengalami kontraksi dan relaksasi
secara bergantian dalam waktu yang cepat. Keadaan ini kadang – kadang begitu
hebatnya sehingga dapat mengakibatkan penderita terlempar dari tempat tidurnya,
bila tidak dijaga. Lidah penderita dapat tergigit oleh karena kejang otot –
otot rahang. Fase ini dapat berlangsung sampai 1 menit, kemudian secara
berangsur kontraksi otot menjadi semakin lemah dan jarang dan pada akhirnya
penderita tidak bergerak.</span></div>
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<span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">Setelah kejang
diafragma menjadi kaku dan pernafasan berhenti. Selama beberapa detik penderita
sepertinya meninggal karena henti nafas, namun kemudian penderita bernafas
panjang, dalam dan selanjutnya pernafasan kembali normal. Apabila tidak
ditangani dengan baik, kejang pertama ini akan diikuti dengan kejang – kejang
berikutnya yang bervariasi dari kejang yang ringan sampai kejang yang
berkelanjutan yang disebut status epileptikus.</span></div>
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<span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">Setelah kejang
berhenti penderita mengalami koma selama beberapa saat. Lamanya koma setelah
kejang eklampsia bervariasi. Apabila kejang yang terjadi jarang, penderita
biasanya segera pulih kesadarannya segera setelah kejang. Namun pada kasus –
kasus yang berat, keadaan koma berlangsung lama, bahkan penderita dapat
mengalami kematian tanpa sempat pulih kesadarannya. Pada kasus yang jarang,
kejang yang terjadi hanya sekali namun dapat diikuti dengan koma yang lama
bahkan kematian. </span></div>
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<span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">Frekuensi
pernafasan biasanya meningkat setelah kejang eklampsia dan dapat mencapai 50
kali/menit. Hal ini dapat menyebabkan hiperkarbia sampai asidosis laktat,
tergantung derajat hipoksianya. Pada kasus yang berat dapat ditemukan sianosis.
Demam tinggi merupakan keadaan yang jarang terjadi, apabila hal tersebut
terjadi maka penyebabnya adalah perdarahan pada susunan saraf pusat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">V.<span style="mso-tab-count: 1;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">Komplikasi</span></b></div>
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<span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">Proteinuria hampir
selalu didapatkan, produksi urin berkurang, bahkan kadang – kadang sampai
anuria dan pada umumnya terdapat hemoglobinuria. Setelah persalinan urin output
akan meningkat dan ini merupakan tanda awal perbaikan kondisi penderita.
Proteinuria dan edema menghilang dalam waktu beberapa hari sampai 2 minggu
setelah persalinan. Apabila keadaan hipertensi menetap setelah persalinan maka
hal ini merupakan akibat penyakit vaskuler kronis.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span></div>
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<span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">Edema pulmo dapat
terjadi setelah kejang eklampsia. Hal ini dapat terjadi karena pneumonia</span><span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span><span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">aspirasi dari isi lambung yang masuk ke dalam saluran
nafas yang disebabkan penderita muntah saat kejang. Selain itu dapat pula
karena penderita mengalami dekompensasio kordis, sebagai akibat hipertensi
berat dan pemberian cairan yang berlebihan.</span></div>
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<span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">Pada beberapa kasus
eklampsia, kematian mendadak dapat terjadi bersamaan atau beberapa saat setelah
kejang sebagai akibat perdarahan otak yang masiv. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Apabila perdarahan otak tersebut tidak fatal<span style="mso-spacerun: yes;"> </span>maka penderita dapat mengalami hemiplegia.
Perdarahan otak lebih sering didapatkan pada wanita usia lebih tua dengan
riwayat hipertensi kronis. Pada<span style="mso-spacerun: yes;"> </span>kasus
yang jarang perdarahan otak dapat disebabkan pecahnya aneurisma Berry atau
arterio venous malformation.</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pada kira –
kira10 % kasus, kejang eklampsia dapat diikuti dengan kebutaan dengan variasi
tingkatannya. Kebutaan jarang terjadi pada pre eklampsia. Penyebab kebutaan ini
adalah terlepasnya perlekatan retina atau terjadinya iskemia atau edema pada
lobus oksipitalis. Prognosis penderita untuk dapat melihat kembali adalah baik
dan biasanya pengelihatan akan pulih dalam waktu 1 minggu.</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pada kira- kira
5 % kasus kejang eklampsia terjadi penurunan kesadaran yang berat bahkan koma
yang menetap setelah kejang. Hal ini sebagai akibat edema serebri yang luas.
Sedangkan kematian pada kasus eklampsia dapat pula terjadi akibat herniasi
uncus trans tentorial. </span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pada kasus yang
jarang kejang eklampsia dapat diikuti dengan psikosis, penderita berubah
menjadi agresif. Hal ini biasanya berlangsung beberapa hari sampai sampai 2
minggu namun prognosis penderita untuk kembali normal baik asalkan tidak
terdapat kelainan psikosis sebelumnya. Pemberian obat – obat antipsikosis
dengan dosis yang tepat dan diturunkan secara bertahap terbukti efektif dalam
mengatasi masalah ini.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">VI.<span style="mso-tab-count: 1;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diagnosis Diferensial</span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Secara umum seorang wanita hamil aterm yang mengalami
kejang selalu didiagnosis sebagai eklampsia. Hal ini karena diagnosis
diferensial keadaan ini seperti, epilepsi, ensefalitis, meningitis, tumor otak
serta pecahnya aneurisma otak memberikan gambaran serupa dengan eklampsia.
Prinsip : setiap wanita hamil yang mengalami kejang harus didiagnosis sebagai
eklampsia sampai terbukti bukan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">VII.<span style="mso-tab-count: 1;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Prognosis</span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Eklampsia selalu menjadi masalah yang serius, bahkan
merupakan salah satu keadaan paling berbahaya dalam kehamilan. </span><span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">Statistik menunjukkan di Amerika Serikat kematian akibat
eklampsia mempunyai kecenderungan menurun dalam 40 tahun terakhir, dengan
persentase 10 % - 15 %. Antara tahun 1991 – 1997 kira – kira 6% dari seluruh
kematian ibu di Amerika Serikat adalah akibat eklampsia, jumlahnya mencapai 207
kematian. Kenyataan ini mengindikasikan bahwa eklampsia dan pre eklamsia berat
harus selalu dianggap sebagai keadaan yang mengancam jiwa ibu hamil.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">VIII.<span style="mso-tab-count: 1;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">Manajemen</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">Pritchard (1955) memulai standardisasi rejimen terapi
eklampsia di Parkland Hospital dan rejimen ini sampai sekarang masih digunakan.
Pada tahun 1984 Pritchard dkk melaporkan hasil penelitiannya dengan rejimen
terapi eklampsia pada 245 kasus eklampsia. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Prinsip – prinsip dasar pengelolaan eklampsia adalah
sebagai berikut :</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Terapi
suportif untuk stabilisasi pada penderita</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Selalu
diingat mengatasi masalah – masalah Airway, Breathing, Circulation</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level1 lfo1; text-align: justify; text-indent: -14.7pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kontrol
kejang dengan pemberian loading dose MgSO4 intravena, selanjutnya dapat diikuti
dengan pemberian MgSO4 per infus atau MgSO4 intramuskuler secara loading dose
didikuti MgSO4 intramuskuler secara periodik.</span></div>
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<span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">Pemberian
obat antihipertensi secara intermiten intra vena atau oral untuk menurunkan
tekanan darah, saat tekanan darah diastolik dianggap berbahaya. Batasan yang
digunakan para ahli berbeda – beda, ada yang mengatakan<span style="mso-spacerun: yes;"> </span>100 mmHg, 105 mmHg dan beberapa ahli
mengatakan 110 mmHg.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level1 lfo1; text-align: justify; text-indent: -14.7pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Koreksi
hipoksemia dan asidosis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level1 lfo1; text-align: justify; text-indent: -14.7pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hindari
penggunaan diuretik dan batasi pemberian cairan intra vena kecuali pada kasus
kehilangan cairan yang berat seperti muntah ataupun diare yang berlebihan.
Hindari penggunaan cairan hiperosmotik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level1 lfo1; text-align: justify; text-indent: -14.7pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Terminasi
kehamilan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Himpunan
Kedokteran Fetomaternal POGI telah membuat pedoman pengelolaan eklampsia yang
terdapat dalam Pedoman Pengelolaan Hipertensi Dalam Kehamilan di Indonesia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">A. Pengobatan Medisinal</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 14.2pt; text-align: justify;">
<span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">1.
<span style="mso-tab-count: 1;"> </span>MgSO4 :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Initial dose :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- Loading dose : 4 gr </span><span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">MgSO4 </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">20% IV (4-5 menit)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">Bila kejang berulang diberikan MgSO4 20 % 2 gr IV,
diberikan sekurang - kurangnya 20 menit setelah pemberian terakhir. Bila
setelah diberikan dosis tambahan masih tetap kejang dapat diberikan Sodium Amobarbital
3-5 mg/ kg BB IV perlahan-lahan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">- Maintenace dose : MgSO4 1 g / jam intra vena </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Antihipertensi
diberikan jika tekanan darah diastol</span><span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">ik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
> 110 mmHg. Dapat diberikan nifedipin sublingual 10 mg. Setelah 1 jam, jika
tekanan darah masih tinggi dapat diberikan nifedipin ulangan 5-10 mg sublingual
atau oral dengan interval 1 jam, 2 jam atau 3 jam sesuai kebutuhan. Penurunan
tekanan darah tidak boleh terlalu agresif. Tekanan darah diastolik jangan
kurang dari 90 mmHg, penurunan tekanan darah maksimal 30%. Penggunaan
nifedipine sangat dianjurkan karena harganya murah, mudah didapat dan mudah
pengaturan dosisnya dengan efektifitas yang cukup baik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3. Infus Ringer
Asetat atau Ringer Laktat. Jumlah cairan dalam 24 jam sekitar 2000 ml,
berpedoman kepada diuresis, insensible water loss dan CVP .</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 14.2pt; text-align: justify;">
<span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">4</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.
<span style="mso-tab-count: 1;"> </span>Perawatan pada serangan kejang :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Dirawat di kamar isolasi yang cukup tenang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masukkan
sudip lidah ( tong spatel ) kedalam mulut penderita.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kepala
direndahkan , lendir diisap dari daerah orofarynx.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Fiksasi badan pada tempat tidur harus aman namun cukup longgar
guna menghindari fraktur.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pemberian oksigen.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Dipasang kateter menetap ( foley kateter ).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">5.<span style="mso-tab-count: 1;"> </span>Perawatan pada penderita koma : Monitoring
kesadaran dan dalamnya koma memakai “Glasgow – Pittsburg Coma Scale “.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Perlu
diperhatikan pencegahan dekubitus dan makanan penderita.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 1;"> </span>Pada koma yang lama ( > 24 jam ),
makanan melalui hidung ( NGT = Naso Gastric Tube : Neus Sonde Voeding ).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">6. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diuretikum
tidak diberikan kecuali jika ada :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- Edema paru</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- Gagal jantung kongestif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- Edema anasarka</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 14.2pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">7.
<span style="mso-tab-count: 1;"> </span>Kardiotonikum ( cedilanid ) jika ada
indikasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 14.2pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">8.
<span style="mso-tab-count: 1;"> </span>Tidak ada respon terhadap penanganan
konservatif pertimbangkan seksio sesarea.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Catatan:</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Syarat
pemberian Magnesium Sulfat:</span></div>
<ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l10 level1 lfo3; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Harus tersedia antidotum Magnesium Sulfat yaitu
Kalsium Glukonas 10%, diberikan iv secara perlahan, apabila terdapat tanda
– tanda intoksikasi MgSO4.</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l10 level1 lfo3; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Refleks patella (+)</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l10 level1 lfo3; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Frekuensi pernafasan > 16 kali / menit.</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l10 level1 lfo3; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Produksi urin > 100 cc dalam 4 jam sebelumnya (
0,5 cc/ kg BB/ jam ). Pemberian Magnesium Sulfat sampai 20 gr tidak perlu
mempertimbangkan diurese</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l10 level1 lfo3; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"> </span></li>
</ul>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">B. Pengobatan Obstetrik :</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">1.<span style="mso-tab-count: 1;"> </span>Semua kehamilan dengan eklamsia harus diakhiri
tanpa memandang umur kehamilan dan keadaan janin.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">2.
Terminasi kehamilan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 1;"> </span>Sikap dasar : bila sudah stabilisasi (
pemulihan ) hemodinamika dan metabolisme ibu, yaitu 4-8 jam setelah salah satu
atau lebih keadaan dibawah ini :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.7pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo2; tab-stops: 14.2pt 1.0cm; text-align: justify; text-indent: -17.85pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah
pemberian obat anti kejang terakhir.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.7pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo2; tab-stops: 14.2pt 1.0cm; text-align: justify; text-indent: -17.85pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah
kejang terakhir.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.7pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo2; tab-stops: 14.2pt 1.0cm; text-align: justify; text-indent: -17.85pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah
pemberian obat-obat anti hipertensi terakhir.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.7pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo2; tab-stops: 14.2pt 1.0cm; text-align: justify; text-indent: -17.85pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penderita
mulai sadar ( responsif dan orientasi ).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3.<span style="mso-tab-count: 1;"> </span>Bila anak hidup dapat dipertimbangkan bedah
Cesar.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Perawatan Pasca Persalinan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Bila
persalinan terjadi pervaginam, monitoring tanda-tanda vital dilakukan
sebagaimana lazimnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pemeriksaan
laboratorium dikerjakan setelah 1 x 24 jam persalinan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">Biasanya
perbaikan segera terjadi setelah 24 - 48 jam pasca persalinan.</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
</div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">KEPUSTAKAAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">Cuningham
FG, Mac Donald PC, Gant NF, et al. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hypertensive Disorders
in Pregnancy. In : William Obstetrics. 2</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">th ed. Conecticut : Appleton and
Lange, 200</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">7</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
: 443 – </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">452</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dekker GA, Sibai BM. Ethiology and
Pathogenesis of Preeclampsia : Current Concept. AmJ Obstet Gynecol 1998 ; 179 :
1359 – 75.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lockwood CJ dan Paidas MJ. Preeclampsia
and Hypertensive Disorders In Wayne R. Cohen</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Complications of Pregnancy. 5th ed.
Philadelphia : Lippicott Williams dan Wilkins, 2000 : 207 -26.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">Sibai
BM. Hypertension in pregnancy. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">In : Obstetrics normal and problem
pregnancies. 4<sup>th</sup> edition, Churchill Livingstone USA, 2002 : 573-96.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Report of the National High Blood
Pressure Education Program Working Group on High Blood Pressure in Pregnancy.
AmJ. Obstet Gynecol, 2000 ; 183 : S1 – S22.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Angsar
MD dkk. Pedoman Pengelolaan Hipertensi Dalam Kehamilan Di Indonesia. Himpunan
Kedokteran Fetomaternal POGI</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">ASUHAN KEBIDANAN</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">PADA IBU GII P<sub>1</sub></span><sub>0001</sub><span lang="EN-US" style="mso-ansi-language: EN-US;">, HAMIL </span>39<span lang="EN-US" style="mso-ansi-language: EN-US;"> – </span>40<span lang="EN-US" style="mso-ansi-language: EN-US;"> MINGGU I/T/H </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Tanggal Pengakjian <span style="mso-tab-count: 1;"> </span>: </span>07<span lang="EN-US" style="mso-ansi-language: EN-US;">-</span>12<span lang="EN-US" style="mso-ansi-language: EN-US;">-20</span>11<span lang="EN-US" style="mso-ansi-language: EN-US;"> jam </span>14.00<span lang="EN-US" style="mso-ansi-language: EN-US;"> WIB</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Tempat <span style="mso-tab-count: 2;"> </span>: Ruang VK </span>RS Paru Batu<span lang="EN-US" style="mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; mso-list: l3 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">PENGKAJIAN
</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l4 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Data
Subyektif </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Biodata
</span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 57.3pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 513px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 67.95pt;" valign="top" width="91"><div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Nama </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Umur </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Agama </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Suku </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Pendidikan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Pekerjaan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Alamat </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.15pt;" valign="top" width="19"><div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">:</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 135.35pt;" valign="top" width="180"><div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Ny. </span>Markami</div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
34<span lang="EN-US" style="mso-ansi-language: EN-US;"> tahun </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Islam </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Jawa </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">SD</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">IRT</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104"><div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Nama Suami </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Umur </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Agama </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Suku </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Pendidikan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Pekerjaan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.15pt;" valign="top" width="19"><div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 75.25pt;" valign="top" width="100"><div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
Tn.
Ikhsan</div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">3</span>5<span lang="EN-US" style="mso-ansi-language: EN-US;"> tahun </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Islam </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Jawa </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">SD </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
Bangunan<span lang="EN-US" style="mso-ansi-language: EN-US;"> </span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Keluhan
Utama </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Ibu
mengatakan perutnya terasa kenceng-kenceng sejak tadi pagi jam 09.00 WIB
(31/3’08) dan mengeluarkan cairan warna putih kekuningan dari kemaluan</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Riwayat
MRS</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Ibu mulai
merasakan perutnya kenceng-kenceng sejak tadi pagi jam 09.00 WIB (31/3’08),
tetapi ibu masih bisa melakukan aktifitas dirumah. Jam 14.00 WIB pasien
mengeluarkan cairan warna putih kekuningan, kemudian dibawa kebidan.
Sesampainya dibidan dibawa ke PKM jam 16.00 WIB (31/3’08) disana dilakukan
pemeriksaan<span style="mso-spacerun: yes;"> </span>dalam+infus. Lalu pasien
dirujuk ke RSUD dr. Soebandi jam 18.30 WIB sampai keruangan jam 19.30 WIB</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Riwayat
Kesehatan Sekarang </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Ibu
menderita kencing manis ± 1 tahun dan darah tinggi sejak TMS III ibu tidak
sedang menderita penyakit menular (TBC, hepatitis, PMS) dan penyakit sistemik
(jantung)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Riwayat
Kesehatan Dahulu</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Ibu sudah
menderita kencing manis ± 1 tahun, ibu tidak pernah menderita penyakit menular
(TBC, hepatitis, PMS) dan penyakit sistemik (jantung) dan menurun (hipertensi)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Riwayat
Kesehatan Keluarga </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Ibu pasien
menderita kencing manis dan darah tinggi, tidak ada yang menderita penyakit menular
(PMS, hepatitis), sistemik (jantung)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Riwayat
Menstruasi </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Menarche<span style="mso-tab-count: 2;"> </span>: 12 tahun <span style="mso-tab-count: 1;"> </span>Dismenorhoe <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>kadang-kadang </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Siklus <span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>28 hari <span style="mso-tab-count: 1;"> </span>Flour
albus <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>(-)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Lama <span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>± 6 hari<span style="mso-tab-count: 1;"> </span>HPHT<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;">
</span>15 – 07 – 2007 </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Warna <span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>merah <span style="mso-tab-count: 1;"> </span>HTP<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>22 – 04 – 2008 </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Banyak <span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>2 x ganti pembalut /hari</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Riwayat
Obstetri </span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 57.3pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 543px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="2" style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.1pt;" valign="top" width="80"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Kahamilan</span></div>
</td>
<td colspan="3" style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.9pt;" valign="top" width="148"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Persalinan</span></div>
</td>
<td colspan="5" style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 166.95pt;" valign="top" width="223"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Anak</span></div>
</td>
<td colspan="2" style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.3pt;" valign="top" width="92"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Nifas</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 24.3pt;" valign="top" width="32"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">ke</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.8pt;" valign="top" width="48"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">UK</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 23.6pt;" valign="top" width="31"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">JP</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.95pt;" valign="top" width="65"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Penolong</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.35pt;" valign="top" width="51"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">tempat</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.2pt;" valign="top" width="38"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">JK</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.45pt;" valign="top" width="53"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">BB/PB</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.1pt;" valign="top" width="36"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">T/G</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.9pt;" valign="top" width="40"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">H/M</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.3pt;" valign="top" width="56"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Umur</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.45pt;" valign="top" width="59"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Laktasi</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 24.85pt;" valign="top" width="33"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">KB</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 24.3pt;" valign="top" width="32"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">1</span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">2</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.8pt;" valign="top" width="48"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">10bl</span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Hamil ini</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 23.6pt;" valign="top" width="31"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">5pt</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.95pt;" valign="top" width="65"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Bidan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.35pt;" valign="top" width="51"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">BPS</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.2pt;" valign="top" width="38"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">♀</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.45pt;" valign="top" width="53"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">2500gr</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.1pt;" valign="top" width="36"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">T</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.9pt;" valign="top" width="40"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">H</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.3pt;" valign="top" width="56"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">6bl (†)</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.45pt;" valign="top" width="59"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">6bln</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 24.85pt;" valign="top" width="33"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">-</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Riwayat
Kehamilan Sekarang </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Mulai ANC<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;">
</span>sejak usia kehamilan 4 bulan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Berapa kali <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;">
</span>6 kali </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Tempat
periksa <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>posyandu </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Imunisasi <span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;">
</span>TT<sub>1 </sub>dan TT<sub>2</sub></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">ANC ke I</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 92.15pt; tab-stops: 3.0cm; text-align: justify; text-indent: -34.85pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">HE<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-spacerun: yes;">
</span>kontrol lagi bulan depan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">banyak
istirahat </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">personal
higine</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">makan-makanan
bergizi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Tx<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: Fe,
Kalk, Vit C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Kel<span style="mso-spacerun: yes;"> </span>: -</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">ANC ke II</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 92.15pt; tab-stops: 3.0cm; text-align: justify; text-indent: -34.85pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">HE<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-spacerun: yes;">
</span>kontrol lagi bulan depan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">banyak
istirahat </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">personal
higine</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">makan-makanan
bergizi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Tx<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: Fe,
Kalk, Vit C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Kel<span style="mso-spacerun: yes;"> </span>: -</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">ANC ke III</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 92.15pt; tab-stops: 3.0cm; text-align: justify; text-indent: -34.85pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">HE<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-spacerun: yes;">
</span>kontrol lagi bulan depan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">banyak
istirahat </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">personal
higine</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">makan-makanan
bergizi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Tx<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: Fe,
Kalk, Vit C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Kel<span style="mso-spacerun: yes;"> </span>: -</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">ANC ke IV</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 92.15pt; tab-stops: 3.0cm; text-align: justify; text-indent: -34.85pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">HE<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-spacerun: yes;">
</span>kontrol lagi bulan depan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">banyak
istirahat </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">personal
higine</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">makan-makanan
bergizi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Tx<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: Fe,
Kalk, Vit C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Kel<span style="mso-spacerun: yes;"> </span>: darah tinggi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">ANC ke V</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 92.15pt; tab-stops: 3.0cm; text-align: justify; text-indent: -34.85pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">HE<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-spacerun: yes;">
</span>kontrol lagi bulan depan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">banyak
istirahat </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">personal
higine</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">makan-makanan
bergizi</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">beritahukan
tanda-tanda persalinan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">anjurkan
ibu lahir dibidan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Tx<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: Fe,
Kalk, Vit C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Kel<span style="mso-spacerun: yes;"> </span>: darah tinggi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">ANC ke VI</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 92.15pt; tab-stops: 3.0cm; text-align: justify; text-indent: -34.85pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">HE<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-spacerun: yes;">
</span>kontrol lagi bulan depan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">banyak
istirahat </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">personal
higine</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">makan-makanan
bergizi</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">beritahukan
tanda-tanda persalinan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">anjurkan
ibu lahir dibidan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Tx<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: Fe,
Kalk, Vit C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Kel<span style="mso-spacerun: yes;"> </span>: darah tinggi, kaki oedema </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Pola
Kebiasaan sehari-hari </span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 57.3pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 590px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.4pt;" valign="top" width="177"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Kegiatan</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.9pt;" valign="top" width="208"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Sebelum Hamil</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 154.35pt;" valign="top" width="206"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Selama Hamil</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.4pt;" valign="top" width="177"><div class="MsoListParagraph" style="text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Nutrisi : makan </span></div>
<div class="MsoListParagraph" style="text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;">
</span>Minum </span></div>
<div class="MsoListParagraph" style="text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Eliminasi : BAB</span></div>
<div class="MsoListParagraph" style="text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>BAK</span></div>
<div class="MsoListParagraph" style="text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Personal higine :</span></div>
<div class="MsoListParagraph" style="margin-left: 64.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Mandi </span></div>
<div class="MsoListParagraph" style="margin-left: 64.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Keramas</span></div>
<div class="MsoListParagraph" style="margin-left: 64.35pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Gosok gigi</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Istirahat : siang </span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;">
</span>Malam </span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Aktifitas </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.9pt;" valign="top" width="208"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">3 x/hr, nasi, sayur, lauk-pauk</span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">3-4 gelas/hari, air putih </span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">1-2 x/hari</span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">4-5 x/hari</span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">2 x/hari</span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">2 x seminggu </span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">2 x/hari</span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">± 21/2 jam</span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">± 7 jam </span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Melakukan pekerjaan rumah
tangga<span style="mso-spacerun: yes;"> </span></span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 154.35pt;" valign="top" width="206"><div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">3 x/hr, nasi, sayur, lauk-pauk</span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">3-4 gelas/hari, air putih </span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">1-2 x/hari</span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">4-5 x/hari</span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">2 x/hari</span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">2 x seminggu </span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">2 x/hari</span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">± 2 jam</span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">± 7 jam </span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Melakukan pekerjaan rumah tangga
yang ringan (nyapu) </span></div>
<div align="center" class="MsoListParagraph" style="text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Riwayat
Psikososial-Spiritual </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Usia pertama
menikah <span style="mso-tab-count: 3;"> </span>:<span style="mso-spacerun: yes;"> </span>19 tahun </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Status
pernikahan <span style="mso-tab-count: 3;"> </span>:<span style="mso-spacerun: yes;"> </span>sah </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Pernikahan
ke <span style="mso-tab-count: 4;"> </span>:<span style="mso-spacerun: yes;"> </span>1</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Respon ibu
dalam keluaraga terhadap keluaraga : senang atas kehamilan ini </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Dukungan
keluaraga terhadap ibu <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>baik </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Pengambilan
keputusan terhadap keluaraga <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>suami </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Beban kerja
sehari-hari <span style="mso-tab-count: 3;"> </span>:<span style="mso-spacerun: yes;"> </span>sedang </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Pola
Hidup Sehat </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Ibu
mengatakan tidak pernah merokok, minum-minuman keras dan tidak pernah
mengkomsumsi obat-obatan terlarang </span></div>
<div class="MsoListParagraph" style="margin-left: 57.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l4 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Data
Obyektif </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; mso-list: l9 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Pemeriksaan
Umum </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">K/U<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>baik </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Kesadaran <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;">
</span>Composmetis </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">TD<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>160/110 mmHg</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">N<span style="mso-tab-count: 3;"> </span>:<span style="mso-spacerun: yes;"> </span>88 x/m</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">RR<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>24 x/m</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">S<span style="mso-tab-count: 3;"> </span>:<span style="mso-spacerun: yes;"> </span>36 <sup>O</sup>C</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.3pt; mso-list: l9 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Pemeriksaan
Fisik </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -91.55pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Muka <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>oedema (-),
pucat (-)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -91.55pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Mata <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>sklera
putih, Konjungtiva merah muda </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -91.55pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Hidung <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>pernafasan
cuping hidung </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -91.55pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Gilut <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>bibir tidak
anemis, stomatitis (-), gingivitis (-)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -91.55pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Leher <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>pembesaran kelenjar
limfe dan kelenjar tyroid (-), tidak ada pembendungan vena jugularis</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -91.55pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Dada <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>retraksi
(-)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -91.55pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Payudara <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>simetris (+)/(+),
bersih (+)/(+), hiperpigmentasi areola mamae (+)/(+), papila menonjol (+)/(+),
colostrum (+)/(+), massa (-)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -91.55pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Abdomen <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>pembesaran
memanjang sesuai dengan usia kehamilan, linea nigrat (+)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">L I<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>TFU 4 jari menurun Px (27 cm), teraba keras,
bundar, melenting di bagian fundus (kepala)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">L II<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>teraba keras, memanjang, ada tahanan sebelah di
sebelah kiri (puti)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">L III<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>teraba lunak, bulat,
kurang melenting di bagian bawah (bokong)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">L IV<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>belum masuk PAP (<u>ω</u>) </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">DJJ<span style="mso-tab-count: 1;"> </span>:
<span style="mso-tab-count: 1;"> </span>132 x/menit</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">TBJ<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>2170 gram </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">HIS<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>1 – 2 x/10 menit lama 10 detik</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -91.55pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;">
</span>Genetalia <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>blood slim (-), oedema (-), varises (-)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">VT<span style="mso-tab-count: 1;"> </span>:
<span style="mso-tab-count: 1;"> </span>V/V taq, eff 75%, Ǿ 2cm, ket
(-) sisa hijau keruh, bokong</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 148.85pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -91.55pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Ekstrimitas<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>simetris
atas dan bawah (+)/(+), varises (-), oedema kaki (+)/(+)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; mso-list: l3 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Interprestasi
data dasar </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 2.0cm; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Dx<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ibu G<sub>II</sub>P<sub>10001</sub>, hamil
36-37 minggu 1 K/H innparutu kala I fase laten<span style="mso-spacerun: yes;">
</span>dengan letsu + PEB</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 2.0cm; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Ds<span style="mso-tab-count: 1;"> </span>:
ibu menyatakan perutnya terasa kenceng-kenceng sejak tadi pagi jam 09.00 wib,
tetapi ibu masih bisa melakukan aktifitas di rumah. Jam 14.00 wib pasien
mengeluarkan cairan warna putih kekuningan, kemudian di bawa ke bidan.
Sesampainkya di bidan di bawa ke PKM jam 16.00 wib (31/3 2008) kemudian
dilakukan pemeriksaan dalam + infus. Lalu pasien dirujuk ke ruangan jam 19.30
wib.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 2.0cm; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Do<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 63.8pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 508px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 154.25pt;" valign="top" width="206"><div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">K/U : baik </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoListParagraph" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">TD : 160/110 mmHg</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">RR : 24 x/m</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 154.25pt;" valign="top" width="206"><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Kesadaran :
composmetis</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">N : 88 x/m</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 2.0cm; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">S : 36<sup>6
0</sup>C</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 2.0cm; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Muka <span style="mso-tab-count: 1;"> </span>:
oedema (-), pucat (-)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 2.0cm; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Gilut <span style="mso-tab-count: 1;"> </span>:
bibir tidak anemis, stomatitis (-), caries gigi</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 2.0cm; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Payudara : pembesaran kelenjar limfe dan tiroid
(-), pembendungan vena jugularis (-)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 4.0cm; tab-stops: 106.35pt; text-align: justify; text-indent: -91.55pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Abdomen <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>pembesaran memanjang sesuai dengan usia
kehamilan, linea nigrat (+)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 4.0cm; tab-stops: 106.35pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">L I<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>TFU 4 jari menurun Px (27 cm), teraba keras,
bundar, melenting di bagian fundus (kepala)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 4.0cm; tab-stops: 106.35pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">L II<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>teraba keras, memanjang, ada tahanan sebelah di
sebelah kiri (puti)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 4.0cm; tab-stops: 106.35pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">L III<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>teraba bundar, keras, melenting di bagian bawah
(bokong)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 4.0cm; tab-stops: 106.35pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">L IV<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>belum masuk PAP (<u>ω</u>) </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 4.0cm; tab-stops: 106.35pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">DJJ<span style="mso-tab-count: 1;"> </span>:
<span style="mso-tab-count: 1;"> </span>132 x/menit</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 4.0cm; tab-stops: 106.35pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">TBJ<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>2170 gram </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 4.0cm; tab-stops: 106.35pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">VT<span style="mso-tab-count: 1;"> </span>:
V/V taa, eff 75%, Ǿ 2 cm, ket (-) sisa hijau keruh, bokong </span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 106.35pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Pemeriksaan penunjang :</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 630px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 246.4pt;" valign="top" width="329"><div class="MsoNormal" style="margin-left: 106.35pt; tab-stops: 106.35pt; text-align: justify; text-indent: -106.35pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Protein
urine<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>: +++</span></div>
<div class="MsoNormal" style="margin-left: 4.0cm; text-align: justify; text-indent: -4.0cm;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Hb<span style="mso-spacerun: yes;"> </span>: 14,1 gr/dl</span></div>
<div class="MsoNormal" style="margin-left: 4.0cm; text-align: justify; text-indent: -4.0cm;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Leukosit<span style="mso-spacerun: yes;"> </span>: 15,9 x/10 menit lama<span style="mso-spacerun: yes;"> </span>10<span style="mso-spacerun: yes;">
</span>detik </span></div>
<div class="MsoNormal" style="margin-left: 106.35pt; tab-stops: 106.35pt; text-align: justify; text-indent: -106.35pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Hematokrit<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>48 %</span></div>
<div class="MsoNormal" style="margin-left: 106.35pt; tab-stops: 106.35pt; text-align: justify; text-indent: -106.35pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Trombosit<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>305 x 10<sup>9</sup>/l</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 226.4pt;" valign="top" width="302"><div class="MsoNormal" style="tab-stops: 106.35pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Protein Total<span style="mso-spacerun: yes;"> </span>: 7,8 gr/dl</span></div>
<div class="MsoNormal" style="tab-stops: 106.35pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Albumin<span style="mso-spacerun: yes;"> </span>: 3,7 gr/dl</span></div>
<div class="MsoNormal" style="tab-stops: 106.35pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Globulin<span style="mso-spacerun: yes;"> </span>: 4,1 gr/dl</span></div>
<div class="MsoNormal" style="tab-stops: 106.35pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">SGOT<span style="mso-spacerun: yes;"> </span>: 34 u/l</span></div>
<div class="MsoNormal" style="tab-stops: 106.35pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">SGPT<span style="mso-spacerun: yes;"> </span>: 13 U/L</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="tab-stops: 106.35pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; mso-list: l3 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Identifikasi
Masalah Potensial </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Bagi ibu <span style="mso-tab-count: 1;"> </span>: eklamsi, HPP, infeksi</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Bagi bayi <span style="mso-tab-count: 1;"> </span>: distress janin, after coming head </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; mso-list: l3 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Identifikasi
kebutuhan segera </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Oksigenasi
</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Obs
TTV</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Obs
CHPB</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; mso-list: l3 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Intervensi
</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Jelaskan
pada ibu dan keluarga tentang kondisi ibu dan janinnya </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -17.4pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">R/ ibu lebih mengerti dan bersikap lebih kooperatif terhadap tindakan
yang akan dilakukan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Observasi
TTV</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -17.4pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">R/ deteksi dini adanya komplikasi </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Observasi
CHPB</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -17.4pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">R/ mengetahui keadaan dan kemajuan persalinan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Ajari
teknik destraksi dan relakasasi</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">R/ teknik
destraksi dan relaksasi membantu mengurangi nyeri<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Kolaborasi
dengan dr. SpOG untuk pemberian MgSO4</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">R/ tugas
dependent dan untuk antisipasi<span style="mso-spacerun: yes;"> </span>kejang </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Berikan
infus RL 20 tpm</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">R/ rehidrasi
</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Pasang
DC</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">R/ observasi
intake dan output</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Pasang
O<sub>2</sub></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">R/ mencegah
distres janin</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; mso-list: l3 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Implementasi
</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Menjelaskan
pada ibu dan keluarga tentang kondisi ibu dan janinnya</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Melakukan
observasi TTV</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">TD<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;">
</span>160/110 mmHG<span style="mso-tab-count: 2;"> </span>RR<span style="mso-spacerun: yes;"> </span>: 24 x/m</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">N<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;">
</span>88 x/m<span style="mso-tab-count: 3;"> </span>S<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>36 <sup>O </sup>C</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Melakukan
observasi CHPB</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">DJJ<span style="mso-tab-count: 1;"> </span>: 153 x/m</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">His <span style="mso-tab-count: 1;"> </span>: 1 – 2 x/10 menit lama 10 detik</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Penurunan<span style="mso-spacerun: yes;"> </span>: belum masuk PAP (w)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Bendle : (-)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Mengajari
ibu teknik destraksi dan relaksasi</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Melakukan
kolaborasi dengan dr. SpOG untuk pemberian MgSO4 dan injeksi cefotaxime</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Memberikan
infus RL 20 tpm</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Memasang
DC</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Memasang
O<sub>2 </sub>3 lt/menit </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; mso-list: l3 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VII.</span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Evaluasi<span style="mso-spacerun: yes;"> </span>tanggal 31/03<span style="mso-spacerun: yes;"> </span>2008</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">S<span style="mso-tab-count: 1;"> </span>: ibu mengatakan perutnya kenceng-kenceng </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">O<span style="mso-tab-count: 1;"> </span>: TD<span style="mso-spacerun: yes;">
</span>: 160/110 mmHg<span style="mso-spacerun: yes;">
</span>RR<span style="mso-spacerun: yes;"> </span>: 24 x/m</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>N<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>88 x/m<span style="mso-tab-count: 3;"> </span>S<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>36 <sup>O </sup>C</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">LI<span style="mso-tab-count: 1;"> </span>: TFU 4 jari menurun Px (27 cm) → kepala </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">LII<span style="mso-tab-count: 1;"> </span>: puki</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">LIII<span style="mso-tab-count: 1;"> </span>: bokong </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">LIV<span style="mso-tab-count: 1;"> </span>: belum masuk PAP (w)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">DJJ<span style="mso-tab-count: 1;"> </span>: 158 x/m (IR)<span style="mso-tab-count: 2;"> </span>His : 1 – 2 x/10 menit lama 10 detik </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">TBJ<span style="mso-tab-count: 1;"> </span>: 2170 gram</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">VT<span style="mso-tab-count: 1;"> </span>: v/v taa, portio lunak, eff 25 %, Ø 2 cm,
ket (-) sisa hijau keruh, bokong HI</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Inj MgSO4
40% (10 cc) full dose boka boki (IM) ∑U = 600 cc</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">A<span style="mso-tab-count: 1;"> </span>: ibu
GII P<sub>1 </sub>000<sub>1 </sub>hamil 36-37 minggu I/T/H inpartu kala I fase
laten dengan letsu + PEB</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">P<span style="mso-tab-count: 1;"> </span>: -
Obs TTV</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">- Obs CHPB</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">- Inj MgSO4 40% (10 cc) sesuai protap</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">- Inj cefotaxime sesuai dengan jadwal<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Catatan
perkembangan tanggal 01/04<span style="mso-spacerun: yes;"> </span>2008 24.00
WIB</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">S<span style="mso-tab-count: 1;"> </span>: ibu mengatakan perutnya tambah
kenceng-kenceng dan mules </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">O<span style="mso-tab-count: 1;"> </span>: TD<span style="mso-spacerun: yes;">
</span>: 160/110 mmHg<span style="mso-spacerun: yes;">
</span>RR<span style="mso-spacerun: yes;"> </span>: 22 x/m</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>N<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>90 x/m<span style="mso-tab-count: 3;"> </span>S<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>36 <sup>O </sup>C</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">DJJ<span style="mso-tab-count: 1;"> </span>: 128 x/m</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">His <span style="mso-tab-count: 1;"> </span>: 2 x 10 menit lama 20 detik </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">TBJ<span style="mso-tab-count: 1;"> </span>: 2170 gram </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Jam 05.00</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">VT<span style="mso-tab-count: 1;"> </span>: v/v taa, portio lunak, epf 25%, Ø 2 cm,
ket (-) meconial, bokong HI</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Jam 24.00
WIB<span style="mso-tab-count: 1;"> </span>: Inj dexametason 2 ampul (Im)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Jam 02.00
WIB<span style="mso-tab-count: 1;"> </span>: Inj MgSO4 40% (10 cc) boka,
∑U = 170 cc </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Jam 04.00
WIB<span style="mso-tab-count: 1;"> </span>: Inj cefotaxim 1 gram, ∑U =
30 cc</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Jam 07.30
WIB<span style="mso-tab-count: 1;"> </span>: Inj MgSO4 40% (10 cc) bok1,
∑U = 500 cc</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">A<span style="mso-tab-count: 1;"> </span>: ibu
GII P<sub>1 </sub>000<sub>1 </sub>hamil 36-37 minggu I/T/H inpartu kala I fase
laten dengan letsu + FEB pre oprasi </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">P<span style="mso-tab-count: 1;"> </span>: -
Obs TTV</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">- Obs CHPB</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">- Inj cefo sesuai dengan jadwal<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">- Inj MgSO4 40% (10 cc) sesuai protap</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">- sceren </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Informed Consent </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Persiapan pasien untuk SC</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Catatan
perkembangan tanggal 01/04<span style="mso-spacerun: yes;"> </span>2008 10.00
WIB</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">S<span style="mso-tab-count: 1;"> </span>: ibu mengatakan telah dioperasi </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">O<span style="mso-tab-count: 1;"> </span>: K/U <span style="mso-tab-count: 1;"> </span>:
lemah </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Kesadaran <span style="mso-tab-count: 1;"> </span>: compos mentis </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">TD<span style="mso-spacerun: yes;"> </span>: 150/90 mmHg<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>RR<span style="mso-spacerun: yes;"> </span>: 24 x/m</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>N<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>96 x/m<span style="mso-tab-count: 3;"> </span>S<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>36 <sup>O </sup>C</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Telah
dilakukan operasi oleh dr. Budiantoro spOG jam 09,45 WIB dan selesai jam 10.15
WIB. JK ♂, BB : 3050 gram, PB : 49 cm, AS : 3 – 5, jam 13.30 WIB inj MgSO4 40 %
(10 cc) boka, ∑U = 250 cc i, jam 19.30 WIB : inj MgSO4 40 % (10 cc) boka, inj
antrain 1 ampul, cefotaxime 1 gram, ∑U = 300 cc </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">A<span style="mso-tab-count: 1;"> </span>: ibu
GII P<sub>2 </sub>000<sub>2 </sub>post partum SC hari ke-0 dengan letsu+PEB </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">P<span style="mso-tab-count: 1;"> </span>: -
Obs TTV</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">- Obs CHPB</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">- Inj cefo sesuai dengan jadwal<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">- Inj MgSO4 40% (10 cc) sesuai protap</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">- Inj antrain sesuai jadwal </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Obs intake out put</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Catatan
perkembangan tanggal 01/04<span style="mso-spacerun: yes;"> </span>2008 10.00
WIB</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">S<span style="mso-tab-count: 1;"> </span>: pusing, flatus (-), nyeri perut (+) </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">O<span style="mso-tab-count: 1;"> </span>: K/U <span style="mso-tab-count: 1;"> </span>:
baik </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Kesadaran <span style="mso-tab-count: 1;"> </span>: composmentis </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">TD<span style="mso-spacerun: yes;"> </span>: 140/90 mmHg<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>RR<span style="mso-spacerun: yes;"> </span>: 22 x/m</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>N<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>104 x/m<span style="mso-tab-count: 3;"> </span>S<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>36 <sup>O </sup>C</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Abdomen<span style="mso-spacerun: yes;"> </span>: kembung, luka tertutup verban, nyeri tekan
(+)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Genetalia :
lochea rubra (+)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Jam 01-30
WIB : inj MgSO4 40% (10 cc) boka, ∑U = 300 cc, inj antrain 1 ampul</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Jam 06.00
WIB : piton 1 ampul</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Jam 12.00
WIB : inj cefotaxime 1 gram, inj antrain 1 ampul</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Jam 18.00
WIB : inj cefotaxime 1 gram, inj antrain 1 ampul</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">A<span style="mso-tab-count: 1;"> </span>: ibu
GII P<sub>2 </sub>000<sub>2 </sub>post partum SC hari ke-1 dengan letsu+PEB </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">P<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>- Obs TTV<span style="mso-tab-count: 4;"> </span>-
Obs pengeluraan lochea </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>- Obs intake output<span style="mso-tab-count: 3;"> </span>- Rawat luka operasi </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>- Obs tinggi fundus uteri </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-88060336307638597732012-10-06T22:27:00.002+07:002012-10-06T22:27:58.414+07:00KISTA SARKOMA PHILODES <!--[if !mso]>
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">BAB I</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">PENDAHULUAN</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l7 level2 lfo10; tab-stops: 1.0cm; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">1.1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">LATAR
BELAKANG</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Payudara
manusia berbentuk seperti kuncup, terutama pada nulipara yang terjadi kar</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">en</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">a konsistensinya</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> yang</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"> kenyal. Ada</span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">kalanya payudara manusia
tidak sama besar, ini sesuatu yang lumrah tapi kita harus waspada dan harus
membedakan asimetris yang disebabkan kar</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">en</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">a
pembentuka</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">n</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">nya
atau disebabkan karena pertumbuhan tumor.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Kadang-kadang
benjolan pada payudara ini biasanya penuh mengisi seluruh payudara baik salah
satu payudara atau keduanya yang disebut “KISTA SARKOMA PHILODES”.Ada</span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">kalanya </span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">sebagian</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"> besar nyaris tidak
tergendong oleh penderita . Bila hal tersebut di biarkan bisa menjadi SARKOMA
PAYUDARA.</span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Tumor
ini umumnya terjadi pada usia 35-40 tahun.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Untuk
itu perlu di lakukuan pemeriksaan SADARI</span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">(pemeriksaan payudara
sendiri)<span style="mso-spacerun: yes;"> </span>setiap seminggu setelah hari
tera</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">k</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">hir
menstruasi</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">,</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">
sebagai deteksi awal terjadinya keabnormalan payudara termasuk deteksi dini
terjadinya kista sarcoma philodes.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l7 level2 lfo10; tab-stops: 1.0cm; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">1.2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">TUJUAN</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l7 level3 lfo10; text-indent: -42.55pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">1.2.1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Tujuan
Umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: 27.0pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Membantu
ibu pada masa premenopouse untuk mendeteksi adanya benjolan atau masa abnormal
dan mencegah serta menangani terjadinya kista sarcoma philodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l7 level3 lfo10; text-indent: -42.55pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">1.2.2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Tujuan
Kusus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l16 level1 lfo4; tab-stops: list 92.15pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">mengetahui
etiologi terjadinya kista sarcoma philodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l16 level1 lfo4; tab-stops: list 92.15pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">mengetahui
tanda dan gejala kista sarcoma philodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l16 level1 lfo4; tab-stops: list 92.15pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">membantu
ibu dalam mencegah terjadinya kista sarcoma philodes melalui deteksi dini ad</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">a</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">nya benjolan atau masa
abnormal.</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">BAB II</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">KISTA SARKOMA PHILODES</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l15 level1 lfo11; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">2. 1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">PENGERTIAN</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l13 level1 lfo12; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Kista sarcoma philodes
adalah fibro adenoma yang tumbuh meliputi seluruh mamae, ada</span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">kalanya bertambah besar</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">, hampir</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"> tidak tergendong oleh
penderita </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">(Prawirohardjo,sarwono.1997:485)</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l13 level1 lfo12; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Kista sarcoma philodes
merupakan suatu neoplasma jinak yang bersifat menyusup sel local dan dapat
menjadi ganas 10 % - 15 %. (<a href="http://www.generator/">http://www.generator</a>
mssfedit.com)</span></div>
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<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Tumor philodes( Cista
sarcoma philodes) ialah tumor dengan pola <i style="mso-bidi-font-style: normal;">Fibroma
adenoma </i>mama</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">e</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">
tetapi stromanya yang lebih seluler. (Cor</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">n</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">ain,s.1986:91)</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"></span></div>
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<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Kisto</span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">sarkoma</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> fillodes
mengandung kista –kista besar diantaranya banyak sekali jaringan ikat sehingga terkadang
diduga sarkoma, dipermukaan tumor terdapat banyak jaringan (seperti
lembaran-lembaran/phylor)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102.0pt; text-align: justify; text-indent: -54.0pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Phylode : menyerupai daun; istilah yang digunakan untuk
tumor yang pada pemotongannya memperhatikan lobusi.</span></div>
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<span lang="EN" style="font-family: "Calibri","sans-serif"; mso-ansi-language: EN; mso-fareast-language: IN;">Sebuah tipe tumor yang ditemukan
di jaringan payudara atau prostat. Biasanya besar sekali dan berkembang dengan
cepat. Tumor ini mungkin saja benigna (bukan kanker) atau maligna (kanker) dan
bisa menyebar ke bagian lain tubuh. Juga disebut CSP atau tumor filodes.</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN; mso-fareast-language: IN;"> (http://www.wordpress.com)</span></div>
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<span style="height: 308px; left: 0px; margin-left: 132px; margin-top: 96px; mso-ignore: vglayout; position: absolute; width: 412px; z-index: -1;"><img height="308" src="file:///C:%5CUsers%5CRevi%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image003.jpg" width="412" /></span><span lang="EN" style="font-family: "Calibri","sans-serif"; mso-ansi-language: EN; mso-fareast-language: IN;">Sebuah tipe neoplasma jaringan
ikat yang timbul dari stroma intralobular payudara. Ditandai dengan pembesaran
cepat massa bergerak-keras asmiteris. Secara histologis tampak seperti celah
stroma seperti daun yang dibatasi oleh sel-sel epitel.</span><span lang="EN" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN; mso-fareast-language: IN;"> </span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN; mso-fareast-language: IN;">(<a href="http://www.wordpress.com/">http://www.wordpress.com</a>)</span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">2. 2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">ETIOLOGI</span></div>
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<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Etiologi kistosarkoma fillodes belum diketahui secara
pasti, namun beberapa hal yang diduga dapat mempengaruhi terjadinya tumor ini
antara lain : </span></div>
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<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Kontrasepsi hormonal (terutama estrogen)</span></div>
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<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Pernah mengalami radiasi di daerah dada ( lingkungan )</span></div>
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<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Adanya keturunan ca mammae (genetik)</span></div>
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<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Wanita usia 35 – 40 tahun, resiko semakin meningkat pada
keadaan :</span></div>
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<span style="font-family: "Arial","sans-serif"; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Orang tua ( ibu ) pernah menderita Ca mammae terutama
pada usia relatif muda.</span></div>
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<span style="font-family: "Arial","sans-serif"; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Anggota keluarga menderita Ca mammae</span></div>
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<span style="font-family: "Arial","sans-serif"; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Sebelumnya pernah menderita penyakit tumor / kanker</span></div>
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<span style="font-family: "Arial","sans-serif"; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Penderita tumor jinak payudara</span></div>
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<span style="font-family: "Arial","sans-serif"; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Kehamilan pertama terjadi sesudah umur 35 tahun.</span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">2. 3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">CIRI
– CIRI KISTA SARKOMA PHILODIS</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Berbentuk
bulat atau lonjong dengan batas yang tegas dan tepat</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">,</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"> dapat digerakkan.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Konsistensi
tumor ini ada yang kistik dan padat seperti karet</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">,</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"> tidak melekat pada kulit .</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Tumor
Philodes ini dapat berukuran kecil sekitar 3 – 4 cm dan dapat pula berukuran
sangat besar dan membuat payudara menjadi besar ( bengkak).</span></div>
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<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">2. 4<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">TANDA
DAN GEJALA</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Kulit
payudara diatas tumor mengkilat.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Kulit
tegang dan tipis.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Kulit
payudara memerah.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Pembuluh
balik yang lebar.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Terasa
panas.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Pembesaran
kelenjar regional atau metastasis ( jarang ditemukan ).</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Tumbuh
dengan cepat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l15 level1 lfo11; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">2. 5<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">CARA
MENGETAHUI KELAINAN PAYUDARA</span></div>
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<span lang="EN-US" style="font-family: "Calibri","sans-serif";">SADARI
(periksa pa</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">y</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">udara
sendiri)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Adalah
pemeriksaan payudara yg di lakukan sendiri oleh tiap wanita dengan cara
tertentu secara berkala tiap bulan.</span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Sadari dapat membantu menemukan
kelainan atau penyakit payudara yang kemudian harus di pastikan oleh dokter. Waktu
yang paling tepat untuk melakukan sadari adalah sekitar semiggu setelah hari
terakhir menstruasi dengan cara:</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">©<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Berdirilah
di depan cermin dan perhatikan apakah ada kelainan pada payudara.</span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Biasanya kedua payudara
tidak sama besar, putting tidak terletak pada ketinggian yang sama.</span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Perhatikan apakah
terdapat keriput, lekukan atau putting susu tertarik ke dalam. Bila terdapat
kelainan itu atau keluar cairan atau darah dari putting susu segeralah pergi ke
dokter.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">©<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Letakkan
kedua lengan di atas kepala dan perhatikan kembali kedua payudara.</span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Bungkukkan badan hingga
payudara tergantung ke bawah dan periksa lagi.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">©<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Berbaringlah
di tempat tidur dan letakkan tanggan kiri di belakang kepala dan sebuah bantal
di bawah bahu kiri.</span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Rabalah
payudara kiri dengan telapak </span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">dan </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">jari
– jari</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> tangan</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">
kanan. Periksalah apakah ada benjolan pada payudara. Kemudian periksa juga
apakah ada benjolan atau pembengkakan pada ketiak kiri.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">©<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Periksalah
dan rabalah putting susu dan sekitarnya. Pada umumnya kelenjar susu bila diraba
dengan telapak jari – jari tangan akan terasa kenyal dan mudah digerakkan.</span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Bila terasa ada benjolan
sebesar 1 cm atau lebih, segeralah pergi ke dokter.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l3 level1 lfo17; tab-stops: list 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">©<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Lakukan
hal yang sama untuk payudara dan ketiak kanan.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l15 level1 lfo11; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">2. 6<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">PATOFISIOLOGI</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-indent: 10.35pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Terlampir</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l15 level1 lfo11; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">2. 7<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">PENA</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">N</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">GANAN </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l2 level1 lfo6; tab-stops: list 49.65pt; text-indent: -61.65pt;">
<span lang="FI" style="font-family: Symbol; mso-ansi-language: FI; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:%5CUsers%5CRevi%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Calibri","sans-serif"; mso-ansi-language: FI;">Eksisi local untuk lesi yang kecil.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l2 level1 lfo6; tab-stops: list 49.65pt; text-indent: -61.65pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:%5CUsers%5CRevi%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Biopsi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l2 level1 lfo6; tab-stops: list 49.65pt; text-indent: -61.65pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:%5CUsers%5CRevi%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Calibri","sans-serif"; mso-ansi-language: SV;">Masektomi ditambah dengan pengangkatan fasia pektoralis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l2 level1 lfo6; tab-stops: list 49.65pt; text-indent: -61.65pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:%5CUsers%5CRevi%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Radiasi
dilakukan pasca beda</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">h.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l2 level1 lfo6; tab-stops: list 49.65pt; text-indent: -61.65pt;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">ASUHAN
KEBIDANAN</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">PADA IBU P</span><sub><span lang="EN-US" style="font-family: "Calibri","sans-serif";">..... </span></sub><sub><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span></span></sub><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">DENGAN KIST</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">A</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> SARKOMA FILLODES</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l12 level2 lfo13; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">PENGKAJIAN</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l5 level3 lfo14; tab-stops: 49.65pt; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Data
subjektif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Biodata</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";"><span style="mso-tab-count: 1;"> </span>Usia : terjadi pada usia 35-45 th</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Keluhan
utama</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";"><span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>Ibu mengatakan
:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l10 level1 lfo2; tab-stops: list 92.15pt; text-indent: -21.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">adanya
benjolan pada payudaranya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l10 level1 lfo2; tab-stops: list 92.15pt; text-indent: -21.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">payudara
ibu membesar dengan cepat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l10 level1 lfo2; tab-stops: list 92.15pt; text-indent: -21.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">sesak nafas</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Riwayat
kesehatan sekarang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";"><span style="mso-tab-count: 1;"> </span>Ibu mengatakan adanya benjolan pada
payudara, payudara membesar dengan cepat(terkadang ada yang sampai tidak
tergendong oleh penderita), kulitnya berwarna merah, teregang, mengkilat, tipis
dan terasa panas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Riwayat
kesehatan dahulu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";"><span style="mso-tab-count: 1;"> </span>Ibu mengatakan pernah menderita tumor jinak payudara dan
CA mamae</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Riwayat
kesehatan keluarga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";"><span style="mso-tab-count: 1;"> </span>Ibu mengatakan dalam keluarga ibu
ada yang menderita tumor payudara atau<span style="mso-spacerun: yes;">
</span>CA mamae.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Riwayat
menstruasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">#Menarche : <12 th</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">#Menopouse : >55 Th</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">#Wanita dengan gangguan
siklus haid</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Riwayat
pernikahan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 70.9pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">lebih banyak
terjadi pada wanita yang telah mneikah.</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Riwayat
obstetri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";"><span style="mso-tab-count: 1;"> </span>Cenderung terjadi pada ibu yang tidak menyusui bayinya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Riwayat
KB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";"><span style="mso-tab-count: 1;"> </span>Ibu mengatakan pernah menjadi akseptor KB hormonal (yang
mengandung hormone estrogen)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Pola
kegiatan sehari-hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l10 level1 lfo2; tab-stops: list 92.15pt; text-indent: -21.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Istirahat
: terganggu karena ibu me</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">ngalami perubahan pada payudaranya.</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l10 level1 lfo2; tab-stops: list 92.15pt; text-indent: -21.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">pola aktivitas terganggu karena beban yang ada di
payudara (terjadi pembesaran payudara, kadang kala sampai menggantung).</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l10 level1 lfo2; tab-stops: list 92.15pt; text-indent: -21.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">nutrisi : makan makanan yang mengandung bahan pengawet,
MSG, seperti makanan cepat saji.</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Riwayat
psikososial</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="ES" style="font-family: "Calibri","sans-serif"; mso-ansi-language: ES;"><span style="mso-tab-count: 1;"> </span>Ibu merasa cemas dengan pembesaran
payudara yang cepat, merah dan terasa panas</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Pola
ketergantungan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">ketergantungan
memakai MSG dan bahan pengawet.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l5 level3 lfo14; tab-stops: 49.65pt; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Data
objektif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l1 level1 lfo15; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Pemeriksaan
Umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 52.9pt; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Keadaan
umum<span style="mso-spacerun: yes;"> </span>: baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 52.9pt; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Kesadaran<span style="mso-spacerun: yes;"> </span>: composmentis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 52.9pt; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">TTV<span style="mso-spacerun: yes;"> </span>: TD : dbn(120/80 – 140/90
mmHg)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 155.95pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">S<span style="mso-spacerun: yes;"> </span>: >37 o C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 155.95pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">N<span style="mso-spacerun: yes;"> </span>: dbn (60-80 X/mnt)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 155.95pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">RR : >24 X/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l1 level1 lfo15; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Pemeriksaan
fisik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 163.05pt; tab-stops: 5.0cm; text-indent: -92.15pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Muka<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>pucat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 233.9pt; tab-stops: 5.0cm 163.05pt 233.9pt; text-indent: -163.0pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Payudara<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>-<span style="mso-spacerun: yes;"> </span>Inspeksi
: <span style="mso-tab-count: 1;"> </span>pembesaran payudara asimetris,
terlihat merah, kulit mengkilt dan tipis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 233.9pt; mso-list: l8 level7 lfo9; tab-stops: 177.2pt 8.0cm; text-align: justify; text-indent: -70.85pt;">
<span style="font-family: "Courier New"; mso-ansi-language: IN; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Palpasi
: <span style="mso-tab-count: 2;"> </span>teraba benjolan atau masa abnormal
pada salah satu atau kedua payudara, payudara terasa panas,</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Nyeri tekan
pada payudara</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 5.0cm 8.0cm; text-align: justify;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Ketiak<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;">
</span>ada benjolan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l1 level1 lfo15; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Pemeriksaan
penunjang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l9 level1 lfo3; tab-stops: list 3.0cm; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">biopsi
jaringan payudara :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 148.85pt; mso-list: l8 level7 lfo9; tab-stops: list 106.35pt; text-indent: -63.8pt;">
<span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"><span style="mso-spacerun: yes;"> </span>makro : tumor tampak bulat elastis, nodular,
dan berkapsul pada permukaan berwarna abu abu keputihan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 148.85pt; mso-list: l8 level7 lfo9; tab-stops: list 106.35pt; text-indent: -63.8pt;">
<span lang="IT" style="font-family: "Courier New"; mso-ansi-language: IT; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IT" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IT;">mikro : <span style="mso-tab-count: 1;"> </span>proliferasi
dari epitel menggambarkan saluran seperti stroma fibroblastic</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 148.85pt; mso-list: l8 level7 lfo9; tab-stops: list 106.35pt; text-indent: -63.8pt;">
<span lang="IT" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IT;">- mammografi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.05pt; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Terdapat
benjolan > 0,25 cm .</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l9 level1 lfo3; tab-stops: list 3.0cm; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">leukositosis
</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-indent: 54.0pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">≥15000</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l12 level2 lfo13; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">INTERPRETASI
DATA DASAR</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Dx<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>Ibu
P….. dengan kista sarcoma Philodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Ds<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>Ibu
mengatakan payudaranya membesar dengan cepat, berwarna merah dan terasa panas</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">, sesak nafas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Do<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>S :
<span style="mso-tab-count: 1;"> </span>>37 o C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 127.6pt; text-align: justify; text-indent: -3.0cm;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Payudara<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>Inspeksi : pembesaran payudara asimetris, terlihat
merah, kulit mengkil</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">a</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">t
dan tipis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 127.6pt; text-align: justify; text-indent: -3.0cm;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Palpasi <span style="mso-tab-count: 1;"> </span>:
<span style="mso-tab-count: 1;"> </span>teraba benjolan atau masa abnormal pada
salah satu atau kedua payudara, payudara terasa panas,nyeri tekan pada
payudara.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Pemeriksaan
penunjang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l9 level1 lfo3; tab-stops: list 3.0cm; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">biopsi
jaringan payudara :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 148.85pt; mso-list: l8 level7 lfo9; tab-stops: list 106.35pt; text-indent: -63.8pt;">
<span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"><span style="mso-spacerun: yes;"> </span>makro : tumor tampak bulat elastis, nodular,
dan berkapsul pada permukaan berwarna abu abu keputihan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 148.85pt; mso-list: l8 level7 lfo9; tab-stops: list 106.35pt; text-indent: -63.8pt;">
<span lang="IT" style="font-family: "Courier New"; mso-ansi-language: IT; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IT" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IT;">mikro : <span style="mso-tab-count: 1;"> </span>proliferasi
dari epitel menggambarkan saluran seperti stroma fibroblastic</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l9 level1 lfo3; tab-stops: list 3.0cm; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">mammografi
</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.05pt; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Terdapat
benjolan > 0,25 cm .</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l9 level1 lfo3; tab-stops: list 3.0cm; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">leukositosis
</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-indent: 54.0pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">≥15000</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l12 level2 lfo13; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">ANTISIPASI
MASALAH POTENSIAL</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Kanker
payudara</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l12 level2 lfo13; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">IDENTIFIKASI<span style="mso-spacerun: yes;"> </span>KEBUTUHAN SEGERA</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l8 level7 lfo9; tab-stops: list 42.0pt 74.75pt; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; mso-ansi-language: IN; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Inform consent</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l8 level7 lfo9; tab-stops: list 42.0pt 74.75pt; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; mso-ansi-language: IN; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Rujukan untuk </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">tindakan lebih lanjut</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; tab-stops: list 270.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l12 level2 lfo13; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">INTERVENSI</span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Jelaskan pada ibu
tentang keadaannya</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 2.0cm; text-indent: -18.55pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">R
/ <span style="mso-tab-count: 1;"> </span>Ibu mengerti tentang keadaannya</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> dan lebih
kooperatif</span><span style="font-family: "Calibri","sans-serif";"> <span lang="EN-US"></span></span></div>
<ol start="2" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Berikan dukungan
baik secara mental maupun spiritual</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 35.45pt 2.0cm; text-indent: -18.55pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">R/
mengurangi kecemasan dan membangkitkan rasa percaya diri ibu</span></div>
<ol start="3" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Observasi TTV</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 35.45pt 2.0cm; text-indent: -18.55pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">R
/ deteksi dini ad</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">a</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">nya
komplikasi</span></div>
<ol start="4" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span lang="ES" style="font-family: "Calibri","sans-serif"; mso-ansi-language: ES;">Untuk
ibu yang menyusui, anjurkan ibu selalu menyusui bayinya</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 35.45pt 2.0cm; text-indent: -18.55pt;">
<span lang="ES" style="font-family: "Calibri","sans-serif"; mso-ansi-language: ES;">R / ASI dapat keluar secara lanc</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">a</span><span lang="ES" style="font-family: "Calibri","sans-serif"; mso-ansi-language: ES;">r sehingga
tidak terbentuk bendungan ASI yang dapat memicu timbulnya benjolan payudara</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">.</span></div>
<ol start="5" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">anjurkan
ibu untuk istirahat yang cukup.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">R/ agar tidak
lelah, nyeri tulang dan sesak nafas berkurang.</span></div>
<ol start="6" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">ajarkan
ibu cara merawat payudara yang baik. dimana menjag akebersihannya, dan
memakai BH yang menopang dan nyaman.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">R/ menjaga
kebersihan daerah payudara.</span></div>
<ol start="7" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Anjurkan
ibu untuk berhenti menjadi akseptor KB hormonal</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 35.45pt 2.0cm; text-indent: -18.55pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">R</span><span style="font-family: "Calibri","sans-serif";">
</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">/</span><span style="font-family: "Calibri","sans-serif";"> </span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">KB hormonal mempercepat timbulnya
sel-sel kanker dan dapat membesar besar</span></div>
<ol start="8" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Kolaborasi
dengan dokter </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">dengan
membawa hasil </span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">PA dan pemberian terapi</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 35.45pt 2.0cm; text-indent: -18.55pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">R
/ tugas dependen</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; mso-list: l11 level1 lfo16; text-indent: -21.25pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Berikan</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> surat rujukan ke poli
bedah untuk </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">tindakan
lebih lanjut </span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">R</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">/</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">tugas</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> dependen bidan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l12 level2 lfo13; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">IMPLEMENTASI</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 35.45pt 216.0pt 270.0pt; text-align: justify;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>sesuai dengan intervensi</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"> </span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 35.45pt 216.0pt 270.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l12 level2 lfo13; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">VII.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">EVALUASI</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">DI BPS</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Tanggal : ......<span style="mso-spacerun: yes;"> </span>Jam : .....</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">S</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Ibu mengatakan mengerti</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">
dengan penjelasan yang diberikan </span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>dan akan pergi ke
poli bedah untuk pe</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">meriksaan
lebih lanjut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">O<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="SV" style="font-family: "Calibri","sans-serif"; mso-ansi-language: SV;">ibu dapat mengulan</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">g</span><span lang="SV" style="font-family: "Calibri","sans-serif"; mso-ansi-language: SV;">
kembali penjelasan yang diberikan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="SV" style="font-family: "Calibri","sans-serif"; mso-ansi-language: SV;"><span style="mso-tab-count: 2;"> </span>Ibu
kooperatif dan banyak bertanya tentang keadaanya</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="SV" style="font-family: "Calibri","sans-serif"; mso-ansi-language: SV;"><span style="mso-tab-count: 2;"> </span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">K/U </span><span lang="SV" style="font-family: "Calibri","sans-serif"; mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">: cukup<span style="mso-tab-count: 3;"> </span></span><span lang="SV" style="font-family: "Calibri","sans-serif"; mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Rr <span style="mso-tab-count: 1;"> </span>: 24 x/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">TD <span style="mso-tab-count: 1;"> </span>: 110/70 mmHg<span style="mso-tab-count: 2;"> </span>S <span style="mso-tab-count: 1;"> </span>:
3</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">7</span><sup><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">O</span></sup><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">N <span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">: 8</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">0</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> x/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">A<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Ibu P</span><sub><span lang="EN-US" style="font-family: "Calibri","sans-serif";">..... </span></sub><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">dengan<span style="mso-spacerun: yes;"> </span>Kisto Sakroma Fillodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">P<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>-<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Lakukan kolaborasi dengan
dokter bedah untuk tindakan lebih lanjut</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level7 lfo9; tab-stops: 42.55pt list 49.65pt; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Lakukan rujukan ke RS</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; tab-stops: 42.55pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; tab-stops: 42.55pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">DI RS</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; tab-stops: 42.55pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Tanggal :.....<span style="mso-tab-count: 1;"> </span>jam :.....</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; tab-stops: 42.55pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">S
: - Ibu dan keluarga mengatakan setuju atas tindakan operasi payudara yang akan
di lakukan oleh dr.Bedah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; tab-stops: 42.55pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Ibu mengatakan
payudaranya membesar dengan cepat,memerah dan terasa panas</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">, sesak nafas.</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 42.55pt; text-indent: 14.2pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">O : - TTV : TD :120/70
mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 42.55pt; text-indent: 70.9pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">N : 76 X/menit</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 42.55pt; text-indent: 70.9pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Rr: 22 X/menit </span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 42.55pt; text-indent: 70.9pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">S :37,1 oC</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 42.55pt; text-indent: -106.3pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">-
Payudara </span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">:</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">
Inspeksi: pembesaran payudara asimetris, pada payudara kiri terlihat memerah,
kulit mengkilat dan tipis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 42.55pt; text-indent: -42.55pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Palpasi : teraba benjolan
atau massa abnormal pada payudara sebelah </span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 42.55pt; text-indent: -42.55pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"><span style="mso-spacerun: yes;">
</span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">kiri,
nyeri tekan payudara(+), payudara terasa panas.</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level7 lfo9; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; mso-ansi-language: IN; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">hasil PA : jika ganas </span><span style="font-family: Wingdings; mso-ansi-language: IN; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> dilakukan kemoterapi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>jika masih stadium 1A </span><span style="font-family: Wingdings; mso-ansi-language: IN; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> dilakukan kemopencegahan/prokemo.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; tab-stops: 42.55pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">A : Ibu P..... dengan
kista sarcoma phillodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; tab-stops: 42.55pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">P : - Persiapan pre
operasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l8 level7 lfo9; tab-stops: 1.0cm; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">pemeriksaan golongan darah</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l8 level7 lfo9; tab-stops: 1.0cm; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">persiapan donor darah</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l8 level7 lfo9; tab-stops: 1.0cm; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">penjelasan tentang operasi yang akan dilakukan dan
memberitahu kapan bisa dioperasi.</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";"></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Catatan
Perkembangan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Evaluasi
di kamar operasi I</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Tanggal
: .....<span style="mso-tab-count: 2;"> </span>Jam : ........</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">S
: Ibu mengatakan siap untuk menjalani operasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">O
: k/u : cukup</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">TTV : TD : 110/80 mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">N
: 78 x/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">S
: 37,2 o C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">RR
: 24 x/ mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">A
: Ibu P.... dengan kista sarcoma phillodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">P
: - Observasi TTV dan Keadaan umum ibu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; mso-list: l8 level7 lfo9; tab-stops: list 21.3pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Kolaborasi
dengan dr. Bedah untuk pelaksanaan tindakan operasi masektomi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -67.65pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Evaluasi di
kamar operasi II</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -67.65pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Tanggal :
.....<span style="mso-tab-count: 2;"> </span>Jam : ........</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">S: Ibu
mengatakan telah dilakukan pembedahan pada payudara sebelah kiri, benjolan pada
payudara sudah tidak ada, tidak panas serta tidak nyeri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -67.65pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">O: K/U: baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">TD: 120/80
mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">N: 82 x/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">RR: 24 x/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">S: 36,9 oC</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Mammae:
inspeksi : Terdapat luka bekas operasi pada payudara sebelah kiri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -3.85pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Palpasi :
Benjolan atau massa abnormal ( - ).</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Hasil PA :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 7.1pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">A : Ibu P..... post masektomi kista sarcoma
phillodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 7.1pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">P : - Observasi keadaan umum ibu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; mso-list: l8 level7 lfo9; tab-stops: list 21.3pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Observasi
TTV</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; mso-list: l8 level7 lfo9; tab-stops: list 21.3pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">Berikan
terapi lanjutan sesuai </span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">nasehat</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">
dokter</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">BAB III</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";">PENUTUP</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l1 level2 lfo15; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">3.1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">KESIMPULAN</span></div>
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<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Kista
sarcoma philodes merupakan suatu neoplasma jinak yang bersifat menyusup secara
local dan dapat menjadi ganas 10-15 % dan dapat tumbuh meliputi seluruh mamae,
ada</span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">kalanya
bertambah besar dan nyaris tidak tergendong oleh penderita.</span></div>
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<span lang="EN-US" style="font-family: "Calibri","sans-serif";">Kista
sacoma philodes dapat di deteksi secara dini dengan SADARI (pemeriksaan
payudara sendiri) setiap seminggu setelah hari tera</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">k</span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">hir menstruasi sehingga
dapat dikenali tanda gejalanya dan dapat dilakukan pengobatan lebih awal dengan
eksisi local untuk lesi yang berukuran kecil sedang kan lesi yang menempati
sebagian besar payudara sebaiknya di lakukan masektomi total kemudian dilakukan
radiasi pasca bedah.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l1 level2 lfo15; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">3.2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif";">SARAN</span></div>
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<span lang="IT" style="font-family: Symbol; mso-ansi-language: IT; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IT" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IT;">Ibu perlu mengenali tanda dan gejala secara dini melalui
SADARI</span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;"> dan menjaga kebersihan payudara.</span><span lang="IT" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IT;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l6 level1 lfo5; tab-stops: list 49.65pt; text-indent: -21.3pt;">
<span lang="IT" style="font-family: Symbol; mso-ansi-language: IT; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IT" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IT;">Penyediaan sarana dan prasarana kesehatan untuk
pencegahan dan pengobatan dari kista sarcoma philodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l6 level1 lfo5; tab-stops: list 49.65pt; text-indent: -21.3pt;">
<span lang="IT" style="font-family: Symbol; mso-ansi-language: IT; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IT" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IT;">Tersedianya petugas kesehatan yang mempunyai pengetahuan
yang luas terhadap kista sarcoma philodes mengenai penangananya.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IT" style="font-family: "Calibri","sans-serif"; mso-ansi-language: IT;"><br /></span></div>
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<b><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">DAFTAR PUSTAKA</span></b></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Cornain, S (ed). 1986. <i style="mso-bidi-font-style: normal;">Tumor Ganas Pada Wanita</i>. Jakarta : Bagian Patologi Anatomik. FKUI</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif";"><a href="http://www.generator/">http://WWW.generator</a>
msffedit.com/2008/Cysta-sarcoma-phillodes-1507.html</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Komar dan Robins. 1995. <i style="mso-bidi-font-style: normal;">Buku Ajar Patologi II</i>. Jakarta : EGC</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Rottenberg. 1980. <i style="mso-bidi-font-style: normal;">Cara-cara
Memelihara Payudara</i>. Jakarta : UP Kreino.</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">Sarwono. 1997. <i style="mso-bidi-font-style: normal;">Ilmu
Kandungan</i>. Jakarta : YBP – SP</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: "Calibri","sans-serif"; mso-ansi-language: IN;">http://www.wordpress.com/2009/sarcoma.html</span></div>
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Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-59496626867402987432012-06-18T21:30:00.000+07:002012-06-18T21:30:07.747+07:00EROSIO PORSIO<!--[if !mso]>
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<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1027"/>
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<br />
<ol start="1" style="margin-top: 0cm;" type="A">
<li class="MsoNormal" style="mso-list: l7 level1 lfo1; tab-stops: list 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENGERTIAN</span></li>
</ol>
<div class="MsoNormal" style="text-indent: 27.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI;">Erosi porsio adalah pengikisan lapisan dari mulut rahim </span></div>
<div class="MsoNormal" style="margin-left: 1.0cm;">
<span lang="EN-US">http://www.pdpersi.co.id/?show=isikonsul&konsul=kandungan&kode=623&tbl=kandungan&startnews=340</span></div>
<div class="MsoNormal" style="text-indent: 27.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI;">Erosi porsio adalah bentuk perlukaan ujung leher rahim</span></div>
<div class="MsoNormal" style="text-indent: 27.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">(<a href="http://www.jawapos.com/"><span style="color: windowtext;">www.jawapos.com</span></a>)</span></div>
<div class="MsoNormal" style="text-indent: 27.0pt;">
<br /></div>
<ol start="2" style="margin-top: 0cm;" type="A">
<li class="MsoNormal" style="mso-list: l7 level1 lfo1; tab-stops: list 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">ETIOLOGI</span></li>
</ol>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI;">Erosi porsio diakibatkan oleh beberapa factor antara lain:</span></div>
<ol start="2" style="margin-top: 0cm;" type="A"><ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="mso-list: l7 level2 lfo1; tab-stops: list 72.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI;">infeksi pada mulut rahim, misalnya karena keputihan
yang lama tidak diobati</span></li>
<li class="MsoNormal" style="mso-list: l7 level2 lfo1; tab-stops: list 72.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">akibat
termanipulasi oleh penis saat berhubungan intim</span></li>
<li class="MsoNormal" style="mso-list: l7 level2 lfo1; tab-stops: list 72.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">akibat
pemasangan IUD</span></li>
<li class="MsoNormal" style="mso-list: l7 level2 lfo1; tab-stops: list 72.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">akibat
pelepasan IUD</span></li>
<li class="MsoNormal" style="mso-list: l7 level2 lfo1; tab-stops: list 72.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI;">luka pada porsio karena partus atau abortus</span></li>
</ol>
</ol>
<div class="MsoNormal" style="margin-left: 21.3pt;">
<span lang="EN-US">http://www.pdpersi.co.id/?show=isikonsul&konsul=kandungan&kode=623&tbl=kandungan&startnews=340</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<br /></div>
<ol start="3" style="margin-top: 0cm;" type="A">
<li class="MsoNormal" style="mso-list: l7 level1 lfo1; tab-stops: list 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">TANDA
DAN GEJALA</span></li>
</ol>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l7 level3 lfo1; tab-stops: list 63.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Keadaan
ini tidak menimbulkan gejala , kecuali pengeluaran secret yang agak putih
kuning</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l7 level3 lfo1; tab-stops: list 63.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pada
porsio uteri disekitar ostium uteri eksternum, tampak daerah kemerah-merahan
yang tidak dipisahkan secara jelas dari epitel porsio disekitarnya.sekret yang
dikeluarkan terdiri atas mucus bercampur nanah</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l7 level3 lfo1; tab-stops: list 63.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">nyeri
saat berhubungan seksual</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l7 level3 lfo1; tab-stops: list 63.0pt; text-indent: 0cm;">
<span lang="FI" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI;">keluar darah dari kemaluan saat melakukan hubungan
seksual</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l7 level3 lfo1; tab-stops: list 63.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">rasa
kemeng pada daerah panggul</span></div>
<ol start="4" style="margin-top: 0cm;" type="A">
<li class="MsoNormal" style="mso-list: l7 level1 lfo1; tab-stops: list 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENANGANAN</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
obat-obatan antibiotic serta antiseptic yang dimasukkan lewat vagina,
mulut(oral) dan parenteral. Jika terjadi erosi terlalu luas, selain diberikan
obat-obatan antibiotic juga perlu di bakar (kauterisasi)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(<a href="http://www.jawapos.com/"><span style="color: windowtext;">www.jawapos.com</span></a>)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengobatan
yang baik ialah dengan jalan kauterisasi radial dengan termokauter atau dengan
krioterapi. Sesudah kauterisasi atau krioterapi terjadi nekrosis jaringan yang
meradang, terlepas kira-kira 2minggu dan diganti lambat laun oleh jaringan
sehat. Jika radang menahun mencapai endoserviks jauh kedalam kanalis
servikalis, perlu dilakukan konisasi dengan mengangkat sebagian besar<span style="mso-spacerun: yes;"> </span>mukosa endoserviks. Pengangkatan dilakukan
dengan pisau supaya jaringan yang dikeluarkan dapat diperiksa mikroskopis. Pada
laserasi serviks yang agak luas perlu dilakukan trakhelorafia. Pinggir sobekan
dan sedikit endoserviks diangkat, lalu luka-luka baru dijahit sedemikian rupa
sehingga bentuk serviks menjadi seperti semula. Jahitan secara sturndorf dapat
mengatasi perdarahan yang akan timbul. Jika sobekan dan infeksi sangat luas
perlu dilakukan amputasi serviks. Akan tetapi perpendekan serviks akan dapat
mengakibatkan abortus jika terjadi kehamilan. Sehingga pembedahan yang akhir
ini sebaiknya dilakukan pada wanita yang tidak ingin hamil lagi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 264.85pt;">
<span style="height: 12px; left: 0px; margin-left: 311px; margin-top: 6px; mso-ignore: vglayout; position: absolute; width: 39px; z-index: 251660288;"><img height="12" src="file:///C:%5CUsers%5CRevi%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image001.gif" width="39" /></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Krioterapi/cryo
surgery = kauter dingin <span style="mso-tab-count: 1;"> </span>dimasukkan
alat kedalam ostium uteri seperti gas CO2 sehingga menjadi timbul embun,
setelah timbul embun membuat jaringan merotol sehingga kembali bersih lagi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 264.85pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PAP
SMEAR</span></i></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pap Smear disebut juga
dengan Pap Test. Setiap saat sel-sel tubuh mati, lalu mengelupas.
Sekali pun sel-sel ini telah lepas dari tubuh, ia merupakan "gudang
informasi" yang sangat bermanfaat. Lewat sel-sel ini dapat diketahui
sesuatu yang tidak beres, suatu proses yang tidak normal sedang menggerogoti
mulut rahim seseorang. Hal inilah yang dikerjakan dalam pemeriksaan pap smear.
Dengan sikat yang sangat halus, mulut rahim dikerok untuk mendapatkan sampel
sel-sel dari dalamnya. Berikutnya, bahan ini harus diwarnai atau dicat agar
visualisasinya di bawah mikroskop lebih baik. Pengecatan yang digunakan bernama
papanicolaou -- mengabadikan nama penemunya, dr. George Papanicolaou.</span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Di Indonesia, pap smear
dianjurkan untuk dilakukan secara rutin bagi wanita yang sudah melakukan
hubungan seksual dan berusia lebih dari 25 tahun hingga 60 tahun. Sebaiknya,
pap smear dilakukan setiap tahun atau bila hasil pemeriksaan dua kali
berturut-turut normal, pemeriksaan boleh dilakukan dua tahun sekali.</span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Persiapan sebelum
melakukan Pap Smear :</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<ol start="1" type="1">
<li class="MsoNormal" style="background: white; color: black; line-height: normal; mso-list: l5 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Waktu
pengambilan minimal 2 minggu setelah menstruasi dimulai dan sebelum
menstruasi berikutnya.</span></li>
<li class="MsoNormal" style="background: white; color: black; line-height: normal; mso-list: l5 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Berikan
informasi sejujurnya kepada dokter Anda tentang riwayat kesehatan dan
penyakit yang pernah Anda derita, terutama penyakit yang ditularkan
melalui hubungan seksual.</span></li>
<li class="MsoNormal" style="background: white; color: black; line-height: normal; mso-list: l5 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Hubungan
intim tidak boleh dilakukan dalam 24 jam sebelum pengambilan bahan
pemeriksaan.</span></li>
<li class="MsoNormal" style="background: white; color: black; line-height: normal; mso-list: l5 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pembilasan
vagina dengan macam-macam cairan kimia tidak boleh dikerjakan dalam 24 jam
sebelumnya.</span></li>
<li class="MsoNormal" style="background: white; color: black; line-height: normal; mso-list: l5 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Hindari
pemakaian obat-obatan yang dimasukkan ke dalam vagina 48 jam sebelum pemeriksaan.</span></li>
<li class="MsoNormal" style="background: white; color: black; line-height: normal; mso-list: l5 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Bila
anda sedang minum obat tertentu, informasikan kepada dokter Anda, karena
ada beberapa jenis obat yang dapat mempengaruhi hasil analisis sel.</span></li>
</ol>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Beberapa kemungkinan
dari hasil pemeriksaan pap smear adalah sbb :</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<ol start="1" type="1">
<li class="MsoNormal" style="background: white; color: black; line-height: normal; mso-list: l4 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Infeksi,</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"> proses yang amat sering
bersarang pada mulut rahim. Sebagian besar kasusnya tanpa gejala.
Kadang-kadang satu-satunya keluhan yang muncul adalah keputihan. Sekalipun
mayoritas kasus boleh dikata tidak berbahaya, sebagian kecil dapat muncul
dalam intensitas yang tergolong berat. Dokter akan menelusuri penyebabnya
dan memberi terapi yang spesifik. Jika dianggap perlu pap smear ulangan,
mesti dikerjakan dalam waktu 6 bulan untuk melihat atau mengevaluasi
apakah radang sudah menyembuh. </span></li>
<li class="MsoNormal" style="background: white; color: black; line-height: normal; mso-list: l4 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">ASCUS
(atypical squamous cells of undetermined significance)</span></i></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"> yang artinya ada sedikit
kelainan atau abnormalitas pada sel-sel mulut rahim. Pasien sering dibuat
cemas dan tidak bahagia oleh konklusi ini karena makna dari hasil
pemeriksaan ini masih belum jelas. Karena itu, langkah yang berikutnya
ditempuh ialah dengan melakukan pap smear ulangan setiap 6 bulan selama
dua tahun. Kadang-kadang diperlukan pemeriksaan tambahan yang disebut
kolposkopi, yaitu peneropongan langsung mulut rahim dengan mikroskop.</span></li>
<li class="MsoNormal" style="background: white; color: black; line-height: normal; mso-list: l4 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Karsinoma
intra-epitelial</span></i></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">,</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"> lingkup kelainan ini ialah
diplasia hingga neoplasia yang terbatas pada sel-sel permukaan. Displasia
ialah kelainan prakanker yang sifatnya reversible. Namun begitu, jika ia
tidak diobati dapat timbul transformasi menuju keganasan.</span></li>
</ol>
<div class="MsoNormal" style="background: white; margin-left: 36.0pt;">
<b><i><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Karsinoma invasif</span></i></b><b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">.</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"> Pada akhirnya sel
kanker tumbuh menembus melewati lapisan epitel permukaan, masuklah kita pada
stadium invasif. Pada tahap ini penyembuhan menjadi jauh lebih sulit</span></div>
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<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pelaksanaan Pap smear</span></b></div>
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<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold;">buka pakaian pasien dari pinggang ke
bawah dan berbaring telentang untuk melakukan pemeriksaan</span></div>
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<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold;">masukkan speculum untukmembuka vagina</span></div>
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<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold;">ambil beberapa sel dari leher rahim
pasien dengan mengusapkan sebuah sikat kecil atau spatula</span></div>
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<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold;">oleskan sel-sel pada kaca preparat </span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; mso-list: l10 level1 lfo11; tab-stops: list 54.0pt; text-autospace: none; text-indent: -18.0pt;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold;">kirim ke laboraturium untuk dilakukan
pemeriksaan secara mikroskopis</span></div>
<pre style="background: white;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><a href="http://www.hawaii.edu/hivandaids/Early_Detection_is_the_Best_Protection--Pap_SmearCervical_Cancer_Indonesian.pdf"><span style="color: windowtext;">http://www.hawaii.edu/hivandaids/Early_Detection_is_the_Best_Protection--Pap_SmearCervical_Cancer_Indonesian.pdf</span></a></span></pre>
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<br /></div>
<div class="MsoNormal" style="background: white;">
<br /></div>
<pre style="background: white;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;">KOLPOSKOPI</b></span></i></pre>
<pre style="background: white;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> </span></pre>
<pre style="background: white;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Kolposkopi adalah suatu prosedur pemeriksaan vagina dan serviks oleh</span></pre>
<pre style="background: white;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">seorang dokter yang berpengalaman dalam bidang tersebut. Dengan memeriksa</span></pre>
<pre style="background: white;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">permukaan serviks, dokter akan menentukan penyebab abnormalitas dari sel-sel serviks seperti yang dinyatakan dalam pemeriksaan 'Pap Smear'. Cara pemeriksaan kolposkopi adalah sebagai berikut: dokter akan memasukkan suatu spektrum kedalam vagina dan memberi warna saluran serviks dengan suatu cairan yang membuat permukaan serviks yang mengandung sel-sel yang abnormal terwarnai. Kemudian dokter akan melihat kedalam saluran serviks melalui sebuah alat yang disebut kolposkop. Kolposkop adalah suatu alat semacam mikroskop binocular yang mempergunakan sinar yang kuat dengan pembesaran yang tinggi. Jika area yang abnormal sudah terlokalisasi, dokter akan mengambil sampel pada jaringan tersebut (melakukan biopsi) untuk kemudian dikirim ke lab guna pemeriksaan yang mendetail dan akurat. Pengobatan akan sangat tergantung sekali pada hasil pemeriksaan kolposkopi anda.</span></pre>
<pre><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><a href="http://www.mail-archive.com/balita-anda@indoglobal.com/"><span style="color: windowtext;">http://www.mail-archive.com/balita-anda@indoglobal.com/</span></a></span></pre>
<pre><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> </span></pre>
<pre><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> </span></pre>
<pre><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">PERCOBAAN SCHILLER</span></i></b></pre>
<pre><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Berikan yodium pada luka, epitel porsio yang abnormal menjadi berwarna cokelat tua sedang daerah-daerah yang tidak normal berwarna kuning coklat dan tampak pucat. Daerah-daerah yang pucat salah satunya dapat pula disebabkan oleh erosi porsio.</span></pre>
<pre><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> </span></pre>
<pre><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> </span></pre>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">ASUHAN KEBIDANAN </span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PADA IBU P10011 DENGAN
EROSIO PORSIO</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">I.PENGKAJIAN</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-list: l0 level2 lfo2; tab-stops: list 108.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">DATA
SUYEKTIF</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; mso-list: l0 level4 lfo2; tab-stops: list 117.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">biodata</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">terjadi
pada usia reproduksi atau selama wanita masih menikah</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">keluhan utama</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level5 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">keputihan
berwarna putih kekuningan</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level5 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">nyeri
saat berhubungan seksual</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level5 lfo2; text-indent: -18.0pt;">
<span lang="FI" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI;">keluar darah dari kemaluan saat melakukan hubungan
seksual</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level5 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">rasa
kemeng pada daerah panggul</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">riwayat kesehatan
sekarang</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level5 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">keputihan
berwarna putih kekuningan</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level5 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">nyeri
saat berhubungan seksual</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level5 lfo2; text-indent: -18.0pt;">
<span lang="FI" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI;">keluar darah dari kemaluan saat melakukan hubungan
seksual</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level5 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">rasa
kemeng pada daerah panggul</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level5 lfo2; text-indent: -18.0pt;">
<span lang="SV" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: SV;">ibu tidak sedang menderita penyakit apapun</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">riwayat kesehatan
dahulu</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">ibu
pernah mengalami erosi porsio, ibu pernah mengalami infeksi pada mulut rahim</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">riwayat kesehatan keluarga</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">-</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 99.0pt; mso-list: l0 level4 lfo2; tab-stops: list 117.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">riwayat menstruasi</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">siklus
menstruasi tidak teratur karena ibu sering mengeluarkan darah terutama setelah
berhubungan seksual</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; mso-list: l0 level4 lfo2; tab-stops: list 117.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">riwayat obstetric</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>ibu pernah melahirkan pervaginam yang
menyebabkan luka pada porsio karena partus atau abortus</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; mso-list: l0 level4 lfo2; tab-stops: list 117.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">pola kegiatan
sehari-hari</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">pola
seksual: </span></div>
<div class="MsoNormal" style="margin-left: 162.0pt; mso-list: l0 level6 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">frekuensi
yang terlalu sering</span></div>
<div class="MsoNormal" style="margin-left: 162.0pt; mso-list: l0 level6 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">dilakukan
dengan kasar dan keras</span></div>
<div class="MsoNormal" style="margin-left: 162.0pt; mso-list: l0 level6 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">sering
gonta-ganti pasangan</span></div>
<div class="MsoNormal" style="margin-left: 162.0pt; mso-list: l0 level6 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">ibu
mengalami dispareuni </span></div>
<div class="MsoNormal" style="margin-left: 162.0pt; mso-list: l0 level6 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">keluar
darah pervaginam post coitus</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; mso-list: l0 level4 lfo2; tab-stops: list 117.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">riwayat perkawinan</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>sering gonta-ganti pasangan</span></div>
<div class="MsoNormal" style="margin-left: 180.0pt; mso-list: l0 level4 lfo2; tab-stops: list 117.0pt; text-indent: -81.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">riwayat
psikologi</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">ibu
merasa cemas dengan keadaannya</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-list: l0 level2 lfo2; tab-stops: list 108.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">DATA
OBYEKTIF</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt; mso-list: l0 level4 lfo2; tab-stops: list 117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">pemeriksaan
umum</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level3 lfo2; tab-stops: list 117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">kesadaran:composmentis</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level3 lfo2; tab-stops: list 117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">TD:dbn</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level3 lfo2; tab-stops: list 117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Nadi:dbn</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level3 lfo2; tab-stops: list 126.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Suhu:normal
sampai>38C</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level3 lfo2; tab-stops: list 117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">RR:dbn</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 117.0pt; mso-list: l3 level1 lfo3; tab-stops: list 117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">pemeriksaan
khusus</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-list: l3 level2 lfo3; tab-stops: list 117.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">abdomen:terdapat
nyeri tekan perut bagian bawah, teraba pembesaran kelenjar limfe di inguinal</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-list: l3 level2 lfo3; tab-stops: list 117.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">genetalia:<span style="mso-spacerun: yes;"> </span>terlihat pengeluaran secret yang agak putih
kuning</span></div>
<div class="MsoNormal" style="margin-left: 162.0pt; mso-list: l9 level1 lfo4; tab-stops: list 171.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">speculum:
pada porsio uteri disekitar ostium uteri eksternum tampak daerah
kemerah-merahan, secret yang dikeluarkan terdiri atas mucus bercampur darah</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt; mso-list: l3 level1 lfo3; tab-stops: list 117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">pemeriksaan
penunjang</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt; mso-list: l9 level1 lfo4; tab-stops: list 126.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PAP
SMEAR:hasil normal dan apabila hasil pap smear meragukan dapat dilakukan
biopsy, untuk kepastian bahwa tidak ada karsinoma</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 117.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l2 level1 lfo5; tab-stops: list 54.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">INTERPRETASI DATA DASAR</span></div>
<div class="MsoNormal" style="margin-left: 63.0pt; mso-list: l2 level2 lfo5; tab-stops: list 72.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Diagnosa</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IT;">Dx: ibu P10011 dengan erosio porsio</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ds:
ibu mengatakan mengalami:</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l2 level3 lfo5; tab-stops: list 81.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">keputihan
berwarna putih kekuningan</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l0 level5 lfo2; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">nyeri
saat berhubungan seksual</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l0 level5 lfo2; text-indent: 0cm;">
<span lang="FI" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI;">keluar
darah dari kemaluan saat melakukan hubungan seksual</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l0 level5 lfo2; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">rasa
kemeng pada daerah panggul</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Do:</span></div>
<div class="MsoNormal" style="margin-left: 111.75pt; mso-list: l6 level1 lfo6; tab-stops: list 111.75pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">abdomen:terdapat
nyeri tekan perut bagian bawah, teraba pembesaran kelenjar limfe di inguinal</span></div>
<div class="MsoNormal" style="margin-left: 111.75pt; mso-list: l6 level1 lfo6; tab-stops: list 111.75pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">genetalia:<span style="mso-spacerun: yes;"> </span>terlihat pengeluaran secret yang agak putih
kuning</span></div>
<div class="MsoNormal" style="margin-left: 162.0pt; mso-list: l9 level1 lfo4; tab-stops: list 171.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">speculum:
pada porsio uteri disekitar ostium uteri eksternum tampak daerah
kemerah-merahan, secret yang dikeluarkan terdiri atas mucus bercampur darah</span></div>
<div class="MsoNormal" style="margin-left: 162.0pt; tab-stops: list 171.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l9 level2 lfo4; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">pemeriksaan
penunjang</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt; mso-list: l9 level1 lfo4; tab-stops: list 126.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PAP
SMEAR: hasil normal dan apabila hasil pap smear meragukan dapat dilakukan
biopsy, untuk kepastian bahwa tidak ada karsinoma</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 117.0pt; mso-list: l9 level1 lfo4; tab-stops: list 126.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Masalah:
-</span></div>
<div class="MsoNormal" style="margin-left: 63.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 63.0pt; mso-list: l2 level1 lfo5; tab-stops: list 81.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">ANTISIPASI MASALAH
POTENSIAL</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Servisitis</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">IV.
IDENTIFIKASI KEBUTUHAN SEGERA</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pemberian
obat-obatan antibiotic serta antiseptic</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kolaborasi
dengan dokter SpOG untuk dilakukannya kauterisasi</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level1 lfo8; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">INTERVENSI</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level1 lfo7; tab-stops: list 90.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">jelaskan pada ibu
mengenai keadaannya</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">R/
ibu dapat mengerti tentang keadaannya </span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level1 lfo7; tab-stops: list 90.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">mengkaji pengetahuan
suami istri tentang pola seksual yang telah dijalani</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">R/
dapat mengetahui tingkat pengetahuan suami istri tentang pola hubungan seksual</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level1 lfo7; tab-stops: list 90.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">diskusikan dengan suami
tentang kondisi ibu</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">R/
suami dapat beradaptasi dan memahami keadaan ibu</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l8 level1 lfo7; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">ajarkan ibu melakukan
personal hygiene dengan cara mengganti celana dalam minimal 2x sehari dan
mengajari cara cebok yang benar</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">R/
dengan personal hygiene yang baik maka dapat mencegah masuknya kuman yang dapat
memperburuk keadaan erosi porsio</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l8 level1 lfo7; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kolaborasi dengan
dokter SpOG dalam pemberian obat-obatan antibiotic serta antiseptic</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: SV;">R/ dapat mematikan flora pathogen dalam vagina. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Mempertahankan
flora normal dan memulihkan keasaman fisiologis dari vagina</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level1 lfo7; tab-stops: list 90.0pt; text-indent: 0cm;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI;">jika erosi porsio telah luas, maka kolaborasi dengan dokr
SpOG untuk melakukan kauterisasi</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: FI;">R/ kauterisasi dapat menyebabkan nekrosis jaringan yang meradang sehingga
dapat terlepas dan diganti lambat laun oleh jaringan sehat</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level1 lfo8; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">IMPLEMENTASI</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Lakukan
sesuai intervensi</span></div>
<div class="MsoNormal" style="margin-left: 2.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">VII.EVALUASI</span></div>
<div class="MsoNormal" style="margin-left: 2.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">DI BPS</span></div>
<div class="MsoNormal" style="margin-left: 2.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tanggal:
......<span style="mso-spacerun: yes;"> </span>jam: ......</span></div>
<div class="MsoNormal" style="margin-left: 2.0cm;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: SV;">S: Ibu mengatakan mengerti dengan penjelasan bidan dan akan melakukan
anjuran</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 45.0pt; text-indent: 11.7pt;">
<span style="mso-ansi-language: IN;">O : - </span><span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">ibu kooperatif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 45.0pt; text-indent: -18.0pt;">
<span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 2;"> </span></span><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">- keadaan umum baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 45.0pt; text-indent: -18.0pt;">
<span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 2;"> </span></span><span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">- kesadaran
komposmentis</span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;"><span style="mso-tab-count: 2;"> </span></span><span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">- </span><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">TTV</span><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">
TD:dbn</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level3 lfo2; tab-stops: list 117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Nadi:dbn</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level3 lfo2; tab-stops: list 126.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Suhu:normal
sampai>38C</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l0 level3 lfo2; tab-stops: list 117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">RR:dbn</span></div>
<div class="MsoNormal" style="margin-left: 70.9pt; text-indent: -70.9pt;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;"><span style="mso-tab-count: 1;"> </span></span><span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">- </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">abdomen:terdapat
nyeri tekan perut bagian bawah, teraba pembesaran kelenjar limfe di inguinal</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">-genetalia:<span style="mso-spacerun: yes;"> </span>terlihat pengeluaran secret yang agak putih
kuning</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 45.0pt; text-indent: 11.7pt;">
<span style="mso-ansi-language: IN;">A : </span><span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">ibu P10011 dengan erosio porsio</span><span lang="IT" style="mso-ansi-language: IT;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-indent: -6.3pt;">
<span style="mso-ansi-language: IN;">P :<span style="mso-spacerun: yes;"> </span>1. </span><span lang="EN-US">Anjurkan ibu untuk
melakukan personal hygiene</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 72.0pt;">
<span lang="EN-US">2.Anjurkan ibu untuk segera memeriksakan diri ke dr SpOG untuk
pemeriksaan dan penanganan yang sesuai</span><span style="mso-ansi-language: IN;"></span></div>Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com1tag:blogger.com,1999:blog-7621867379838256899.post-78768692081917564452012-06-14T22:08:00.000+07:002012-06-14T22:08:53.593+07:00Tromboflebitis<!--[if gte mso 9]><xml>
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<br />
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l1 level2 lfo1; tab-stops: list 27.0pt; text-indent: -27.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Pengertian
Tromboflebitis</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-indent: 30.0pt;">
<span style="mso-ansi-language: IN;">Tromboflebitis
adalah peradangan vena yang terjadi dikaitkan dengan bekuan intervaskular atau
trombus. (Kopita Selekta Kedaruratan Obstetri dan Ginekologi, 420). </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-indent: 30.0pt;">
<span style="mso-ansi-language: IN;">Tromboflebitis
adalah infeksi nifas oleh mikroorganisme patogen yang mengikuti aliran di
sepanjang vena dan cabang-cabangnya. (Pelayanan Kesehatan Maternal dan
Neonatal, 264).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-indent: 30.0pt;">
<span style="mso-ansi-language: IN;">Tromboflebitis
adalah inflamasi endotelium vaskuler dengan pembentukan bekuan pada dinding
pembuluh darah. </span><span lang="EN-US">(Keperawatan ibu-bayi baru lahir)</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l1 level2 lfo1; tab-stops: list 27.0pt; text-indent: -27.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">Klasifikasi Tromboflebitis</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l3 level1 lfo2; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Tromboflebitis Femoralis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<span style="mso-ansi-language: IN;">Yaitu suatu tromboflebitis yang
mengenai satu atau kedua vena femoralis. Hal ini disebabkan oleh adanya
trombosis atau embosis yang disebabkan karena adanya perubahan atau kerusakan
pada intima pembuluh darah, perubahan pada susunan darah, laju peredaran darah,
atau karena pengaruh infeksi atau venaseksi. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l3 level1 lfo2; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Tromboflebitis Pelvik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<span style="mso-ansi-language: IN;">Mengenai vena-vena dinding uterus dan
ligamentum latum, yaitu vena ovarika, vena uterina dan vena hipogastrika. Vena
yang paling sering terkena adalah vena ovarika dektra karena infeksi pada
tempat implantasi plasenta terletak di bagian atas uterus. Perluasan infeksi
dari vena ovarika sinistra ialah ke vena renalis, sedang perluasan infeksi dari
vena ovarika dekstra ialah ke vena kava inferior.Perluasan infeksi dari vena
uterina ialah ke vena iliaka komunis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Bakteri
yang biasanya berkaitan dengan tromboflebitis streptokokus anaerob dan
bakteriodes</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l1 level2 lfo1; tab-stops: list 27.0pt; text-indent: -27.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Tanda dan Gejala</span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"> Tromboflebitis</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l0 level1 lfo3; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Tromboflebitis Pelvik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-indent: -27.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Nyeri, yang terdapat pada perut bagian bawah dan
atau perut bagian samping</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-indent: -27.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">timbul pada hari ke 2 – 3 masa nifas dengan atau
tanpa panas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-indent: -27.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Penderita tampak sakit berat dengan gambaran
karakteristik sebagai berikut :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l0 level3 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Menggigil
berulang kali</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l0 level3 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Suhu badan
naik turun secara tajam (36<sup>0</sup>c menjadi 40<sup>0</sup>c).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l0 level3 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Penyakit
dapat berlangsung selama 1 – 3 bulan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l0 level3 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Cenderung
terbentuk PUS, yang menjalar ke mana-mana, terutama ke paru-paru.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level2 lfo3; tab-stops: list 72.0pt; text-indent: -27.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Gambaran darah :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l0 level3 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Terdapat leukositosis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-indent: -27.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Pada periksa dalam hampir tidak ditemukan<span style="mso-spacerun: yes;"> </span>apa-apa karena yang paling banyak terkena
adalah vena ovarika, yang sukar dicapai pada pemeriksaan dalam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l0 level1 lfo3; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Tromboflebitis Femoralis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-indent: -27.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Pada salah satu kaki yang terkena, akan memberikan
tanda-tanda sebagai berikut :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l0 level3 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Kaki sedikit
dalam keadaan fleksi dan rotasi keluar serta sukar bergerak, lebih panas
dibanding dengan kaki lainnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l0 level3 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Seluruh
bagian dari salah satu vena pada kaki terasa tegang dan keras pada paha bagian
atas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l0 level3 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Nyeri hebat
pada lipat paha dan daerah paha.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l0 level3 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Reflektorik
akan terjadi spasmus sehingga kaki menjadi bengkak, tegang, nyeri dan dingin
dan pulsasi menurun.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l0 level3 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Edema kadang-kadang
terjadi sebelum atau setelah nyeri dan pada umumnya terdapat pada paha bagian
atas, tetapi lebih sering dimulai dari jari-jari kaki dan pergelangan kaki,
kemudian meluas dari bawah ke atas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l0 level3 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Nyeri pada
betis, yang dapat terjadi spontan atau dengan memijit betis. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-indent: -27.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Keadaan umum tetap baik, suhu badan subfebris
selama 7 – 10 hari, kemudian suhu mendadak naik kira-kira pada hari ke 10 – 20,
yang disertai dengan menggigil dan nyeri sekali</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l1 level2 lfo1; tab-stops: list 27.0pt; text-indent: -27.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">Faktor Predisposisi Tromboflebitis</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l2 level1 lfo4; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Pertambahan usia, semakin tua maka semakin
beresiko terjadi tromboflebitis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l2 level1 lfo4; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Episode tromboflebitis sebelumnya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l2 level1 lfo4; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Pembedahan</span><span lang="EN-US"> obstetric</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l2 level1 lfo4; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Kelahiran</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l2 level1 lfo4; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Obesitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l2 level1 lfo4; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Imobilisasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l2 level1 lfo4; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Trauma vaskular</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l2 level1 lfo4; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Varises</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l2 level1 lfo4; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Multiparietas</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l2 level1 lfo4; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Supresi laktasi dengan esterogen</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l2 level1 lfo4; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Infeksi nifas </span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l1 level2 lfo1; tab-stops: list 27.0pt; text-indent: -27.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Patofisiologi </span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US">Terlampir </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l1 level2 lfo1; tab-stops: list 27.0pt; text-indent: -27.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pemeriksaan Penunjang</span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l5 level1 lfo6; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Ultrasonograf <span style="mso-spacerun: yes;"> </span>Doppler</span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt;">
<span style="mso-ansi-language: IN;">Tehnik dopler memungkinkan penilaian kualitatif
terhadap kemampuan katub pada vena profunda,vena penghubung dan vena yang
mengalami pervorasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l5 level1 lfo6; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pemeriksaan hematokrit</span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt;">
<span lang="EN-US">Mengidentifikasi Hemokonsentrasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l5 level1 lfo6; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pemeriksaan Koagulasi</span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span lang="EN-US">Menunjukkan hiperkoagulabilitas</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l5 level1 lfo6; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Biakan darah</span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="mso-ansi-language: IN;">Pemeriksaan Baik aerob maupun anaerob dapat
membantu. Organisme yang penting untuk di antisipasi meliputi Streptokokus
aerob dan anaerob. Staphilokokus aureus ,Eschercia coli dan Bakteriodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l5 level1 lfo6; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pemindai ultrasuond dupleks</span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="mso-ansi-language: IN;">dengan tehnik ini obstruksi vena dan refleks katub
dapat dideteksi dan dilokalisasi dan dapat dilihat diagram vena-vena penghubung
yang tidak kompeten</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l5 level1 lfo6; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Venografi</span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="mso-ansi-language: IN;">Bahan kontras disuntikkan<span style="mso-spacerun: yes;"> </span>kedalam sistem vena untuk memberikan gambaran
pada vena-vena di ekstrimitas bawah dan pelvis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l1 level2 lfo1; tab-stops: list 27.0pt; text-indent: -27.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.7<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">Penanganan Tromboflebitis</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l4 level1 lfo5; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Tromboflebitis Pelvik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l4 level2 lfo5; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Rawat </span><span lang="EN-US">in</span><span style="mso-ansi-language: IN;">ap</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<span style="mso-ansi-language: IN;">Penderita tirah baring untuk
pemantauan gejala penyakitnya dan mencegahnya terjadinya emboli pulmonum.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l4 level2 lfo5; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Terapi medis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<span style="mso-ansi-language: IN;">Pemberian antibiotika heparin jika
terdapat tanda-tanda atau dugaan adanya emboli pulmonum.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l4 level2 lfo5; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Terapi operatif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<span style="mso-ansi-language: IN;">Pengikatan vena kava inferior dan vena
ovarika jika emboli septik terus berlangsung sampai mencapai paru-paru,
meskipun sedang dilakukan heparinisasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l4 level1 lfo5; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Tromboflebitis Femoralis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l4 level2 lfo5; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Perawatan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<span style="mso-ansi-language: IN;">Kaki ditinggikan untuk mengurangi edema,
lakukan kompresi pada kaki. Setelah mobilisasi kaki hendaknya tetap dibalut
elastik atau memakai kaos kaki panjang yang elastik selama mungkin.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l4 level2 lfo5; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Terapi medik : pemberian antibitik dan anlgetika</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify; text-indent: -18pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify; text-indent: -18pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify; text-indent: -18pt;">
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">DAFTAR PUSTAKA</span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="margin-left: 45.0pt; text-indent: -45.0pt;">
<span style="font-size: 13.0pt; mso-ansi-language: IN; mso-bidi-font-size: 14.0pt;">Bagian
Obstetri dan Ginecologi Fakultas Kedokteran Universitas Indonesia. 2002. <u>Buku
Acuan Nasioanl Pelayanan Kesehatan Material dan Neonatal.</u> Jakarta : YBP –
SP.</span></div>
<div class="MsoNormal" style="margin-left: 45.0pt; text-indent: -45.0pt;">
<span style="font-size: 13.0pt; mso-ansi-language: IN; mso-bidi-font-size: 14.0pt;">Manuaba,
Ida Bagus Gde. 2001. <u>Kapita Selekta Penatalaksanaan Rutin Obstetri
Ginekologi dan KB,</u> Jakarta : EGC.</span></div>
<div class="MsoNormal" style="margin-left: 45.0pt; text-indent: -45.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 45.0pt; text-indent: -45.0pt;">
<span style="font-size: 13.0pt; mso-ansi-language: IN; mso-bidi-font-size: 14.0pt;">Mochtar,
rustam. 1998. <u>Sinopsis Obstetri : Obstetri Fisiologi, obstetri Patologo.</u>
Jakarta : EGC.</span></div>
<div class="MsoNormal" style="margin-left: 45.0pt; text-indent: -45.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 45.0pt; text-indent: -45.0pt;">
<span style="font-size: 13.0pt; mso-ansi-language: IN; mso-bidi-font-size: 14.0pt;">Straight,Barbara
R.2004.<u>Keperawatan Ibu-Bayi Baru Lahir</u>.Jakarta:EGC</span></div>
<div class="MsoNormal" style="margin-left: 45.0pt; text-indent: -45.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 45.0pt; text-indent: -45.0pt;">
<span style="font-size: 13.0pt; mso-ansi-language: IN; mso-bidi-font-size: 14.0pt;">Taber,
Ben – Zion. 1994. <u>Kapita Selekta Kedaruratan Obstetri dan Ginekologi.</u>
Jakarta : EGC.</span></div>
<div class="MsoNormal" style="margin-left: 45.0pt; text-indent: -45.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 45.0pt; text-indent: -45.0pt;">
<span style="font-size: 13.0pt; mso-ansi-language: IN; mso-bidi-font-size: 14.0pt;">WHO.
2002. <u>Safe Motherhood, Modul Sepsis Puerperalis : Materi Pendidikan Untuk
Kebidanan.</u> Jakarta : EGC</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify; text-indent: -18pt;">
<br /></div>Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com1tag:blogger.com,1999:blog-7621867379838256899.post-41329461951113259612012-04-17T11:04:00.001+07:002012-04-17T11:07:00.406+07:00Mioma Uteri<br />
<div class="WordSection1">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="line-height: 150%;">BAB I<br />
PENDAHULUAN</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l6 level2 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;">1.1<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Latar Belakang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Masalah
kesehatan ibu saat ini, merupakan suatu tantangan yang cukup besar di Indonesia.
Tingginya angka kesakitan ibu tidak terlepas dari beberapa faktor diantaranya
diagnosa karena tanda-tanda dan gejala
yang masih banyak kurang dipahami / kurang diketahui, kurangnya pengetahuan
ibu, pencegahan jarang disosialisasikan dan penanganannya yang terlambat /
fasilitas yang kurang. Salah satu penyebab angka kesakitan ibu adalah, adanya
penyakit dan kelainan tidak langsung yang menyertai kehamilan, yaitu, myoma
uteri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Insiden
myoma yang mempersulit kehamilan adalah 1 dalam 200, tetapi kebanyakan myoma
tersebut kecil dan tidak menimbulkan masalah. Komplikasi yang terjadi
tergantung pada jumlah, ukuran, dan posisi myoma di dalam uterus. Dengan adanya
neoplasma jinak yang paling umum pada fraktus genitalia ini akan saling
berkaitan, dengan kehamilan dan persalinan. Dimana kehamilan dan persalinan
berpengaruh pada mioma uteri dan mioma uteri mempengaruhui kehamilan dan
persalinan. Oleh karena itu, kehamilan pada myoma uteri memerlukan pengamatan
yang cermat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Selain
itu penyebab dari myoma uteri itu sendiri belum jelas kebenarannya. Berdasarkan
basil penelitian semua hasilnya masih sebatas perkiraan-perkiraan saja. Yang
pasti myoma uteri merupakan salah satu dari sekian banyak penyakit yang menjadi
momok tersendiri bagi kaum wanita.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Oleh
sebab itu, karni membuat makalah mengenai myoma uteri yang diambil, dari
beberapa pustaka bersama kesimpulan dari beberapa pustaka tersebut disertai
ASKEB sebagai asuhan pada penderita Myoma Uteri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l6 level2 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;">1.2<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Tujuan Penulisan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l3 level1 lfo2; text-indent: -35.45pt;">
<span lang="EN-US" style="line-height: 150%;">1.2.1<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Tujuan Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-indent: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Meningkatkan
pengetahuan mahasiswa Prodi Kebidanan Jember mengenai penyakit dan kelainan
tidak langsung yang menyertai kehamilan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l3 level1 lfo2; text-indent: -35.45pt;">
<span lang="EN-US" style="line-height: 150%;">1.2.2<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Tujuan Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l11 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mahasisma mampu mendeteksi secara dini terhadap adanya mioma
uteri pada kehamilan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l11 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mahasiswa mampu memahami tentang pengaruh kehamilan dan
pasalinan pada mioma uteri dan pengaruh mioma pada kehamilan dan persalinan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l11 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mahasiswa mampu memberikan asuhan kebidanan pada ibu hamil
dengan mioma uteri sesuai dengan kewenangan bidan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l11 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mahasiswa mampu melakukan kolaborasi dengan, dokter untuk
penanganan lebih lanjut hamil dengan mioma.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l6 level2 lfo1; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;">1.3<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ruang Lingkup</span></div>
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<span lang="EN-US" style="line-height: 150%;">Adapun ruang
lingkup</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l7 level1 lfo4; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Definisi mioma uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l7 level1 lfo4; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Klasifikasi mioma uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l7 level1 lfo4; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Patologi mioma uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l7 level1 lfo4; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Etiologi mioma uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l7 level1 lfo4; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%;">5.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Gejala / tanda mioma uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l7 level1 lfo4; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%;">6.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Diagnosis mioma uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l7 level1 lfo4; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%;">7.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Komplikasi mioma uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l7 level1 lfo4; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%;">8.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Penatalaksanaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="line-height: 150%;">BAB II</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="line-height: 150%;">TINJAUAN PUSTAKA</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo5; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;">I.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">DEFINISI </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 1.0cm;">
<u><span lang="EN-US" style="line-height: 150%;">Mioma Uteri</span></u></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Mioma uteri
adalah neoplasma jinak yang berasal dari otot uterus dan jaringan ikat sehingga
dalam kepustakaan disebut juga leiomioma, fibromioma, atau fibroid (FKUI, 2001
: 387)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<u><span lang="EN-US" style="line-height: 150%;">Mioma Uteri
(Fibromtoma, Fibroid)</span></u></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Mioma merupakan
tumor yang paling umum pada traktus genitalia. Mioma terdiri atas
serabut-serabut otot polos yang diselingi dengan untaian jaringan ikat, dan dikelilingi kapsul yang tipis
(Dasar-dasar Obstetri & Ginekologi, 2001 : 263)</span></div>
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<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<u><span lang="EN-US" style="line-height: 150%;">Miometrium</span></u></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Neoplasma jinak ini
berasal dari otot uterus dan jaringan
ikat yang rnenumpangnya, sehingga dalam kepustakaan dikenal juga istilah
fibrbmioma, leiomioma, atau pun fibroid.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Berdasarkan
otopsi, Novak menemukan 27% wanita berumur 25 tahun mempunyai sarang mioma,
pada wanita yang berkulit hitam ditemukan lebih banyak. Mioma uteri belum
pernah (dilaporkan) terjadi sebelum menarche. Setelah menopause hanya kira-kira
10% mioma uteri yang masih dapat turnbuh. Di Indonesia mioma uteri ditemukan
2,39-11,7% pada semua penderita ginekologi yang dirawat (Wiknjosastro, Hanafi,
2005 : 338)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<u><span lang="EN-US" style="line-height: 150%;">Fibroid = fibro myoma</span></u></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Myoma uteri yaitu
pertumbuhan sel miometrium yang immature. Penyakit ini timbul dan tumbuh secara
perlahan. Bila banyak mengandung sel otot maka konsistensinya lunak, sedangkan
bila mengandung banyak jaringan ikat (fibroid ) maka konsistensinya kenyal.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<u><span lang="EN-US" style="line-height: 150%;">Leimyomata
(Fibroid)</span></u></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Tumor jinak
tersebut berasal dari dinding otot uterus. Ukuran bervariasi, dari sangat kecil
sampai sangat besar yang mengisi pelvik dan abdomen, dapat tunggal atau
multipel. Fibroid adalah tumor yang paling umum terdapat pada wanita, mengenai
lebih 20 % dari wanita. Lebih umum terdapat pada orang Negro. Walupun
tumor-tumor tersebut sering tanpa gejala tetapi dapat mengalami komplikasi yang
menyebabkan pasien dalam keadaan darurat (Hakimi, 1993 : 41).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Myoma uteri
adalah tumor jinak dari otot-otot rahim (FK UNPAD, 1984 : 134).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Miorna uteri
merupakan tumor jinak otot rahim, disertai jaringan ikatnya, sehingga dapat
dalam bentuk padat karena jaringan ikatnya dominan dan lunak karena otot
rahimnya dominan. Kejadian mioma uteri sukar ditetapkan karena tidak semua, mioma
uteri memberikan keluhan dan memerlukan tindakan operasi. Sebagian penderita
mioma uteri tidak memberikan keluhan apapun dan ditemukan secara kebetulan saat
pemeriksaan (Manuaba, Iada bagus gde, 1998 : 409 – 410)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 1.0cm;">
<u><span lang="EN-US" style="line-height: 150%;">Leiomiowa</span></u></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Tumor uterus
jinak tak berkapsul, berbatas tegas </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Otot polos dengan
beberapa elemen jaringan penyambung fibrosa (Scott, James R, dkk, 2002 : 484)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Mioma Uteri adalah
tumor jinak otot rahim disertai jaringan ikatnya sehingga dalam bentuk padat
karena jaringan ikatnya dominan dan lunak karena otot rahimnya dominan)</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; text-indent: 1.0cm;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US">http//www.blogdokter.net/2007/07/04.mioma
uteri</span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Mioma uteri atau
fibroid uterus adalah pertumbuhan jaringan jinak dalam uterus
(http://www.wartamerdeka.com)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 1.0cm;">
<u><span lang="EN-US" style="line-height: 150%;">Kesimpulan
Definisi</span></u></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">MIOMA UTERI atau
yang disebut juga leiomioma, fibromioma dan fibroid adalah neoplasma, jinak
yang berasal dari otot uterus dan jaringan ikat, sehingga bila banyak
mengandung cell otot maka konsistensinta lunak, sedangkan bila mengandung
banyak jaringan ikat (fibroid) maka konsistensinya kenyal, dengan ukuran
bervariasi dari sangat kecil sampai sangat besar yang mengisi pelvik dan
abdomen dapat tunggal atau multiple.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 27.5pt 33.0pt;">
<span lang="EN-US" style="line-height: 150%;">II. ETIOLOGI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 27.5pt;">
<span lang="EN-US" style="line-height: 150%;">Pada dasarkan
penyebab myoma uteri ini sebelumnya diketahui secara pasti dan belum jelas. Namur dari perkiraan
sementara, penyebabnya yaitu adanya sel-sel otot miometrium yang belum matang
(immature). Perkiraan lainnya yaitu ada hubungannya dengan pengaruh estrogen.
Dimana, terjadinya tumor yaitu mulai dari adanya, benih-benih multiple yang
sangat kecil dan tersebar di miometrium. Benih-benih ini tumbuh sangat lambat
tetapi progresif dibawah pengaruh estrogen, dan jika tidak terdeteksi dini maka
akan membentuk tumor yang berat. Dan setelah menopause, ketika estrogen tidak
lagi diskresi dalam, jumlah yang banyak, myoma cenderung mengalami otrofi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 27.5pt;">
<span lang="EN-US" style="line-height: 150%;">III. KLASIFIKASI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l16 level1 lfo8; text-indent: -14.2pt;">
<span lang="EN-US" style="line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pengaruh Kehamilan dan Persalinan pada, Mioma Uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Meningkatnya vaskularisasi uterus ditambah dengan meningkatnya
kadar estrogen sirkulasi sering menyebabkan pembesaran dan pelunakan mioma.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Degenerasi merah dan degenerasi karnosa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Terjadinya torsi dengan tanda dan gejala sindrom abdomen
akut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Infeksi dan necrosa dari myoma</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l16 level1 lfo8; text-indent: -14.2pt;">
<span lang="EN-US" style="line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pengaruh Mioma pada Kehamilan dan Persalinan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Subfertil sampai infertil </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Pada umumnya
wanita yang menderita myoma uteri ini akan menjadi infertil. Hal ini dapat
disebabkan oleh karena :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l13 level1 lfo7; text-indent: -14.2pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Hambatan pada jalannya telur</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l13 level1 lfo7; text-indent: -14.2pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Gangguan ovulasi karena kadar estrogen yang tinggi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l13 level1 lfo7; text-indent: -14.2pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Gangguan implantasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Abortus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 27.8pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;"> Dapat menyebabkan abortus karena: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l13 level1 lfo7; text-indent: -14.2pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Gangguan nutrisi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l13 level1 lfo7; text-indent: -14.2pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Gangguan vaskularisasi placenta</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l13 level1 lfo7; text-indent: -14.2pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Penekanan oleh myoma yang dapat menyebabkan gangguan
pertumbuhan dan menyebabkan late abortion (partus immaturus)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Kelainan letak janin dalam rahim (malpersentasi)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Distosia tumor yang menghalangi jalan lahir</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Iersia uteri pada kala I dan kala II</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Atonia uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Kelainan letak plasenta</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Plasenta sukar lepas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Menghalangi kemajuan persalinan karena letaknya pada servik
uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Perdarahan pasca persalinan karena adanya gangguan mekanik
dalam fungsi miometrium</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mengganggu involusi dalam masa nifas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Menyebabkan placenta previa dan placenta accreta</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Prematuritas (karena kapasitas uterus menurun)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Intrauterine fetal death</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 49.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 27.5pt;">
<span lang="EN-US" style="line-height: 150%;">IV. PATOLOGI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-indent: -22.15pt;">
<span lang="EN-US" style="line-height: 150%;">Tumor ini hampir selalu berasal dari miometrium dan dapat tumbuh ke
berbagai arah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 27.5pt;">
<span lang="EN-US" style="line-height: 150%;">Menurut letaknya,
mioma terdiri dari:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l17 level1 lfo10; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mioma Submukosum.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Tumbuh tepat di
bawah endometrium hingga ke dalam rongga uterus. Hal ini ditunjukkan dengan
perubahan pada pola menstruasi. Mioma jenis ini sering mempunyai tangkai yang
panjang sehingga menonjol melalui cervix dan vagina atau disebut <i style="mso-bidi-font-style: normal;">myomageburt.</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l17 level1 lfo10; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mioma Interstisial atau Intramural</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Merupakan jenis
yang sering terdapat di dalam dinding uterus diantara serabut miometrium. Jika
besar atau multiple, dapat menyebabkan pembesaran uterus dengan berbenjol-benjol.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l17 level1 lfo10; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mioma Subserosum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Tumbuh keluar
dinding uterus dan letaknya di bawah tunika serosa. Kadang vena yang ada di permukaan
pecah dan menyebabkan perdarahan intraabdominal. Dapat bertangkai atau melayang
dalam ovum abdomen. Myoma sabserosa yang bertangkai dapat mengalami torsi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l17 level1 lfo10; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mioma Intraligamenter</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Tumbuh keluar ke
dalam ruang diantara ligamentum latum yang dapat menekan ureter dan A. Iliaca.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l17 level1 lfo10; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">5.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mioma Servikal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Jarang dijumpai.
Merupakan fibroid tungkai dan menyebabkan distorsi serviks yang sering disertai disminorhoe. Jika
terlalu besar dapat menekan kandung kemih dan rectum. Jika pasien hamil akan
terjadi kesulitan dalam persalinan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l17 level1 lfo10; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">6.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mioma Leiomyomatosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Tejadi karena
penyebaran tumor melalui pembuluh darah setelah, menyerang saluran vaskuler.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt;">
<span lang="EN-US" style="line-height: 150%;">Perubahan
sekunder pada myoma, uteri sebagian besar bersifat degeneratif karena berkurangnya
aliran darah ke myoma uteri. Perubahan sekunder tersebut meliputi :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo11; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Atrofi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Sesudah menopause
atau hamil mioma uteri akan menjadi
kecil.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo11; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Degnerasi Hialin</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 71.5pt;">
<span lang="EN-US" style="line-height: 150%;">Perubahan ini
sering terjadi terutama pada penderita
berusia lanjut. Tumor akan kehilangan struktur aslinya menjadi homogen. Dapat
meliputi sebagian besar atau hanya sebagian kecil,seolah-olah memisahkan satu
kelompok serabut otot dari kelompok lainnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo11; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Degenarsi kistik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 71.5pt;">
<span lang="EN-US" style="line-height: 150%;">Dapat meliputi
daerah kecil maupun luas, dimana sebagian dari mioma menjadi cair, sehingga
terbentuk ruangan-ruangan yang tidak teratur berisi seperti agar-agar. Dapat
juga terjadi pembengkakan yang luas dan
bendungan limfe sehingga menyerupai limfangioma. Dengan konsistensi yang lunak
ini tumor sukar dibedakan dari kista ovarium atau suatu kehamilan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo11; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Degenarasi membatu (Calcireous degeneration)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Terjadi pada
wanita usia lanjut oleh adanya gangguan dalam sirkulasi. Karena adanya
pengedapan pada sarang mioma oleh garam kapur sehingga mioma menjadi keras.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo11; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">5.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Degenarasi merah (corneuus degeneration)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 71.5pt;">
<span lang="EN-US" style="line-height: 150%;">Perubahan ini
biasanya terjadi pada kehamilan dan nifas. Patogenesis: diperkirakan karena
suatu nekrosis subakut sebagai gangguan vaskularisasi. Pada pembelahan dapat
dilihat mioma seperti daging mentah berwarna merah disebabkan oleh pigmen
hemosiderin dan hemofusin. Degenerasi merah tampak khas apabila terjadi pada
kehamilan muda disertai emesis, haul, sedikit demam, kesakitan, tumor pada
uterus membesar dan nyeri pada perabaan. Penarnpilan klinik ini seperti pada
putaran tangkai tumor ovarium atau mioma bertangkai.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo11; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">6.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Degenarasi lemak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Jarang terjadi dan merupakan kelanjutan dari degenerasi
hialin</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span lang="EN-US" style="line-height: 150%;">V. GEJALA DAN TANDA</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 35.45pt; mso-list: l9 level1 lfo6; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Wingdings; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US" style="line-height: 150%;">Gejala Primer</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Perdarahan abnormal, karena meluasnya permukaan endometrium
dalam proses menstruasi dan adanya gangguan kontraksi otot rahim. Perdarahan
abnormal tersebut antara lain : menoragia dan metroragia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Nyeri abdomen</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Gejala dan tanda penekanan, dimana akibat adanya penekanan
oleh rahim yang membesar dapat
terjadi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l13 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Penekanan pada kandung kemih yang menyebabkan pollari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l13 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Penenakan pada uretra dapat menyebabkan rotensia urine</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l13 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Penekanan pada ureter dapat menyebabkan hidroureter dan
hidronefrosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l13 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Penekanan pads rectum dapat menyebabkan obstipasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Gangguan pertumbuhan dan perkembangan kehamilan yaitu abortus
spontan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Nyeri pada pinggul yang menyebabkan gangguan pada saat berhubungan seksual (coitus)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Tanda fisik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l13 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Dengan adanya massa
pada abdomen sangat teraba jelas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l13 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pembesaran uterus dengan pergeseran abdominal,</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 35.45pt; mso-list: l9 level1 lfo6; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Wingdings; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US" style="line-height: 150%;">Gejala Sekunder</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Anemia, karena perdarahan yang banyak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Lemah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pusing</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Sesak nafas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 35.45pt; text-indent: -2.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span lang="EN-US" style="line-height: 150%;">VI. DIAGNOSA</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 38.5pt;">
<span lang="EN-US" style="line-height: 150%;">Penderita datang
biasanya dengan keluhan ada benjolan di perut bagian bawah rasa berat,
perdarahan abnormal, retensio urin dan lain-lain.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 38.5pt;">
<span lang="EN-US" style="line-height: 150%;">Diagnosa myoma
uteri oleh bidan secara sederhana dengan memperhatikan gejala klinik yaitu
terdapat perdarahan menstruasi yang tidak normal, terdapat gangguan miksi atau
buang air besar dan terasa, nyeri terutama saat menstruasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 38.5pt;">
<span lang="EN-US" style="line-height: 150%;">Pemeriksaan
bimanual didapat tumor padat uterus yang sering teraba berbenjol atau
bertangkai, yang urnumnya terletak di garis tengah atau pun agak ke samping.
Mioma subsrosum dapat mempunyai tangkai yang berhubungan dengan uterus. Mioma
intramural akan menyebabkan kavum uteri menjadi luga yang di tegakkan dengan pemeriksaan uterus sande. Mioma submukosum
kadang dapat teraba benjolan pada permukaan kovum uteri. Pemeriksaan
abdomen dan vagina mungkin menunjukkan uterus yang menonjol atau, pembesaran uterus yang licin.
Kalau servik digerakkan, seluruh massa
yang padat bergerak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-indent: 17.2pt;">
<span lang="EN-US" style="line-height: 150%;">Untuk
membamtu menegakkan dugaan klinis atau diagnosis yaitu dengan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo9; text-indent: 2.5pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pemeriksaan bimanual kecuali pada, pasien yang gemuk</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo9; text-indent: 2.5pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">USG abdominal dan transuaginal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo9; text-indent: 2.5pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pemeriksaan ultrasound pelvic</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo9; text-indent: 2.5pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pemeriksaan uterus sonde</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-indent: 17.2pt;">
<span lang="EN-US" style="line-height: 150%;">DIAGNOSA
BANDING</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo9; text-indent: 2.5pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mioma subserosum dengan kehamilan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo9; text-indent: 2.5pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mioma submukosum dengan inertia uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 71.5pt; mso-list: l4 level1 lfo9; text-indent: -33.0pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mioma - intramural dengan adenomiosis, khoriokarnasinoma,
karsinoma korpus uteri, sarcoma uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo9; text-indent: 2.5pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Kanker servik dan endometrium</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo9; text-indent: 2.5pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Tumor ovarium</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span lang="EN-US" style="line-height: 150%;">VII KOMPLIKASI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l5 level1 lfo13; text-indent: 2.5pt;">
<span lang="EN-US" style="line-height: 150%;">a.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Degenerasi ganas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 71.5pt;">
<span lang="EN-US" style="line-height: 150%;">Keganasan baru
ditemukan pada pemeriksaan histology uterus yang telah diangkat. Curiga akan
keganasan apabila myoma uteri dapat membesar dan terjadi pembesaran sarang
mioma dalam menopause.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l5 level1 lfo13; text-indent: 2.5pt;">
<span lang="EN-US" style="line-height: 150%;">b.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Torsi / putaran tungkai</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 71.5pt;">
<span lang="EN-US" style="line-height: 150%;">Torsi terdapat
pada myonia uteri yang bertangkai. Torsi juga dapat menimbulkan nekrosis
sindroma abdomen akut. jJika torsi terjadi perlahan-lahan, gangguan akut tidak
terjadi. Hal ini hendaknya dibedakan dengan suatu keadaan di mana terdapat
banyak sarang mioma dalam rongga peritoneum.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.6pt; text-indent: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;">Sarang
mioma dapat mengalami nekrosis dan infeksi yang diperkirakan karena, gangguan yang sirkulasi darah, padanya. Misalnya
terjadi pada mioma yang dilahirkan hingga perdarahan berupa metroragia atau menoragia
disertai leukore dan gangguan-gangguan yang disebabkan oleh infeksi dari uterus
sendiri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span lang="EN-US" style="line-height: 150%;">VIII. PENANGANAN </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 13.65pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Beberapa
tindakan yang dapat ditempuh jika terdapat mioma uteri yaitu :</span></div>
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<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pemeriksaan secara berkala untuk melihat perkembangan mioma
uteri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pemberian obat-obatan antara lain gonadotropin-realising
hormone (GnRH) agonist, androgen, kontrasepsi oral atau progestin, clan NSAIDs.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Histerektomi, yaitu operasi pengangkatan uterus.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Miomektomi, yaitu operasi untuk mengangkat mioma, ada tiga
macam yaitu miomektomi abdominal, miomektomi laparoskopi, clan miomektomi
histeroskopi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Embolisasi arteri uterus, yaitu suntikan untuk menghentikan
suplai darah ke jaringan mioma, sehingga mioma mengecil.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pembedahan ultrasonik terfokus.)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-indent: -14.15pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt;">
<span lang="EN-US" style="line-height: 150%;"> PENATALAKSANAAN</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l12 level1 lfo14; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Konservatif dengan pemeriksaaan periodik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Tidak semua mioma
uteri memerlukan pengobatan bedah, 55% dari semua mioma uteri tidak membutuhkan
suatu pengobatan dalam bentuk apapun terutama apabila, mioma itu masih kecil
dan tidak menimbulkan keluhan. Walaupun
demikian mioma uteri memerlukan pengamatan setiap 3 – 6 bulan. Dalam menopause
dapat terhenti pertumbuhannya atau mengecil. Apabila mioma besarnya sebesar
kehamilan 12-14 minggu apalagi disertai pertumbuhan yang cepat sebaiknya
dioperasi, walaupun tidak ada keluhan. Dalam decade terakhir ada usaha mengobati
mioma uterus dengan GnRH agonist (GnRHa). Pemberian GnHRa (buseriline acetate)
selama 16 minggu pada mioma uteri rnenghasil degenerasi hialin di miometrium
hingga uterus, menjadi lebih kecil. Akan tetapi bila dihentikan dapat tumbuh
kembali di bawah pengaruh estrogen karena mioma itu masih mengandung reseptor
estrogen dalam konsentrasi tinggi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l12 level1 lfo14; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Radioterapi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Hanya dilakukan pada wanita yang tidak dapat dioperasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Uterus harus lebih kecil dari kehamilan 3 bulan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Bukan jenis submucosa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Tidak disertai radang pelvis, atau penekanan pada rectum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Tidak dilakukan pada wanita muda (dapat menyebabkan
menopause) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Jenis radioterapi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Radium dalam cavum uteri,</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">X – trai pada ovum (castrasi)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Radioterapi hendaknya hanya dikerjakan
apabila tidak ada keganasan pada uterus.</span></div>
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<span lang="EN-US" style="line-height: 150%;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Myomektomi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Adalah
pengambilan sarang mioma saja tanpa
pengangkatan uterus sehingga pasien masih bisa hamil.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Jika menyebabkan
infertilitas dikerjakan myomektomi sebelum kehamilan. Boleh dikerjakan pada
kehamilan bila tenyata terpaksa yaitu karena menyebabkan komplikasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Kerugian</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Melemahkan dinding uterus – rupture uteri pada waktu hamil</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Menyebabkan perlekatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Residif</span></div>
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<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l12 level1 lfo14; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Hyterektomi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Hysterektomi
yaitu operasi pengangkatan uterus. Dapat dilaksanakan per abdomen atau
pervaginam Dilakukan pada :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Myoma yang besar</span></div>
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<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Multipel </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Pada wanita muda
sebaiknya ditinggalkan 1 atau kedua ovarium maksudnya :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Menjaga jangan terjadi menopause sebelum waktunya</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Menjaga gangguan coronair atau aeroteroselerosis umum.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 34.9pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Indikasinya
:</span></div>
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<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Anak sudah cukup</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Anak sudah tua</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l13 level1 lfo7; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ada</span><span lang="EN-US" style="line-height: 150%;"> keluhan penekanan
yaitu : retensi urine, penekanan saraf</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div class="WordSection2">
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%;">IX. PATOFISIOLOGI</span></b></div>
<div align="center">
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
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<span lang="EN-US">Sel-sel otot rahim yang belum
matur</span></div>
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<span lang="EN-US" style="line-height: 150%;"></span></div>
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<span lang="EN-US">Reseptor estrogen berlebihan</span></div>
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<br /></div>
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<br /></div>
</td>
<td colspan="4" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 308.2pt;" valign="top" width="411"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Hiperplasia dan hipertrofi</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 67.6pt;" valign="top" width="90"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.45pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.2pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.15pt;" valign="top" width="99"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.95pt;" valign="top" width="100"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 75.75pt;" valign="top" width="101"><div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 79.95pt;" valign="top" width="107"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 67.6pt;" valign="top" width="90"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.45pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.2pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.15pt;" valign="top" width="99"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td colspan="4" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 308.2pt;" valign="top" width="411"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Benjolan abdomen</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 67.6pt;" valign="top" width="90"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.45pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.2pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.15pt;" valign="top" width="99"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.95pt;" valign="top" width="100"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 75.75pt;" valign="top" width="101"><div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 79.95pt;" valign="top" width="107"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 67.6pt;" valign="top" width="90"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.45pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.2pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.15pt;" valign="top" width="99"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td colspan="4" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 308.2pt;" valign="top" width="411"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Gejala penekanan</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 67.6pt;" valign="top" width="90"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.45pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.2pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.15pt;" valign="top" width="99"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.95pt;" valign="top" width="100"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 75.75pt;" valign="top" width="101"><div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 1.0cm;">
<span lang="EN-US" style="line-height: 150%;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 79.95pt;" valign="top" width="107"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 67.6pt;" valign="top" width="90"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.45pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.2pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.15pt;" valign="top" width="99"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.95pt;" valign="top" width="100"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 75.75pt;" valign="top" width="101"><div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 79.95pt;" valign="top" width="107"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 67.6pt;" valign="top" width="90"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.45pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Uretra </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.2pt;" valign="top" width="94"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Distensi pada
uterus </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.15pt;" valign="top" width="99"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Vena kava
inverior </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Pars interstisialis tuba</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.95pt;" valign="top" width="100"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Rectum</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 75.75pt;" valign="top" width="101"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Kandung kemih</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 79.95pt;" valign="top" width="107"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Penekananpd
serviks</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 67.6pt;" valign="top" width="90"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Penekanapd
dinding rahim</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.45pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.2pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.15pt;" valign="top" width="99"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.95pt;" valign="top" width="100"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 75.75pt;" valign="top" width="101"><div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 79.95pt;" valign="top" width="107"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 67.6pt;" valign="top" width="90"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.45pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US">Retensio urin</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.2pt;" valign="top" width="94"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Abortus </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.15pt;" valign="top" width="99"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Gangguan sirkulasi</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">infertilitas</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.95pt;" valign="top" width="100"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Konstipasi </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 75.75pt;" valign="top" width="101"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Poliuri disuri polaakisuri </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 79.95pt;" valign="top" width="107"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Menghalangi jalan lahir </span></div>
</td>
<td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 215.6pt;" valign="top" width="287"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Gangguan mekanik</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US"> fungsi miometrium</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.2pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.15pt;" valign="top" width="99"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US"></span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Edema </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.95pt;" valign="top" width="100"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 75.75pt;" valign="top" width="101"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 79.95pt;" valign="top" width="107"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 67.6pt;" valign="top" width="90"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="line-height: 200%; tab-stops: 1.0cm;">
<span lang="EN-US" style="line-height: 200%;"></span></div>
<div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.45pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.2pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.15pt;" valign="top" width="99"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.95pt;" valign="top" width="100"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 75.75pt;" valign="top" width="101"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 79.95pt;" valign="top" width="107"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 67.6pt;" valign="top" width="90"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US">Atonia
uterus</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.45pt;" valign="top" width="94"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Plasenta sulit lepas</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.2pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.15pt;" valign="top" width="99"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.95pt;" valign="top" width="100"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 75.75pt;" valign="top" width="101"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 79.95pt;" valign="top" width="107"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 67.6pt;" valign="top" width="90"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 200%; tab-stops: 1.0cm;">
<span lang="EN-US" style="line-height: 200%;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.45pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<span lang="EN-US"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 70.2pt;" valign="top" width="94"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.15pt;" valign="top" width="99"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 77.55pt;" valign="top" width="103"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 74.95pt;" valign="top" width="100"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 75.75pt;" valign="top" width="101"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 79.95pt;" valign="top" width="107"><div class="MsoNoSpacing" style="tab-stops: 1.0cm;">
<br /></div>
</td>
<td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 215.6pt;" valign="top" width="287"><div align="center" class="MsoNoSpacing" style="tab-stops: 1.0cm; text-align: center;">
<span lang="EN-US">Perdarahan pasca persalinan</span></div>
</td>
</tr>
</tbody></table>
</div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="line-height: 150%;">BAB III<br />
</span><span lang="EN-US" style="line-height: 150%;">PENUTUP</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l14 level2 lfo12; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;">1.1.<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US" style="line-height: 150%;">Kesimpulan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l18 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Mioma uteri atau disebut liomioma, fibromioma dan fibroid
adalah neoplasma jinak yang berasal dari otot uterus dan jaringan ikat dengan
ukuran bervariasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l18 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pengaruh kehamilan dan persalinan pada mioma uteri : Menurut,
hasil pemantauan ultrasonografik kemungkinan akurat pertumbuhan mioma tidak
dapat dibuat, meningkatnya vaskularisasi dan estrogen menyebabkan pembesaran
dan pelunakan mioma, mengalami degradasi, terjadi torosi dan infeksi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l18 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pengaruh mioma pada kehamilan dan persalinan : subfertil –
fertile, abortus, kelainan letak janin, distorsi tumor, insersia uteri kala I
dan II, anatonia uteri dan lain-lain.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l18 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Menurut letaknya, mioma terdiri dari : submukosum,
interstisila, subserosum, intaligamenter, servikal, leiomyoma tosis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<span lang="EN-US" style="line-height: 150%;">Perubahan
sekunder meliputi : atrofi, degenerasi hialin, degenerasi kistik, degenerasi
membatu, degenerasi merah, degenerasi lemak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l18 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">5.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Gejala primer : perdarahan abnormal, nyeri abdomen, gejala
dan tanda penekanan, abortus spontan,
nyeri panggul. Gejala Sekunder : anemia, lemah, pusing, sesak nafas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l18 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">6.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Untuk membantu mengegakkan dugaan klinis . yaitu dengan :
pemeriksaan bimanual, USG abdominal klinis dan transvaginal, pemeriksaan
ultrasound pelvic, dan uterus sonde.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l18 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">7.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Komplikasi myoma uteri degenerasi ganas, torsi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l18 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">8.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Penatalaksanaan : Konservatif, radioterapi, myomektomi,
hysterektomi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l14 level2 lfo12; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;">1.2.<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US" style="line-height: 150%;">Saran</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l19 level1 lfo16; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Diharapkan pembaca dan mahasiswa prodi kebidanan Jember dapat
belajar mengambil keputusan yang tepat (dalam hal ini rujukan) sehingga tidak
terlambat untuk tindakan selanjutnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l19 level1 lfo16; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Diharapkan pembaca dan mahasiswa dapat menyesuaikan praktek
di lapangan dengan teori yang ads sehingga dapat memberikan pelayanan kesehatan
yang tepat khususnya untuk penanganan Ibu hamil dengan mioma uteri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="line-height: 150%;">ASUHAN KEBIDANAN</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="line-height: 150%;">PADA IBU P………DENGAN MYOMA UTERI<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span lang="EN-US" style="line-height: 150%;">Tempat Pengkajian :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span lang="EN-US" style="line-height: 150%;">Waktu Pengkajian :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span lang="EN-US" style="line-height: 150%;">Tanggal Pengkajian :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span lang="EN-US" style="line-height: 150%;">Pangkaji :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l18 level2 lfo15; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%;">I.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">PENGKAJIAN </span><span lang="EN-US" style="line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l18 level3 lfo15; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">A.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Data Subyektif</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level1 lfo17; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Biodata </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm;">
<span lang="EN-US" style="line-height: 150%;">Umur:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pada wanita usia reproduksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Wanita berumur 25 tahun(mempunyai sarang myoma yang beresiko
untuk tumbuh) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Wanita umur 35-45 tahun</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level1 lfo17; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Keluhan Utama</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengeluh ada benjolan di perut bagian bawah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengeluh rasa berat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengalami perdarahan abnormal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu merasa nyeri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengalami poliuri, retensio urine, disuaria, sering
kencing</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengalami konstipasi sampai obstipasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengeluh nyeri panggul</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengalami edema tungkai</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengeluh kesulitan melakukan hubungan seksual</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level1 lfo17; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Riwayat Kehamilan Sekarang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.7pt; text-indent: 15.3pt;">
<span lang="EN-US" style="line-height: 150%;">-</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level1 lfo17; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Riwayat Kesehatan Sekarang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengeluh ada benjolan di perut bagian bawah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengeluh rasa berat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengalami perdarahan abnormal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu merasa nyeri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengalami poliuri, retensio urine, disuria, sering
kencing</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengalami konstipasi sampai obstipasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengeluh nyeri panggul</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengalami edema tungkai</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu mengeluh kesulitan melakukan hubungan seksual karena
nyeri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level1 lfo17; tab-stops: 38.5pt; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%;">5.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Riwayat Kesehatan Dahulu</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 55.0pt;">
<span lang="EN-US" style="line-height: 150%;">Ibu mengatakan
pernah menderita mioma uteri sebelumnya</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level1 lfo17; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%;">6.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Riwayat Kesehatan Keluarga</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Dalam
keluarga ada riwayat mioma uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level1 lfo17; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%;">7.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Riwayat Menstruasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Ibu dengan perdarahan abnormal (hipermenorea, menoragia,
metroragia)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Dismenorhea (+ )</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">HPHT</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level1 lfo17; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%;">8.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Riwayat Pernikahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt;">
<span lang="EN-US" style="line-height: 150%;">-</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level1 lfo17; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%;">9.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Riwayat Obstetri</span></div>
<div align="center">
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; width: 672px;">
<tbody>
<tr style="height: 21.6pt; mso-height-rule: exactly; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="3" style="border: solid windowtext 1.0pt; height: 21.6pt; mso-border-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 80.7pt;" valign="top" width="108"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">Kehamilan</span></div>
</td>
<td colspan="4" style="border-left: none; border: solid windowtext 1.0pt; height: 21.6pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 160.7pt;" valign="top" width="214"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">Persalinan</span></div>
</td>
<td colspan="4" style="border-left: none; border: solid windowtext 1.0pt; height: 21.6pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 148.1pt;" valign="top" width="197"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">Anak</span></div>
</td>
<td colspan="4" style="border-left: none; border: solid windowtext 1.0pt; height: 21.6pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-right-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 114.5pt;" valign="top" width="153"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">Nifas</span></div>
</td>
</tr>
<tr style="height: 16.3pt; mso-height-rule: exactly; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 23.95pt;" valign="top" width="32"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">Ke</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 21.3pt;" valign="top" width="28"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">Uk</span><span lang="EN-US" style="font-size: 10pt; line-height: 150%;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 35.45pt;" width="47"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">Komp</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 35.4pt;" valign="top" width="47"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">Jenis</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 49.65pt;" width="66"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">Penolong</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 35.4pt;" width="47"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">Tmpt</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 40.25pt;" width="54"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">Komp</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 30.75pt;" valign="top" width="41"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">Sex</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 44.85pt;" valign="top" width="60"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">PB/BB</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 37.95pt;" valign="top" width="51"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">+ / G</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 34.55pt;" valign="top" width="46"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">H M</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 29.05pt;" valign="top" width="39"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">Usia</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 33.85pt;" valign="top" width="45"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">ASI</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 24.95pt;" valign="top" width="33"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">KB</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 16.3pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 26.65pt;" valign="top" width="36"><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-size: 10pt; line-height: 150%;">Komp</span></div>
</td>
</tr>
<tr style="height: 93.7pt; mso-height-rule: exactly; mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 23.95pt;" width="32"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 21.3pt;" width="28"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 35.45pt;" width="47"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 35.4pt;" width="47"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 49.65pt;" width="66"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 35.4pt;" width="47"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 40.25pt;" width="54"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 30.75pt;" width="41"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 44.85pt;" width="60"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 37.95pt;" width="51"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 34.55pt;" width="46"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 29.05pt;" width="39"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 33.85pt;" width="45"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 24.95pt;" width="33"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 93.7pt; mso-border-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .75pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 26.65pt;" width="36"><div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
</tr>
</tbody></table>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">(Pada
Ibu nulipara atau yang kurang subur)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l8 level1 lfo17; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;">10.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Riwayat KB</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="line-height: 150%;">Ibu menggunakan
atau pernah menggunakan KB hormonal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l8 level1 lfo17; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;">11.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pola Kegiatan Sehari-hari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">BAB : Konstipasi sampai obstipasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">BAK : Poliuri, anuria, retensio urine, sering
kencing </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Istrirahat
:
Terganggu karena. nyeri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Seksual :
Kesulitan melakukan hubungan seksual (nyeri saat coitus)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l8 level1 lfo17; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;">12.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Riwayat Psikososial, Ekonomi dan Spiritual</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-indent: 28.95pt;">
<span lang="EN-US" style="line-height: 150%;">Ibu merasa khawatir dan cemas akan keadaannya</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l18 level3 lfo15; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">B.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Data Obyektif</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Keadaan
umum : Cukup</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Kesadaran :
compos mentis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">TTV :
TD : DBN (110-120 / 70-80 mmHg) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;"> N :
DBN (60 – 100 x menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;"> RR :
normal - meningkat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;"> S :
DBN - meningkat bila terjadi infeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 144.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;"> :
36,2 C – 38C (Ladyweg : 2006) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C
– 37,2 C (Varney : 1997) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C
– 37,5C (Depkes)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Pemeriksaan
fisik :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Muka : Pucat ( + )</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Mata : Konjungtiva pucat (+) / (+ )</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Gilut : Bibir pucat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Abdomen : - Teraba benjolan di perut bagian bawah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;"> - Palpsi Leopold: adanya kelainan letak
janin (malpresentasi) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;"> - Nyeri tekan (+)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Genetali :
Perdarahan ( + )</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 7.0cm; tab-stops: 184.3pt; text-indent: -42.5pt;">
<span lang="EN-US" style="line-height: 150%;">VT : Teraba tumor pada
abdomen bagian bawah, pergerakan tumor terbatas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Ektremitos
: edema tungkai (+) / (+ )</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Pemeriksaan
Penunjang :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">USG Abdominal dan transvaginal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Laparaskopi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l4 level1 lfo9; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pemeriksaan Hb</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l18 level2 lfo15; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%;">II.<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US" style="line-height: 150%;">INTERPRETASI DATA DASAR</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">Dx : Ibu P…………Dengan Mioma Uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt;">
<span lang="EN-US" style="line-height: 150%;"> Ds :
- Mengeluh ada benjolan diperut bagian bawah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm;">
<span lang="EN-US" style="line-height: 150%;">- Mengeluh rasa
berat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm;">
<span lang="EN-US" style="line-height: 150%;">- Perdarahan abnormal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm;">
<span lang="EN-US" style="line-height: 150%;">- Merasa nyeri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-indent: -7.1pt;">
<span lang="EN-US" style="line-height: 150%;">-
Mengalami poliuri, retensio urine, disuria, sering kencing </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-indent: -7.1pt;">
<span lang="EN-US" style="line-height: 150%;">-
Mengalami konstipasi sampai obstipasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm;">
<span lang="EN-US" style="line-height: 150%;">- Mengeluh nyeri
panggul</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm;">
<span lang="EN-US" style="line-height: 150%;">- Mengalami edema
tungkai</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm;">
<span lang="EN-US" style="line-height: 150%;">- Mengeluh
kesulitan melakukan hubungan seksual</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">Do : Palpasi :
teraba benjolan di perut bagian bawah </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 148.5pt; text-indent: 5.5pt;">
<span lang="EN-US" style="line-height: 150%;">Nyeri
tekan (+)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%;"> Genetalia : Perdarahan ( + )</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 191.4pt; text-indent: -35.45pt;">
<span lang="EN-US" style="line-height: 150%;">VT : Teraba tumor padat pada
abdomen bagian bawah, pergerakan tumor terbatas</span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l18 level2 lfo15; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%;">III.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">ANTISIPASI MASALAH POTENSIAL </span><span lang="EN-US" style="line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; text-indent: -42.35pt;">
<span lang="EN-US" style="line-height: 150%;">Syok neurogeik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">Anemia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l18 level2 lfo15; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%;">IV.<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US" style="line-height: 150%;">IDENTIFIKASI KEBUTUHAN SEGERA</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo9; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Infus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo9; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Kolaborasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo9; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Rujuk</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l18 level2 lfo15; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%;">V.<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US" style="line-height: 150%;">INTERVENSI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo18; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Jelaskan pada, ibu dan keluarga tentang keadaanya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">R/ Ibu dan
keluarga mengerti serta lebih kooperatif</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo18; text-indent: -21.8pt;">
<span lang="EN-US" style="line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Berikan KIE dan motivasi tentang mioma uteri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 18.0pt; text-indent: 17.45pt;">
<span lang="EN-US" style="line-height: 150%;">R/
ibu mengerti dan mengurangi kecemasan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo18; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Observasi TTV</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">R/ Deteksi dini
adanya komplikasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo18; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Beritahu keluarga untuk menyiapkan rujukan misalnya kendaraan
dan uang. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">R/ Mencegah 3T : terlambat
mengambil keputusan, terlambat ke tempat rujukan, terlambat dalam penanganan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo18; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">5.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Persiapkan alat, surat
rujukan dan obat–obatan untuk persiapan rujukan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">R/ Mengantisipasi
masalah yang akan tejadi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo18; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%;">6.<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Kolaborasi dengan dokter mengenai tindakan yang akan dilakukan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">R/ memberikan
pelayanan yang tepat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l18 level2 lfo15; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%;">VI.<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US" style="line-height: 150%;">IMPLEMENTASI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">-</span></div>
<div class="MsoNoSpacing" style="margin-left: 21.3pt; mso-list: l18 level2 lfo15; text-indent: -21.3pt;">
<span lang="EN-US">VII.</span><span lang="EN-US">EVALUASI </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="EN-US" style="line-height: 150%;">S : Ibu mengatakan mengerti atas penjelasan yang
diberikan Oleh bidan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="EN-US" style="line-height: 150%;">O : Kecemasan Ibu berkurang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Ibu dan
keluarga bersedia melakukan nasehat bidan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="EN-US" style="line-height: 150%;">A : Ibu P...........dengan Mioma Uteri </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="EN-US" style="line-height: 150%;">P : Lakukan rujukan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="EN-US" style="line-height: 150%;">CATATAN PERKEMBANGAN </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="EN-US" style="line-height: 150%;">Tanggal.................</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 35.45pt; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%;">S : ibu mengatakan terdapat
benjolan dan terasa nyeri di perut bagian bawah dan ibu datang atas rujukan
dari bidan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; tab-stops: 35.45pt 2.0cm; text-indent: 14.75pt;">
<span lang="EN-US" style="line-height: 150%;">O : TD : DBN (110-120 / 70-80 mmHg) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; text-indent: -58.35pt;">
<span lang="EN-US" style="line-height: 150%;"> N : DBN (60 – 100 x menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; tab-stops: 42.55pt; text-indent: -65.45pt;">
<span lang="EN-US" style="line-height: 150%;"> RR : normal - meningkat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; text-indent: -65.45pt;">
<span lang="EN-US" style="line-height: 150%;"> S :
DBN - meningkat bila terjadi infeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> : 36,2 C – 38C (Ladyweg : 2006) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,2 C (Varney : 1997) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,5C (Depkes)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Abdomen :
tampak benjolan, teraba massa, batas tidak tegas, tidak rata, padat, imobile,
nyeri tekan (+)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Genetalia : fluksus (-)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">A : ibu P<sub>.......</sub> dengan myoma uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">P : - Observasi
TTV</span></div>
<div align="left" class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l1 level1 lfo19; text-align: left; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Pemberian terapi obat-obatan</span></div>
<div align="left" class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l1 level1 lfo19; text-align: left; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Persiapan pre ops. (histerektomi)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing">
<span lang="EN-US">CATATAN
PERKEMBANGAN </span></div>
<div align="left" class="MsoNoSpacing" style="margin-left: 21.3pt; mso-list: l10 level1 lfo20; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings;">Ø<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US">Tanggal ..................</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">S : ibu mengatakan cemas akan keadaannya </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; tab-stops: 35.45pt 2.0cm; text-indent: 14.75pt;">
<span lang="EN-US" style="line-height: 150%;">O : TD :
DBN (110-120 / 70-80 mmHg) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; text-indent: -58.35pt;">
<span lang="EN-US" style="line-height: 150%;"> N : DBN (60 – 100 x menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; tab-stops: 42.55pt; text-indent: -65.45pt;">
<span lang="EN-US" style="line-height: 150%;"> RR : normal - meningkat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; text-indent: -65.45pt;">
<span lang="EN-US" style="line-height: 150%;"> S : DBN - meningkat bila terjadi infeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> :
36,2 C – 38C (Ladyweg : 2006) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,2 C (Varney : 1997) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,5C (Depkes)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Abdomen :
tampak benjolan, teraba massa, batas tidak tegas, tidak rata, padat dan keras</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Genetalia : fluxus (-)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">A : ibu P<sub>.......</sub> dengan myoma uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">P : operasi histerektomi jam 09.00</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<br /></div>
<div align="left" class="MsoNoSpacing" style="margin-left: 21.3pt; mso-list: l10 level1 lfo20; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings;">Ø<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US">Tanggal ...................</span></div>
<div align="left" class="MsoNoSpacing" style="text-align: left;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">S : ibu mengatakan nyeri pada jahitan dan ibu
sudah kentut </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">O : K/U :
lemah </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; tab-stops: 35.45pt 2.0cm; text-indent: 14.75pt;">
<span lang="EN-US" style="line-height: 150%;"> TD
: DBN (110-120 / 70-80
mmHg) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; text-indent: -58.35pt;">
<span lang="EN-US" style="line-height: 150%;"> N : DBN (60 – 100 x menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; tab-stops: 42.55pt; text-indent: -65.45pt;">
<span lang="EN-US" style="line-height: 150%;"> RR : normal - meningkat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; text-indent: -65.45pt;">
<span lang="EN-US" style="line-height: 150%;"> S : DBN - meningkat bila terjadi infeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> :
36,2 C – 38C (Ladyweg : 2006) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,2 C (Varney : 1997) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,5C (Depkes)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Abdomen :
terdapat luka operasi tertutup verban, rembesan darah (-), PUS (-) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Genetalia : fluxus (-)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">A : ibu P<sub>................</sub> post histerektomy
a/i myoma uteri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">P : terapi post op</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<br /></div>
<div align="left" class="MsoNoSpacing" style="margin-left: 21.3pt; mso-list: l10 level1 lfo20; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings;">Ø<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US">Tanggal ........................</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">S : ibu
mengatakan nyeri pada jahitan dan ibu sudah kentut, belum BAB dan susah
melakukan mobilisasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">O : K/U :
lemah </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; tab-stops: 35.45pt 2.0cm; text-indent: 14.75pt;">
<span lang="EN-US" style="line-height: 150%;"> TD : DBN (110-120 / 70-80 mmHg) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> N :
DBN (60 – 100 x menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 42.55pt; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> RR : normal - meningkat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> S :
DBN - meningkat bila terjadi infeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> :
36,2 C – 38C (Ladyweg : 2006) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,2 C (Varney : 1997) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,5C (Depkes)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; tab-stops: 35.45pt 2.0cm; text-indent: 14.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Abdomen :
terdapat luka operasi tertutup verban, rembesan darah (-), PUS (-) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Genetalia : fluxus (-)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">A : ibu P<sub>............</sub>post histerektomi
a/i myoma uteri hari ke-2</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">P : - lanjutkan
terapi post op</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">Tanggal ..........................................</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">S : ibu
mengatakan tidak kentut dan belum BAB</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">O : K/U :
lemah </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; tab-stops: 35.45pt 2.0cm; text-indent: 14.75pt;">
<span lang="EN-US" style="line-height: 150%;"> TD : DBN (110-120 / 70-80 mmHg) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;"> N : DBN (60 – 100 x menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 42.55pt; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> RR : normal - meningkat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 49.65pt; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> S : DBN - meningkat bila terjadi infeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> :
36,2 C – 38C (Ladyweg : 2006) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,2 C (Varney : 1997) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,5C (Depkes)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Abdomen :
terdapat luka operasi tertutup verban, rembesan darah (-), PUS (-) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Genetalia : fluxus (-)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Drain (+) :
100 cc</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">A : ibu P<sub>...................</sub>post histerektomi
a/i myoma uteri hari ke-3</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">P : - lanjutkan
terapi post op</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 35.45pt 2.0cm; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;"> - mobilisasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 35.45pt 2.0cm; text-indent: 21.3pt;">
<br /></div>
<div align="left" class="MsoNoSpacing" style="margin-left: 21.3pt; mso-list: l10 level1 lfo20; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings;">Ø<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US">Tanggal ...............................</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">S : -</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">O : K/U :
cukup </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; tab-stops: 35.45pt 42.55pt 2.0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">TD : DBN (110-120 / 70-80 mmHg) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-indent: -35.45pt;">
<span lang="EN-US" style="line-height: 150%;"> N : DBN (60 – 100 x menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 42.55pt; text-indent: -42.55pt;">
<span lang="EN-US" style="line-height: 150%;"> RR : normal - meningkat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 70.9pt; text-indent: -42.55pt;">
<span lang="EN-US" style="line-height: 150%;"> S : DBN - meningkat bila terjadi infeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> :
36,2 C – 38C (Ladyweg : 2006) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,2 C (Varney : 1997) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,5C (Depkes)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Abdomen :
terdapat luka operasi tertutup verban, rembesan darah (-), PUS (-) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Genetalia : fluxus (-)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">A : ibu P<sub>.................</sub>post histerektomi
a/i myoma uteri hari ke-4</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">P : - lanjutkan
terapi post op</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<br /></div>
<div align="left" class="MsoNoSpacing" style="margin-left: 21.3pt; mso-list: l10 level1 lfo20; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings;">Ø<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US">Tanggal .........................................</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">S : -</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">O : K/U :
cukup </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; tab-stops: 35.45pt 2.0cm; text-indent: 14.75pt;">
<span lang="EN-US" style="line-height: 150%;"> TD : DBN (110-120 / 70-80 mmHg) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-indent: -35.45pt;">
<span lang="EN-US" style="line-height: 150%;"> N : DBN (60 – 100 x menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 42.55pt; text-indent: -42.55pt;">
<span lang="EN-US" style="line-height: 150%;"> RR : normal - meningkat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-indent: -42.55pt;">
<span lang="EN-US" style="line-height: 150%;"> S : DBN - meningkat bila terjadi infeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> :
36,2 C – 38C (Ladyweg : 2006) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,2 C (Varney : 1997) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,5C (Depkes)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Abdomen :
terdapat luka operasi tertutup verban, rembesan darah (-), PUS (-) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Genetalia : fluxus (-), BAB/BAK : +/+</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">A : ibu P<sub>.............</sub> post histerektomi
a/i myoma uteri hari ke-5</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">P : -
Observasi TTV</span></div>
<div align="left" class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l1 level1 lfo19; text-align: left; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%;">-<span style="font: 7pt "Times New Roman";">
</span></span><span lang="EN-US" style="line-height: 150%;">Observasi perdarahan </span></div>
<div align="left" class="MsoNoSpacing" style="line-height: 150%; text-align: left;">
<br /></div>
<div align="left" class="MsoNoSpacing" style="margin-left: 21.3pt; mso-list: l10 level1 lfo20; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings;">Ø<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US">Tanggal ......................................</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">S : ibu
mengatakan merasa batuk dan sudah BAB</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">O : K/U :
sedang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; tab-stops: 42.55pt 2.0cm; text-indent: 14.75pt;">
<span lang="EN-US" style="line-height: 150%;"> TD : DBN
(110-120 / 70-80 mmHg) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-indent: -35.45pt;">
<span lang="EN-US" style="line-height: 150%;"> N : DBN (60 – 100 x menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 42.55pt; text-indent: -42.55pt;">
<span lang="EN-US" style="line-height: 150%;"> RR : normal - meningkat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-indent: -42.55pt;">
<span lang="EN-US" style="line-height: 150%;"> S : DBN - meningkat bila terjadi infeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> :
36,2 C – 38C (Ladyweg : 2006) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,2 C (Varney : 1997) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,5C (Depkes)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 35.45pt;">
<span lang="EN-US" style="line-height: 150%;">Abdomen : terdapat luka operasi tertutup verban,
rembesan darah (-), PUS (-), nyeri (-)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Genetalia : fluxus (-)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">A : ibu P<sub>.................</sub>post histerektomi
a/i myoma uteri hari ke-6</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">P : - terapi
post op per oral</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<br /></div>
<div align="left" class="MsoNoSpacing" style="margin-left: 21.3pt; mso-list: l10 level1 lfo20; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings;">Ø<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US">Tanggal .................................</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 35.45pt; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%;">S : ibu
mengatakan merasa batuk dan sudah BAB</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">O : K/U
: sedang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; tab-stops: 35.45pt 2.0cm; text-indent: 14.75pt;">
<span lang="EN-US" style="line-height: 150%;"> TD : DBN (110-120 / 70-80 mmHg) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 70.9pt; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> N :
DBN (60 – 100 x menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 42.55pt; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> RR : normal - meningkat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> S : DBN - meningkat bila terjadi
infeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%;"> : 36,2 C – 38C (Ladyweg : 2006) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,2 C (Varney : 1997) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 180.0pt; text-indent: -38.25pt;">
<span lang="EN-US" style="line-height: 150%;">: 36C – 37,5C (Depkes)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.55pt; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%;">Abdomen
: terdapat luka operasi tertutup
verban, nyeri (-)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; tab-stops: 99.25pt; text-indent: -63.8pt;">
<span lang="EN-US" style="line-height: 150%;">Genetalia : fluxus (-)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">A : ibu P<sub>..............</sub>post histerektomi
a/i myoma uteri hari ke-7</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%;">P : - terapi
post op per oral</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span lang="EN-US" style="line-height: 150%;"><br /></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="line-height: 150%;">DAFTAR PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<span lang="EN-US">Bagian Obstetri & Genekologi Fakultass Kedokteran Universitas
Padjajaran. 1984. <i>Obstetri Patologi</i>. Bandung
; Elstar Offset.</span></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<span lang="EN-US">Cunningham, Macdonald, Gant. 1995. <i style="mso-bidi-font-style: normal;">Obstetri
Williams</i>. Edisi 18. Jakarta
: EGC </span></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<span lang="EN-US">FKUI 2001. <i style="mso-bidi-font-style: normal;">Kapita Selekta
Kedokteran</i>. Jakarta
: Media aesculapius.</span></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<span lang="EN-US">Hakimi. 1993. <i style="mso-bidi-font-style: normal;">Keadaan Darurat
Genelxlogi Umum</i>. Yogyakarta Yayasan
Essentia Medics.</span></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<span lang="EN-US">Hariadi. <i style="mso-bidi-font-style: normal;">Diktat Obstetri II</i>. Surabaya : Brats D.</span></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<span lang="EN-US">Llewellyn, Derek – Jones. 2001. <i style="mso-bidi-font-style: normal;">Dasar-dasar
Obstetri & Genekologi. Edisi 6.</i> Jakarta
: Hipokrates.</span></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<span lang="EN-US">Manuaba, Ida Bagus Gede. 1998. <i style="mso-bidi-font-style: normal;">Ilmu
Kebidanan, Penyakit Kandungan dan Keluarga Rerencana</i>. Jakarta: EGC.</span></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<span lang="EN-US">Mochtar, Rustam. 1998. <i style="mso-bidi-font-style: normal;">Sinopsis
Obstetri Jilid I.</i> Jakarta:
EGC.</span></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<span lang="EN-US">Scott, James R, dkk. 2002. <i style="mso-bidi-font-style: normal;">Obstetri
& Ginekologi</i>. Jakarta
: Widya Medika. </span></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<span lang="EN-US">Wiknjosastro, Hanifa. 2005. <i style="mso-bidi-font-style: normal;">Ilmu
Kandungan</i>. Jakarta:
YBP – SP. </span></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<span lang="EN-US">http://www.republika.co.id</span></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<span lang="EN-US">http://www.wartamedika.com</span></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<span lang="EN-US">http://www.stistemada.blogspot.com</span></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<br /></div>
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<br /></div>Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-9308309155578072382012-04-17T10:52:00.000+07:002012-04-17T10:52:52.962+07:00Ulcus Portio<!--[if !mso]>
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<br />
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="font-size: 18.0pt; mso-bidi-font-size: 12.0pt;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; mso-bidi-font-size: 12.0pt;">ULCUS PORTIO</span></b></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">PENGERTIAN</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Ulkus
adalah luka terbuka pada permukaan kulit atau selaput lendir.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -70.85pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Ulcus portio adalah kerusakan local atau ekskatasi permukaan
organ atau jaringan yang ditimbulkan oleh terkelupasnya jaringan nekrotik
radang (Kamus Doland 1998 : 1132)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">ETIOLOGI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Walaupun
dalam arti biologis sebabnya belum diketahui tapi ada keadaan tertentu yang
berhubungan sangat erat sekali dengan penyaikit ini. Sehingga hal ini dianagap
sebagai faktor-faktor etiologi, diantaranya :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -14.7pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Umumnya terjadi pada pasangan yang pasanganya tidak disunat,
hal ini karena terdapat sekumpulan smegma pada penis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -14.7pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Kawin muda, coitus pertama pada usia muda antara 15-20 tahun</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -14.7pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Suka ganti-ganti pasangan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -14.7pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Paritas banyak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">TANDA<span style="mso-bidi-font-weight: bold;"> DAN GEJALA</span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l17 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Perdarahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Sifatnya
intermenstruil atau perdarahan banyak (ex : setclah berhubungan atau coitus
(contact blooding))</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l17 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Keputihan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Menyerupai
air tidak gatal kadang-kadang timbulnva sebelum ada perdarahan. Pada stadium
lebih lanjut cairan yang keluar dari vagina lama-lama akan berbau busuk akibat
nekrosis atau infeksi pada cairan tumor.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">KOMPLIKASI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span lang="FI" style="line-height: 150%; mso-ansi-language: FI; mso-bidi-font-size: 12.0pt;">Terjadinya metastase ke tempat-tempat jauh (ex : hepar,
paru-paru, otak dan lain-lain)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">PATOFISIOLOGI </span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 21.3pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.65pt;" valign="top" width="144">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="height: 37px; left: 0px; margin-left: 62px; margin-top: 37px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251648000;"><img height="37" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 62px; margin-top: 72px; mso-ignore: vglayout; position: absolute; width: 444px; z-index: 251646976;"><img height="2" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="444" /></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">orang yang tidak disunat</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.45pt;" valign="top" width="143">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="height: 22px; left: 0px; margin-left: 130px; margin-top: 72px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251652096;"><img height="22" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="12" /></span><span style="height: 53px; left: 0px; margin-left: 64px; margin-top: 21px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251649024;"><img height="53" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" width="2" /></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Kawin muda</span></div>
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<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 108.5pt;" valign="top" width="145">
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<span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Wanita yang suka</span></div>
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<span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Ganti-ganti pasangan</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
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<tbody>
<tr>
<td height="2" width="65"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="17" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="2" /></td>
</tr>
</tbody></table>
<span lang="EN-US" style="mso-bidi-font-size: 12.0pt;"> </span>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.85pt;" valign="top" width="144"><br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="height: 53px; left: 0px; margin-left: 72px; margin-top: 21px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251651072;"><img height="53" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" width="2" /></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Parietal banvak</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.65pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 215.95pt;" valign="top" width="288">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Squamous cell / epidermoid</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.85pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.65pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 215.95pt;" valign="top" width="288">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="height: 29px; left: 0px; margin-left: 130px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251653120;"><img height="29" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="12" /></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.85pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.65pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
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<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Timbul lesi disekitar ostium
eksterna</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.85pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.65pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 215.95pt;" valign="top" width="288">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="height: 32px; left: 0px; margin-left: 130px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251654144;"><img height="32" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="12" /></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.85pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.65pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 215.95pt;" valign="top" width="288">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Mengenai sebagian besar atau
seluruh bibir portio</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.85pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.65pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 215.95pt;" valign="top" width="288">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 130px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251655168;"><img height="27" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" width="12" /></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.85pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.65pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<span style="height: 27px; left: 0px; margin-left: 57px; margin-top: 47px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251658240;"><img height="27" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" width="12" /></span><span style="height: 2px; left: 0px; margin-left: 62px; margin-top: 47px; mso-ignore: vglayout; position: absolute; width: 432px; z-index: 251656192;"><img height="2" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="432" /></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;"></span></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 215.95pt;" valign="top" width="288">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="height: 31px; left: 0px; margin-left: 135px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251657216;"><img height="31" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" width="2" /></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Tumor </span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.85pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<span style="height: 23px; left: 0px; margin-left: 56px; margin-top: 47px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251659264;"><img height="23" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image013.gif" width="12" /></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.65pt;" valign="top" width="144">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Endofilik</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.45pt;" valign="top" width="143">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 108.5pt;" valign="top" width="145">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.85pt;" valign="top" width="144">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Eksofilik</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.65pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="height: 25px; left: 0px; margin-left: 57px; margin-top: 1px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251660288;"><img height="25" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="12" /></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.45pt;" valign="top" width="143">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 108.5pt;" valign="top" width="145">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.85pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<span style="height: 25px; left: 0px; margin-left: 56px; margin-top: 1px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251661312;"><img height="25" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image015.gif" width="12" /></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.65pt;" valign="top" width="144">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="height: 2px; left: 0px; margin-left: 58px; margin-top: 69px; mso-ignore: vglayout; position: absolute; width: 436px; z-index: 251662336;"><img height="2" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image016.gif" width="436" /></span><span style="height: 13px; left: 0px; margin-left: 58px; margin-top: 58px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251663360;"><img height="13" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image017.gif" width="2" /></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Terjadi pengrusakan jaringan serviks</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.45pt;" valign="top" width="143">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="text-align: justify;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="13" width="130"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="23" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image013.gif" width="12" /></td>
</tr>
</tbody></table>
<span lang="EN-US" style="mso-bidi-font-size: 12.0pt;"> </span>
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 108.5pt;" valign="top" width="145">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.85pt;" valign="top" width="144"><br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="height: 33px; left: 0px; margin-left: 61px; margin-top: 38px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251664384;"><img height="33" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image018.gif" width="2" /></span><span lang="IT" style="mso-ansi-language: IT; mso-bidi-font-size: 12.0pt;">Infeksi dan nekrosis di lumen</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.65pt;" valign="top" width="144">
<div class="MsoNoSpacing" style="text-align: justify;">
<span style="height: 23px; left: 0px; margin-left: 57px; margin-top: 31px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251667456;"><img height="23" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image019.gif" width="12" /></span><span style="height: 2px; left: 0px; margin-left: 62px; margin-top: 31px; mso-ignore: vglayout; position: absolute; width: 436px; z-index: 251666432;"><img height="2" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image020.gif" width="436" /></span><span lang="IT" style="mso-ansi-language: IT; mso-bidi-font-size: 12.0pt;"></span></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 215.95pt;" valign="top" width="288">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Terjadi ulcus</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="13" width="130"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="23" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image021.gif" width="12" /></td>
</tr>
</tbody></table>
<span lang="EN-US" style="mso-bidi-font-size: 12.0pt;"> </span>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.85pt;" valign="top" width="144"><br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoNoSpacing" style="text-align: justify;">
<span style="height: 23px; left: 0px; margin-left: 59px; margin-top: 31px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251669504;"><img height="23" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image022.gif" width="12" /></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.65pt;" valign="top" width="144">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="height: 39px; left: 0px; margin-left: 57px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251670528;"><img height="39" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image023.gif" width="12" /></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Prdarahan </span></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 215.95pt;" valign="top" width="288">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">infeksi</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.85pt;" valign="top" width="144">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="height: 39px; left: 0px; margin-left: 59px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251671552;"><img height="39" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image024.gif" width="12" /></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Keputihan </span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.65pt;" valign="top" width="144">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Anemia</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.45pt;" valign="top" width="143">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 108.5pt;" valign="top" width="145">
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 107.85pt;" valign="top" width="144">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Gangguan rasa nyaman</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"><br /></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">PENATALAKSANAAN</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Motivasi
ibu untuk dirujuk untuk medapatkan penanganan oleh dokter SpOG</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span lang="FI" style="line-height: 150%; mso-ansi-language: FI; mso-bidi-font-size: 12.0pt;">Penatalaksanaan Medis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span lang="FI" style="line-height: 150%; mso-ansi-language: FI; mso-bidi-font-size: 12.0pt;">Jika ulcus portio merupakan gejala dari servicitis, maka
penatalaksanaannva :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; mso-list: l19 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES" style="line-height: 150%; mso-ansi-language: ES; mso-bidi-font-size: 12.0pt;">Antibiotika terutama bila ada gonococcus
dan secret</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; mso-list: l19 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Jika cervicitis tidak spesifik diobati dengan rendaman AgNO3
10% dan irigasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; mso-list: l19 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Konisasi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt;">
<span class="ft9"><span lang="EN-US">Konisasi dilakukan bila </span></span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo17;"><span class="ft9"><span lang="EN-US">proses dicurigai ada di endoserviks;</span></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo17;"><span class="ft9"><span lang="EN-US">lesi tidak tampak seluruhnya dengan kolposkopi;</span></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo17;"><span class="ft9"><span lang="EN-US">diagnosis mikroinvasif ditegakkan hanya </span></span><span class="ft1"><span lang="EN-US">dari </span></span><span class="ft9"><span lang="EN-US">biopsi</span></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo17;"><span class="ft9"><span lang="EN-US">ada kesenjangan antara hasil sitologi dan
histologik</span></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo17;"><span class="ft9"><span lang="EN-US">pasien sukar di </span></span><span class="ft6"><i><span lang="EN-US">follow up </span></i></span><span class="ft9"><span lang="EN-US">secara
terus menerus.</span></span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span class="ft9"><span lang="EN-US">Konisasi
ini dilakukan dengan pisau atau alat khusus dan</span></span><span lang="EN-US"> <span class="ft9">jangan dengan alat <i>hot cones. </i>Konisasi mencakup ekso dan
endoserviks. Konisasi dapat diarahkan dengan kolposkopi atau tes</span> <span class="ft9">Schiller. Paling sedikit, kanalis servikalis terambil 50% tanpa</span>
<span class="ft9">mengenai ostium uteri intemum. Sesudah konisasi, dilanjutkan</span>
<span class="ft9">dengan kuretase sisa kanalis servikalis.</span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VII.</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">KONSEP ASKEB</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">ASUHAN KFBIDANAN </span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="ES" style="line-height: 150%; mso-ansi-language: ES; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Pada Ibu P.....dengan ULCUS PORTIO</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">PFNGKAJIAN (TANGGAL......................JAM........)</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">DATA SUBYEKTIF</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Biodata</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Umur penderita 15-20 tahun dan wanita usia subur</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Keluhan Utama</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Terdapat perdarahan dan keputihan</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Riwayat Kesehatan Sekarang</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Perdarahan
sifatnya intermenstruil atau perdarahan kontak, keputihan menyerupai air, tidak
gatal kadang—kadang timbul sebelumnya ada perdarahan. Pada stadium lanjut
cairan yang keluar dari vagina lama-lama akan berbau busuk.</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Riwayat Kesehatan Keluarga</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Tidak
mempengaruhi</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Riwayat Kesehatan dahulu</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Terjadi
pada ibu yang mempunyai riwayat erosi portio</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Riwayat Perkawinan</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Kawin
pada usia muda</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Riwayat Menstruasi</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Menstruasi
tidak teratur ex:hipermenore, bersifat intermenstruil</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Riwayat Obstetri </span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Paritas
tinggi</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Riwayat KB</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Akseptor
AKDR sebagai salah satu factor predisposisi</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Pola Kebiasaan Sehari-hari</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Pola Seksual</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Ganti-ganti pasangan </span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Frekuensi coitus tinggi</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Pola Nutrisi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Nutrisi jelek</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Pola Kebersihan</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Genetalia kurang bersih</span></div>
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<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l18 level1 lfo6; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Riwayat Psikososial</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 27.8pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Ibu mengatakan cemas</span></div>
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<br /></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">DATA OBYEKTIF</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Pemeriksaan Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">TTV</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">TD :
100-120/ 80-90 mmHg<span style="mso-tab-count: 4;"> </span>nadi
: >90x/ menit</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Suhu
: febris (37,5 C)<span style="mso-tab-count: 3;"> </span><span style="mso-tab-count: 2;"> </span>RR: 16-20x/ menit</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Pemeriksaan Fisik</span></div>
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<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 155.95pt; mso-list: l1 level1 lfo9; tab-stops: 78.0pt 5.0cm; text-align: justify; text-indent: -92.15pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Mata</span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>Conjungtiva
anemis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 155.95pt; mso-list: l1 level1 lfo9; tab-stops: 78.0pt 5.0cm; text-align: justify; text-indent: -92.15pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Mulut<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>Bibir dan lidah pucat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 155.95pt; mso-list: l1 level1 lfo9; tab-stops: 78.0pt 5.0cm; text-align: justify; text-indent: -92.15pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Genetalia<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Inspekulo : Darah (+), Fluor albus (+), terdapat
jaringan nekrotik pada portio</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Pemeriksaan penunjang</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Pap smear</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 78.0pt 5.0cm; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Preparat basah</span></div>
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<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">INTEPRETASI DATA DASAR</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Dx<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ibu P....... dengan ulcus portio</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">DS<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ibu mengatakan perdarahan dan keputihan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 49.65pt; text-align: justify; text-indent: -42.5pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">DO<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>- Mata<span style="mso-tab-count: 1;"> </span>:
Conjungtiva anemis</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Mulut<span style="mso-tab-count: 1;"> </span>:Bibir dan lidah
pucat</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Genetalia : Darah(+)fluor albus (+), terdapat jaringan nekrotik
pada portio</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 78.0pt 5.0cm; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"> </span>Masalah : ibu merasa cemas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 78.0pt 5.0cm; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"> </span>Ds : ibu mengatakan saat ini
merasa cemas akan keadaannya</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 78.0pt 5.0cm; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"> </span>Do : ibu tampak cemas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 78.0pt 5.0cm; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>TTV : TD : >120/90 mmHg</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 78.0pt 5.0cm; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>Nadi:
>90x/ menit</span></div>
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<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">ANTISPASI MASALAH POTENSIAL</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -14.7pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Infeksi lebih lanjut/ meluas</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Anemia</span></div>
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<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">IDENTIFIKASI KEBUTUHAN SEGERA</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -14.7pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Kolaborasi dengan dokter obgyn untuk
pemberian terapi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -14.7pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Kolaborasi dengan dokter obgyn untuk
tindakan selanjutnya</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">INTERVENSI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Jelaskan pada ibu tentang gejala akibat perdarahan dan keputihan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">R/ : Ibu lebih tenang, dan mengerti teentang keadaannya</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Anjurkan ibu untuk Pap Smear tiap 6 bulan sekali</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">R/ :
Mendeteksi apakah ada kelainan</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Anjurkan<span style="mso-spacerun: yes;"> </span>ibu untuk menjaga
kebersihan genetalia dengan mengganti celana dalam sesering mungkin </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">R/ :
Mencegah perkembangan kuman</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Anjurkan ibu makan rnakanan bergizi / TKTP</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">R/ :
Meningkatkan daya tahan tubuh dan mengganti sel yang rusak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Anjurkan pada ibu untuk tidak berhubungan seksual sementara
waktu sampai sembuh</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">R/ :
Mencegah penularan penyakit dan memperburuk kondisi ibu</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Kolaborasi dengan dokter obgyn tentang terapi penyakit dan
pengobatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">R/ :
Mendapat penanganan tepat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">IMPLEMENTASI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Sesuai
intervensi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VII.</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">EVALUASI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 42.55pt; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">S</span><span lang="EN-US" style="font-size: 8.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">:<span style="mso-tab-count: 1;"> </span>ibu mengatakan mengerti tentang penjelasan yang
diberikan dan akan memeriksakan diri ke dokter obgyn </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 42.55pt; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">O<span style="mso-tab-count: 1;"> </span>: ibu banyak
bertanya dan dapat mengulang kembali penjelasan yang diberikan. Ibu juga tampak
cemas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 42.55pt; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">A<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>ibu P........ dengan ulcus portio post konseling.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 42.55pt; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">P<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Anjurkan ibu segera memeriksakan diri ke dokter
obgyn</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;"> </span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;">POLIP</span></b></div>
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<br /></div>
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<br /></div>
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<b><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">PENGERTIAN</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 14.2pt; mso-list: l19 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Polip adalah suatu adenoma maupun adenofibroma yang berasal
dari selaput lendir endoserviks. (Ilmu Kandungan, 1999 ; 336)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 14.2pt; mso-list: l19 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Polip cervicis adalah pertumbuhan bertangkai vaskuler yang
biasanya muncul pada endoserviks dan menonjol melebihi ostium uteri eksternum
(Kegawat Daruratan Obstetri, 1994; 125)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 14.2pt; mso-list: l19 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Polip adalah setiap pertumbuhan atau massa yang menonjol dari membran mukosa.
(Kamus Saku Kedokteran Dorland, 1998; 379)</span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">ETIOLOGI</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 14.2pt; mso-list: l19 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Penyebabnya belum jelas, meskipun penampilannya menggambarkan
respon epitel endoserviks terhadap <span style="mso-bidi-font-style: italic;">proses
peradangan.</span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 14.2pt; mso-list: l19 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Polip dapat berkembang karena pengaruh radang maupun virus.<span style="mso-bidi-font-style: italic;"></span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">TANDA DAN GEJALA</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Sering tidak menimbulkan apa-apa dan baru diketahui pada pemeriksaan rutin
lainnya. Kalau besar dapat menyebabkan fluor dan perdarahan intermenstruil atau
perdarahan kontak setelah coitus. <span style="mso-bidi-font-style: italic;">Mengedan
</span>terlalu kuat <span style="mso-bidi-font-style: italic;">seperti </span>waktu
defekas, dapat pula menyebabkan perdarahan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">DIAGNOSIS</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Diagnosa
ditegakkan atas dasar pemeriksaan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l12 level1 lfo11; tab-stops: 35.45pt 92.15pt; text-align: justify; text-indent: -81.25pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Inspeksi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>melalui pemeriksaan inspekulo didapatkan polip
tampak menonjol portio</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l12 level1 lfo11; tab-stops: 35.45pt 92.15pt; text-align: justify; text-indent: -81.25pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Palpasi <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>melalui pemeriksaan bimanual didapatkan/teraba massa di atas suprapubik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l12 level1 lfo11; tab-stops: 35.45pt 92.15pt; text-align: justify; text-indent: -81.25pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Biopsi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>ditemukan sel tumor pada jaringan yang diperiksa
</span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">PENANGANAN</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 14.2pt; mso-list: l19 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Jika suatu polip prolaps melalui <span style="mso-bidi-font-weight: bold;">serviks maka polip dapat </span>dipuntir putus dengan forcep polip</span></div>
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<span lang="EN-US" style="font-family: Symbol; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Ekstirpasi (pengangkatan atau penghancuran total jaringan
polip)</span></div>
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<span lang="NO-BOK" style="font-family: Symbol; line-height: 150%; mso-ansi-language: NO-BOK; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="NO-BOK" style="line-height: 150%; mso-ansi-language: NO-BOK; mso-bidi-font-size: 12.0pt;">Jika perdarahan akibat polip
berlangsung, terus tindakan yang dilakukan adalah dilatasi dan kuretase</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Kuretase adalah cara membersihkan hasil konsepsi memakai
alat kuretase (sendok kerokan). Sebelum melakukan kuretase, penolong harus
melakukan pemeriksaan dalam untuk menentukan letak uterus, keadaan serviks dan
besarnya uterus. Gunanya untuk mencegah terjadinya bahaya kecelakaan misalnya
perforasi.</span><span lang="NO-BOK" style="line-height: 150%; mso-ansi-language: NO-BOK; mso-bidi-font-size: 12.0pt;"></span></div>
<div style="line-height: 150%;">
<span lang="EN-US">Persiapan Sebelum Kuretase:</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Persiapan Penderita<br />
Lakukanlah pemeriksaan umum : Tekanan Darah, Nadi, Keadaan Jantung, dan Paru
–<span style="mso-spacerun: yes;"> </span>paru dan sebagainya.<br />
Pasanglah infuse cairan sebagai profilaksis</span></div>
<div style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo18; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Persiapan Alat – alat Kuretase<br />
Alat – alat kuretase hendaknya telah tersedia alam bak alat dalam keadaan
aseptic (suci hama) berisi :<br />
Speculum dua buah<br />
Sonde (penduga) uterus<br />
Cunam muzeus atau Cunam porsio<br />
Berbagai ukuran busi (dilatator) Hegar<br />
Bermacam – macam ukuran sendok kerokan (kuret)<br />
Cunam abortus kecil dan besar<br />
Pinset dan klem<br />
Kain steril, dan sarung tangan dua pasang.</span></div>
<div style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo18; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penderita ditidurkan dalam
posisi lithotomi</span></div>
<div style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo18; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pada umumnya diperlukan
anestesi infiltrasi local atau umum secara IV dengan ketalar.</span></div>
<div style="line-height: 150%;">
<span lang="EN-US">Teknik Kuretase</span></div>
<div style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo19; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tentukan Letak Rahim.<br />
Yaitu dengan melakukan pemeriksaan dalam. Alat – alat yang dipakai umumnya
terbuat dari metal dan biasanya melengkung karena itu memasukkan alat – alat
ini harus disesuaikan dengan letak rahim. Gunanya supaya jangan terjadi salah
arah (fase route) dan perforasi.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penduga Rahim (Sondage)<br />
Masukkan penduga rahim sesuai dengan letak rahim dan tentukan panjang atau
dalamnya penduga rahim. Caranya adalah, setelah ujung penduga rahim membentur
fundus uteri, telunjuk tangan kanan diletakkan atau dipindahkan pada portio dan
tariklah sonde keluar, lalu baca berapa cm dalamnya rahim. </span></div>
<div style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo19; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Dilatasi<br />
Bila permukaan serviks belum cukup untuk memasukkan sendok kuret, lakukanlah
terlebih dulu dilatasi dengan dilatator atau Bougie Hegar. Peganglah busi
seperti memegang pensil dan masukkanlah hati – hati sesuai letak rahim. Untuk
sendok kuret terkecil biasanya diperlukan dilatasi sampai Hegar nomor 7. Untuk
mencegah kemungkinan perforasi usahakanlah memakai sendok kuret yang agak
besar, dengan dilatasi yang lebih besar.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kuretase<br />
Seperti telah dikatakan, pakailah sendok kuret yang agak besar. Memasukkannya
bukan dengan kekuatan dan melakukan kerokan biasanya mulailah di bagian tengah.
Pakailah sendok kuret yang tajam (ada tanda bergerigi) karena lebih efektif dan
lebih terasa sewaktu melakukan kerokan pada dinding rahim dalam (seperti bunyi
mengukur kelapa). Dengan demikian kita tahu bersih atau tidaknya hasil kerokan.</span></div>
<div style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo19; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Cunam Abortus<br />
Pada abortus inisipiens, dimana sudah kelihatan jaringan, pakailah cunam
abortus untuk mengeluarkannya yang biasanya diikuti oleh jaringan lainnya.
Dengan demikian sendok kuret hanya dipakai untuk membersihkan sisa – sisa yang
ketinggalan saja.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perhatian :<br />
Memegang, mamasukkan dan menarik alat – alat haruslah hati – hati. Lakukanlah
dengan lembut (with lady’s hand) sesuai dengan arah dan letak rahim.</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="NO-BOK" style="line-height: 150%; mso-ansi-language: NO-BOK; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;"> </span></div>
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<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">ASUHAN KEBIDANAN<br />
</span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Pada
Ibu P10001 dengan POLIP CERVIKS</span></div>
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<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">PENGKAJIAN</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Data Subjektif</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Biodata</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">sering
terjadi pada usia 40-60 tahun (Ginekologi Greenhill, 1988 : 46)</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Keluhan Utama</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Ibu
mengatakan mengalami perdarahan bercak, perdarahan di luar siklus haid, perdarah
yang banyak saat haid, perdarahan setelah bersenggama, perdarahan post
menopause.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l10 level1 lfo14; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Riwayat Kesehatan Sekarang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">lbu
mengatakan mengalami perdarahan bercak di luar siklus haid dalam jumlah banyak</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Riwayat Kesehatan Dahulu</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Ibu
pemah mernpunyai riwayat polip</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Riwayat Kesehatan Keluarga</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">-</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l10 level1 lfo14; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Riwayat Menstruasi</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Siklus<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>tidak teratur</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Banyak<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>lebib dari 4 duk/hari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">HPHT <span style="mso-tab-count: 1;"> </span>:
menyingkirkan kehamilan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Fluor albus : (+)</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Riwayat Obstetri </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Polip sering terjadi pada paritas rendah</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Riwayat KB</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">lbu pernah menggunakan KB hormonal dengan kadar estrogen yang
tinggi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l10 level1 lfo14; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Pola Kebiasaan Sehari-hari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Nutrisi<span style="mso-tab-count: 2;"> </span>:
-</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Eliminasi<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>konstipasi / obstipasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Aktivitas<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>-</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Isfirahat<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>-</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Personal hygine<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>-</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Aktivitas seksual<span style="mso-tab-count: 1;"> </span>: menurun
(dyspareuni)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l13 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Data Objektif</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Pemeriksaan Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Keadaan umum <span style="mso-tab-count: 1;"> </span>: baik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Kesadaran<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>compos mentis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Tekanan darah <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>DBN</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Nadi<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>tachicardi (>80x/menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Suhu<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>dBN</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">RR<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>Meningkat (>24x/menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l20 level1 lfo15; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Pemeriksaan Fisik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Wajah<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;">
</span>tampak pucat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 20.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Mata<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;">
</span>sklera putih, konjungtiva pucat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Abdomen
<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>pada pemeriksaan paipasi teraba massa di atas supra pubis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Genital<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>bercak darah (+), Fluor albus (+)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l20 level1 lfo15; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Pemeriksaan Penunjang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="IT" style="line-height: 150%; mso-ansi-language: IT; mso-bidi-font-size: 12.0pt;">Pemeriksaan Bimanual<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>teraba massa di daerah portio</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="FI" style="line-height: 150%; mso-ansi-language: FI; mso-bidi-font-size: 12.0pt;">Pemeriksaan Inspekulo<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>polip tampak kemerahan di portio</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Pemeriksaan USG<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>tampak gambaran polip bertangkai</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">IDENTIFIKASI DIAGNOSA/MASALAH</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 70.9pt; text-align: justify; text-indent: -2.0cm;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Diagaosa <span style="mso-tab-count: 1;"> </span>: ibu P........... dengan Polip Cerviks</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 70.9pt; text-align: justify; text-indent: -2.0cm;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">DS<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>ibu mengatakan
mengalami perdarahan bercak di luar siklus haid, perdarahan banyak pada saat
haid dan mengalami perdarahan setelah <span style="mso-bidi-font-weight: bold;">bersenggama</span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 70.9pt; text-align: justify; text-indent: -2.0cm;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span></span><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">DO<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>Tekanan darah<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;">
</span>DBN</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"> </span>Nadi<span style="mso-tab-count: 3;"> </span>:<span style="mso-spacerun: yes;"> </span>tachicardi(>80x/menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"> </span>Suhu<span style="mso-tab-count: 3;"> </span>:<span style="mso-spacerun: yes;"> </span>dBN</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">RR<span style="mso-tab-count: 3;"> </span>:
meningkat (>24x/menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Wajah<span style="mso-tab-count: 2;"> </span>:
tampak pucat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Mata<span style="mso-tab-count: 3;"> </span>:
sklera putih, konjungtiva pucat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 191.4pt; tab-stops: 70.9pt 177.2pt; text-align: justify; text-indent: -4.0cm;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Abdomen<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>pada pemeriksaan palpasi teraba massa di atas supra pubis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 191.4pt; tab-stops: 70.9pt 177.2pt; text-align: justify; text-indent: -4.0cm;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Genital<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>bercak darah (+), Fluor albus (+)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<i><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Pemeriksaan Penunjang</span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Pemeriksaan Bimanual <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;">
</span>teraba massa di daerah portio</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="FI" style="line-height: 150%; mso-ansi-language: FI; mso-bidi-font-size: 12.0pt;">Pemeriksaan Inspekulo<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;">
</span>polip tampak kemerahan di portio</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Pemeriksaan USG<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>tampak
gambaran polip bertangkai</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Hb<span style="mso-tab-count: 4;"> </span>:
bila ibu tampak anemia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 70.9pt; text-align: justify; text-indent: -2.0cm;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Masalah <span style="mso-tab-count: 1;"> </span>: ibu merasa cemas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 70.9pt; text-align: justify; text-indent: -2.0cm;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">DS<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>ibu mengatakan cemas
dengan keadaannya saat ini</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 70.9pt; text-align: justify; text-indent: -2.0cm;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Do<span style="mso-tab-count: 1;"> </span>:
Nadi : cepat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">ANTISIPASI MASALAH POTENSIAL </span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -14.7pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Tumor ganas </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -14.7pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Anemia </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -14.7pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Syok neurogenik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">IDENTIFIKASI KEBUTUHAN SEGERA </span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -14.7pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Pengangkatan polip</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">INTERVENSI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Jelaskan kepada ibu tentang keadaannya</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; tab-stops: 3.0cm; text-align: justify; text-indent: -2.0cm;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Rasional <span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>Pengetahuan
ibu meningkatkan dan ibu kooperatif <span style="mso-bidi-font-style: italic;">dengan
</span>tindakan </span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">yang akan dilakukan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Berikan <span style="mso-bidi-font-weight: bold;">pengertian</span>
pada <span style="mso-bidi-font-weight: bold;">ibu dan suami tentang keadaan ibu
dalam hal pemenuhan </span>kebutuhan psikoseksual (ibu mengatami dyspareuni)<span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; tab-stops: 3.0cm; text-align: justify; text-indent: -2.0cm;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Rasional : menjaga keharmonisan keluarga</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Kolaborasi <span style="mso-bidi-font-weight: bold;">dengan</span> dokter
dalam hal penatalaksanaan polip</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; tab-stops: 3.0cm; text-align: justify; text-indent: -2.0cm;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Rasional : tugas interdependen <span style="mso-bidi-font-weight: bold;">dalam </span>menangani kasus giekologi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Kolaborasi <span style="mso-bidi-font-weight: bold;">dengan</span> dokter
dalam pengangkatan <span style="mso-bidi-font-weight: bold;">polip </span>cerviks</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; tab-stops: 3.0cm; text-align: justify; text-indent: -2.0cm;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Rasional : pengangkatan massa
polip dan mencegah terjadinya keganasan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Berikan dukungan mental spiritual kepada ibu</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; tab-stops: 3.0cm; text-align: justify; text-indent: -2.0cm;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Rasional : mengurangi kecemasan
ibu dan ibu lebih siap datam pelaksanaan terapi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Lakukan tranfusi darah,pemberian infus(bila terjadi anemia)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; tab-stops: 3.0cm; text-align: justify; text-indent: -2.0cm;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Rasional : memperbaiki KU ibu</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">IMPLEMENTASI<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Sesuai
intervensi</span><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VII.</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">EVALUASI</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.3pt; text-align: justify; text-indent: -15.0pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">S<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>ibu mengatakan mengerti dg penjelasan yang
diberikan dan bersedia dilakukan<span style="mso-spacerun: yes;">
</span>tindakan pengangkatan polip<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">O<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>Keadaan
umum<span style="mso-tab-count: 1;"> </span>: baik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 36.0pt 72.0pt 108.0pt 144.0pt 388.15pt; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Tekanan darah<span style="mso-tab-count: 1;"> </span>: dBN<span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Nadi<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 2;"> </span>:
tachikardi(>80x/menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Suhu<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>dBN</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">RR<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>meningkat(>24x/menit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">A <span style="mso-tab-count: 1;"> </span>: ibu P…… post pengangkatan polip</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">P<span style="mso-tab-count: 1;"> </span>: -rencana tindakan ekstirpasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;"> </span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">DAFTAR PUSTAKA</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Cunningham, F.
Gary. 2005, <i style="mso-bidi-font-style: normal;">Obstetri <span style="mso-bidi-font-style: italic;">Wiliams</span></i><span style="mso-bidi-font-style: italic;">. </span>Jakarta
: EGC.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Duenhoelley,
Johann. 1998. <i>Ginekologi Grenhill</i><span style="mso-bidi-font-style: italic;">.
</span></span><span lang="FI" style="line-height: 150%; mso-ansi-language: FI; mso-bidi-font-size: 12.0pt;">Jakarta: EGG</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="FI" style="line-height: 150%; mso-ansi-language: FI; mso-bidi-font-size: 12.0pt;">Kumala, Poppy dkk. 1998. </span><i><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Kamus Saku Kedokteran Dorland</span></i><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-bidi-font-style: italic;">. </span><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Jakarta EGG</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Winkjosastro, Hanifa 1999. <i><span style="mso-bidi-font-weight: bold;">Ilmu Kandungan</span></i><span style="mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">. </span><span style="mso-bidi-font-weight: bold;">Jakarta Yayasan Bina Pustaka Sarwono </span>Prawirohardjo.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Taber, Ben-zion. 1994. <span style="mso-bidi-font-style: italic;">Kapita <i>Selekta
Kedokteran Obstetri dan Ginekologi</i>. </span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Jakarta</span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">: EGC.</span></div>Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-52788138269391652962012-04-17T10:42:00.000+07:002012-04-17T12:45:25.394+07:00Kista Sarkoma Philodes<span lang="EN-US" style="font-family: Calibri, sans-serif; line-height: 150%; text-indent: -1cm;">1.1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif; line-height: 150%; text-indent: -1cm;">LATAR
BELAKANG</span><br />
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Payudara
manusia berbentuk seperti kuncup, terutama pada nulipara yang terjadi kar</span><span style="font-family: Calibri, sans-serif;">en</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">a konsistensinya</span><span style="font-family: Calibri, sans-serif;"> yang</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> kenyal. Ada</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">kalanya payudara manusia
tidak sama besar, ini sesuatu yang lumrah tapi kita harus waspada dan harus
membedakan asimetris yang disebabkan kar</span><span style="font-family: Calibri, sans-serif;">en</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">a
pembentuka</span><span style="font-family: Calibri, sans-serif;">n</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">nya
atau disebabkan karena pertumbuhan tumor.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Kadang-kadang
benjolan pada payudara ini biasanya penuh mengisi seluruh payudara baik salah
satu payudara atau keduanya yang disebut “KISTA SARKOMA PHILODES”.Ada</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">kalanya </span><span style="font-family: Calibri, sans-serif;">sebagian</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> besar nyaris tidak
tergendong oleh penderita . Bila hal tersebut di biarkan bisa menjadi SARKOMA
PAYUDARA.</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Tumor
ini umumnya terjadi pada usia 35-40 tahun.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Untuk
itu perlu di lakukuan pemeriksaan SADARI</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">(pemeriksaan payudara
sendiri) setiap seminggu setelah hari
tera</span><span style="font-family: Calibri, sans-serif;">k</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">hir
menstruasi</span><span style="font-family: Calibri, sans-serif;">,</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">
sebagai deteksi awal terjadinya keabnormalan payudara termasuk deteksi dini
terjadinya kista sarcoma philodes.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l7 level2 lfo10; tab-stops: 1.0cm; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">1.2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">TUJUAN</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l7 level3 lfo10; text-indent: -42.55pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">1.2.1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Tujuan
Umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: 27.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Membantu
ibu pada masa premenopouse untuk mendeteksi adanya benjolan atau masa abnormal
dan mencegah serta menangani terjadinya kista sarcoma philodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l7 level3 lfo10; text-indent: -42.55pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">1.2.2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Tujuan
Kusus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l16 level1 lfo4; tab-stops: list 92.15pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">mengetahui
etiologi terjadinya kista sarcoma philodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l16 level1 lfo4; tab-stops: list 92.15pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">mengetahui
tanda dan gejala kista sarcoma philodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l16 level1 lfo4; tab-stops: list 92.15pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">membantu
ibu dalam mencegah terjadinya kista sarcoma philodes melalui deteksi dini ad</span><span style="font-family: Calibri, sans-serif;">a</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">nya benjolan atau masa
abnormal.</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
</div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;"><br /></span><br />
<span lang="EN-US" style="font-family: Calibri, sans-serif;">BAB II</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">KISTA SARKOMA PHILODES</span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: Calibri, sans-serif;">2. 1<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">PENGERTIAN</span></div>
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<span lang="EN-US" style="font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Kista sarcoma philodes
adalah fibro adenoma yang tumbuh meliputi seluruh mamae, ada</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">kalanya bertambah besar</span><span style="font-family: Calibri, sans-serif;">, hampir</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> tidak tergendong oleh
penderita </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">(Prawirohardjo,sarwono.1997:485)</span><span style="font-family: Calibri, sans-serif;">.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l13 level1 lfo12; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Kista sarcoma philodes
merupakan suatu neoplasma jinak yang bersifat menyusup sel local dan dapat
menjadi ganas 10 % - 15 %. (<a href="http://www.generator/">http://www.generator</a>
mssfedit.com)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l13 level1 lfo12; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Tumor philodes( Cista
sarcoma philodes) ialah tumor dengan pola <i style="mso-bidi-font-style: normal;">Fibroma
adenoma </i>mama</span><span style="font-family: Calibri, sans-serif;">e</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">
tetapi stromanya yang lebih seluler. (Cor</span><span style="font-family: Calibri, sans-serif;">n</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">ain,s.1986:91)</span><span style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l13 level1 lfo12; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Kisto</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">sarkoma</span><span style="font-family: Calibri, sans-serif;"> fillodes
mengandung kista –kista besar diantaranya banyak sekali jaringan ikat sehingga terkadang
diduga sarkoma, dipermukaan tumor terdapat banyak jaringan (seperti
lembaran-lembaran/phylor)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102.0pt; text-align: justify; text-indent: -54.0pt;">
<span style="font-family: Calibri, sans-serif;">Phylode : menyerupai daun; istilah yang digunakan untuk
tumor yang pada pemotongannya memperhatikan lobusi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102.0pt; text-align: justify; text-indent: -54.0pt;">
<span lang="EN" style="font-family: Calibri, sans-serif;">Sebuah tipe tumor yang ditemukan
di jaringan payudara atau prostat. Biasanya besar sekali dan berkembang dengan
cepat. Tumor ini mungkin saja benigna (bukan kanker) atau maligna (kanker) dan
bisa menyebar ke bagian lain tubuh. Juga disebut CSP atau tumor filodes.</span><span style="font-family: Calibri, sans-serif;"> (http://www.wordpress.com)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102.0pt; text-align: justify; text-indent: -54.0pt;">
<span style="height: 308px; left: 0px; margin-left: 132px; margin-top: 96px; position: absolute; width: 412px; z-index: -2;"><img height="308" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image003.jpg" width="412" /></span><span lang="EN" style="font-family: Calibri, sans-serif;">Sebuah tipe neoplasma jaringan
ikat yang timbul dari stroma intralobular payudara. Ditandai dengan pembesaran
cepat massa bergerak-keras asmiteris. Secara histologis tampak seperti celah
stroma seperti daun yang dibatasi oleh sel-sel epitel.</span><span lang="EN" style="font-family: Calibri, sans-serif;"> </span><span style="font-family: Calibri, sans-serif;">(<a href="http://www.wordpress.com/">http://www.wordpress.com</a>)</span></div>
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<span lang="EN-US" style="font-family: Calibri, sans-serif;">2. 2<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">ETIOLOGI</span></div>
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<span style="font-family: Calibri, sans-serif;">Etiologi kistosarkoma fillodes belum diketahui secara
pasti, namun beberapa hal yang diduga dapat mempengaruhi terjadinya tumor ini
antara lain : </span></div>
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<span style="font-family: Calibri, sans-serif;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">Kontrasepsi hormonal (terutama estrogen)</span></div>
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<span style="font-family: Calibri, sans-serif;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">Pernah mengalami radiasi di daerah dada ( lingkungan )</span></div>
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<span style="font-family: Calibri, sans-serif;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">Adanya keturunan ca mammae (genetik)</span></div>
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<span style="font-family: Calibri, sans-serif;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">Wanita usia 35 – 40 tahun, resiko semakin meningkat pada
keadaan :</span></div>
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<span style="font-family: Arial, sans-serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">Orang tua ( ibu ) pernah menderita Ca mammae terutama
pada usia relatif muda.</span></div>
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<span style="font-family: Arial, sans-serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">Anggota keluarga menderita Ca mammae</span></div>
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<span style="font-family: Arial, sans-serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">Sebelumnya pernah menderita penyakit tumor / kanker</span></div>
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<span style="font-family: Arial, sans-serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">Penderita tumor jinak payudara</span></div>
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<span style="font-family: Arial, sans-serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">Kehamilan pertama terjadi sesudah umur 35 tahun.</span></div>
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<span lang="EN-US" style="font-family: Calibri, sans-serif;">2. 3<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">CIRI
– CIRI KISTA SARKOMA PHILODIS</span></div>
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<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Berbentuk
bulat atau lonjong dengan batas yang tegas dan tepat</span><span style="font-family: Calibri, sans-serif;">,</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> dapat digerakkan.</span></div>
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<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Konsistensi
tumor ini ada yang kistik dan padat seperti karet</span><span style="font-family: Calibri, sans-serif;">,</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> tidak melekat pada kulit .</span></div>
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<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Tumor
Philodes ini dapat berukuran kecil sekitar 3 – 4 cm dan dapat pula berukuran
sangat besar dan membuat payudara menjadi besar ( bengkak).</span></div>
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<span lang="EN-US" style="border-bottom-color: white; border-bottom-style: solid; border-bottom-width: 1pt; border-image: initial; border-left-color: white; border-left-style: solid; border-left-width: 1pt; border-right-color: white; border-right-style: solid; border-right-width: 1pt; border-top-color: white; border-top-style: solid; border-top-width: 1pt; padding-bottom: 0cm; padding-left: 0cm; padding-right: 0cm; padding-top: 0cm;"><a href="http://ningrumwahyuni.files.wordpress.com/2010/03/cysto2.jpg"><span style="color: #b54141; font-family: Verdana, sans-serif; font-size: 9.5pt; line-height: 150%; text-decoration: none;"><img alt="http://ningrumwahyuni.files.wordpress.com/2010/03/cysto2.jpg?w=300&h=258" border="0" height="258" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image004.jpg" width="300" /></span></a></span><span lang="EN-US" style="font-family: Calibri, sans-serif;"></span></div>
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<span lang="EN-US" style="font-family: Calibri, sans-serif;">2. 4<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">TANDA
DAN GEJALA</span></div>
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<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Kulit
payudara diatas tumor mengkilat.</span></div>
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<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Kulit
tegang dan tipis.</span></div>
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<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Kulit
payudara memerah.</span></div>
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<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Pembuluh
balik yang lebar.</span></div>
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<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Terasa
panas.</span></div>
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<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Pembesaran
kelenjar regional atau metastasis ( jarang ditemukan ).</span></div>
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<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Tumbuh
dengan cepat.</span></div>
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<span lang="EN-US" style="font-family: Calibri, sans-serif;">2. 5<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">CARA
MENGETAHUI KELAINAN PAYUDARA</span></div>
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<span lang="EN-US" style="font-family: Calibri, sans-serif;">SADARI
(periksa pa</span><span style="font-family: Calibri, sans-serif;">y</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">udara
sendiri)</span></div>
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<span lang="EN-US" style="font-family: Calibri, sans-serif;">Adalah
pemeriksaan payudara yg di lakukan sendiri oleh tiap wanita dengan cara
tertentu secara berkala tiap bulan.</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span style="font-family: Calibri, sans-serif;">Sadari dapat membantu menemukan
kelainan atau penyakit payudara yang kemudian harus di pastikan oleh dokter. Waktu
yang paling tepat untuk melakukan sadari adalah sekitar semiggu setelah hari
terakhir menstruasi dengan cara:</span></div>
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<span lang="EN-US" style="font-family: Symbol;">©<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Berdirilah
di depan cermin dan perhatikan apakah ada kelainan pada payudara.</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Biasanya kedua payudara
tidak sama besar, putting tidak terletak pada ketinggian yang sama.</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Perhatikan apakah
terdapat keriput, lekukan atau putting susu tertarik ke dalam. Bila terdapat
kelainan itu atau keluar cairan atau darah dari putting susu segeralah pergi ke
dokter.</span></div>
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<span lang="EN-US" style="font-family: Symbol;">©<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Letakkan
kedua lengan di atas kepala dan perhatikan kembali kedua payudara.</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Bungkukkan badan hingga
payudara tergantung ke bawah dan periksa lagi.</span></div>
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<span lang="EN-US" style="font-family: Symbol;">©<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Berbaringlah
di tempat tidur dan letakkan tanggan kiri di belakang kepala dan sebuah bantal
di bawah bahu kiri.</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Rabalah
payudara kiri dengan telapak </span><span style="font-family: Calibri, sans-serif;">dan </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">jari
– jari</span><span style="font-family: Calibri, sans-serif;"> tangan</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">
kanan. Periksalah apakah ada benjolan pada payudara. Kemudian periksa juga
apakah ada benjolan atau pembengkakan pada ketiak kiri.</span></div>
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<span lang="EN-US" style="font-family: Symbol;">©<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Periksalah
dan rabalah putting susu dan sekitarnya. Pada umumnya kelenjar susu bila diraba
dengan telapak jari – jari tangan akan terasa kenyal dan mudah digerakkan.</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Bila terasa ada benjolan
sebesar 1 cm atau lebih, segeralah pergi ke dokter.</span></div>
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<span lang="EN-US" style="font-family: Symbol;">©<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Lakukan
hal yang sama untuk payudara dan ketiak kanan.</span></div>
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<span lang="EN-US" style="font-family: Calibri, sans-serif;">2. 6<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">PATOFISIOLOGI</span></div>
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<span lang="EN-US" style="font-family: Calibri, sans-serif;">Terlampir</span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: Calibri, sans-serif;">2. 7<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">PENA</span><span style="font-family: Calibri, sans-serif;">N</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">GANAN </span></div>
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<span lang="FI" style="font-family: Symbol;"><img alt="*" height="13" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="FI" style="font-family: Calibri, sans-serif;">Eksisi local untuk lesi yang kecil.</span></div>
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<span lang="EN-US" style="font-family: Symbol;"><img alt="*" height="13" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Biopsi.</span></div>
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<span lang="SV" style="font-family: Symbol;"><img alt="*" height="13" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="SV" style="font-family: Calibri, sans-serif;">Masektomi ditambah dengan pengangkatan fasia pektoralis.</span></div>
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<span lang="EN-US" style="font-family: Symbol;"><img alt="*" height="13" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Radiasi
dilakukan pasca beda</span><span style="font-family: Calibri, sans-serif;">h.</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Lampiran 1</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: center;">
<span lang="EN-US" style="font-family: Calibri, sans-serif; font-size: 16pt; line-height: 150%;">PATOFISIOLOGI</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; width: 599px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 31px; left: 0px; margin-left: 38px; margin-top: 32px; position: absolute; width: 92px; z-index: 1;"></span><span style="font-family: Calibri, sans-serif;">Kontrasepsi hormonal</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;">Wanita usia</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;">35 – 40 tahun</span></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 98.7pt;" valign="top" width="132"><div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 39px; left: 0px; margin-left: 55px; margin-top: 18px; position: absolute; width: 12px; z-index: 6;"></span><span style="font-family: Calibri, sans-serif;">Lingkungan</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 39px; left: 0px; margin-left: 41px; margin-top: 17px; position: absolute; width: 12px; z-index: 5;"></span><span style="font-family: Calibri, sans-serif;">Genetik</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
<span style="position: relative; z-index: 2;"><span style="height: 27px; left: 32px; position: absolute; top: -1px; width: 106px;"><br /></span></span><span style="font-family: Calibri, sans-serif;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 16.95pt;" valign="top" width="23"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 81.75pt;" valign="top" width="109"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div class="MsoNormal">
<a href="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><span style="font-family: Calibri, sans-serif;"> </span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 79px; left: 0px; margin-left: 34px; margin-top: 43px; position: absolute; width: 181px; z-index: 3;"></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">perubahan </span><span style="font-family: Calibri, sans-serif;"> hormon</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div class="MsoNormal">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 98.7pt;" valign="top" width="132"><div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;">Terkena
radiasi terutama di bagian dada</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;">Ada
keturuanan Ca mammae</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 16.95pt;" valign="top" width="23"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 81.75pt;" valign="top" width="109"><div class="MsoNormal">
<span style="height: 55px; margin-left: 81px; margin-top: 5px; position: absolute; width: 149px; z-index: 4;"></span><span style="height: 27px; margin-left: 32px; margin-top: 1px; position: absolute; width: 12px; z-index: 11;"></span><span style="font-family: Calibri, sans-serif;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div class="MsoNormal">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 98.7pt;" valign="top" width="132"><div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;">Tumbuh
sel-sel baru diluar kehendak</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 16.95pt;" valign="top" width="23"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 81.75pt;" valign="top" width="109"><div class="MsoNormal">
<span style="height: 27px; margin-left: 32px; margin-top: 0px; position: absolute; width: 12px; z-index: 7;"><br /></span><span style="font-family: Calibri, sans-serif;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div class="MsoNormal">
<span style="height: 27px; margin-left: 9px; margin-top: 32px; position: absolute; width: 108px; z-index: 9;"><br /></span><span style="font-family: Calibri, sans-serif;"></span></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 98.7pt;" valign="top" width="132"><div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 19px; left: 0px; margin-left: 107px; margin-top: 23px; position: absolute; width: 100px; z-index: 8;"></span><span style="font-family: Calibri, sans-serif;">Membelah diri secara cepat</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 147.65pt;" valign="top" width="197"><div class="MsoNormal">
<span style="height: 79px; margin-left: 99px; margin-top: 22px; position: absolute; width: 118px; z-index: 13;"></span><span style="font-family: Calibri, sans-serif;">Kelenjar susu ( adenoma)</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 16.95pt;" valign="top" width="23"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 81.75pt;" valign="top" width="109"><div class="MsoNormal">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 131.8pt;" valign="top" width="176"><div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;">Jaringan ikat
penyokong payudara</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 16.95pt;" valign="top" width="23"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 81.75pt;" valign="top" width="109"><div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;">Duktus /
saluran</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
<span style="height: 66px; margin-left: -12px; margin-top: 1px; position: absolute; width: 86px; z-index: 14;"></span><span style="font-family: Calibri, sans-serif;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 16.95pt;" valign="top" width="23"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 81.75pt;" valign="top" width="109"><div class="MsoNormal">
<span style="height: 27px; margin-left: 39px; margin-top: 1px; position: absolute; width: 12px; z-index: 10;"></span><span style="font-family: Calibri, sans-serif;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div class="MsoNormal">
<span style="height: 31px; margin-left: 29px; margin-top: 8px; position: absolute; width: 100px; z-index: 12;"></span><span style="font-family: Calibri, sans-serif;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 16.95pt;" valign="top" width="23"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 81.75pt;" valign="top" width="109"><div class="MsoNormal">
<span style="font-family: Calibri, sans-serif;">Fibroadenoma </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
<span style="height: 31px; margin-left: -8px; margin-top: 9px; position: absolute; width: 92px; z-index: 15;"><br /></span><span style="font-family: Calibri, sans-serif;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="height: 14px; margin-left: 25px; margin-top: 16px; position: absolute; width: 2px; z-index: 16;"></span><span style="font-family: Calibri, sans-serif;"> Solitor</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 16.95pt;" valign="top" width="23"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 81.75pt;" valign="top" width="109"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="height: 14px; margin-left: 23px; margin-top: 16px; position: absolute; width: 2px; z-index: 17;"></span><span style="font-family: Calibri, sans-serif;">Multipel</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div class="MsoNormal">
<span style="height: 2px; margin-left: 25px; margin-top: 11px; position: absolute; width: 306px; z-index: 18;"><br /></span><span style="font-family: Calibri, sans-serif;"></span></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 98.7pt;" valign="top" width="132"><div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 62px; margin-top: 11px; position: absolute; width: 12px; z-index: 19;"><br /></span><span style="font-family: Calibri, sans-serif;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;"> Terdapat pada </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;"> salah satu </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;"> atau keduanya</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 16.95pt;" valign="top" width="23"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 81.75pt;" valign="top" width="109"><div class="MsoNormal">
<span style="height: 27px; margin-left: 39px; margin-top: 6px; position: absolute; width: 12px; z-index: 20;"></span><span style="font-family: Calibri, sans-serif;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div class="MsoNormal">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 98.7pt;" valign="top" width="132"><div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;"> Tumbuh </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;"> meliputi seluruh </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;"> mammae</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
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<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 82.1pt;" valign="top" width="109"><div class="MsoNormal">
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<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 16.95pt;" valign="top" width="23"><div class="MsoNormal">
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<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 81.75pt;" valign="top" width="109"><div class="MsoNormal">
<span style="height: 27px; margin-left: 37px; margin-top: 0px; position: absolute; width: 12px; z-index: 21;"><br /></span><span style="font-family: Calibri, sans-serif;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 48.75pt;" valign="top" width="65"><div class="MsoNormal">
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<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div class="MsoNormal">
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<tr style="mso-yfti-irow: 16; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 71.25pt;" valign="top" width="95"><div class="MsoNormal">
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<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87"><div class="MsoNormal">
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</td>
<td colspan="4" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 229.55pt;" valign="top" width="306"><div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;"> </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Calibri, sans-serif;"> KIST</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">E</span><span style="font-family: Calibri, sans-serif;"> SARKOMA FILLODES</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.05pt;" valign="top" width="111"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: Calibri, sans-serif;">ASUHAN
KEBIDANAN</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: Calibri, sans-serif;">PADA IBU P</span><sub><span lang="EN-US" style="font-family: Calibri, sans-serif;">..... </span></sub><sub><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span></sub><span style="font-family: Calibri, sans-serif;">DENGAN KIST</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">A</span><span style="font-family: Calibri, sans-serif;"> SARKOMA FILLODES</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l12 level2 lfo13; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">I.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">PENGKAJIAN</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l5 level3 lfo14; tab-stops: 49.65pt; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Data
subjektif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Biodata</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;"> Usia : terjadi pada usia 35-45 th</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Keluhan
utama</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;"> Ibu mengatakan
:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l10 level1 lfo2; tab-stops: list 92.15pt; text-indent: -21.25pt;">
<span lang="EN-US">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">adanya
benjolan pada payudaranya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l10 level1 lfo2; tab-stops: list 92.15pt; text-indent: -21.25pt;">
<span lang="EN-US">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">payudara
ibu membesar dengan cepat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l10 level1 lfo2; tab-stops: list 92.15pt; text-indent: -21.25pt;">
<span lang="EN-US">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">sesak nafas</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Riwayat
kesehatan sekarang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;"> Ibu mengatakan adanya benjolan pada
payudara, payudara membesar dengan cepat(terkadang ada yang sampai tidak
tergendong oleh penderita), kulitnya berwarna merah, teregang, mengkilat, tipis
dan terasa panas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Riwayat
kesehatan dahulu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;"> Ibu mengatakan pernah menderita tumor jinak payudara dan
CA mamae</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Riwayat
kesehatan keluarga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;"> Ibu mengatakan dalam keluarga ibu
ada yang menderita tumor payudara atau
CA mamae.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Riwayat
menstruasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">#Menarche : <12 th</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">#Menopouse : >55 Th</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">#Wanita dengan gangguan
siklus haid</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Riwayat
pernikahan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 70.9pt;">
<span style="font-family: Calibri, sans-serif;">lebih banyak
terjadi pada wanita yang telah mneikah.</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Riwayat
obstetri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;"> Cenderung terjadi pada ibu yang tidak menyusui bayinya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Riwayat
KB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;"> Ibu mengatakan pernah menjadi akseptor KB hormonal (yang
mengandung hormone estrogen)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Pola
kegiatan sehari-hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l10 level1 lfo2; tab-stops: list 92.15pt; text-indent: -21.25pt;">
<span lang="EN-US">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Istirahat
: terganggu karena ibu me</span><span style="font-family: Calibri, sans-serif;">ngalami perubahan pada payudaranya.</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l10 level1 lfo2; tab-stops: list 92.15pt; text-indent: -21.25pt;">
<span lang="EN-US">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">pola aktivitas terganggu karena beban yang ada di
payudara (terjadi pembesaran payudara, kadang kala sampai menggantung).</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; mso-list: l10 level1 lfo2; tab-stops: list 92.15pt; text-indent: -21.25pt;">
<span lang="EN-US">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">nutrisi : makan makanan yang mengandung bahan pengawet,
MSG, seperti makanan cepat saji.</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">11.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Riwayat
psikososial</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span lang="ES" style="font-family: Calibri, sans-serif;"> Ibu merasa cemas dengan pembesaran
payudara yang cepat, merah dan terasa panas</span><span style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level5 lfo8; tab-stops: 70.9pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">12.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Pola
ketergantungan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<span style="font-family: Calibri, sans-serif;">ketergantungan
memakai MSG dan bahan pengawet.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l5 level3 lfo14; tab-stops: 49.65pt; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Data
objektif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l1 level1 lfo15; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Pemeriksaan
Umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 52.9pt; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Keadaan
umum : baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 52.9pt; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Kesadaran : composmentis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 52.9pt; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">TTV : TD : dbn(120/80 – 140/90
mmHg)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 155.95pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">S : >37 o C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 155.95pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">N : dbn (60-80 X/mnt)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 155.95pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">RR : >24 X/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l1 level1 lfo15; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Pemeriksaan
fisik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 163.05pt; tab-stops: 5.0cm; text-indent: -92.15pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Muka : pucat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 233.9pt; tab-stops: 5.0cm 163.05pt 233.9pt; text-indent: -163.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Payudara : - Inspeksi
: pembesaran payudara asimetris,
terlihat merah, kulit mengkilt dan tipis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 233.9pt; mso-list: l8 level7 lfo9; tab-stops: 177.2pt 8.0cm; text-align: justify; text-indent: -70.85pt;">
<span style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Palpasi
: teraba benjolan atau masa abnormal
pada salah satu atau kedua payudara, payudara terasa panas,</span><span style="font-family: Calibri, sans-serif;">Nyeri tekan
pada payudara</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 5.0cm 8.0cm; text-align: justify;">
<span style="font-family: Calibri, sans-serif;"> Ketiak :
ada benjolan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l1 level1 lfo15; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Pemeriksaan
penunjang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l9 level1 lfo3; tab-stops: list 3.0cm; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">biopsi
jaringan payudara :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 148.85pt; mso-list: l8 level7 lfo9; tab-stops: list 106.35pt; text-indent: -63.8pt;">
<span lang="EN-US" style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> makro : tumor tampak bulat elastis, nodular,
dan berkapsul pada permukaan berwarna abu abu keputihan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 148.85pt; mso-list: l8 level7 lfo9; tab-stops: list 106.35pt; text-indent: -63.8pt;">
<span lang="IT" style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="IT" style="font-family: Calibri, sans-serif;">mikro : proliferasi
dari epitel menggambarkan saluran seperti stroma fibroblastic</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 148.85pt; text-indent: -63.8pt;">
<span lang="IT" style="font-family: Calibri, sans-serif;">- mammografi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.05pt; text-indent: 36pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Terdapat
benjolan > 0,25 cm . </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l9 level1 lfo3; tab-stops: list 3.0cm; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">leukositosis
</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-indent: 54.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">≥15000</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l12 level2 lfo13; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">II.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">INTERPRETASI
DATA DASAR</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Dx : Ibu
P….. dengan kista sarcoma Philodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Ds : Ibu
mengatakan payudaranya membesar dengan cepat, berwarna merah dan terasa panas</span><span style="font-family: Calibri, sans-serif;">, sesak nafas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Do : S :
>37 o C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 127.6pt; text-align: justify; text-indent: -3.0cm;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Payudara : Inspeksi : pembesaran payudara asimetris, terlihat
merah, kulit mengkil</span><span style="font-family: Calibri, sans-serif;">a</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">t
dan tipis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 127.6pt; text-align: justify; text-indent: -3.0cm;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Palpasi :
teraba benjolan atau masa abnormal pada
salah satu atau kedua payudara, payudara terasa panas,nyeri tekan pada
payudara.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Pemeriksaan
penunjang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l9 level1 lfo3; tab-stops: list 3.0cm; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">biopsi
jaringan payudara :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 148.85pt; mso-list: l8 level7 lfo9; tab-stops: list 106.35pt; text-indent: -63.8pt;">
<span lang="EN-US" style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> makro : tumor tampak bulat elastis, nodular,
dan berkapsul pada permukaan berwarna abu abu keputihan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 148.85pt; mso-list: l8 level7 lfo9; tab-stops: list 106.35pt; text-indent: -63.8pt;">
<span lang="IT" style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="IT" style="font-family: Calibri, sans-serif;">mikro : proliferasi
dari epitel menggambarkan saluran seperti stroma fibroblastic</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l9 level1 lfo3; tab-stops: list 3.0cm; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">mammografi
</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.05pt; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Terdapat
benjolan > 0,25 cm .</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l9 level1 lfo3; tab-stops: list 3.0cm; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">leukositosis
</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-indent: 54.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">≥15000</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l12 level2 lfo13; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">III.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">ANTISIPASI
MASALAH POTENSIAL</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<span lang="EN-US">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Kanker
payudara</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l12 level2 lfo13; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">IV.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">IDENTIFIKASI KEBUTUHAN SEGERA</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l8 level7 lfo9; tab-stops: list 42.0pt 74.75pt; text-indent: -18.0pt;">
<span style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">Inform consent</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l8 level7 lfo9; tab-stops: list 42.0pt 74.75pt; text-indent: -18.0pt;">
<span style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">Rujukan untuk </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">tindakan lebih lanjut</span><span style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; tab-stops: list 270.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l12 level2 lfo13; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">V.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">INTERVENSI</span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span lang="EN-US" style="font-family: Calibri, sans-serif;">Jelaskan pada ibu
tentang keadaannya</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 2.0cm; text-indent: -18.55pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">R
/ Ibu mengerti tentang keadaannya</span><span style="font-family: Calibri, sans-serif;"> dan lebih
kooperatif</span><span style="font-family: Calibri, sans-serif;"> <span lang="EN-US"></span></span></div>
<ol start="2" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span lang="EN-US" style="font-family: Calibri, sans-serif;">Berikan dukungan
baik secara mental maupun spiritual</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 35.45pt 2.0cm; text-indent: -18.55pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">R/
mengurangi kecemasan dan membangkitkan rasa percaya diri ibu</span></div>
<ol start="3" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span lang="EN-US" style="font-family: Calibri, sans-serif;">Observasi TTV</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 35.45pt 2.0cm; text-indent: -18.55pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">R
/ deteksi dini ad</span><span style="font-family: Calibri, sans-serif;">a</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">nya
komplikasi</span></div>
<ol start="4" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span lang="ES" style="font-family: Calibri, sans-serif;">Untuk
ibu yang menyusui, anjurkan ibu selalu menyusui bayinya</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 35.45pt 2.0cm; text-indent: -18.55pt;">
<span lang="ES" style="font-family: Calibri, sans-serif;">R / ASI dapat keluar secara lanc</span><span style="font-family: Calibri, sans-serif;">a</span><span lang="ES" style="font-family: Calibri, sans-serif;">r sehingga
tidak terbentuk bendungan ASI yang dapat memicu timbulnya benjolan payudara</span><span style="font-family: Calibri, sans-serif;">.</span></div>
<ol start="5" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span style="font-family: Calibri, sans-serif;">anjurkan
ibu untuk istirahat yang cukup.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span style="font-family: Calibri, sans-serif;">R/ agar tidak
lelah, nyeri tulang dan sesak nafas berkurang.</span></div>
<ol start="6" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span style="font-family: Calibri, sans-serif;">ajarkan
ibu cara merawat payudara yang baik. dimana menjag akebersihannya, dan
memakai BH yang menopang dan nyaman.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span style="font-family: Calibri, sans-serif;">R/ menjaga
kebersihan daerah payudara.</span></div>
<ol start="7" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span style="font-family: Calibri, sans-serif;">Anjurkan
ibu untuk berhenti menjadi akseptor KB hormonal</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 35.45pt 2.0cm; text-indent: -18.55pt;">
<span style="font-family: Calibri, sans-serif;">R</span><span style="font-family: Calibri, sans-serif;">
</span><span style="font-family: Calibri, sans-serif;">/</span><span style="font-family: Calibri, sans-serif;"> </span><span style="font-family: Calibri, sans-serif;">KB hormonal mempercepat timbulnya
sel-sel kanker dan dapat membesar besar</span></div>
<ol start="8" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo16;"><span style="font-family: Calibri, sans-serif;">Kolaborasi
dengan dokter </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">dengan
membawa hasil </span><span style="font-family: Calibri, sans-serif;">PA dan pemberian terapi</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 35.45pt 2.0cm; text-indent: -18.55pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">R
/ tugas dependen</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; mso-list: l11 level1 lfo16; text-indent: -21.25pt;">
<span style="font-family: Calibri, sans-serif;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Berikan</span><span style="font-family: Calibri, sans-serif;"> surat rujukan ke poli
bedah untuk </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">tindakan
lebih lanjut </span><span style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">R</span><span style="font-family: Calibri, sans-serif;">/</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">tugas</span><span style="font-family: Calibri, sans-serif;"> dependen bidan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l12 level2 lfo13; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">VI.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">IMPLEMENTASI</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 35.45pt 216.0pt 270.0pt; text-align: justify;">
<span style="font-family: Calibri, sans-serif;"> sesuai dengan intervensi</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 35.45pt 216.0pt 270.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l12 level2 lfo13; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">VII.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">EVALUASI</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">DI BPS</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Tanggal : ...... Jam : .....</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">S</span><span style="font-family: Calibri, sans-serif;"> : </span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span style="font-family: Calibri, sans-serif;">Ibu mengatakan mengerti</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">
dengan penjelasan yang diberikan </span><span style="font-family: Calibri, sans-serif;"> dan akan pergi ke
poli bedah untuk pe</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">meriksaan
lebih lanjut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span style="font-family: Calibri, sans-serif;">O : </span><span lang="SV" style="font-family: Calibri, sans-serif;">ibu dapat mengulan</span><span style="font-family: Calibri, sans-serif;">g</span><span lang="SV" style="font-family: Calibri, sans-serif;">
kembali penjelasan yang diberikan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="SV" style="font-family: Calibri, sans-serif;"> Ibu
kooperatif dan banyak bertanya tentang keadaanya</span><span style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span lang="SV" style="font-family: Calibri, sans-serif;"> </span><span style="font-family: Calibri, sans-serif;">K/U </span><span lang="SV" style="font-family: Calibri, sans-serif;"> </span><span style="font-family: Calibri, sans-serif;">: cukup </span><span lang="SV" style="font-family: Calibri, sans-serif;"> </span><span style="font-family: Calibri, sans-serif;">Rr : 24 x/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm;">
<span style="font-family: Calibri, sans-serif;">TD : 110/70 mmHg S :
3</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">7</span><sup><span style="font-family: Calibri, sans-serif;">O</span></sup><span style="font-family: Calibri, sans-serif;">C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm;">
<span style="font-family: Calibri, sans-serif;">N </span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span style="font-family: Calibri, sans-serif;">: 8</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">0</span><span style="font-family: Calibri, sans-serif;"> x/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span style="font-family: Calibri, sans-serif;">A : Ibu P</span><sub><span lang="EN-US" style="font-family: Calibri, sans-serif;">..... </span></sub><span style="font-family: Calibri, sans-serif;">dengan Kisto Sakroma Fillodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -35.4pt;">
<span style="font-family: Calibri, sans-serif;">P : - </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Lakukan kolaborasi dengan
dokter bedah untuk tindakan lebih lanjut</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level7 lfo9; tab-stops: 42.55pt list 49.65pt; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Lakukan rujukan ke RS</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; tab-stops: 42.55pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; tab-stops: 42.55pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">DI RS</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; tab-stops: 42.55pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Tanggal :..... jam :.....</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; tab-stops: 42.55pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">S
: - Ibu dan keluarga mengatakan setuju atas tindakan operasi payudara yang akan
di lakukan oleh dr.Bedah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; tab-stops: 42.55pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Ibu mengatakan
payudaranya membesar dengan cepat,memerah dan terasa panas</span><span style="font-family: Calibri, sans-serif;">, sesak nafas.</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 42.55pt; text-indent: 14.2pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">O : - TTV : TD :120/70
mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 42.55pt; text-indent: 70.9pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">N : 76 X/menit</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 42.55pt; text-indent: 70.9pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Rr: 22 X/menit </span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 42.55pt; text-indent: 70.9pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">S :37,1 oC</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 42.55pt; text-indent: -106.3pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">-
Payudara </span><span style="font-family: Calibri, sans-serif;">:</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">
Inspeksi: pembesaran payudara asimetris, pada payudara kiri terlihat memerah,
kulit mengkilat dan tipis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 42.55pt; text-indent: -42.55pt;">
<span style="font-family: Calibri, sans-serif;"> </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Palpasi : teraba benjolan
atau massa abnormal pada payudara sebelah </span><span style="font-family: Calibri, sans-serif;"> </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 42.55pt; text-indent: -42.55pt;">
<span style="font-family: Calibri, sans-serif;">
</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">kiri,
nyeri tekan payudara(+), payudara terasa panas.</span><span style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level7 lfo9; text-indent: -18.0pt;">
<span style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">hasil PA : jika ganas </span><span style="font-family: Wingdings;">à</span><span style="font-family: Calibri, sans-serif;"> dilakukan kemoterapi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm;">
<span style="font-family: Calibri, sans-serif;"> jika masih stadium 1A </span><span style="font-family: Wingdings;">à</span><span style="font-family: Calibri, sans-serif;"> dilakukan kemopencegahan/prokemo.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; tab-stops: 42.55pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">A : Ibu P..... dengan
kista sarcoma phillodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; tab-stops: 42.55pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">P : - Persiapan pre
operasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l8 level7 lfo9; tab-stops: 1.0cm; text-indent: 0cm;">
<span lang="EN-US" style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span style="font-family: Calibri, sans-serif;">pemeriksaan golongan darah</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l8 level7 lfo9; tab-stops: 1.0cm; text-indent: 0cm;">
<span lang="EN-US" style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">persiapan donor darah</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l8 level7 lfo9; tab-stops: 1.0cm; text-indent: 0cm;">
<span lang="EN-US" style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span style="font-family: Calibri, sans-serif;">penjelasan tentang operasi yang akan dilakukan dan
memberitahu kapan bisa dioperasi.</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Catatan
Perkembangan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Evaluasi
di kamar operasi I</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Tanggal
: ..... Jam : ........</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">S
: Ibu mengatakan siap untuk menjalani operasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">O
: k/u : cukup</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">TTV : TD : 110/80 mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">N
: 78 x/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">S
: 37,2 o C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">RR
: 24 x/ mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">A
: Ibu P.... dengan kista sarcoma phillodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">P
: - Observasi TTV dan Keadaan umum ibu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; mso-list: l8 level7 lfo9; tab-stops: list 21.3pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Kolaborasi
dengan dr. Bedah untuk pelaksanaan tindakan operasi masektomi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -67.65pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Evaluasi di
kamar operasi II</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -67.65pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Tanggal :
..... Jam : ........</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">S: Ibu
mengatakan telah dilakukan pembedahan pada payudara sebelah kiri, benjolan pada
payudara sudah tidak ada, tidak panas serta tidak nyeri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -67.65pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">O: K/U: baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">TD: 120/80
mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">N: 82 x/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">RR: 24 x/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">S: 36,9 oC</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Mammae:
inspeksi : Terdapat luka bekas operasi pada payudara sebelah kiri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; text-indent: -3.85pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Palpasi :
Benjolan atau massa abnormal ( - ).</span><span style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Calibri, sans-serif;"> Hasil PA :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 7.1pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">A : Ibu P..... post masektomi kista sarcoma
phillodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 7.1pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">P : - Observasi keadaan umum ibu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; mso-list: l8 level7 lfo9; tab-stops: list 21.3pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Observasi
TTV</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.75pt; mso-list: l8 level7 lfo9; tab-stops: list 21.3pt; text-indent: -53.45pt;">
<span lang="EN-US" style="font-family: 'Courier New';">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">Berikan
terapi lanjutan sesuai </span><span style="font-family: Calibri, sans-serif;">nasehat</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">
dokter</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
</div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">BAB III</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">PENUTUP</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l1 level2 lfo15; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">3.1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">KESIMPULAN</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 27.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Kista
sarcoma philodes merupakan suatu neoplasma jinak yang bersifat menyusup secara
local dan dapat menjadi ganas 10-15 % dan dapat tumbuh meliputi seluruh mamae,
ada</span><span lang="EN-US" style="font-family: Calibri, sans-serif;"> </span><span lang="EN-US" style="font-family: Calibri, sans-serif;">kalanya
bertambah besar dan nyaris tidak tergendong oleh penderita.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 27.0pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">Kista
sacoma philodes dapat di deteksi secara dini dengan SADARI (pemeriksaan
payudara sendiri) setiap seminggu setelah hari tera</span><span style="font-family: Calibri, sans-serif;">k</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">hir menstruasi sehingga
dapat dikenali tanda gejalanya dan dapat dilakukan pengobatan lebih awal dengan
eksisi local untuk lesi yang berukuran kecil sedang kan lesi yang menempati
sebagian besar payudara sebaiknya di lakukan masektomi total kemudian dilakukan
radiasi pasca bedah.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l1 level2 lfo15; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;">3.2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US" style="font-family: Calibri, sans-serif;">SARAN</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l6 level1 lfo5; tab-stops: list 49.65pt; text-indent: -21.3pt;">
<span lang="IT" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="IT" style="font-family: Calibri, sans-serif;">Ibu perlu mengenali tanda dan gejala secara dini melalui
SADARI</span><span style="font-family: Calibri, sans-serif;"> dan menjaga kebersihan payudara.</span><span lang="IT" style="font-family: Calibri, sans-serif;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l6 level1 lfo5; tab-stops: list 49.65pt; text-indent: -21.3pt;">
<span lang="IT" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="IT" style="font-family: Calibri, sans-serif;">Penyediaan sarana dan prasarana kesehatan untuk
pencegahan dan pengobatan dari kista sarcoma philodes</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-list: l6 level1 lfo5; tab-stops: list 49.65pt; text-indent: -21.3pt;">
<span lang="IT" style="font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><span lang="IT" style="font-family: Calibri, sans-serif;">Tersedianya petugas kesehatan yang mempunyai pengetahuan
yang luas terhadap kista sarcoma philodes mengenai penangananya.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: Calibri, sans-serif;">DAFTAR PUSTAKA</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: Calibri, sans-serif;">Cornain, S (ed). 1986. <i style="mso-bidi-font-style: normal;">Tumor Ganas Pada Wanita</i>. Jakarta : Bagian Patologi Anatomik. FKUI</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span lang="EN-US" style="font-family: Calibri, sans-serif;"><a href="http://www.generator/">http://WWW.generator</a>
msffedit.com/2008/Cysta-sarcoma-phillodes-1507.html</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: Calibri, sans-serif;">Komar dan Robins. 1995. <i style="mso-bidi-font-style: normal;">Buku Ajar Patologi II</i>. Jakarta : EGC</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: Calibri, sans-serif;">Rottenberg. 1980. <i style="mso-bidi-font-style: normal;">Cara-cara
Memelihara Payudara</i>. Jakarta : UP Kreino.</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: Calibri, sans-serif;">Sarwono. 1997. <i style="mso-bidi-font-style: normal;">Ilmu
Kandungan</i>. Jakarta : YBP – SP</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: Calibri, sans-serif;">http://www.wordpress.com/2009/sarcoma.html</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-18631174856607288052012-04-16T19:03:00.001+07:002012-04-16T19:39:29.269+07:00Kehamilan Ganda (Gemelli)<div align="center" class="MsoNormal" style="margin-bottom: 0cm; text-align: center;"><div style="text-align: left;"><b style="line-height: 150%; text-align: justify; text-indent: -18pt;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b style="line-height: 150%; text-align: justify; text-indent: -18pt;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PENGERTIAN</span></b></div></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 36.0pt;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kehamilan ganda atau hamil kembar adalah kehamilan dengan dua janin atau lebih. </span><span style="font-family: 'Times New Roman', serif; line-height: 150%;">(Ilmu Kebidanan : 386)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">ETIOLOGI</span></b></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo2; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Faktor-faktor yang mempengaruhi : bangsa, umur, dan paritas, sering mempengaruhi kehamilan kembar 2 telur. pada kembar yang berasal dari satu telur, faktor bangsa, hereditas, umur dan paritas tidak atau sedikit sekali mempengaruhi terjadinya kehamilan kembar itu. Diperkirakan disini penyebabnya adalah faktor penghambat dalam masa pertumbuhan dini hasil konsepsi. Faktor penghambat yang mempengaruhi segmentasi sebelum blastula terbentuk, menghasilkan kehamilan kembar dengan dua amnion, dua korion, dan dua plasenta seperti pada kehamilan kembar dizigotik. Bila faktor penghambat terjadi setelah blastula tetapi sebelum amnion terbentuk, maka akan terjadi kehamilan kembar dengan 2 amnion, sebelum <i style="mso-bidi-font-style: normal;">primitive streak </i> tampak, maka akan terjadi kehamilan kembar dengan 1 amnion. Setelah <i style="mso-bidi-font-style: normal;">primitive streak</i> terbentuk, maka akan terjadi kembar dempet dengan berbagai bentuk.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo2; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Faktor obat-obat induksi ovulasi: Profertil, Clomid, dan hormon gonadotropin dapat menyebabkan kehamilan dizigotik dan kembar lebih dari dua.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo2; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">faktor lain dengan mekanisme tertentu menyebaabkan matangnya 2 atau lebih folikel de graaf atau terbentuknya 2 ovum atau lebih dalam 1 folikel.. kemungkinan pertama dibuktikan dengan ditemukannya 21 korpora lutea pada kehamilan kembar. Pada fertilisasi in vitro dapat pula terjadi kehamilan kembar, jika telur-telur yang diperoleh dapat dibuahi lebih dari satu dan jika semua embrio yang kemudian dimasukkan ke dalam rongga rahim ibu tumbuh dan berkembang lebih dari satu.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo2; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Faktor keturunan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo2; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Faktor lain yang belum diketahui.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">JENIS GEMELLI</span></b></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kehamilan kembar monozigotik</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kehamilan kembar yang terjadi dari satu telur disebut kembar monozigotik atau disebut juga identik, homolog atau univoler. Kembar monozigot berarrti satu telur yang dibuahi sperma, lalu membelah dua. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -2.75pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Masa pembelahan berpengaruh terhadap kondisi bayi kelak. Masa pembelahan sel telur terbagi menjadi 4 waktu, yaitu 0 – 72 jam, 4 – 8 hari, 9 – 12 dan 13 hari atau lebih. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada pembelahan pertama akan terjadi diamniotik yaitu rahim mempunyai dua selaput ketuban dan dikorionik atau rahim mempunyai dua plasenta. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sedangkan pada pembelahan kedua, selaput ketuban tetap dua, tapi rahim hanya punya satu plasenta. Pada kondisi ini, bisa saja salah satu bayi mendapat banyak makanan, sementara bayi satunya tidak. Akibatnya perkembangan bayi bisa terhambat.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Lalu pada pembelahan ketiga selaput ketuban dan plasenta masing-masing hanya sebuah, tapi bayi masih membelah dengan baik</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada pembelahan ke empat, rahim hanya punya satu placenta dan satu selaput ketuban, sehingga kemungkinan terjadi kembar siam cukup besar. Pasalnya waktu pembelahan telalu lama sehingga sel telur berdempet. Jadi biasanya kembar siam terjadi pada monozigot yang pembelahannya lebih dari 13 hari. Kira-kira sepertiga kehamilan kembar adalah monozigotik. Jenis kehamilan kedua anak sama, rupanya sama atau bayangan cermin, mata, kuping, gigi, rambut, kulit dan ukuran antropologik pun sama. Sidik jari dan telapak sama, atau terbalik satu terhadap lainnya. Satu bayi kembar mungkin kidal dan lainnya biasa karena lokasi daerah motorik di korteks serebri pada kedua bayi itu berlawanan. Kira-kira satu pertiga kehamilan kembar monozigotik mempunyai 2 amnion, 2 korion, dan 2 plasenta; kadang-kadang 2 plasenta tersebut menjadi satu. Keadaan ini tak dapat dibedakan dengan kembar dizigotik. Dua pertiga mempunyai 1 plasenta, 1 korion, dari 1 atau 2 amnion.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kehamilan kembar dizigotik</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kira-kira dua pertiga kehamilan kembar adalah dizigotik yang berasal dari 2 telur; disebut juga heterolog, binovuler, atau fraternal. Jenis kelamin sama atau berbeda, mereka berbeda seperti anak-anak lain dalam keluarga. Kembar dizigotik mempunyai 2 plasenta, 2 korion dan 2 amnion. Kadang-kadang 2 plasenta menjadi satu.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Superfekundasi dan superfetasi</span></b></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Superfekundasi adalah pembuahan dua telur yang dikeluarkan pada ovulasi yang sama pada 2 koitus yang dilakukan dengan jarak waktu pendek. Kehamilan demikian ini sulit dibedakan dengan kembar dizigotik. Pada tahun 1910 oleh Archer dilaporkan bahwa seorang wanita berkulit putih yang melakukan koitus berturut-turut dengan seorang kulit putih dan kemudian dengan seorang negro melahirkan bayi kembar dengan satu bayi berwarna putih dan yang lainnya berupa mullato.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Superfetasi adalah kehamilan kedua yang terjadi beberapa mingggu atau beberapa bulan setelah kehamilan pertama terjadi. Keadaan ini pada manusia belum pernah dibuktikan, akan tetapi dapat ditemukan pada kuda.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PERTUMBUHAN JANIN </span></b><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"></span></b></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Berat badan janin pada kehamilan kembar lebih ringan dari pada janin pada kehamilan tunggal pada umur kehamilan yang sama. Berat badan satu janin pada kehamilan kembar rata-rata 1000 gram lebih ringan dari pada janin kehamilan tinggal. Berat badan yang baru lahir umumnya pada kehamilan kembar kurang dari 2500 gram. Pada triplet kurang dari 2000 gram dan untuk kuadruplet kurang dari 1500 gram. Suatu faktor penting dalam hal ini adalah kecendrungan terjadinya partus prematurus. Berat badan kedua janin pada kehamilan kembar tidak sama, dapat berbeda antara 50 sampai 1000 gram.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Dalam pertumbuhan yang bersaing antara kedua janin hamil kembar dapat terjadi :</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Terjadi monstrum, akardiakus</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Pada kehamilan kemabr monozigotik peredaran darah terjadi tidak seimbang karena perbedaan pembuluh darah.pada jantung janin yang satu, peredaran darahnya lebh sempurna daripada janin yang lain sehingga terjadi gangguan pertumbuhan pada satu janin.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Macam-macamnya :</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 82.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Akardiakus akornus ialah monstrum tanpa badan </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 82.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Akardiakus asefalus ialah monstrum yang hanya terdiri atas panggul dan ekstremitas bawah </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 82.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Akardiakus amorfus ialah monstrum tanpa bentuk yang terdiri atas jaringan ikat yang mengandung berbagai alat rudimeter dan diliputi kulit.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Pada janin yang mendapat darah lebih banyak dapat terjadi hidramnion, selain itu juga dapat terjadi polisitemia. Tapi pertumbuhan janin baik sedangkan pada janin kedua dapat menderita anemia, oligohidramnion, pertumbuhan janin kecil.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Fetus Papiraseus </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Ini terjadi pada kembar dizigotik dimana satu janin meninggal dan yang lainnya tumbuh terus sampai matur. Janin yang mati diabsobsi atau masih ditemukan dalam uterus. Cairan amnion dapat diserap semua dan janin berubah menjadi gepeng (fetus papiraseus/kompresus). Jika tertinggal dalam uterus dapat menyebabkan infeksi dan perdarahan. Plasenta fetus papiraseus berwarna putih, keras, fibritik dan berbatas tegas. Penemuan plasenta ini dapat menjadi indikator kemungkinan masih tertinggal janin kedua dalam uterus. Dapat pula satu konseptur mengalami perubahan menjadi mola hidatidosa sedangkan yang lain tumbuh terus sampai matur dan dilahirkan hidup. Tapi ini sangat jarang terjadi.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">LETAK PADA PRESENTASI JANIN</span></b></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada hamil kembar sering terjadi kesalahan presentasi dan posisi kedua janin. Begitu pula letak janin kedua dapat berubah setelah janin pertama lahir, misalnya dari letak lintang berubah jadi letak sungsang atau letak kepala. Berbagai kombinasi letak, presentasi dan posisi bisa terjadi, yang paling sering dijumpai adalah:<br />
- Kedua janin dalam letak membujur; presentasi kepala (44-47%). </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Letak membujur, presentasi kepala bokong (37-38%)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Keduanya presentasi bokong (8-10%)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Letak lintang dan presentasi kepala (5-5,3)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Letak lintang dan presentasi bokong (1,5-2%)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dua-duanya letak lintang (0,2-0,6%)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Letak dan presentasi '69' adalah letak yang berbahaya, karena dapat terjadi kunci-mengunci (interlocking).</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">F.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">DIAGNOSIS KEHAMILAN KEMBAR</span></b></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Anamnesis<br />
- Perut lebih buncit dari semestinya sesuai dengan umur tuanya kehamilan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Gerakan janin lebih banyak dirasakan ibu hamil</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Uterus terasa lebih cepat membesar</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pernah hamil kembar atau ada riwayat keturunan kembar.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Inspeksi dan palpasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada pemeriksaan pertama dan ulangan ada kesan uterus lebih besar dan lebih cepat tumbuhnya dari biasa.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Gerakan-gerakan janin terasa lebih sering.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">bagian-bagian kecil teraba lebih banyak.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Teraba ada 3 bagian besar janin.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Teraba ada 2 balotemen.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Auskultasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terdengar 2 denyut jantung janin pada 2 tempat yang agak berjauhan dengan perbedaan kecepatan sedikitnya 10 denyut permenit atau bila dihitung bersamaan terdapat selisih 10.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Rontgen foto abdomen</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tampak gambaran 2 janin.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ultrasonografi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bila tampak 2 janin atau dua jantung yang berdenyut yang telah dapat ditentukan pada triwulan I.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Elektrokardiogram total</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terdapat gambaran dua EKG yang berbeda dari kedua janin.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Reaksi kehamilan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Karena pada hamil kembar umumnya plasenta besar atau ada 2 plasenta, maka produksi HCG akan tinggi, jadi titrasi reaksi kehamilan bisa positif, kadang-kadang sampai 1/200. Hal ini dapat dikacaukan dengan mola hidatidosa.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kadangkala diagnosa baru diketahui setelah bayi pertama lahir, uterus masih besar dan ternyata ada satu janin lagi dalam rahim. Kehamilan kembar sering terjadi bersamaan dengan hidramnion dan toksemia gravidarum.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-indent: -18.0pt;"><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">G.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">GAMBAR KLINIK KEHAMILAN KEMBAR</span></b></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Pada kehamilan kembar dengan peregangan uterus yang berlebihan dapat terjadi persalinan prematuritas.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Kebutuhan ibu akan zat-zat makanan pada kehamilan kembar bertambah sehingga terjadi difisiensi nutrisi seperti anemia yang dapat mengganggu pertumbuhan janin. Frekuensi hidramnion pada hamil kembar sebesar 10 kali lipat lebih besar daripada kehamilan normal. Keregangan otot rahim yang menyebabkan iskemia uteri dapat meningkatkan kemungkinan pre-eklampsia dan eklampsia.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Solusio plasenta dapat terjadi setelah persalinan anak pertama karena retraksi otot rahim berlebihan. Perjalanan persalinan dapat terjadi lebih lama. Setelah persalinan terjadi gangguan kontraksi otot rahim yang menyebbakan atonia uteri menimbulkan perdarahan </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Keluhan yang sering terjadi pada kehamilan kembar diantranya sesak nafas sering ingin kencing / edema tungkai, pembesaran pembuluh darah (varises)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Dengan janin (bayi) yang relatif berat badannya rendah menyebabkan morbiditas dan kematian yang tinggi.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Kemungkinan penyulit pada kehamilan kembar</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 1.0cm; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.15pt;" valign="top" width="196"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Ibu</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 233.9pt;" valign="top" width="312"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Bayi</span></div></td> </tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.15pt;" valign="top" width="196"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Anemia</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Hipertensi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Partus Prematurus</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Atonia Uteri</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Perdarahan pasca persalinan </span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 233.9pt;" valign="top" width="312"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Hidramnion </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Malpresentasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Plasenta previa</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Solusio plasenta </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Ketuban pecah dini</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">dan toksemia gravidarum</span><span style="font-family: 'Times New Roman', serif; line-height: 150%;"> </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Pertumbuhan janin terhambat</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Kelainan bawaan </span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Morbiditas dan mortalitas perinatal meningkat</span></div></td> </tr>
</tbody></table><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">H.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PENGARUH TERHADAP IBU DAN JANIN</span></b></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terhadap Ibu</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kebutuhan akan zat-zat bertambah, sehingga dapat menyebabkan anemia dan defisiensi zat-zat lainnya.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kemungkinan terjadinya hidramnion bertambah 10 kali lebih besar.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Frekuensi pre-eklamsi dan eklamsi lebih sering.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Karena uterus yang besar, ibu mengeluh sesak napas, sering miksi, serta terdapat edema dan varises pada tungkai dan vulva.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dapat terjadi inersia uteri, perdarahan postpartum, dan solusio plasenta sesudah anak pertama lahir.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terhadap Janin</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Usia kehamilan tambah singkat dengan bertambahnya jumlah janin pada kehamilan kembar: 25% pada gemeli; 50% pada triplet; dan 75% pada quadruplet, yang akan lahir 4 minggu sebelum cukup bulan. Jadi kemungkinan terjadinya bayi prematur akan tinggi.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bila sesudah bayi pertama lahir terjadi solusio plasentae, maka angka kematian bayi kedua tinggi.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sering terjadi kesalahan letak janin, yang juga akan mempertinggi angka kematian janin.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">I.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PENANGANAN DALAM KEHAMILAN</span></b></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perawatan prenatal yang baik untuk mengenal kehamilan kembar dan mencegah komplikasi yang timbul, dan bila diagnosis telah ditegakkan pemeriksaan ulangan harus lebih sering (1 x seminggu pada kehamilan lebih dari 32 minggu).</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Setelah kehamilan 30 minggu, koitus dan perjalanan jauh sebaiknya dihindari, karena akan merangsang partus prematurus.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pemakaian korset gurita yang tidak terlalu ketat diperbolehkan, supaya terasa lebih ringan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Periksa darah lengkap, Hb, dan golongan darah.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">J.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PENANGANAN DALAM PERSALINAN</span></b></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bila anak pertama letaknya membujur, kala I diawasi seperti biasa, ditolong seperti biasa dengan episiotomi mediolateralis.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Setelah itu baru waspada, lakukan periksa luar, periksa dalam untuk menentukan keadaan anak kedua. Tunggu, sambil memeriksa tekanan darah dan lain-lain.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Biasanya dalam 10-15 menit his akan kuat lagi. Bila anak kedua terletak membujur, ketuban dipecahkan pelan-pelan supaya air ketuban tidak mengalir deras keluar. Tunggu dan pimpin persalinan anak kedua seperti biasa.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Waspadalah atas kemungkinan terjadinya perdarahan postpartum, maka sebaiknya pasang infus profilaksis.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bila ada kelainan letak pada anak kedua, misalnya melintang atau terjadi prolaps tali pusat dan solusio plasenta, maka janin dilahirkan dengan cara operatif obstetrik</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada letak lintang coba versi luar dulu, atau lahirkan dengan cara versi dan ekstraksi.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada letak kepala, persalinan dipercepat dengan ekstraksi vakum atau forseps.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada letak bokong atau kaki, ekstraksi bokong atau kaki.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Indikasi seksio caesarea hanya pada:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Janin pertama letak lintang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bila terjadi prolaps tali pusat</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Plasenta previa</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terjadi interlocking pada letak janin 69, anak pertama letak sungsang dan anak kedua letak kepala.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kala IV diawasi terhadap kemungkinan terjadinya perdarahan postpartum: berikan suntikan sinto-metrin yaitu 10 satuan sintosinon tambah 0,2 mg methergin intravena.</span><span lang="EN-US" style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Mekanisme Persalinan Kepala-kepala</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> Saat kepala bayi membuka vulva 5-6 cm. Lakukan penahan perineum dengan tangan kanan, tangan kiri menahan kepala bayi agar tidak defleksi maksimal hingga sub oksipito lahir sebagai hipomoklion, lalu tunggu kepala putar paksi luar dan lakukan biparietal serta sangga susur. Lahirkan bayi kedua dengan jarak waktu 10-15 menit dari anak pertama, lakukan pertolongan persalinan seperti anak pertama.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mekanisme Persalinan Letak Bokong Kepala</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bila kepala yang masuk PAP terlebih dahulu, </span><span style="font-family: 'Times New Roman', serif;">Saat kepala bayi membuka vulva 5-6 cm. Lakukan penahan perineum dengan tangan kanan, tangan kiri menahan kepala bayi agar tidak defleksi maksimal hingga sub oksipito lahir sebagai hipomoklion, lalu tunggu kepala putar paksi luar dan lakukan biparietal serta sangga susur. Lalu anak kedua dilahirkan secara bracht :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 38.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pertolongan dimulai setelah bokong anak lahir.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 38.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bokong dipegang dengan kedua tangan sedemikian rupa sehingga kedua ibu jari pada permukaan belakang pangkal paha dan emapat jari lainnya pada permukaan bokong.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 38.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kalau kaki sudah lahir, maka bokong dipegang sedemikian rupa, sehingga kedua ibu jari terletak pada lipat paha dan jari lainnya menggenggam bokong </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 38.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bokong dibawa ke atas kerah perut ibu, dan sedikit kekiri dan ke kanan sesuai dengan letk punggung anak.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 38.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sama sekali tidak boleh dilakukan tarikan karena dengan tarikan , lengan dapat menjungkit </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 38.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bokong terus dibawa ke atas ke arah perut ibu sampai kepala lahir</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mekanisme Persalinan bokong-bokong</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pertolongan Persalinan dilakukan menggunakan cara Bracht :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 38.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pertolongan dimulai setelah bokong anak lahir.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 38.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bokong dipegang dengan kedua tangan sedemikian rupa sehingga kedua ibu jari pada permukaan belakang pangkal paha dan emapat jari lainnya pada permukaan bokong.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 38.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kalau kaki sudah lahir, maka bokong dipegang sedemikian rupa, sehingga kedua ibu jari terletak pada lipat paha dan jari lainnya menggenggam bokong </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 38.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bokong dibawa ke atas kerah perut ibu, dan sedikit kekiri dan ke kanan sesuai dengan letk punggung anak.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 38.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sama sekali tidak boleh dilakukan tarikan karena dengan tarikan , lengan dapat menjungkit </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 38.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bokong terus dibawa ke atas ke arah perut ibu sampai kepala lahir</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mekanisme Persalinan Lintang Kepala</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jika anak pertama lintang, maka tidak dapat dilakukan pertolongan secara spontan, maka dilakukan persiapan SC. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bila anak pertama presentasi kepala maka lakukan pertolongan persalinan, s</span><span style="font-family: 'Times New Roman', serif;">aat kepala bayi membuka vulva 5-6 cm. Lakukan penahan perineum dengan tangan kanan, tangan kiri menahan kepala bayi agar tidak defleksi maksimal hingga sub oksipito lahir sebagai hipomoklion, lalu tunggu kepala putar paksi luar dan lakukan biparietal serta sangga susur. Lalu anak kedua dilahirkan dengan versi ekstraksi :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo20; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Jika ada lengan menumbung, tangan diulas dengan yodium dan di beri jerat. Jerat ini ditarik dengan ringan ke arah kepala anak dan waktu anak berputar diulur. Maksudnya supaya anak ini tetap menunjuk ke bawah, jadi tidak menjungkit, yang sangat menyukarkan lahirnya bahu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo20; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Yang menjadi tangan dalam ialah tangan yang sepihak dengan kaki.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo20; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Setelah labia dibeberkan, tangan di masukkan kedalam vagina, tangan luar pindah ke fundus.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo20; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tangan luar mendekatkan bokong ke tangan dalam; tangan dlam mencari kaki. Yang dicari aialah : jika punggung sebelah depan yaitu kaki bawah, jika punggung sebelah belakang yaitu kaki atas karena kaki tersebut akan menjadi kaki depan. Mencarinya adalah dari punggung, ke bokong, kepaha dan ke kaki, yang dijepit antara jari tengah dan telunjuk.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo20; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tangan luar menolak kepala kefundus; tangan dalam menarik kaki keluar sampai lutut </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo20; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kaki dilepaskan sebentar</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo20; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ekstraksi : kita pegang tungkai bawah dengan kedua tangan sedemikian rupa sehingga kedua ibu jari berdampingan. Arah tarikan ke bawah ialah kearah kaki kita sendiri. Kemudian kita pindahkan pegangan setinggi-tingginya tapi jangan memegang pada persendian. Kita tarik terus kebawah sampai trochantor depan ada dibawah sympisis; kemudian kita tarik ke atas untuk melahirkan pantan belakang. Pegang panggul anak dengan dua tangan sehingga ibu jari terletak berdampingan atau bersilang pada sacrum, sedangkan jari telunjuk tangan kiri pada crista iliaca kiri dan telunjuk kanan pada crista iliaca kanan. Jari lainnya menggenggam bokong dan paha. Kita tarik lagi ke arah kaki kita. Waktu pusat lahir, Tali pusat dilonggarkan. Kita tarik sampai menjumpai rintangan biasanya waktu bahu akan lahir. Bahu dilahirkan secara muller atau deventer (klasik). Kepala dilahirkan secara Mauriceau.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mekanisme Persalinan Lintang Bokong</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jika anak pertama lintang, maka tidak dapat dilakukan pertolongan secara spontan, maka dilakukan persiapan SC. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jika anak pertama bokong lakukan pertolongan persalinan secara Bracht dan anak kedua dilakukan dengan cara versi ekstraksi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mekanisme Persalinan Lintang-lintang dan interlocking</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tidakm dapat dilakukan pertolongan persalinan secara spontan, harus melakukan SC</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -21.3pt; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">K.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PROGNOSIS</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ibu : - Partus lama</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Taruma jalan lahir</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="color: black; font-size: 12pt; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perdarahan post partum</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span></b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Prognosis untuk ibu lebih jelek bila dibandingkan pada kehamilan tunggal, karena seringnya terjadi toksemia gravidarum, hidramnion, anemia, pertolongan obstetri operatif, dan perdarahan pospartum.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Angka kematian perinatal tinggi terutama karena prematur, prolaps tali pusat, solusio plasenta dan tindakan obstetrik karena kelainan letak janin.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">L.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAGAIMANA SIKAP BIDAN MENGHADAPI KEHAMILAN KEMBAR</span></b><b><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"></span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Bila bayi pada kehamilan kembar relatif kecil dari posisinya memungkinkan untuk dilakukan persalinan pervaginam maka dapat dilaksankan pertolongan persalinan setempat pada praktik swasta atau dipolindes dan puskesmas. Bila pertimbangan komplikasi yang lebih besar maka kehamilan kembar sebaiknya dirujuk ke tempat dengan fasilitas yang cukup dan memadai.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 32.7pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: center; text-indent: -18.0pt;"><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">M.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">TATALAKSANA KEHAMILAN KEMBAR</span></b></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"> </div><table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="15" width="0"><br />
</td> </tr>
<tr> <td><br />
</td> <td><img height="914" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.png" width="631" /></td> </tr>
</tbody></table><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span></b> <br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><br />
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br style="mso-special-character: line-break;" /> <br style="mso-special-character: line-break;" /> </span><span style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span style="font-family: 'Times New Roman', serif;">ASUHAN KEBIDANAN</span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span style="font-family: 'Times New Roman', serif; font-size: 18pt; line-height: 150%;">ASUHAN KEBIDANAN </span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span style="font-family: 'Times New Roman', serif;">ASUHAN KEBIDANAN </span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span style="font-family: 'Times New Roman', serif;">Pada ibu G…..P…. hamil ... minggu I/</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">G</span><span style="font-family: 'Times New Roman', serif;">/H inpartu kala .... </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">fase…</span><span style="font-family: 'Times New Roman', serif;">dengan gemelli</span><span style="font-family: 'Times New Roman', serif;"> <span lang="EN-US"></span></span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Presentasi anak pertama….anak kedua…</span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Tanggal / waktu :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Tempat :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Pengkaji :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">I.Pengkajian </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">A. Data Subjektif</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 41.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo17; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif;">Biodata </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 41.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Umur : </span>semakin tua usia ibu semakin berpotensi terjadi kehamilan ganda<span style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 41.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Suku : ras bisa menyebabkan kehamilan ganda kerena kehamilan ganda bisa menurun</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><ol start="2" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l16 level1 lfo9; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Keluhan Utama </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ibu mengtakan hamil anak ke ...(multi) usia kehamilan ... bulan, kenceng-kenceng sejak jam ..., tanggal ... dan keluar lendir bercampur darah jam ..., tanggal... keluar cairan ketuban jam..... tanggal......berwarna......</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><ol start="3" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l16 level1 lfo9; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Riwayat Kesehatan Sekarang </span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Tidak berpengaruh</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><ol start="4" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l16 level1 lfo9; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Riwayat Kesehatan Dahulu </span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Riwayat kehamilan ganda pada kehamilan sebelumnya</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><ol start="5" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l16 level1 lfo9; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Riwayat Kesehatan Keluarga </span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Riwayat keturunan kembar dari keluarga ibu maupun suami.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><ol start="6" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l0 level1 lfo8; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Riwayat menstruasi</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> HPHT : </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> HPL : aterm atau preterm</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> 7. Riwyat pernikahan </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> Tidak berpengaruh</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">8. Riwayat Obstetri</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> Ibu pernah mengalami kehamilan ganda sebelumnya.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> 9. Riwayat KB </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Tidak berpengaruh</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">10. Riwayat kehamilan sekarang </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> ANC sejak UK……</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> TM I …x, keluhan: mual munyah. Tx: Fe, vit C, kalk. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">HE: makan sedikit tapi sering, tanda bahaya kehamilan. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">TM II …x, keluhan: sesak nafas.Tx: Fe, vit C, kalk </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">HE: kurangi aktifitas terlalu berat, teknik relaksasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">TM III…x, keluhan: diuresis, hipertensi, edeme tungkai/vulva. Tx: Fe, vit C, kalk .</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">HE: kurangi konsumsi garam, tanda persalinan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Imunisasi TT...</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Merasakan gerakan janin sejak UK 4 -5 bulan dan banyak.</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">11. Riwayat kehamilan sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Ibu mengatakan hamil….bulan, anak ke…..mengeluh kenceng-kenceng sejak pukul….tanggal….mengeluarkan lendir darah pukul…..tanggal….dan mengeluarkan air ketuban pukul….tanggal…., ibu dibawa ke tenaga kesehatan pukul……….tanggal…..</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">1</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">2</span><span style="font-family: 'Times New Roman', serif;">. Pola Kebiasaan Sehari-hari.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> </span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 57.0pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">No</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jenis</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Selama hamil</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Selama inpartu</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1</span></div></td> <td colspan="3" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 326.1pt;" valign="top" width="435"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nutrisi</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pola makan</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3 x / hari</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terakhir makan jam.....tgl.....</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nafsu makan</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Baik</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Berkurang</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jenis makanan</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nasi, lauk, sayur, buah</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nasi, lauk, sayur</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"></span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Porsi</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1 piring sedang</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">½ piring </span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Minuman</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Air dan susu</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terakhir jam ... </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Air gula</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jumlah yang diminum</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">± 7-8 gelas dan 1 gelas susu</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3 gela</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">s</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2</span></div></td> <td colspan="3" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 326.1pt;" valign="top" width="435"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Eliminasi</span></div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAK </span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">8-9</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> x hari, jernih, ammonia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terakhir jam ...</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"></span></div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB </span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1 x / hari</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terakhir jam ...</span></div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3</span></div></td> <td colspan="3" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 326.1pt;" valign="top" width="435"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Istirahat</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"></span></div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Siang ( lamanya )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">±</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1 jam</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">... jam</span></div></td> </tr>
<tr style="mso-yfti-irow: 13;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Malam ( lamanya )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;">± <span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7 jam</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">... jam</span></div></td> </tr>
<tr style="mso-yfti-irow: 14;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4</span></div></td> <td colspan="3" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 326.1pt;" valign="top" width="435"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Personal hygiene</span></div></td> </tr>
<tr style="mso-yfti-irow: 15;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mandi</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2-3 x / hari</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terakhir jam....tgl.....</span></div></td> </tr>
<tr style="mso-yfti-irow: 16;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Gosok gigi</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2 x / hari</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terakhir jam....tgl....</span></div></td> </tr>
<tr style="mso-yfti-irow: 17;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Cuci rambut</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3 x seminggu</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terakhir tgl...</span></div></td> </tr>
<tr style="mso-yfti-irow: 18;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5</span></div></td> <td colspan="3" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 326.1pt;" valign="top" width="435"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pola ketergantungan</span></div></td> </tr>
<tr style="mso-yfti-irow: 19;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Minum-minuman keras</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 20;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Obat-obatan terlarang</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 21; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.45pt;" valign="top" width="34"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.55pt;" valign="top" width="197"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Merokok</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.6pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.95pt;" valign="top" width="117"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div></td> </tr>
</tbody></table><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">12. Riwayat Psikososial</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> Tidak berpengaruh</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">B Data Objektif </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> 1. Pemeriksaan Umum</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> KU : baik/ cukup </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> Kesadaran :Composmentis </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">TTV : TD : rendah (< 120/80) atau tinggi (> 120/80) </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nadi : dbn (80-90x / menit) </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">RR : dbn (20-24 x / menit) TB : > 145 cm </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Suhu : dbn (36,5-37,5°C) BB : Sebelum hamil : ... kg</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Sesudah hamil : ... kg</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 252.0pt; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ukuran lila : .....cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> 2. Pemeriksaan Fisik</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> a. Kepala </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> Rambut : bersih, rontok </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Muka : dbn</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> Mata : dbn</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> Gilut : dbn</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 144.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -96.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">b. Leher : ada pemebesaran kelenjar tiroid</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 144.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -96.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">c. Dada : dbn</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 144.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -96.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">d. Abdomen : pembesaran uterus lebih besar dari usia kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 144.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -96.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">(presentasi kepala-bokong)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">L I :TFU …… (…) cm ( TFU lebih besar dan tidak sesuai dengan usia kehamilan), teraba bagian keras dan melenting (kepala) dan ada bagian lunak yang tidak melenting (bokong) pada fundus. TBJ = ... gram</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">L II :Teraba 2 tahanan keras memanjang yaitu di perut kanan dan kiri (puka-puki), teraba banyak bagian kecil. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">L III : Teraba keras dan melenting (kepala) dan teraba lunak dan tidak melenting (bokong) pada perut bagian bawah. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIV : Kepala Sudah masuk PAP (4/5)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="FI" style="font-family: 'Times New Roman', serif;"> (presentasi bokong-bokong)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span lang="FI" style="font-family: 'Times New Roman', serif;">LI : </span><span style="font-family: 'Times New Roman', serif;">TFU </span><span lang="FI" style="font-family: 'Times New Roman', serif;">……</span><span style="font-family: 'Times New Roman', serif;"> (</span><span lang="FI" style="font-family: 'Times New Roman', serif;">…</span><span style="font-family: 'Times New Roman', serif;">) cm</span><span lang="FI" style="font-family: 'Times New Roman', serif;"> ( tfu lebih besar dan tidak sesuai dengan usia kehamilan), teraba dua bagian keras dan melenting</span><span style="font-family: 'Times New Roman', serif;"> (kepala) pada fundus, TBJ = ... gr</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LII : teraba 2 tahanan keras memanjang diperut kanan dan kiri (puka-puki), teraba banyak bagian kecil</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIII : teraba dua bagian lunak dan tidak melenting (bokong)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIV : kepala sudah masuk PAP (4/5)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> (presentasi kepala-kepala)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LI : TFU … (…) cm ( tfu lebih besar dan tidak sesuai dengan usia kehamilan), teraba dua bagian lunak dan tidak melenting (bokong) pada fundus, TBJ = ... gr</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LII : teraba 2 tahanan keras memanjang diperut kanan dan kiri (puka-puki), teraba banyak bagian kecil</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIII : teraba dua bagian keras dan melenting (kepala)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIV : kepala sudah masuk PAP (4/5)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> (Presentasi lintang kepala )</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LI : TFU …… (…) cm ( tfu lebih besar dan tidak sesuai dengan usia kehamilan), teraba bagian lunak dan tidak melenting (bokong) pada fundus, TBJ = ... gr</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> LII : teraba bagian lunak dan tidak melenting (bokong) di sebelah kanan perut ibu dan teraba bagian keras dan melenting (kepala) di sebelah kiri perut ibu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> LIII : teraba keras dan melenting (kepala)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> LIV : kepala sudah masuk PAP (4/5)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> (Presentasi lintang bokong)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LI : TFU …… (…) cm ( tfu lebih besar dan tidak sesuai dengan usia kehamilan), teraba bagian keras dan melenting (kepala) pada fundus, TBJ = ... gr</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> LII : teraba bagian lunak dan tidak melenting (bokong) di sebelah kanan perut ibu dan teraba bagian keras dan melenting (kepala) di sebelah kiri perut ibu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> LIII : teraba lunak dan tidak melenting (bokong) </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> LIV : kepala sudah masuk PAP (4/5)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">(Presentasi lintang-lintang)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LI : TFU …… (…) cm, teraba kosong pada fundus, TBJ = ... gr</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LII : teraba bagian lunak dan tidak melenting (bokong) serta bagian keras dan melenting (kepala) di sebelah kanan perut / teraba 2 bagian lunak dan tidak melenting (bokong) ibu dan teraba bagian keras dan melenting (kepala) serta teraba bagian lunak dan tidak melenting (bokong) / teraba 2 bagian keras dan melenting (kepala)di sebelah kiri perut ibu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIII : teraba kosong pada bagian perut ibu, tidak masuk PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIV : -</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">DJJ : 120 – 160 x/menit, selisih DJJ kedua janin tidak kurang dari 10</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">His :….x/….detik/10 menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> e. Genentalia : ada blood show atau tidak</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> VT (presentasi kepala bokong) :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level2 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span><span style="font-family: 'Times New Roman', serif;">jika kepala masuk PAP : teraba UUK sebagai denominator</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level2 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span><span style="font-family: 'Times New Roman', serif;">jika bokong yang masuk PAP : teraba sacrum, anus, dan dua lipat paha sebagai denominator </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">VT (presentasi bokong bokong) : teraba sacrum, anus, dan dua lipat paha sebagai denominator </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">VT (presentasi kepala kepala) : teraba UUK sebagai denominator </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">VT (presentasi lintang bokong) : teraba sacrum, anus, dan dua lipat paha sebagai denominator</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">VT (presentasi lintang kepala) : teraba UUK sebagai denominator</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">VT (presentasi lintang lintang) : teraba skapula atau sternum sebagai denominator</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> f. anus : hemoroid atau tidak</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> g. Ekstrimitas : dbn</span><span lang="SV" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">3. Pemeriksaan Penunjang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Darah lengkap</span><span lang="EN-US" style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Urine lengkap</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">USG : </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Tampak 2 janin atau lebih, kedudukan anak, </span><span style="font-family: 'Times New Roman', serif;">posisi janin, air ketuban, letak plasenta, DJJ, TBJ, Usia kehamilan, Taksiran persalinan.</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">II. Interpretasi data dasar</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif;">Dx : ibu G</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">…</span><span style="font-family: 'Times New Roman', serif;">P</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">…</span><span style="font-family: 'Times New Roman', serif;"> hamil UK : aterm I/</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">G</span><span style="font-family: 'Times New Roman', serif;">/H inpartu kala ... </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">fase…</span><span style="font-family: 'Times New Roman', serif;">dengan gemeli </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">presentasi anak pertama </span><span style="font-family: 'Times New Roman', serif;">kepala</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> dan anak kedua </span><span style="font-family: 'Times New Roman', serif;">bokong</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Ds : ibu mengatakan hamil 9 bulan Anak pertama. Mengeluh kenceng-kenceng dan mengeluarkan lendir </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Do : TD : 120/80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Nadi : 60 – 100 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Suhu :36,5 – 37,5 </span><span style="font-family: Symbol;">°</span><span style="font-family: 'Times New Roman', serif;">C</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Rr :18-20 x / menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">L I :TFU …… (…) cm ( TFU lebih besar dan tidak sesuai dengan usia kehamilan), teraba bagian keras dan melenting (kepala) dan ada bagian lunak yang tidak melenting (bokong) pada fundus. TBJ = ... gram</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">L II :Teraba 2 tahanan keras memanjang yaitu di perut kanan dan kiri (puka-puki), teraba banyak bagian kecil. </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Anak pertama teraba puka dan anak kedua teraba puki</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">L III : Teraba keras dan </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">tidak dapat di</span><span style="font-family: 'Times New Roman', serif;">lenting</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">kan</span><span style="font-family: 'Times New Roman', serif;"> (kepala) dan teraba lunak dan tidak melenting (bokong) pada perut bagian bawah. </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Anak pertama teraba kepala dan anak kedua teraba bokong</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIV : Kepala Sudah masuk PAP (4/5)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">VT : jika kepala masuk PAP : teraba UUK sebagai denominator</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">jika bokong yang masuk PAP : teraba sacrum, anus, dan dua lipat paha sebagai denominator </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">DJJ : 120 – 160 x/menit, selisih DJJ kedua janin tidak kurang dari 10</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">His : ...x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -36.0pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif;">Dx : ibu G</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">…</span><span style="font-family: 'Times New Roman', serif;">P</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">…</span><span style="font-family: 'Times New Roman', serif;"> hamil UK : aterm I/</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">G</span><span style="font-family: 'Times New Roman', serif;">/H inpartu kala ...</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">fase…</span><span style="font-family: 'Times New Roman', serif;">dengan gemeli</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">, prsentasi anak pertama </span><span style="font-family: 'Times New Roman', serif;">kepala</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> dan anak kedua </span><span style="font-family: 'Times New Roman', serif;">kepala</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Ds : ibu mengatakan hamil 9 bulan Anak pertama. Mengeluh kenceng-kenceng dan mengeluarkan lendir </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Do : TD : 120/80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Nadi : 60 – 100 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Suhu :36,5 – 37,5 </span><span style="font-family: Symbol;">°</span><span style="font-family: 'Times New Roman', serif;">C</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Rr :18-20 x / menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LI : TFU … (…) cm ( tfu lebih besar dan tidak sesuai dengan usia kehamilan), teraba dua bagian lunak dan tidak melenting (bokong) pada fundus, TBJ = ... gr</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LII : teraba 2 tahanan keras memanjang diperut kanan dan kiri (puka-puki), teraba banyak bagian kecil</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">. Anak pertama teraba puka dan anak kedua teraba puki</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIII : teraba dua bagian keras dan melenting (kepala)</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> di perut bagian bawah</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIV : kepala sudah masuk PAP (4/5)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">VT (presentasi kepala kepala) : teraba UUK sebagai denominator </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -16.9pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">DJJ : 120 – 160 x/menit, selisih DJJ kedua janin tidak kurang dari 10</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -16.9pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">His : …x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif;">Dx : ibu G</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">…</span><span style="font-family: 'Times New Roman', serif;">P</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">…</span><span style="font-family: 'Times New Roman', serif;"> hamil UK : aterm I/</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">G</span><span style="font-family: 'Times New Roman', serif;">/H inpartu kala ... </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">fase…</span><span style="font-family: 'Times New Roman', serif;">dengan gemeli</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">, presentasi anak pertama </span><span style="font-family: 'Times New Roman', serif;">bokong</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> dan anak kedua </span><span style="font-family: 'Times New Roman', serif;">bokong</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Ds : ibu mengatakan hamil 9 bulan Anak pertama. Mengeluh kenceng-kenceng dan mengeluarkan lendir </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Do : TD : 120/80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Nadi : 60 – 100 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Suhu :36,5 – 37,5 </span><span style="font-family: Symbol;">°</span><span style="font-family: 'Times New Roman', serif;">C</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Rr :18-20 x / menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span lang="FI" style="font-family: 'Times New Roman', serif;">LI : </span><span style="font-family: 'Times New Roman', serif;">TFU </span><span lang="FI" style="font-family: 'Times New Roman', serif;">……</span><span style="font-family: 'Times New Roman', serif;"> (</span><span lang="FI" style="font-family: 'Times New Roman', serif;">…</span><span style="font-family: 'Times New Roman', serif;">) cm</span><span lang="FI" style="font-family: 'Times New Roman', serif;"> ( tfu lebih besar dan tidak sesuai dengan usia kehamilan), teraba dua bagian keras dan melenting</span><span style="font-family: 'Times New Roman', serif;"> (kepala) pada fundus, TBJ = ... gr</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LII : teraba 2 tahanan keras memanjang diperut kanan dan kiri (puka-puki), teraba banyak bagian kecil</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">. Anak pertama teraba puka dan anak kedua teraba puki</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIII : teraba dua bagian lunak dan tidak melenting (bokong)</span><span style="font-family: 'Times New Roman', serif;"> <span lang="EN-US">di perut bagian bawah</span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIV : kepala sudah masuk PAP (4/5)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">VT (presentasi bokong bokong) : teraba sacrum, anus, dan dua lipat paha sebagai denominator</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">DJJ : 120 – 160 x/menit, selisih DJJ kedua janin tidak kurang dari 10</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">His : …x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif;">Dx : ibu G</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">…</span><span style="font-family: 'Times New Roman', serif;">P</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">…</span><span style="font-family: 'Times New Roman', serif;"> hamil UK : aterm I/</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">G</span><span style="font-family: 'Times New Roman', serif;">/H inpartu kala ... </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">fase…</span><span style="font-family: 'Times New Roman', serif;"> dengan gemeli</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">, presentasi anak pertama bokong dan anak kedua lintang</span><span style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Ds : ibu mengatakan hamil 9 bulan Anak pertama. Mengeluh kenceng-kenceng dan mengeluarkan lendir </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Do : TD : 120/80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Nadi : 60 – 100 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Suhu :36,5 – 37,5 </span><span style="font-family: Symbol;">°</span><span style="font-family: 'Times New Roman', serif;">C</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Rr :18-20 x / menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LI : TFU …… (…) cm ( tfu lebih besar dan tidak sesuai dengan usia kehamilan), teraba bagian keras dan melenting (kepala) pada fundus, TBJ = ... gr</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LII : teraba bagian </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">keras dan memanjang</span><span style="font-family: 'Times New Roman', serif;"> di sebelah kanan perut ibu dan teraba </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">lunak</span><span style="font-family: 'Times New Roman', serif;"> dan</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> tidak</span><span style="font-family: 'Times New Roman', serif;"> melenting (</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">bokong</span><span style="font-family: 'Times New Roman', serif;">) di sebelah kiri perut ibu.</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Anak pertama teraba puka dan anak kedua teraba kepala di sebelah kanan perut ibu</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> LIII : teraba lunak dan tidak melenting (bokong) </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> LIV : kepala sudah masuk PAP (4/5)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">VT (presentasi lintang bokong) : </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">bokong :teraba sacrum, anus, dan dua lipat paha sebagai denominator</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">lintang : teraba scapula atau sternum sebagai denominator</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">DJJ : 120 – 160 x/menit, selisih DJJ kedua janin tidak kurang dari 10</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> His : …x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif;">Dx : ibu G</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">…</span><span style="font-family: 'Times New Roman', serif;">P</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">…</span><span style="font-family: 'Times New Roman', serif;"> hamil UK : aterm I/</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">G</span><span style="font-family: 'Times New Roman', serif;">/H inpartu kala ... </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">fase…</span><span style="font-family: 'Times New Roman', serif;">dengan gemeli</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">, presentasi anak pertama kepala dan anak kedua </span><span style="font-family: 'Times New Roman', serif;">lintang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Ds : ibu mengatakan hamil 9 bulan Anak pertama. Mengeluh kenceng-kenceng dan mengeluarkan lendir </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Do : TD : 120/80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Nadi : 60 – 100 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Suhu :36,5 – 37,5 </span><span style="font-family: Symbol;">°</span><span style="font-family: 'Times New Roman', serif;">C</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Rr :18-20 x / menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LI : TFU …… (…) cm ( tfu lebih besar dan tidak sesuai dengan usia kehamilan), teraba bagian lunak dan tidak melenting (bokong) pada fundus, TBJ = ... gr</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LII : </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">anak pertama </span><span style="font-family: 'Times New Roman', serif;">teraba bagian </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">keras</span><span style="font-family: 'Times New Roman', serif;"> dan m</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">emanjang</span><span style="font-family: 'Times New Roman', serif;"> (</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">punggung</span><span style="font-family: 'Times New Roman', serif;">) di sebelah kanan perut ibu dan </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">anak kedua </span><span style="font-family: 'Times New Roman', serif;">teraba bagian keras dan melenting (kepala) di sebelah kiri perut ibu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> LIII : teraba keras dan melenting (kepala)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> LIV : kepala sudah masuk PAP (4/5)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 34.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">VT (presentasi lintang kepala) : </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 34.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Kepala : teraba UUK sebagai denominator </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 34.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Lintang : scapula atau sternum sebagai denominator</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">DJJ : 120 – 160 x/menit, selisih DJJ kedua janin tidak kurang dari 10</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">His : …x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif;">Dx : ibu G</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">...</span><span style="font-family: 'Times New Roman', serif;">P</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">…</span><span style="font-family: 'Times New Roman', serif;"> hamil UK : aterm I/</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">G</span><span style="font-family: 'Times New Roman', serif;">/H inpartu kala .... </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">fase…</span><span style="font-family: 'Times New Roman', serif;">dengan gemeli</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">, presentasi anak pertama</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> </span><span style="font-family: 'Times New Roman', serif;">lintang</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> dan anak kedua </span><span style="font-family: 'Times New Roman', serif;">lintang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Ds : ibu mengatakan hamil 9 bulan Anak pertama. Mengeluh kenceng-kenceng dan mengeluarkan lendir </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Do : TD : 120/80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Nadi : 60 – 100 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Suhu :36,5 – 37,5 </span><span style="font-family: Symbol;">°</span><span style="font-family: 'Times New Roman', serif;">C</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Rr :18-20 x / menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LI : TFU …… (…) cm, teraba kosong pada fundus, TBJ = ... gr</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LII : </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">anak pertama </span><span style="font-family: 'Times New Roman', serif;">teraba bagian lunak dan tidak melenting (bokong) serta bagian keras dan melenting (kepala) di sebelah kanan perut / teraba 2 bagian lunak dan tidak melenting (bokong) ibu dan </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">anak kedua </span><span style="font-family: 'Times New Roman', serif;">teraba bagian keras dan melenting (kepala) serta teraba bagian lunak dan tidak melenting (bokong) / teraba 2 bagian keras dan melenting (kepala)di sebelah kiri perut ibu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIII : teraba kosong pada </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">perut bagian bawah dan fundus</span><span style="font-family: 'Times New Roman', serif;"> ibu</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIV : -</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 34.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">VT (presentasi lintang lintang) : teraba skapula atau sternum sebagai denominator</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">DJJ : 120 – 160 x/menit, selisih DJJ kedua janin tidak kurang dari 10</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> His : …x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Diagnosa yang dipilih adalah diagnosa nomer 2</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 153.0pt; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pemeriksaan penunjang </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="color: black; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Darah lengkap</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">USG : </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">terlihat 2 bagian janin atau lebih, kedudukan anak, </span><span style="font-family: 'Times New Roman', serif;">posisi janin, air ketuban, letak plasenta, DJJ, TBJ, Usia kehamilan, Taksiran persalinan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">III. Identifikasi Masalah Potensial</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ibu :</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> KPD</span><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Partus </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Lama</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Inersia uteri</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Atonia Uteri</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Perdarahan pasca persalinan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: center 244.75pt; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Kematian ibu </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Bayi : </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">hipoksia, BBLR, </span><span style="font-family: 'Times New Roman', serif; line-height: 150%;">Morbiditas dan mortalitas perinatal meningkat</span><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">IV. Identifikasi kebutuhan segera </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Rehidrasi dengan cairan infus RL 20 tetes / menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Mempersiapkan donor darah </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Resusitasi BBL</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Kolaborasi dengan dokter obgyne</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">V. Intervensi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1. jelaskan hasil pemeriksaan pada ibu</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/ ibu mengerti dan lebih kooperatif</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo17; text-align: justify; text-indent: -14.2pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">observasi TTV dan CHPB </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/ memberika energi dan tenaga pada ibu saat persalinan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3. Berikan ibu asupan per oral</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/ memantau perkembangan keadaan ibu</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4. Anjurkan keluarga untuk memberikan motivasi pada ibu</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/ perbaikan psikologis pada ibu dan meringankan beban ibu dalam menjalani persalinan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5. Ajarkan ibu teknik distraksi-relaksasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/ mengurangi rasa sakit ibu ketika ada HIS </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6. pasang infus RL 20 t</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">etes per menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/ </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">maintenance cairan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7. siapkan peralatan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/ pertolongan persalinan yang aman</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 18.0pt 126.0pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">VI. Implementasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 18.0pt 126.0pt; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Pelaksanaan intervensi tanggal........jam...........</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 18.0pt 126.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">VII. Evaluasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;"> Tanggal :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;"> Jam :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">S : Ibu mengatakan hamil.....bulan anak ke..............mengeluh kenceng-kenceng semakin sering dan ingin mengedan seperti orang BAB.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">O : </span><span style="font-family: 'Times New Roman', serif;">TD : 120/80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Nadi : 60 – 100 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Suhu :36,5 – 37,5 </span><span style="font-family: Symbol;">°</span><span style="font-family: 'Times New Roman', serif;">C</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">Rr :18-20 x / menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LI : TFU … (…) cm ( tfu lebih besar dan tidak sesuai dengan usia kehamilan), teraba dua bagian lunak dan tidak melenting (bokong) pada fundus, TBJ = ... gr</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LII : teraba 2 tahanan keras memanjang diperut kanan dan kiri (puka-puki), teraba </span><span style="font-family: 'Times New Roman', serif;"> </span><span style="font-family: 'Times New Roman', serif;">banyak bagian kecil</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">. Anak pertama teraba puka dan anak kedua teraba puki</span><span style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIII : teraba dua bagian keras dan melenting (kepala)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">LIV : kepala sudah masuk PAP (</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">1</span><span style="font-family: 'Times New Roman', serif;">/5)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">VT (presentasi kepala kepala) : u/v taa. Portio tidak teraba. Eff 100%. Pembukaan 10 cm. Ket (-). Teraba UUK. Molage 0. HIII+. Tidak teraba bagian kecil yang menumbung. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -16.9pt; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">DJJ : 120 – 160 x/menit, selisih DJJ kedua janin tidak kurang dari 10</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -16.9pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">His : 4x dalam 10 menit, lama > 40 detik</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> A : Ibu G...P......Hamil....mg I/</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">G</span><span style="font-family: 'Times New Roman', serif;">/H Inpartu kala II dengan Gemeli</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">, presentasi anak pertama </span><span style="font-family: 'Times New Roman', serif;">Kepala</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> dan anak kedua </span><span style="font-family: 'Times New Roman', serif;">kepala</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> P : - Persiapan Persalinan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> - Pimpin ibu meneran bila ada his dan dorongan meneran</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> - Observasi DJJ dan nadi saat tidak ada his</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">CATATAN PERKEMBANGAN </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Tanggal :………. Jam :…………</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">S : ibu mengatakan lega karena anak pertamanya sudah lahir</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">O : bayi pertama lahir hidup spontan, laki-laki, tanggal….jam….AS : 8-9</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Cek fundus : ada janin kedua</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> LI : TFU pertengahan px-pusat, teraba lunak, kurang bulat, kurang melenting (bokong)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">LII : Teraba tahanan keras dan memanjang di sebelah kiri perut ibu (punggung)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">LIII : Teraba keras, bulat, tidak dapat dilentingkan (kepala)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;">LIV : Kepala masuk PAP (1/5)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><span style="font-family: 'Times New Roman', serif;">VT (presentasi kepala kepala) : u/v taa. Portio tidak teraba. Eff 100%. Pembukaan 10 cm. Ket (-). Teraba UUK. Molage 0. HIII+. Tidak teraba bagian kecil yang menumbung. </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">A : Ibu G…P…hamil….mgg I/T/H inpartu kala II </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">P : Drip oxytocin 10 UI</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Pimpin ibu meneran bila ada his dan dorongan meneran</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Observasi DJJ dan nadi saat tidak ada his</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">CATATAN PERKEMBANGAN</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Tanggal :……. Jam :………….</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">S : ibu mengatakan lega karena anak keduanya sudah lahir</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">O : bayi kedua lahir hidup spontan, perempuan, tanggal….jam….AS : 8-9</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Cek fundus : tidak ada bayi kedua</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Suntik oxytocin 10 UI secara IM</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Penilaian bayi baru lahir dan perawatan bayi baru lhir</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">A : Ibu P10002 inpartu kala III</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">P : Lakukan menejemen aktif kala III</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Cek perdarahan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">CATATAN PERKEMBANGAN</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Tanggal :……. Jam :………….</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">S : ibu mengatakan lega </span><span lang="EN-US">karena plasenta telah lahir</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US">O : plasenta lahir spontan, tanggal….jam….</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> </span><span lang="EN-US">Melakukan manajemen aktif kala III</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">A : Ibu P10002</span><span lang="EN-US"> inpartu kala IV</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US">P :Observasi TTV, UC, TFU, Perdarahan, Kandung kemih</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Catatan Perkembangan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Tanggal :……………………Jam : …………………….</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">S : ibu mengatakan perutnya masih terasa mules dan mengeluarkan darah</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">O : TD : 110/80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> N : 80x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> S : 36,7</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Rr : 18x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> UC : baik</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> TFU : 2 jari bawah pusat</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Kandung kemih : kosong</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Perdarahan : 30cc</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">A : Ibu P10002 inpartu kala IV</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;">P : Observasi TTV, kontraksi, perdarahan. Kandung kemih dan TFU selama 2 - 6jam PP</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Pemeriksaan BBL dan pemberian Vit. K, salep mata dan HB0</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Ajari ibu masase uterus dan menilai kontraksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> Bersihkan peralatan dan tempat</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;"><br />
</div>Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com2tag:blogger.com,1999:blog-7621867379838256899.post-83728539675287913862012-04-16T17:14:00.000+07:002012-04-16T17:14:04.662+07:00postmatur kehamilan<!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>IN</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: center;"><b><u><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">POST MATUR KEHAMILAN</span></u></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A . <b>Pengertian</b></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kehamilan yang berlangsung melebihi 42 minggu, antara lain kehamilan memanjang, kehamilan lewat bulan, kehamilan postterm, dan pascamaturitas.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kehamilan lewat bulan, suatu kondisi antepartum, harus dibedakan dengan sindrom pasca maturitas, yang merupakan kondisi neonatal yang didiagnosis setelah pemerikasaan bayi baru lahir. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Definisi standar untuk kehamilan lewat bulan adalah 294 hari setelah hari pertama menstruasi terakhir, atau 280 hari setelah ovulasi. Istilah lewat bulan ( postdate) digunakan karena tidak menyatakan secara langsung pemahaman mengenai lama kehamilan dan maturitas janin. ( Varney Helen,2007)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keakuratan dalam memperkirakan usia kehamilan meningkat pesat sejak adanya USG yang makin banyak digunakan. Kisaran optimum variasi lama gestasi pada manusia belum diketahui hingga kini, Dan penetapan dua minggu melewati taksiran persalinan (TP) masih berubah- ubah. Meskipun insidensi kehamilan lewat bulan relatif rendah, beberapa studi menunjukkan bahwa sebagian besar induksi yang dijadwalkan dengan indikasi kehamilan lewat bulan faktanya kurang dari 42 minggu berdasarkan hitungan dengan USG. Akibatnya induksi yang menjadi bersifat relatif.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B . Etiologi</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Etiologinya msih belum pasti. Faktor yang dikemukakan adalh hormonal yaitu kadar progesteron tidak cepat turun walaupun kehamilan telah cukup bulan, sehingga kepekaan uterus terhadap oksitosin berkurang ( Mochtar, Rustam, 1999). Diduga adanya kadar kortisol yang rendah pada darah janin. Selain itu, kurangnya air ketuban dan insufisiensi plasenta juga diduga berhubungan dengan kehamilan lewat waktu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Fungsi plasenta memuncak pada usia kehamilan 38-42 minggu, kemudian menurun setelah 42 minggu, terlihat dari menurunnya kadar estrogen dan laktogen plasenta. Terjadi juga spasme arteri spiralis plasenta. Akibatnya dapat terjadi gangguan suplai oksigen dan nutrisi untuk hidup dan tumbuh kembang janin intrauterin. Sirkulasi uteroplasenta berkurang sampai 50%.Volume air ketuban juga berkurang karena mulai terjadi absorpsi. Keadaan-keadaan ini merupakan kondisi yang tidak baik untuk janin. Risiko kematian perinatal pada bayi postmatur cukup tinggi : 30% prepartum, 55% intrapartum, 15% postpartum</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C. Prognosis</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Beberapa ahli dapat menyatakan kehamilan lewat bulan bila lebih dari 41 minggu karena angka mordibitas dan mortalitas neonatus meningkat setelah usia 40 minggu. Namun kurang lebih 18 % kehamilan akan berlanjut melebihi 41 minggu hingga 7% akan menjadi 42 minggu bergantung pada populasi dan kriteria yang digunakan. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Seringnya kesalahan dalam mendefinisikan postmatur diperlukan deteksi sedini mungkin untuk menghindari kesalahan dalam menentukan usia kehamilan.Jika Tp telah ditentukan pada trimester terakhir atau berdasarkan data yang tidak dapat diandalkan.Data yang terkumpul sering menunjukkan peningkatan resiko lahir mati seiring peningkatan usia kehamilan lebih dari 40 minggu. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyebab lahir matinya tidak mudah dipahami dan juga tidak ada kesepakatan tentang pendekatan yang paling tepat guna mencegah kematian tersebut. (Varney, Helen, 2007)<br />
Apabila diambil batas waktu 42 minggu frekuensinya adalah 10,4 – 12%. Apabila diambil batas waktu 43 minggu frekuensinya adalah 3,4 -4% ( Mochtar,Rustam,1998)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kesepakatan yang ada adalah bahwa resiko mortalitas perinatal lebih tinggi pada IUGR atau bayi SGA daripada AGA lewat bulan. Clausson et al Menegaskan bahwa odds ratio untuk kematian perinatal untuk bayi AGA tidak berbeda signifkan pada bayi post term. Namun bagi SGA mempunyai odds ratio 10,5 pada lahir post term. Penatalaksanaaan aktif pada bagi AGA dengan lebih bulan kenyataan dapat mengubah hasil positif yang diingunkan, angka penatalaksanaan anestesia epidural, persalinan sesar, dan mortalitas.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengaruh terhadap Ibu dan Janin :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">· Terhadap Ibu : Persalinan postmatur dapat menyebabkan distosis karena (a) aksi uterus tidak terkoordinir (b). Janin besar (c) Moulding kepala kurang. Maka akan sering dijumpai : partus lama, kesalahan letak, inersia uteri, distosia bahu dan perdarahan postpartum. Hal ini akan menaikan angka mordibitas dan mortalitas.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">· Terhadap janin : Jumlah kematian janin/ bayi pada kehamilan 43 minggu tiga kali lebih besar dri kehamilan 40 minggu karena postmaturitas akan menambah bahaya pada janin. Pengaruh postmaturitas pada janin bervariasi: berat badan janin dapat bertambah besar, tetap dan ada yang berkurang, sesudah kehamilan 42 minggu. Ada pula yang bisa terjadi kematian janin dalam kandungan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">D . <b>Pemeriksaan Penunjang </b></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 18.0pt;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1. </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bila HPHT dicatat dan diketahui wanita hamil, diagnosis tidak sukar.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; mso-margin-top-alt: auto; tab-stops: 31.5pt; text-align: justify; text-indent: -13.5pt;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2. </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kesulitan mendiagnosis bila wanita tidak ingat HPHTnya. Hanya dengan pemeriksaan antenatal yang teratur diikuti dengan tinggi dan naiknya fundus uteri dapat membantu penegakan diagnosis.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; mso-margin-top-alt: auto; text-align: justify; text-indent: -13.5pt;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3. </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan rontgenologik dapat dijumpai pusat pusat penulangan pada bagian distal femur, baguan proksimal tibia, tulang kuboid diameter biparietal 9,8 atau lebih.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 18.0pt;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4. </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">USG : ukuran diameter biparietal, gerkan janin dan jumlah air ketuban.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; mso-margin-top-alt: auto; text-align: justify; text-indent: -13.5pt;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5. </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan sitologik air ketuban: air ketuban diamabiil dengan amniosenteris baik transvaginal maupun transabdominal, kulitb ketuban akan bercmapur lemak dari sel sel kulit yang dilepas janin setelah kehamilan mencapai lebih dari 36 minggu. Air ketuban yang diperoleh dipulas dengan sulfat biru Nil, maka sel – sel yang mengandung lemak akan berwarna jingga.<br />
- Melebihi 10% = kehamilan diatas 36 minggu<br />
- Melebihi 50% = kehamilan diatas 39 minggu</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; mso-margin-top-alt: auto; text-align: justify; text-indent: -13.5pt;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6. </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Amnioskopi, melihat derajat kekeruhan air ketuban, menurt warnanya karena dikeruhi mekonium.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 18.0pt;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7. </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kardiotografi, mengawasi dan membaca denyut jantung janin, karena insufiensi plase</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; mso-margin-top-alt: auto; text-align: justify; text-indent: -13.5pt;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8. </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Uji oksitosin ( stress test), yaitu dengan infus tetes oksitosin dan diawasi reaksi janin terhadap kontraksi uterus. Jika ternyata reaksi janin kurang baik, hal ini mungkin janin akan berbahaya dalam kandungan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 18.0pt;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9. </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan kadar estriol dalam urin</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 18.0pt;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10. </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan pH darah kepala janin</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">11. Pemeriksaan sitoloi vagina</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">E .</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> <b>Penatalaksanaan Medis</b></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; mso-margin-top-alt: auto; text-align: justify; text-indent: -22.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dua prinsip pemikiran :<br />
1. Penatalaksanaan antisipasi-antisipasi kesejahteraan janin dengan meningkatkan pengkajian dan intervensi jika hanya terdapat indikasi.<br />
2. Penatalaksanaan aktif-induksi persalinan pada semua wanita yang usia kandungannnya melebihi 42 minggu. dengan pertimbangan kondisi janin yang cukup baik / optimal.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; mso-margin-top-alt: auto; text-align: justify; text-indent: -22.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ada berbagai variasi kemungkinan penatalaksanaan antisipasi dan penatalaksanaan aktif, antara lain: Pertimbangan kesiapan serviks ( skor bishop), perkiraan berat badan janin ( dengan manuver leopot, sonogram, atau keduanya) , kesejahteraan janin, pilihan wanita yang bersanngkutan, volume cairan amnion, riwayat kebidanan sebelumnya, status medis ibu, dan metode induksi sesuai pertimbangan. Variabel yang sangat memberatkan adalah usia gestasi janin, karena term yang berkembang cenderung mempertimbangkan usia kehamilan sebagai suatu rangkaian yang kontinu. Penatalaksanaan aktif versus penatalaksanaan antisipatif tergantung reabilitas kriteria yang digunakan dalam menentukan usia kehamilan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Para klinisi sejak lama menyadari perlunya mempercepat persalinan jika terdapat kondisi obstetri dan medis yang mengancam ibu dan janin. Sebelum ada metode yang diterima untuk induksi persalinan <b><i>seksio sesaria</i></b> merupakan satu-satunya cara yang dapat diterima untuk mengatasi maslaah ini. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keputusan untuk mempercepat persalinan harus selalu ditetapkan dengan membandingkan resiko dan manfaat masing masing penatalaksanaan tersebut. Secara umum metode induksi yang paling efektif adalah dengan meningkatkan denyut jantung janian dan hiperstimulasi pada uterus.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Induksi persalinan juga diperkirakan komplikasinya. Induksi persalian dikaitkan dengan peningkatan anastesia epidural dalam seksio sesaria untuk wanita primigravida yang usia kehamilanyya lebih dai 41 minggu dan taksiran berat jain 3800 gram atau lebih.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada kenyataannya induksi persalian meningkatkan resiko distress janin, seksio sesaria, infeksi dan perdarahan sangat mengejutkan bagi masyarakat awam. kehamilan lebih bulan akan meningkatkan resiko lahir mati, cairan bercampur, mekonium sindrom aspirasi mekonium pada neonatus, distosia bahu jika janin makrosomia.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Indikasi untuk induksi persalinan mencakup hal – hal :<br />
a. Hasil uji janin meragukan ( skor profil biosfik rendah)<br />
b. Oligohidramnion.<br />
c. Preeklamsi yang cukup parah menjelah cukup bulan<br />
d. Diabetes dependent<br />
e. IUGR menjelang usia cukup bulan<br />
f. Riwayat lahir mati pada kehamilan cukup bulan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; mso-margin-top-alt: auto; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penatalaksanaan antisipasi pada usia kehamilan lewat bulan antara 40 hingga 42 minggu<br />
1.Kaji kembail TP wanita sebagai titik tengah dalam kisaran waktu 4 minggu ( 40+minggu)<br />
2. Kaji kembali bersama wanita rencana penanganan kehamilan lewat bulan, dokumentasikan rencana yang disepakati ( 40+ minggu)<br />
3. Uji kembali nonstress awal ( Nonstress test, NST) dua kali dalam seminggu, yang dimulai saat kemilan berusia 41 minggu dan berlanjut hingga persalinan.<br />
4. Lakukan pengukuran volume cairan amnion ( Amniotic fluid volume, APV) dua kali dalam seminggu, yang dimulai saat kehamilan berusia 41 minggu dan berlanjut hingga persalinan.<br />
5. Lakukan uji profil biofisik lengkap dan konsultasikan dengan dokter untuk hasil NST yang nonreaktif atau APV yang randah.<br />
6. Jika kelainan berlanjut hingga 42 minggu dan perkiraan usia kehamilan dapat diandalkan mulai penanganan aktif mengacu pada protokol.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penatalaksanaan aktif pada kehamilan leat bulan : Induksi persalinan<br />
Pada tahun 1970-an terdapat meningkatnya kesadaran terhadap mordibitas kehamilan lewat bulan. Beberapa pihak mengajukan keberatan terhadap induksi persalinan karena tidak alami dan dapat meningkatkan bahaya. Namun walaupun banyak pihak yang menentang induksi persalinan dan tidak adanya standardisai kriteria, praktik induksi telah banyak meningkat selama satu dekade terakhir.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menurut American college of obstetricians dan Gynecologist, hasil yang diharapkan dari induksi persalinan adalah “ ibu dapat melahirkan bayi pervaginam setelah kontraksi distimulasi sebelum persalinan spontan terjadi”. Meski metode induksi sekarang diutamakan pada induksi kontarkasi uterus, namun peran servik sangat penting yang aktivitasnya tidak sepenuhnya dipengaruhi uterus. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penggunanaan obat berpusat pada oksitosin sejak tahun 1960-an dan prostaglandin sejak tahun 1970-an. Pengaturan dosis, dan cara pemberian dan waktu pemberian untuk semua metode hingga kini masih dalam penelitian,</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk menghasilkan persalinan yang aman, keberhasilan induksi persalinnan setelah servik matang dapat dicapai dengan menggunakan prostaglandin E2 (PGE2) bersama oksitosin, dan prostaglandin terbukti lebih efektif sebagai agens yang mematangkan seriks dibanding oksitosin. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Metode lain yang digunakan untuk menginduksi persalinan ( misalnya minyak jarak, stimulasi payudara, peregangan servik secara mekanis), memiliki kisaran keberhasilan secara beragam dan atau sedikit penelitian untuk menguatkan rekomendasinya. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.0pt; mso-margin-top-alt: auto; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Metode hormon untuk induksi persalinan :<br />
1. Oksitosin yang digunakan melalui intravena ( atas persetujuan FDA untuk induksi persalinan ). Dengan catatan servik sudah matang.<br />
2. Prostaglandin : dapat digunakan untuk mematangkan servik sehingga lebih baik dari oksitosin namun kombinasi keduanya menunjukkan hal yang positif.<br />
a. Misprostol<br />
1) Merk dagang cytotec. Suatu tablet sintetis analog PGE1 yang diberikan intravagina ( disetujui FDA untuk mencegah ulkus peptikum, bukan untuk induksi)</span></div><div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b. Dinoproston<br />
1) Merk dagang cervidil suatu preparat PGE2, tersedia dalam dosis 10 mg yang dimasukkan ke vagina ( disetujui FDA untuk induksi persalinan pada tahun 1995)<br />
2) Merk dagang predipil. Suatu sintetis preparat PGE2 yang tersedia dalam bentuk jel 0,5 mg deng diberika intraservik ( disetujui FDA untuk induksi persalinan pada tahun 1993)</span></div><div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3. Mifepriston 9 RU 486, antagonis reseptor progesteron) ( disetujui FDA untuk aborsi trimester pertama, bukan untuk induksi) tersedia dalam bentuk tablet 200 mg untuk diberikan per oral.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Metode non hormon Induksi persalinan<br />
1. Pemisahan ketuban</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Prosedurnya dikenal dengan pemisahan atau mengusap ketuban mengacu pada upaya memisahkan membran amnion dari bagian servik yang mudah diraih dan segmen uterus bagian bawah pada saat pemeriksaan dalam Dengan tangan terbungkus sarung tangan bidan memeriksa wanita untuk menentukan penipisan serviks, pembukaan dan posisi lazimnya. Perawatan dilakukanan untuk memastikan bahwa bagian kepala janin telah turun. Pemeriksaan mengulurkan jari telunjuk sedalam mungkin melalui os interna, melalui ujung distal jari perlahan antara segmen uterus bagian bawah dan membaran. Beberapa usapan biasanya eektif untuk menstimulasi kontaksi awal reguler dalam 72 jam. Mekanisme kerjanya memungkinkan melepaskan prostaglandin ke dalam sirkulasi ibu. Pemisahan hendaknya jangan dilakukan jika terdapat ruptur membran yang tidak disengaja dan dirasa tidak aman baik bagi ibu maupun bagi janin. Pemisahan memban servis tidak dilakukan pada kasus – kasus servisitis, plasenta letak rendah, maupun plasenta previa, posisi yang tidak diketahui, atau perdarahan pervaginam yang tidak diketahui.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2. Amniotomi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemecahan ketuban secara sengaja (AROM). Saat dikaukan bidan harus memeriksa dengan teliti untuk mengkaji penipisan servik, pembukaanm posisi,, dan letak bagian bawah. Presentasi selain kepala merupakan kontrainsdikasi AROM dan kontraindikasi lainnya ketika kepala belum turun, atau bayi kecil karena dapat menyebabkan prolaps talipusat. Meskipun amniotomi sering dilakukan untuk menginduksi persalinan, namun hingga kini masih belum ada studi prospektif dengan desain tepat yang secara acak menempatkan wanita pada kelompok tertentu untuk mengevaluasi praktik amniotomi ini.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3. Pompa Payudara dan stimulasi puting.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penggunaan cara ini relatif lebih aman kerna menggunakan metode yang sesuai dengan fisiologi kehamilan dan persalinan. Penangannya dengan menstimulasi selama 15 menit diselingi istirahat dengan metode kompres hangat selama 1 jam sebanyak 3 kali perhari.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4. Minyak jarak</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ingesti minyak jarak 60 mg yang dicampur dengan jus apel maupun jus jeruk dapat meningkatkan angka kejadian persalinan spontan jika diberikan pada kehamilan cukup bulan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5. Kateter forey atau Kateter balon.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Secara umum kateter dimasukkan kedalam servik kemudian ballon di isi udara 25 hingg 50 mililiter untuk menjaga kateter tetap pada tempatnya. Beberapa uji klinis membuktikan bahwa teknik ini sangat efektif.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6. Aktifitas seksual.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jika bidan tidak merasa bahwa penatalaksanaan aktif pada persalinan lewat bula diindikasikan, protokol dalam memuat panduan rekomendasi yang mencakup pemberian, wakru, dosis, dan langkah kewaspadaan. Sementara pada penatalaksanaan antisipasi, bidan dianjurkan mendokumentasikan secara teliti rencana penatalaksanaan yang disepakati bersama oleh wanita. Bidan maupun wanita harus memahami secara benar standar perawatan setempat untuk menangani kehamilan lewat bulan. Wanita sebaiknya diberi tahu jika terdapat status yang tidak mencakup pada penggunaan resep, dan bidan harus tetap merujuk pada literatur terkini seputar penanganan kehamilan lewat bulan. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">F.</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> <b>Diagnosis bayi postmatur pascapersalinan</b></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diagnosis bayi postmatur pascapersalinan, dengan memperhatikan tanda-tanda postmaturitas yang dapat dibagi dalam 3 stadium :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1. stadium I : kulit tampak kering, rapuh dan mudah mengelupas (maserasi), verniks kaseosa sangat sedikit sampai tidak ada.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2. stadium II : keadaan kulit seperti stadium I disertai dengan pewarnaan kulit yang kehijauan oleh mekoneum yang bercampur air ketuban.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3. stadium III : terdapat pewarnaan kekuningan pada kuku dan kulit janin serta pada jaringan tali pusat.Pada saat persalinan, penting dinilai keadaan cairan ketuban. Jika telah terjadi pewarnaan mekonium (kehijauan) atau bahkan pengentalan dengan warna hijau kehitaman, begitu bayi lahir harus segera dilakukan resusitasi aktif. Idealnya langsung dilakukan intubasi dan pembilasan trakhea.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">G.</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> <b>Komplikasi</b></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kemungkinan komplikasi pada bayi postmaturhipoksia ;</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-hipovolemia</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- asidosis</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-sindrom gawat napas</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-hipoglikemia</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-hipofungsi adrenal.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DAFTAR PUSTAKA</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><br />
</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Cunningham, Gary, dkk.2006. Obstetri William ed.21. Jakarta.EGC<br />
Mochtar, Rustam.1998, Sinopsis Obstetri. Jakarta.EGC<br />
Prawiroharjo, Sarwono.2003. Ilmu Kebidanan. Jakarta. Yayasan Bina Pustaka Sarwono Prawiroharjo.<br />
Varney, Helen Dkk.2007, Buku Ajar Asuhan Kebidanan ed.4 vo1. Jakarta.EGC<br />
Manuaba, Ida Bagus Gede. 1999, Memahami Kesehatan Reproduksi Wanita.Jakarta. Arcan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; text-align: justify;"><br />
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</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASUHAN KEBIDANAN TEORI</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PADA IBU G.P.... INPARTU KALA.... FASE....</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat pengkajian<span style="mso-tab-count: 1;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal / waktu<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkaji<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo1; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -36.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">PENGKAJIAN</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 39.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo2; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">DATA SUBJEKTIF</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Biodata Ibu dan Suami</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Nama<span style="mso-tab-count: 1;"> </span>: Agar tidak terjadi kekeliruan bila ada kesamaan nama</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Umur<span style="mso-tab-count: 1;"> </span>: Untuk mengetahui resiko tinggi terjadinya komplikasi ( < 16 thn, > 35 thn )</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Agama<span style="mso-tab-count: 1;"> </span>: mempermudah KIE</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Suku<span style="mso-tab-count: 1;"> </span>: mempermudah KIE</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Pendidikan<span style="mso-tab-count: 1;"> </span>: mempermudah KIE</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Pekerjaan<span style="mso-tab-count: 1;"> </span>: menetahui taraf hidup / sosial ekonomi serta apakah pekerjaan mengganggu / tidak</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Alamat<span style="mso-tab-count: 1;"> </span>: mempermudah asuhan saat kunjungan rumah</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Keluhan Utama</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Keluhan yang mendorong ibu untuk memeriksakan keadaan kepada tenaga kesehatan (bidan)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kesehatan Sekarang</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Pengkajian tentang riwayat kesehatan sekarang yang dialami ibu sebagai dasar dalam menentukan tindakan yang akan dilakukan oleh bidan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Riwayat Kesehatan Dahulu</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Pengkajian tentang riwayat kesehatan dahulu yang dialami ibu sebagai dasar dalam menentukan tindakan yang akan dilakukan oleh bidan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kesehatan Keluarga</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Sebagai pendukung riwayat kesehatan yang dialami ibu sekarang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Menstruasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo8; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Menarche<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo8; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lama<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo8; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Konsistensi<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo8; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Jumlah<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo8; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Fluor Albus<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo8; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Disminorhoe<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo8; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">HPHT<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo8; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">HPL<span style="mso-tab-count: 2;"> </span>:<br style="mso-special-character: line-break;" /> <br style="mso-special-character: line-break;" /> </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Pernikahan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Usia menikah<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Lama menikah<span style="mso-tab-count: 1;"> </span>: sebagai gambaran respon keluarga terhadap kehamilan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Status pernikahan<span style="mso-tab-count: 1;"> </span>: sebagai gambaran respon keluarga terhadap kehamilan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Pernikahan Ke-<span style="mso-tab-count: 1;"> </span>: sebagai gambaran respon keluarga terhadap kehamilan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Pengambilan keputusan dalam keluarga<span style="mso-tab-count: 1;"> </span>: memudahkan pelaksanaan tindakan yang memerlukan persetujuan keluarga</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Obstetri</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: -65.5pt; width: 783px;"><tbody>
<tr style="height: 28.3pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td rowspan="2" style="border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.85pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">NO</span></div></td> <td colspan="3" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.9pt;" valign="top" width="112"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">kehamilan</span></div></td> <td colspan="5" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 160.75pt;" valign="top" width="214"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Persalinan</span></div></td> <td colspan="5" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 153.8pt;" valign="top" width="205"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">anak</span></div></td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.9pt;" valign="top" width="107"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">nifas</span></div></td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.25pt;" valign="top" width="108"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">laktasi</span></div></td> </tr>
<tr style="height: 9.65pt; mso-yfti-irow: 1;"> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.6pt;" valign="top" width="29"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">ke</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.3pt;" valign="top" width="36"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">usia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.95pt;" valign="top" width="47"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Tgl</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">jns</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">penlng</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">tmp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Sex</span></div><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">L/P</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">BB/PB</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.95pt;" valign="top" width="47"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">H/M</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">T/G</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">usia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Lama</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" valign="top" width="51"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.65pt;" valign="top" width="48"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">lama</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.65pt;" valign="top" width="61"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">komp</span></div></td> </tr>
<tr style="height: 28.3pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.85pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.6pt;" valign="top" width="29"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.3pt;" valign="top" width="36"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.95pt;" valign="top" width="47"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.95pt;" valign="top" width="47"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" valign="top" width="51"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.65pt;" valign="top" width="48"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.65pt;" valign="top" width="61"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Riwayat obstetri memberikan gambaran tentang faktor resiko yang mungkin dalam persalinan sekarang.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat KB</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 75.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo9; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">KB yang pernah digunakan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 75.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo9; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lamanya penggunaan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 75.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo9; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Komplikasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat kehamilan sekarang</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US">ANC : - Berapa kali :</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 111.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level2 lfo9; tab-stops: 92.15pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TM I</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 111.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level2 lfo9; tab-stops: 92.15pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TM II</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 111.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level2 lfo9; tab-stops: 92.15pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TM III</span></div><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 92.15pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Obat yang di dapat :<span style="mso-spacerun: yes;"> </span>jumlah<span style="mso-spacerun: yes;"> </span>=</span></div><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 92.15pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Imunisasi TT :<span style="mso-spacerun: yes;"> </span>berapa kali =<span style="mso-spacerun: yes;"> </span>tanggal pemberian :</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 75.0pt; tab-stops: 92.15pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US">Tempat<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US">Obat yang di dapat<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 4;"> </span>jumlah<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US">Imunisasi<span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US">Merasakan gerakan janin sejak uisa<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US">Keluhan <span style="mso-tab-count: 1;"> </span>Trimester I<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>Trimester II<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 2;"> </span>Trimester III<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US">Riwayat kehamilan sekarang sangat berpengaruh terhadap kelancaran proses persalinan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat persalinan sekarang</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US">Datang ke bidan tanggal. . . jam. . . . </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US">kencang-kencang mulai kapan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US">mulai keluar lendir jam berapa.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US">keluar darah atau tidak, jika ya, mulai jam berapa.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US">Ketuban pecah atau utuh, jika pecah mulai jam berapa...</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pola kebiasaan sehari-hari</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 57.0pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">no</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Jenis</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Sebelum hamil</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Setelah hamil</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">1</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Nutrisi</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Pola makan</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Nafsu<span style="mso-spacerun: yes;"> </span>makan</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Jenis makanan</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Porsi</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Minuman</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Jumlah yangdiminum</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">2</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Eliminasi</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">BAK ( frekuensi, warna, bau, banyaknya )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">BAB ( frekuensi, warna, konsistensi )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">3</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Isturahat</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Siang ( lamanya )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 13;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Malam ( lamanya )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 14;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">4</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Personal hygiene</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 15;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Mandi</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 16;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Gosok gigi</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 17;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Cuci rambut</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 18;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Ganti CD</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 19;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">5</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Kebiasaan hidup sehat</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 20;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Minum-minuman keras</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 21;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Obat-obatan terlarang</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 22;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Merokok</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 23;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Tempat MCK</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 24;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">6</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Inpartu saat ini</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 25;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Makan</span></div><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Jenis makanan</span></div><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Banyaknya</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 26; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Minum</span></div><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Jenis minunan</span></div><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Banyaknya</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">\<span style="mso-tab-count: 2;"> </span>Pengkajian tentang kebiasaan sehari-hari sebagai acuan gambaran kesejahteraan janin dalam rahim</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat psikososial, spiritual dan ekonomi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo10; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Respon ibu dan keluarga terhadap kehamilan : untuk mengetahui adanya dukungan psikologi dan emosional dari keluarga atas kehamilan ibu.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo10; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ekonomi (diketahui dari jenis pekerjaan) : untuk mengetahui kemampuan ibu dalam memenuhi kebutuhan kehamilannya baik kebutuhan nutrisi, pakaian, maupun kebutuhan lainnya</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo10; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pengambil keputusan dalam keluarga : untuk mengetahui pengambil keputusan sehingga memudahkan bidan dalam menanyakan keputusan yang akan diambil saat berada dikondisi yang mendesak.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo10; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tempat dan petugas kesehatan yang diinginkan ibu dalam membantu persalinan : informasi ini dapat membantu ibu dalam menyiapkan hal-hal untuk persiapan persalinannya, misalnya kendaraan, orang yang akan mengantar, serta biaya yang perlu disiapkan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 93.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 39.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo2; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">DATA OBJEKTIF</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo5; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan Umum</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -7.05pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">K/U<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">BB, TB, LILA tidak perlu dikaji lagi, tanyakan BB terakhir pada ibu atau lihat KMS</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -7.05pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kesadaran<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -7.05pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TD<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -7.05pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">N<span style="mso-tab-count: 3;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -7.05pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">RR<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -7.05pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">S<span style="mso-tab-count: 3;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai dasar acuan untuk melakukan tindakan pada ibu</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo5; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan Fisik. Pemeriksaan fisik sebagai cara untuk mengetahui kesehatan yang dialami ibu sekarang.pemeriksaan fisik mendukung data subjektif yang diberikan ibu. Penulisan hasil pemeriksaan harus sesuai dengan apa yang ditemukan bukan menyimpulkan. Pemeriksaan yang dilakukan antara lain : </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo6; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kepala</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo6; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Muka</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo6; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Mata</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo6; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Gilut</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo6; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Leher</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo6; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dada</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo6; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Payudara</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo6; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Abdomen</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 56.95pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Inspeksi bekas SC, striae, linea</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 56.95pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Palpasi L1 : mengetahui TFU, TBJ</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 56.95pt; tab-stops: 0cm 92.15pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>L2 : mengetahui letak punggung janin</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 56.95pt; tab-stops: 0cm 92.15pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>L3 : Mengetahui bagian terendah janin (presentasi)</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 56.95pt; tab-stops: 0cm 92.15pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>L4 : mengetahui seberapa besar bagian terendah janin yang masuk PAP</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 56.95pt; tab-stops: 0cm 92.15pt; text-align: justify;"><span lang="EN-US">Pemeiksaan DJJ : memantau kesejahteraan janin</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 56.95pt; tab-stops: 0cm 92.15pt; text-align: justify;"><span lang="EN-US">Pemeriksaan TBJ<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 56.95pt; tab-stops: 0cm 92.15pt; text-align: justify;"><span lang="EN-US">Pemeriksaan HIS : memantau kemajuan persalinan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 56.95pt; tab-stops: 0cm 92.15pt; text-align: justify;"><span lang="EN-US">Pemeriksaan panggul luar (jika masih memungkinkan)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo7; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ekstrimitas atas dan ekstrimitas bawah<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo7; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>: kondisi vagina sebagai jalan lahir sangat berpengaruh terhadap proses persalinan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo7; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Anus <span style="mso-tab-count: 1;"> </span>: periksa keadaan anus (ada hemoroid atau tidak -> antisipai pendarahan)</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.75pt; tab-stops: 0cm 92.15pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo5; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan penunjang</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Pemeriksaan penunjang mendukung hasil pengkajian data subjektif dan data objektif. Pemeriksaan yang dapat dilakukan antara lain, test Hb dan test urine.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo1; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -36.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">INTERPRETASI DATA DASAR</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Tahap ini dilakukan dengan melakukan interpretasi data dasar terhadap kemungkinan diagnosis yang akan ditegakkan dalam batas diagnosis kebidanan intranatal. Penetapan diagnosis harus<span style="mso-spacerun: yes;"> </span>disertaihasil dari<span style="mso-spacerun: yes;"> </span>pengkajian data subjektif dan data objektif yang mendukung<span style="mso-spacerun: yes;"> </span>hasil diagnosa (data fokus ). Interpretasi data dasar sebagai acuan menentukan rencana tindakan yang akan dilakukan oleh bidan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Dx <span style="mso-tab-count: 2;"> </span>: sebatas lingkup kebidanan dan memenuhi standart nomenklatur yang diakui oleh profesi dan berhubungan langsung dengan prektek kebidanan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Ds<span style="mso-tab-count: 2;"> </span>: data fokus yang dirasakan ibu dan berkenaan dengan diagnosa</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Do<span style="mso-tab-count: 2;"> </span>: data fokus hasil pengkajian bidan yang menunjang diagnosa yang ditegakkan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Masalah<span style="mso-tab-count: 1;"> </span>: ketidaksesuaian antara harapan dengan kenyataan. Masalah boleh tidah disertai dengan Ds dan Do.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo1; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -36.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">IDENTIFIKASI DIAGNOSA DAN MASALAH POTENSIAL</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Langkah ini dilakukan dengan mengidentifikasi masalah kemudian merumuskan diagnosis potensial berdasarkan diagnosis masalah yang sudah teridentifikasi pada masa intranatal. Sebagai acuan untuk menentukan dari kebutuhan segera.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo1; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -36.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">IDENTIFIKASI KEBUTUHAN SEGERA</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Langkah ini dilakukan untuk mengantisipasi dan melakukan konsultasi serta kolaborsi deim kesehatan lain berdasarkan kondisi pasien. Sebagai acuan untuk mencegah dan mengatasi masalah potensial yang mungkin akan timbul.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo1; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -36.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">MENYUSUN RENCANA ASUHAN YANG MENYELURUH (INTERVENSI)</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Rencana asuhan disusun berdasarkan hasil identifikasi masalah dan diagnosis serta dari kebutuhan pasien. Penetapan rencana asuhan harus disertai dengan rasional dari rencana tindakan. Rencana asuhan ditujukan untuk mempermudah pelaksanaan tindakan yang akan dilakukan oleh bidan (mengkoordinir dan memenegement tindakan) -> 58 langkah APN</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo1; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -36.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">IMPLEMENTASI</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Catatan detail tindakan yang dilakukan kepada ibu berdasarkan rencana asuhan.</span></div><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo1; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -36.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">VII.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">EVALUASI</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Penilaian terhadap rencana tindakan yang disusun. Penilaian didasarkan pada hasil implementasi rencana tindakan (tercapai atau tidaknya tujuan rencana asuhan). Penulisan evaluasi dapat berupa SOAP, SOAPIE, SOAPIER, maupun SOAPIED. </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Lampirkan lembar penapisan, lembar observasi dan partograf</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
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</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASUHAN KEBIDANAN</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PADA IBU G1P.... INPARTU KALA I FASE AKTIF DILATASI MAKSIMAL</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat pengkajian<span style="mso-tab-count: 1;"> </span>:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Ruang Bersalin</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal / waktu<span style="mso-tab-count: 1;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">27 november 2004/ 13.45 WIB</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkaji<span style="mso-tab-count: 2;"> </span>: Mahasiswa</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 13.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo30; tab-stops: 0cm 13.5pt; text-align: justify; text-indent: -13.5pt;"><span lang="EN-US"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">PENGKAJIAN</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l5 level1 lfo11; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -13.5pt;"><span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">DATA SUBJEKTIF</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l2 level1 lfo12; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Biodata Ibu </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Nama<span style="mso-tab-count: 2;"> </span>: Ny. P</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Umur<span style="mso-tab-count: 2;"> </span>: 36 tahun</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Agama<span style="mso-tab-count: 1;"> </span>: Islam</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Suku<span style="mso-tab-count: 2;"> </span>; Jawa</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Pendidikan<span style="mso-tab-count: 1;"> </span>: SMA</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Pekerjaan<span style="mso-tab-count: 1;"> </span>: wiraswasta</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Alamat<span style="mso-tab-count: 1;"> </span>: Jln Mangga Raya RT 2 RW 1-Banyuwangi</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Biodata Suami</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Nama<span style="mso-tab-count: 2;"> </span>: TN “ Y ”</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Umur<span style="mso-tab-count: 2;"> </span>: 40 tahun</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Agama<span style="mso-tab-count: 1;"> </span>: Islam</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Suku<span style="mso-tab-count: 2;"> </span>: Jawa</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Pendidikan<span style="mso-tab-count: 1;"> </span>: SMA</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Pekerjaan<span style="mso-tab-count: 1;"> </span>: Wiwaswasta</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Alamat<span style="mso-tab-count: 1;"> </span>: Jln Mangga Raya RT 2 RW 1-Banyuwangi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l8 level1 lfo13; tab-stops: 0cm 21.3pt 27.0pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US"><span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Keluhan Utama</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; tab-stops: 0cm 21.3pt 27.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Ibu mengatakan hamil 10 bulan anak pertama, dan saat ini ibu mengeluh perutnya sakit dan kenceng – kenceng sejak tadi jam 06.00 WIB<span style="mso-spacerun: yes;"> </span>pada tanggal 27 november 2004.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l8 level1 lfo13; tab-stops: 0cm 21.3pt 27.0pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US"><span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kesehatan Sekarang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 36.0pt; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Ibu mengatakan tidak sedang menderita penyakit menular ( AIDS, hepatitis ), menurun (hipertensi, DM ) maupun sistemik ( jantung, ginjal )</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo13; tab-stops: 0cm 21.3pt 27.0pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US"><span style="mso-list: Ignore;">4<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kesehatan Dahulu</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 36.0pt; mso-add-space: auto; tab-stops: 0cm 21.3pt 36.0pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Ibu mengatakan tidak pernah menderita penyakit menular ( AIDS, hepatitis ), menurun (hipertensi, DM ) maupun sistemik ( jantung, ginjal )</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo32; tab-stops: 0cm 27.0pt 36.0pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US"><span style="mso-list: Ignore;">5.</span></span><span lang="EN-US">Riwayat Kesehatan Keluarga</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 36.0pt; mso-add-space: auto; tab-stops: 0cm 21.3pt 27.0pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Ibu mengatakan dalam keluarga ibu maupun suami tidak ada yang menderita penyakit menular ( AIDS, hepatitis ), menurun (hipertensi, DM ) maupun sistemik ( jantung, ginjal ) serta ada riwayat kehamilan kembar</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 27.0pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo31; tab-stops: 0cm 21.3pt 27.0pt 36.0pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">6.</span></span><span lang="EN-US">Riwayat Menstruasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 36.0pt; text-align: justify;"><span lang="EN-US">Menarche<span style="mso-tab-count: 1;"> </span>: 13 tahun</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 36.0pt; text-align: justify;"><span lang="EN-US">Lama<span style="mso-tab-count: 2;"> </span>: 28 hari</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 36.0pt; text-align: justify;"><span lang="EN-US">Konsistensi<span style="mso-tab-count: 1;"> </span>: encer</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 36.0pt; text-align: justify;"><span lang="EN-US">Jumlah<span style="mso-tab-count: 2;"> </span>: 2-3 ganti pembalut / hari</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 36.0pt; text-align: justify;"><span lang="EN-US">Fluor Albus<span style="mso-tab-count: 1;"> </span>: (-)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 36.0pt; text-align: justify;"><span lang="EN-US">Disminorhoe<span style="mso-tab-count: 1;"> </span>: (-)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 36.0pt; text-align: justify;"><span lang="EN-US">HPHT<span style="mso-tab-count: 2;"> </span>: 4 – 2 -07.<br />
HPL<span style="mso-tab-count: 2;"> </span> : 11 – 11- 07</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 36.0pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo31; tab-stops: 0cm 21.3pt 27.0pt 36.0pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US"><span style="mso-list: Ignore;">7.</span></span><span lang="EN-US">Riwayat Pernikahan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Usia menikah<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>: 27 tahun</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Lama menikah<span style="mso-tab-count: 1;"> </span>: ± 8 tahun</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Status pernikahan<span style="mso-tab-count: 1;"> </span>: sah</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US">Pernikahan Ke-<span style="mso-tab-count: 1;"> </span>: 1</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo31; tab-stops: 0cm 21.3pt 27.0pt 40.5pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Obstetri</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: -65.5pt; width: 783px;"><tbody>
<tr style="height: 28.3pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td rowspan="2" style="border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.8pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">NO</span></div></td> <td colspan="3" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.9pt;" valign="top" width="112"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">kehamilan</span></div></td> <td colspan="5" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 160.75pt;" valign="top" width="214"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Persalinan</span></div></td> <td colspan="5" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 153.8pt;" valign="top" width="205"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">anak</span></div></td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.9pt;" valign="top" width="107"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">nifas</span></div></td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.3pt;" valign="top" width="108"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">laktasi</span></div></td> </tr>
<tr style="height: 9.65pt; mso-yfti-irow: 1;"> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.6pt;" valign="top" width="29"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">ke</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.5pt;" valign="top" width="53"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">usia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.8pt;" valign="top" width="30"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Tgl</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">jns</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">penlng</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">tmp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Sex</span></div><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">L/P</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">BB/PB</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.95pt;" valign="top" width="47"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">H/M</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">T/G</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">usia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Lama</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" valign="top" width="51"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.65pt;" valign="top" width="48"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">lama</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.65pt;" valign="top" width="61"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">komp</span></div></td> </tr>
<tr style="height: 28.3pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.8pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">1</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.6pt;" valign="top" width="29"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">1</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.5pt;" valign="top" width="53"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">H</span></b></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.8pt;" valign="top" width="30"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">A</span></b></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">M</span></b></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">I</span></b></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">L</span></b></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">I</span></b></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">N</span></b></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">I</span></b></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.95pt;" valign="top" width="47"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" valign="top" width="51"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.65pt;" valign="top" width="48"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.65pt;" valign="top" width="61"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo31; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat KB</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Ibu mengatakan belum pernah menggunakan alat kontrasepsi sejak menikah hingga sebelum hamil.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 40.5pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo31; tab-stops: 0cm 40.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat kehamilan sekarang</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 49.5pt; tab-stops: 49.5pt; text-align: justify;"><span lang="EN-US">ANC : - Berapa kali :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo35; tab-stops: 85.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TM I<span style="mso-tab-count: 1;"> </span> : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3 kali</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan <span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mual, muntah dan pusing</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terapi <span style="mso-tab-count: 1;"> </span>: Fe, VIT C, Kalk</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo35; tab-stops: 85.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TM II<span style="mso-tab-count: 1;"> </span> :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> 3kali </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluhan<span style="mso-tab-count: 1;"> </span> : -</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terapi <span style="mso-tab-count: 1;"> </span>: Fe, VIT C, Kalk</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo35; tab-stops: 85.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TM III<span style="mso-tab-count: 1;"> </span> : 3 kali</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 111.0pt; text-align: justify; text-indent: 15.0pt;"><span lang="EN-US">Keluhan<span style="mso-tab-count: 1;"> </span> : Sering kencing & sakit pada punggung.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 111.0pt; text-align: justify; text-indent: 15.0pt;"><span lang="EN-US">Terapi <span style="mso-tab-count: 1;"> </span>: Fe, VIT C, Kalk</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Imunisasi TT :<span style="mso-spacerun: yes;"> </span>TT4<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Merasakan gerakan janin sejak usia<span style="mso-tab-count: 1;"> </span>: 5 bulan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 49.5pt; tab-stops: 40.5pt 49.5pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 45.0pt; mso-list: l15 level1 lfo31; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Persalinan</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Ibu Datang ke Rumah Sakit tanggal </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">27 november 2004 dan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kencang-kencang mulai sejak<span style="mso-spacerun: yes;"> </span>jam 06.00 WIB, Belum keluar lendir darah serta keuban belum pecah.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 57.0pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo31; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pola kebiasaan sehari-hari</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 57.0pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">no</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Jenis</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Selama hamil</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Saat inpartu</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">1</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Nutrisi</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Pola makan</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">3 kali / hari</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">puasa</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Nafsu<span style="mso-spacerun: yes;"> </span>makan</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">baik</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Jenis makanan</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">nasi, lauk pauk, sayur, buah<br style="mso-special-character: line-break;" /> <br style="mso-special-character: line-break;" /> </span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Porsi</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">sedang</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Minuman</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Air putih</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Jumlah yangdiminum</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">7-8 gls/hr</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">2</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Eliminasi</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">BAK ( frekuensi, warna, bau, banyaknya )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">5-6 x/hr, kuning jernih,bau amoniak</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">BAB ( frekuensi, warna, konsistensi )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">1x/hr, lembek, kuning</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">3</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Isturahat</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Siang ( lamanya )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">± ½ - 1 jam / hari<br style="mso-special-character: line-break;" /> <br style="mso-special-character: line-break;" /> </span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 13;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Malam ( lamanya )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">± 6 - 7 jam / hari<br style="mso-special-character: line-break;" /> <br style="mso-special-character: line-break;" /> </span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 14;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">4</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Personal hygiene</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 15;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Mandi</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">2x/hr</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">1x (seka)</span></div></td> </tr>
<tr style="mso-yfti-irow: 16;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Gosok gigi</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">2x/hr</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 17;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Cuci rambut</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">4x/minggu</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 18;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Ganti CD</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">3 - 4 kali/ hari</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 19;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">5</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Kebiasaan hidup sehat</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 20;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Minum-minuman keras</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 21;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Obat-obatan terlarang</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 22;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Merokok</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 23; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">Tempat MCK</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">toilet</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
</tbody></table><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo31; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat psikososial, spiritual dan ekonomi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo10; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Respon ibu dan keluarga terhadap kehamilan <span style="mso-tab-count: 1;"> </span>: baik</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo10; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pengambil keputusan dalam keluarga <span style="mso-tab-count: 2;"> </span>: suami</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo10; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tempat dan petugas kesehatan yang diinginkan ibu dalam membantu persalinan : Rumah sakit/ bidan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 93.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 13.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo29; tab-stops: 0cm 13.5pt; text-align: justify; text-indent: -13.5pt;"><span lang="EN-US"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">DATA OBJEKTIF</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo28; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -13.5pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan Umum</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">K/U<span style="mso-tab-count: 2;"> </span>:baik</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: composmentis</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TB<span style="mso-tab-count: 2;"> </span>: 155 cm</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">BB sbl hamil<span style="mso-tab-count: 1;"> </span>: 49 kg</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">BB slm hamil <span style="mso-tab-count: 1;"> </span>: 58 kg</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TD<span style="mso-tab-count: 2;"> </span>: 120 / 80 mmHg</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">N<span style="mso-tab-count: 2;"> </span>: 88 kali/menit</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">RR<span style="mso-tab-count: 2;"> </span>: 24 kali/menit</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo4; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">S<span style="mso-tab-count: 2;"> </span>: 36º C</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2. Pemeriksaan fisik (head to toe dari inspeksi, palpasi, perkusi dan juga auskultasi)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -90.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a) Kepala <span style="mso-tab-count: 1;"> </span>: Bersih, tidak ada ketombe, Rambut hitam, bersih, tida</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">k ada benjolan, tidak ada <span style="mso-spacerun: yes;"> </span>luka.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 4.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b) Muka <span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: </span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">pucat -, oedema -, cloasma gravidarum –</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -90.0pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">c) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mata<span style="mso-tab-count: 1;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kelopak mata tidak ada oedema</span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">, </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Konjungtiva tidak pucat, Sclera tidak ikterik.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -4.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d) </span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Hidung<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: simetris, bersih, benjolan -, sekret – </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -4.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e) Mulut<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>:</span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;"><span style="mso-spacerun: yes;"> </span>bibir lembab, bersih, pucat -,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Caries tidak ada, Stomatitis tidak ada</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -4.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f) </span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Telinga<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: simetris, bersih</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -90.0pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">g) Leher<span style="mso-tab-count: 1;"> </span>: pembesaran kelenjar tiroid dan kelenjar limfe - , bendungan vena jugularis –</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -90.0pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">h) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dada<span style="mso-tab-count: 1;"> </span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">: simetris, mamae bersih, mamae tegak, hiperpigmentasi areola dan papila<span style="mso-spacerun: yes;"> </span>mamae +/+, puting susu menonjol +/+, retraksi -, benjolan -/-, colostrum -/-, <span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>ronchi -, wheezing –</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -90.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">i) Thorak<span style="mso-tab-count: 1;"> </span>: Jantung dalam batas normal<span style="mso-spacerun: yes;"> </span>Paru dalam batas normal</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -90.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">j) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Abdomen <span style="mso-tab-count: 1;"> </span>:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo35; text-align: justify; text-indent: -22.5pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi: pembesaran sesuai usia kehamilan aterm, Linea Mediana hiperpigmentasi, striae albican(+), luka bekas operasi (+)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo35; text-align: justify; text-indent: 0cm;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Palpasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo14; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Leopold I<span style="mso-tab-count: 1;"> </span> : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TFU ½ px – pusat (32 cm), teraba lunak, tidak melenting (bokong)<br />
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Leopold II</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perut bagian kiri teraba ada tahanan, memanjang seperti papan (punggung) (puki).</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Leopold III </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bagian bawah perut ibu teraba keras,bulat, melenting (preskep)<br />
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Leopold IV <span style="mso-tab-count: 1;"> </span>: Divergen 3/5 </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo14; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mc. Donald : 32 cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo14; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TBJ : (32-11) x 155 cm = 3255 gram</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo14; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">HIS</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo15; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Frekwensi : 3-4 x/10 mnt</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo15; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Durasi : 40 detik.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo15; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Intensitas : kuat</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l18 level1 lfo16; text-align: justify; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Auskultasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l18 level1 lfo16; text-align: justify; text-indent: 0cm;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DDJ <span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>: (+)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 level1 lfo17; tab-stops: 58.5pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Frekwensi <span style="mso-tab-count: 1;"> </span>: 160 x/mnt</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 level1 lfo17; tab-stops: 58.5pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Irama <span style="mso-tab-count: 2;"> </span>: Teratur</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 level1 lfo17; tab-stops: 58.5pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Intensitas <span style="mso-tab-count: 2;"> </span>: Kuat</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f) Genitalia</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo18; tab-stops: 27.0pt; text-align: justify; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Vulva dan vagina</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo20; tab-stops: 58.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Warna <span style="mso-tab-count: 2;"> </span>: Merah kebiruan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo20; tab-stops: 58.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Luka<span style="mso-tab-count: 2;"> </span> : Tidak ada</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo20; tab-stops: 58.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Varices<span style="mso-tab-count: 1;"> </span> : Tidak ada</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo20; tab-stops: 58.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Oedema <span style="mso-tab-count: 1;"> </span>: Tidak ada</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Anus <span style="mso-tab-count: 2;"> </span>: Tidak ada haemorroid. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan dalam</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo21; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pembukaan<span style="mso-tab-count: 2;"> </span> : 4-5 cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo21; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penipisan porsio<span style="mso-tab-count: 1;"> </span> : 50 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo21; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Konsistensi porsio <span style="mso-tab-count: 1;"> </span>: lunak</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo21; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Ketuban<span style="mso-tab-count: 2;"> </span> : (+)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo21; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Presentasi <span style="mso-tab-count: 2;"> </span>: kepala</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g) Ekstremitas</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo22; tab-stops: 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Atas :<span style="mso-tab-count: 1;"> </span> Oedema <span style="mso-tab-count: 1;"> </span>: Tidak ada.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 63.0pt; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span> Varices <span style="mso-tab-count: 1;"> </span>: Tidak ada.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 63.0pt; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span> Pergerakan <span style="mso-tab-count: 1;"> </span>: Aktif</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo22; tab-stops: 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bawah :<span style="mso-tab-count: 1;"> </span> Oedema <span style="mso-tab-count: 1;"> </span>: Tidak ada.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Varices <span style="mso-tab-count: 1;"> </span>: Tidak ada.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Pergerakan <span style="mso-tab-count: 1;"> </span>: Aktif</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo23; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan penunjang</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">-</span></div><div class="MsoListParagraph" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo27; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">INTERPRETASI DATA DASAR</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 0cm; text-align: justify; text-indent: -22.5pt;"><span lang="EN-US">Dx<span style="mso-spacerun: yes;"> </span>: GI P00000 UK 42-43 minggu I/T/H let kep, post matur</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 49.5pt; tab-stops: 0cm; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">DS :- Ibu mengatakan hamil yang pertama dengan usia kehamilan 42-43 mgg<br />
Ibu mengatakan takut dan gelisah</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 49.5pt; tab-stops: 0cm; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">DO<span style="mso-spacerun: yes;"> </span>: - TFU ½ px- pst,pada fundus teraba bokong, puki, bagian bawah janin sudah masuk PAP.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 76.5pt; tab-stops: 0cm 21.3pt 36.0pt 72.0pt; text-align: justify; text-indent: -22.5pt;"><span lang="EN-US">Masalah : ibu cemas dan merasa takut</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 76.5pt; tab-stops: 0cm 21.3pt 36.0pt 72.0pt; text-align: justify; text-indent: -22.5pt;"><span lang="EN-US">Kebutuhan :</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 76.5pt; tab-stops: 0cm 21.3pt 36.0pt 72.0pt; text-align: justify; text-indent: -22.5pt;"><span lang="EN-US">- Dukungan psikologis</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 76.5pt; tab-stops: 0cm 21.3pt 36.0pt 72.0pt; text-align: justify; text-indent: -22.5pt;"><span lang="EN-US">- Pendampingan secara terus menerus</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 76.5pt; tab-stops: 0cm 21.3pt 36.0pt 72.0pt; text-align: justify; text-indent: -22.5pt;"><span lang="EN-US">- Nutrisi</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 76.5pt; tab-stops: 0cm 21.3pt 36.0pt 72.0pt; text-align: justify; text-indent: -22.5pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo26; tab-stops: 0cm; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">IDENTIFIKASI DIAGNOSA DAN MASALAH POTENSIAL</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">HPP</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo25; tab-stops: 0cm; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">IDENTIFIKASI KEBUTUHAN SEGERA</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 2;"> </span>Kolaborasi dengan dr. Obgyn untuk dilakukan tindakan lebih lanjut</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo24; tab-stops: 0cm; text-align: justify; text-indent: -19.5pt;"><span lang="EN-US"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>INTERVENSI</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo34; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Beritahu keadaan ibu dan janinnya serta lakukan pendekatan dengan pasien.<br />
R/ Terjalin hubungan baik dengan pasien sehingga pasien lebih kooperatif terhadap setiap tindakan yang kita lakukan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo34; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Berikan Ibu<span style="mso-spacerun: yes;"> </span>asupan cairan per oral</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm; text-align: justify;"><span lang="EN-US">R/<span style="mso-spacerun: yes;"> </span>Asupan cairan yang diberikan dapat digunakan sebagai persiapan tenaga Ibu saat<span style="mso-spacerun: yes;"> </span>meneran</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US">3.<span style="mso-spacerun: yes;"> </span>Berikan dukungan psikologis pada pasien.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">R/ Ibu lebih tenang dan dapat menerima keadaannya</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo23; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Observasi TTV.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">R/ Deteksi dini adanya komplikasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo23; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Anjurkan ibu untuk miring ke kiri</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">R/ dengan ibu miring ke kiri tidak akan menekan vena cava inferior karena pembesaran uterus dan mempercepat turunnya kepala.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo23; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Anjurkan ibu melakukan teknik destraksi dan relaksasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">R/ teknik destraksi dan relaksasi yang tepat bisa memberikan ketenagan pada ibu dan meredakan nyeri</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo23; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -63.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ajari ibu cara meneran yang benar dan efektif</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">R/ cara meneran yang benar dan efektif akan membantu proses persalinan dan mencegah pengeluaran tenaga yang sia-sia</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo23; tab-stops: 0cm; text-align: justify; text-indent: -22.5pt;"><span lang="EN-US"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Observasi HIS dan DJJ tiap 30 menit</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US">R/ deteksi dini adanya komplikasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo23; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Persiapan alat dan bahan pertolongan persalinan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">R/ dengan persiapan yang maksimal pertolongan persalinan yang aman dan nyaman dapat terwujud</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo23; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan kolaborasi dengan dokter obgyn pemberian therapi.<br />
R/ Fungsi dependent bidan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 75.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo24; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -36.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">IMPLEMENTASI</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo33; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Melakukan pendekatan dengan pasien, sehingga terjalin hubungan baik antara pasien dan bidan serta memberitahu pada ibu bahwa keadaan ibu dan janinnya baik-baik saja sehingga ibu lebih kooperatif.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo33; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Menganjurkan ibu makan makanan yang bergizi untuk memperoleh tenaga pada saat mengejan pada proses persalinan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo33; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Memberikan dukungan psikologis pada pasien dan meminta keluarga agar memberi semangat pada ibu sehingga ibu lebih tenang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo33; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Mengobservasi TTV untuk mengetahui secara dini adanya komplikasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">TD<span style="mso-tab-count: 2;"> </span>: 120 / 80 mmHg</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">N<span style="mso-tab-count: 2;"> </span>: 88 kali/menit</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">RR<span style="mso-tab-count: 2;"> </span>: 24 kali/menit</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US">S<span style="mso-tab-count: 2;"> </span>: 36º C</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US">5. Menganjurkan ibu untuk miring ke kiri agar tidak menekan vena cava inferior dan mempercepat turunnya kepala.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo32; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Menganjurkan ibu melakukan teknik destraksi dan relaksasi karena teknik destraksi dan relaksasi yang tepat bisa memberikan ketenagan pada ibu dan meredakan nyeri misalnya dengan menarik nafas panjang.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo32; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Mengajari ibu cara meneran yang benar dan efektif karena cara meneran yang benar dan efektif akan membantu proses persalinan dan mencegah pengeluaran tenaga yang sia-sia. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo32; tab-stops: 0cm; text-align: justify; text-indent: -22.5pt;"><span lang="EN-US"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Mengobservasi HIS dan DJJ tiap 30 menit untuk mendeteksi dini adanya komplikasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo32; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">mempersiapan alat dan bahan pertolongan persalinan karena dengan persiapan yang maksimal pertolongan persalinan yang aman dan nyaman dapat terwujud. Melakukan juga teknik pencegahan infeksi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo32; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -39.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Melakukan kolaborasi dengan dokter obgyn pemberian therapi.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 75.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo24; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -36.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">VII.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">EVALUASI</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tanggal 27 November 2007 <span style="mso-tab-count: 3;"> </span>Jam 14.20 WIB.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><br />
S <span style="mso-tab-count: 1;"> </span>: ibu mengatakan lega karena proses persalinan berjalan normal<br />
O<span style="mso-tab-count: 1;"> </span> : <span style="mso-spacerun: yes;"> </span>- K/U Ibu <span style="mso-spacerun: yes;"> </span>: baik</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Kesadaran <span style="mso-spacerun: yes;"> </span>: Composmenitis</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 2;"> </span>-T<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>: 120/80 mmhg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 2;"> </span>-N <span style="mso-spacerun: yes;"> </span>: 84 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 2;"> </span>-S <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>: 36º C</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 2;"> </span>-RR <span style="mso-spacerun: yes;"> </span>: 22 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 2;"> </span>-Perdarahan : ± 250 cc</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A<span style="mso-tab-count: 1;"> </span> : Ibu G100000 inpartu kala I fase aktif akselerasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">P<span style="mso-tab-count: 1;"> </span> : <br />
- Nutrisi di tingkatkan ( tidak pantang makanan )</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><br />
- Minum obat secara teratur </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 74.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div>Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-29050334622031106712012-04-16T11:59:00.000+07:002012-04-16T11:59:48.489+07:00Prematur Kehamilan<!--[if !mso]> <style>
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<div class="WordSection1"> <div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PREMATUR KEHAMILAN</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></b></div><div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 level1 lfo1; mso-text-indent-alt: -18.0pt; tab-stops: 27.0pt; text-align: justify; text-indent: -36.0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span>I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DEFINISI</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo2; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Persalinan preterm atau partus prematur adalah persalinan yang terjadi pada kehamilan kurang dari 37 minggu ( antara 20 – 37 minggu ) atau dengan berat janin kurang dari 2500 gram ( Manuaba, 1998 : 221).</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo2; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bayi prematur adalah Bayi baru lahir dengan umur kehamilan 37 minggu atau kurang saat kelahiran. Walaupun kecil, bayi prematur ukurannya sesuai dengan masa kehamilan tetapi perkembangan intrauterin yang belum sempurna dapat menimbulkan komplikasi pada saat post natal. Bayi baru lahir yang mempunyai berat 2500 gram atau kurang dengan umur kehamilan lebih dari 37 minggu disebut dengan kecil masa kehamilan, ini berbeda dengan prematur, walaupun 75% dari neonatus yang mempunyai berat dibawah 2500 gram lahir prematur. </span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 level1 lfo1; mso-text-indent-alt: -18.0pt; tab-stops: 27.0pt; text-align: justify; text-indent: -36.0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span>II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ETIOLOGI </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mengenai penyebab belum banyak yang di ketahui :</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1. Eastman<span style="mso-tab-count: 2;"> </span>= kausa prematur 61,9% kausa ignota (sebab yang tidak diketahui)</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2. Greenhill<span style="mso-tab-count: 1;"> </span>= kausa premature 60 % kausa ignota (sebab yang tidak diketahui).</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3. Holmer<span style="mso-tab-count: 2;"> </span>= sebagian besar tidak di ketahui.( Mochtar , 1998 : 219 )</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";">Faktor – faktor yang mempengaruhi persalinan preterm </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menurut Manuaba (1998 : 221) :</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.Kondisi umum</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2. Keadaan sosial ekonomi rendah</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3. Kurang gizi</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4. Anemia.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5. Perokok berat, dengan lebih dari 10 batang/ hari.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6. Umur hamil terlalu muda kurang dari atau terlalu tua di atas 35 tahun.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7. Penyakit ibu yang menyertai kehamilan seperti hipertensi, toxemia, placenta previa, abruption placenta, incompetence cervical, janin kembar, malnutrisi dan diabetes mellitus.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8. Penyulit kebidanan </span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9.Persalinan sebelum waktunya atau induced aborsi</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10. Penyalahgunaan konsumsi pada ibu seperti obat-obatan terlarang, alkohol, merokok dan caffeine</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perkembangan dan keadaan hamil dapat meningkatkan terjadinya persalinan preterm diantaranya:</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l5 level1 lfo3; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kehamilan dengan hidramnion, ganda, pre-eklampsia.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l5 level1 lfo3; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kehamilan dengan perdarahan antepartum pada solusio plasenta, plasenta previa, pecahnya sinus marginalis.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l5 level1 lfo3; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kehamilan dengan ketuban pecah dini: terjadi gawat janin, temperatur tinggi.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l5 level1 lfo3; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kelainan anatomi rahim</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l5 level1 lfo3; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keadaan rahim yang sering menimbulkan kontraksi dini : Serviks inkompeten karena kondisi serviks, amputasi serviks.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l5 level1 lfo3; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kelainan kongenital rahim:</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l5 level1 lfo3; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Infeksi pada vagina aseden (naik) menjadi amnionitis</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sedangkan menurut Mochtar (1998 : 220), faktor yang mempengaruhi Prematuritas adalah sebagai berikut:</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="mso-tab-count: 1;"> </span>Umur ibu, suku bangsa, sosial ekonomi</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="mso-tab-count: 1;"> </span>Bakteriura (infeksi saluran kencing )</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="mso-tab-count: 1;"> </span>BB ibu sebelum hamil, dan sewaktu hamil</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="mso-tab-count: 1;"> </span>Kawin dan tidak kawin: Tak syah 15 % prematur; kawin sah 13 %prematur</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5. <span style="mso-tab-count: 1;"> </span>Prenatal ( antenantal ) care</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6. <span style="mso-tab-count: 1;"> </span>Anemia, penyakit jantung</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7. <span style="mso-tab-count: 1;"> </span>Jarak antara persalinan yang terlalu rapat</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8. <span style="mso-tab-count: 1;"> </span>Pekerjaan yang terlalu berat sewaktu hamil berat</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9. Keadaan dimana bayi terpaksa dilahirkan prematur, misalnya pada plasenta praevia, toksemia gravidarum, solusio plasentae, atau kehamilan ganda.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 level1 lfo1; mso-text-indent-alt: -9.0pt; text-align: justify; text-indent: -27.0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"><span style="mso-spacerun: yes;"> </span></span>III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">GEJALA</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gambaran fisik bayi prematur: </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Ukuran kecil </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Berat badan lahir rendah (kurang dari 2,5 kg) </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Kulitnya tipis, terang dan berwarna pink (tembus cahaya) </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Vena di bawah kulit terlihat (kulitnya transparan) </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Lemak bawah kulitnya sedikit sehingga kulitnya tampak keriput </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Rambut yang jarang </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Telinga tipis dan lembek </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Tangisannya lemah </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Kepala relatif besar </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Jaringan payudara belum berkembang </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Otot lemah dan aktivitas fisiknya sedikit (seorang bayi prematur cenderung belum memiliki garis tangan atau kaki seperti pada bayi cukup bulan) </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Refleks menghisap dan refleks menelan yang buruk </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Pernafasan yang tidak teratur </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Kantung zakar kecil dan lipatannya sedikit ( anak laki – laki ) </span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> <i>Labia mayora</i> belum menutupi <i>labia minora</i> ( pada anak perempuan).</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 27.0pt;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kondisi Yang Menimbulkan Kontraksi</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ada beberapa kondisi ibu yang merangsang terjadinya kontraksi spontan, kemungkinan telah terjadi produksi prostaglandin :</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level1 lfo4; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kelainan Bawaan Uterus</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Meskipun jarang tetapi dapat dipertimbangkan hubungan kejadian partus preterm dengan kelainan uterus yang ada.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level1 lfo4; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ketuban Pecah Dini</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ketuban pecah mungkin mengawali terjadinya kontraksi atau sebaliknya. Ada beberapa kondisi yang mungkin menyertai seperti serviks inkompeten, Hidramnion, kehamilan ganda, infeksi vagina dan serviks, dan lain-lain, infeksi asenden merupakan teori yang cukup kuat dalam mendukung terjadinya amnionitis dan ketuban pecah.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level1 lfo4; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Serviks Inkompeten</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hal ini juga mungkin menjadi penyebab abortus selain partus preterm , riwayat tindakan terhadap serviks dapat dihubungkan dapat terjadinya inkompeten. Mc Donald menemukan 59 % pasiennya pernah mengalami dilatasi kuretase dan 8 % mengalami konisasi, Demikian pula Chamberlain dan Gibbings yang menemukan 60 % dari pasien serviks inkompeten pernah mengalami abortus spontan dan 49 % mengalami pengakhiran kehamilan pervaginam.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level1 lfo4; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kehamilan Ganda</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sebanyak 10 % pasien dengan persalinan preterm ialah kehamilan ganda dan secara umum kehamilan ganda mempuyai panjang usia gestasi yang lebih pendek.( Wiknjosastro et. al., 2002 : 313 )</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 level1 lfo1; mso-text-indent-alt: -18.0pt; tab-stops: 22.5pt; text-align: justify; text-indent: -36.0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"><span style="mso-spacerun: yes;"> </span></span>IV.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">Penanganan Persalinan Preterm</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo5; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penanganan Umum</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lakukan evaluasi cepat keadaan ibu.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Upayakan melakukan konfirmasi umur kehamilan bayi.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo5; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Prinsip Penanganan.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level2 lfo6; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Coba hentikan kontraksi uterus atau penundaan kehamilan atau.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level2 lfo6; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Persalinan berjalan terus dan siapkan penanganan selanjutnya.<br />
( Saifuddin et.al., 2002 : 302 ).</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kelahiran Prematur</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kelahiran harus dilaksanakan secara hati-hati dan perlahan-lahan untuk menghindari kompresi dan dekompresi kepala secara cepat. Oksigen diberikan lewat masker kepada ibu selama kelahiran. Ketuban tidak boleh dipecahkan secara artifisial.<br />
Kantong ketuban berguna sebagai bantal bagi tengkorak prematur yang lunak dengan sutura-suturanya yang masih terpisah lebar. Episiotomi mengurangi tekanan pada cranium bayi. Forceps rendah dapat membantu dilatasi bagian lunak jalan lahir dan mengarahkan kepala bayi lewat perineum. Kami lebih menyukai kelahiran spontan kalau keadaannya memungkinkan. Ekstraksi bokong tidak boleh dilakukan. Bahaya tambahan pada kelahiran prematur adalah bahwa bokong tidak dapat menghasilkan pelebaran jalan lahir yang cukup untuk menyediakan ruang bagi kepala bayi yang relatif besar. </span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kelahiran presipitatus dan yang tidak ditolong berbahaya bagi bayi-bayi prematur.<br />
Seorang ahli neonatus harus hadir pada saat kelahiran.( Oxorn, 2003 : 588 ).<br />
Pencegahan Persalinan Preterm Secara teknis kebidanan persalinan preterm dapat dicegah melalui hal – hal sebagai berikut : Hal – hal yang dapat dicegah</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l18 level1 lfo7; text-align: justify; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menurunkan atau mengobati</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Anak terlalu rapat dicegah dengan kontrasepsi.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2. Pekerjaan sewaktu harus diistirahatkan dan jangan terlalu berat.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3. Bila dijumpai partus prematurus habitualis diperiksa WR dan VDRL bila hamil banyak istirahat atau dirawat.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hal – hal yang tidak dapat dicegah ;</span></b></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kausa ignota (sebab yang tidak diketahui).</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Vaktor Ovum.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tempat insersi plasenta.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Insersi tali pusat.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Plasenta previa.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Congenital anomaly.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hamil ganda.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Suku bangsa.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hidrorea / Hydrorrhoe (pengeluaran cairan dari vagina selama kehamilan) ( Mochtar, 1998 : 220 ).</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif";"><img height="204" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image002.jpg" width="289" /><img height="160" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image004.jpg" width="240" /></span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif";"><img height="300" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image006.jpg" width="260" /><img height="336" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image008.jpg" width="448" /><img height="128" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image010.jpg" width="96" /></span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASKEB TEORI</span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PADA IBU G.P.... INPARTU KALA.... FASE....dengan LETAK SUNGSANG</span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat pengkajian<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal / waktu<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkaji<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 0cm 21.3pt; text-indent: -36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENGKAJIAN</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo23; tab-stops: 0cm 21.3pt; text-indent: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DATA SUBJEKTIF</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo24; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biodata Ibu dan Suami</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama<span style="mso-tab-count: 1;"> </span>: Agar tidak terjadi kekeliruan bila ada kesamaan nama</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur<span style="mso-tab-count: 1;"> </span>: Untuk mengetahui resiko tinggi terjadinya komplikasi ( < 16 thn, > 35 thn )</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agama<span style="mso-tab-count: 1;"> </span>: mempermudah KIE</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suku<span style="mso-tab-count: 1;"> </span>: mempermudah KIE</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendidikan<span style="mso-tab-count: 1;"> </span>: mempermudah KIE</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerjaan<span style="mso-tab-count: 1;"> </span>: menetahui taraf hidup / sosial ekonomi serta apakah pekerjaan mengganggu / tidak</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alamat<span style="mso-tab-count: 1;"> </span>: mempermudah asuhan saat kunjungan rumah</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo24; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan Utama</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan yang mendorong ibu untuk memeriksakan keadaan kepada tenaga kesehatan (bidan)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo24; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Kesehatan Sekarang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian tentang riwayat kesehatan sekarang yang dialami ibu sebagai dasar dalam menentukan tindakan yang akan dilakukan oleh bidan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo24; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Riwayat Kesehatan Dahulu</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian tentang riwayat kesehatan dahulu yang dialami ibu sebagai dasar dalam menentukan tindakan yang akan dilakukan oleh bidan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo24; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Kesehatan Keluarga</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai pendukung riwayat kesehatan yang dialami ibu sekarang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo24; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Menstruasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo29; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menarche</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo29; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lama</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo29; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Konsistensi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo29; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jumlah</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo29; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fluor Albus</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo29; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Disminorhoe</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo29; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HPHT</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo29; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HTP</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo24; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Pernikahan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usia menikah<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lama menikah<span style="mso-tab-count: 1;"> </span>: sebagai gambaran respon keluarga terhadap kehamilan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Status pernikahan<span style="mso-tab-count: 1;"> </span>: sebagai gambaran respon keluarga terhadap kehamilan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pernikahan Ke-<span style="mso-tab-count: 1;"> </span>: sebagai gambaran respon keluarga terhadap kehamilan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengambilan keputusan dalam keluarga<span style="mso-tab-count: 1;"> </span>: memudahkan pelaksanaan tindakan yang memerlukan persetujuan keluarga</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo24; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Obstetri</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: -59.5pt; width: 783px;"><tbody>
<tr style="height: 28.3pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td rowspan="2" style="border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.8pt;" valign="top" width="37"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">NO</span></div></td> <td colspan="3" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.9pt;" valign="top" width="112"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kehamilan</span></div></td> <td colspan="5" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 160.75pt;" valign="top" width="214"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan</span></div></td> <td colspan="5" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 153.8pt;" valign="top" width="205"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">anak</span></div></td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.9pt;" valign="top" width="107"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nifas</span></div></td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.3pt;" valign="top" width="108"> <div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">laktasi</span></div></td> </tr>
<tr style="height: 9.65pt; mso-yfti-irow: 1;"> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.6pt;" valign="top" width="29"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">ke</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.3pt;" valign="top" width="36"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">usia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Tgl</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">jns</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">penlng</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">tmp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Sex</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">L/P</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">BB/PB</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.95pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">H/M</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">T/G</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">usia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Lama</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" valign="top" width="51"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.65pt;" valign="top" width="48"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">lama</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.65pt;" valign="top" width="61"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">komp</span></div></td> </tr>
<tr style="height: 28.3pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.8pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.6pt;" valign="top" width="29"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.3pt;" valign="top" width="36"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.95pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" valign="top" width="51"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.65pt;" valign="top" width="48"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.65pt;" valign="top" width="61"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
</tbody></table><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat obstetri memberikan gambaran tentang faktor resiko yang mungkin dalam persalinan sekarang.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo24; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat KB</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo30; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KB yang pernah digunakan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo30; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lamanya penggunaan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo30; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komplikasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo24; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat kehamilan sekarang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ANC : - Berapa kali :</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 111.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level2 lfo30; tab-stops: 92.15pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TM I</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 111.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level2 lfo30; tab-stops: 92.15pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TM II</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 111.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level2 lfo30; tab-stops: 92.15pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TM III</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 92.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Obat yang di dapat :<span style="mso-spacerun: yes;"> </span>jumlah<span style="mso-spacerun: yes;"> </span>=</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 92.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Imunisasi TT :<span style="mso-spacerun: yes;"> </span>berapa kali =<span style="mso-spacerun: yes;"> </span>tanggal pemberian :</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat yang di dapat<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 4;"> </span>jumlah<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merasakan gerakan janin sejak uisa<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan <span style="mso-tab-count: 1;"> </span>Trimester I<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 2;"> </span>Trimester II<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 2;"> </span>Trimester III<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat kehamilan sekarang sangat berpengaruh terhadap kelancaran proses persalinan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo24; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat persalinan sekarang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Datang ke bidan tanggal. . . jam. . . . </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kencang-kencang mulai kapan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">mulai keluar lendir jam berapa.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">keluar darah atau tidak, jika ya, mulai jam berapa.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketuban pecah atau utuh, jika pecah mulai jam berapa... </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo24; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola kebiasaan sehari-hari</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 57.0pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">No</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebelum hamil</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah hamil</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nutrisi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola makan</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nafsu<span style="mso-spacerun: yes;"> </span>makan</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis makanan</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Porsi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minuman</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jumlah yang diminum</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Eliminasi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAK ( frekuensi, warna, bau, banyaknya )</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB ( frekuensi, warna, konsistensi )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Isturahat</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Siang ( lamanya )</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 13;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Malam ( lamanya )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 14;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Personal hygiene</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 15;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mandi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 16;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gosok gigi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 17;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cuci rambut</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 18;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ganti CD</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 19;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebiasaan hidup sehat</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 20;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minum-minuman keras</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 21;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat-obatan terlarang</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 22;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merokok</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 23;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat MCK</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 24;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">6</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inpartu saat ini</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 25;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Makan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis makanan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Banyaknya</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 26; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minum</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis minunan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Banyaknya</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
</tbody></table><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Pengkajian tentang kebiasaan sehari-hari sebagai acuan gambaran kesejahteraan janin dalam rahim</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo24; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat psikososial, spiritual dan ekonomi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo31; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Respon ibu dan keluarga terhadap kehamilan : untuk mengetahui adanya dukungan psikologi dan emosional dari keluarga atas kehamilan ibu.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo31; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekonomi (diketahui dari jenis pekerjaan) : untuk mengetahui kemampuan ibu dalam memenuhi kebutuhan kehamilannya baik kebutuhan nutrisi, pakaian, maupun kebutuhan lainnya</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo31; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengambil keputusan dalam keluarga : untuk mengetahui pengambil keputusan sehingga memudahkan bidan dalam menanyakan keputusan yang akan diambil saat berada dikondisi yang mendesak.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo31; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat dan petugas kesehatan yang diinginkan ibu dalam membantu persalinan : informasi ini dapat membantu ibu dalam menyiapkan hal-hal untuk persiapan persalinannya, misalnya kendaraan, orang yang akan mengantar, serta biaya yang perlu disiapkan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo23; tab-stops: 0cm 31.5pt; text-indent: -4.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DATA OBJEKTIF</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo26; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Umum</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo25; tab-stops: 0cm 21.3pt 58.5pt 130.5pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">K/U<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 58.5pt 130.5pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>BB, TB, LILA tidak perlu dikaji lagi, tanyakan BB terakhir pada ibu atau lihat KMS</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo25; tab-stops: 0cm 21.3pt 58.5pt 130.5pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesadaran<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo25; tab-stops: 0cm 21.3pt 58.5pt 130.5pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TD<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo25; tab-stops: 0cm 21.3pt 58.5pt 130.5pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">N<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo25; tab-stops: 0cm 21.3pt 58.5pt 130.5pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">RR<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo25; tab-stops: 0cm 21.3pt 58.5pt 130.5pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">S<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai dasar acuan untuk melakukan tindakan pada ibu</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo26; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Fisik. Pemeriksaan fisik sebagai cara untuk mengetahui kesehatan yang dialami ibu sekarang.pemeriksaan fisik mendukung data subjektif yang diberikan ibu. Penulisan hasil pemeriksaan harus sesuai dengan apa yang ditemukan bukan menyimpulkan. Pemeriksaan yang dilakukan antara lain : </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kepala</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Muka</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mata</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gilut</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leher</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dada</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Payudara</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi bekas SC, striae, linea</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi L1 : mengetahui TFU, TBJ</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 92.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>L2 : mengetahui letak punggung janin</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 92.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>L3 : Mengetahui bagian terendah janin (presentasi)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 92.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>L4 : mengetahui seberapa besar bagian terendah janin yang masuk PAP</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 92.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeiksaan DJJ : memantau kesejahteraan janin</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 92.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan TBJ<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 92.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan HIS : memantau kemajuan persalinan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 56.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 92.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan panggul luar (jika masih memungkinkan)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo28; tab-stops: 0cm; text-indent: -12.75pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekstrimitas atas dan ekstrimitas bawah<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo28; tab-stops: 0cm; text-indent: -12.75pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genitalia<span style="mso-tab-count: 1;"> </span>: kondisi vagina sebagai jalan lahir sangat berpengaruh terhadap proses persalinan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo28; tab-stops: 0cm; text-indent: -12.75pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anus <span style="mso-tab-count: 1;"> </span>: periksa keadaan anus (ada hemoroid atau tidak -> antisipai pendarahan) </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo26; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan penunjang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Pemeriksaan penunjang mendukung hasil pengkajian data subjektif dan data objektif. Pemeriksaan yang dapat dilakukan antara lain, test Hb dan test urine.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 0cm 21.3pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">INTERPRETASI DATA DASAR</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tahap ini dilakukan dengan melakukan interpretasi data dasar terhadap kemungkinan diagnosis yang akan ditegakkan dalam batas diagnosis kebidanan intranatal. Penetapan diagnosis harus<span style="mso-spacerun: yes;"> </span>disertaihasil dari<span style="mso-spacerun: yes;"> </span>pengkajian data subjektif dan data objektif yang mendukung<span style="mso-spacerun: yes;"> </span>hasil diagnosa (data fokus ). Interpretasi data dasar sebagai acuan menentukan rencana tindakan yang akan dilakukan oleh bidan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 63.0pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dx <span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>sebatas lingkup kebidanan dan memenuhi standart nomenklatur yang diakui oleh profesi dan berhubungan langsung dengan prektek kebidanan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 63.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ds<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>data fokus yang dirasakan ibu dan berkenaan dengan diagnosa</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 63.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Do<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>data fokus hasil pengkajian bidan yang menunjang diagnosa yang ditegakkan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 63.0pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masalah<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>ketidaksesuaian antara harapan dengan kenyataan. Masalah boleh tidah disertai dengan Ds dan Do.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 0cm 21.3pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">IDENTIFIKASI DIAGNOSA DAN MASALAH POTENSIAL</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Langkah ini dilakukan dengan mengidentifikasi masalah kemudian merumuskan diagnosis potensial berdasarkan diagnosis masalah yang sudah teridentifikasi pada masa intranatal. Sebagai acuan untuk menentukan dari kebutuhan segera.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 0cm 21.3pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">IDENTIFIKASI KEBUTUHAN SEGERA</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Langkah ini dilakukan untuk mengantisipasi dan melakukan konsultasi serta kolaborsi deim kesehatan lain berdasarkan kondisi pasien. Sebagai acuan untuk mencegah dan mengatasi masalah potensial yang mungkin akan timbul.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 0cm 21.3pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">MENYUSUN RENCANA ASUHAN YANG MENYELURUH (INTERVENSI)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rencana asuhan disusun berdasarkan hasil identifikasi masalah dan diagnosis serta dari kebutuhan pasien. Penetapan rencana asuhan harus disertai dengan rasional dari rencana tindakan. Rencana asuhan ditujukan untuk mempermudah pelaksanaan tindakan yang akan dilakukan oleh bidan (mengkoordinir dan memenegement tindakan) -> 58 langkah APN</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 0cm 21.3pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">IMPLEMENTASI</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 22.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Catatan detail tindakan yang dilakukan kepada ibu berdasarkan rencana asuhan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 0cm 21.3pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VII.</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">EVALUASI</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penilaian terhadap rencana tindakan yang disusun. Penilaian didasarkan pada hasil implementasi rencana tindakan (tercapai atau tidaknya tujuan rencana asuhan). Penulisan evaluasi dapat berupa SOAP, SOAPIE, SOAPIER, maupun SOAPIED. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lampirkan lembar penapisan, lembar observasi dan partograf</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">ASUHAN KEBIDANAN</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">PADA Ny “Y G</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">P</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">0</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">0</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">0</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hamil </span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">27-28 MINGGU</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">DENGAN KPD DAN PERSALINAN PRETERM</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat pengkajian<span style="mso-tab-count: 1;"> </span>:</span><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Di Kamar Bersalin RS Dr. M.DJAMIL Padang</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal / waktu<span style="mso-tab-count: 1;"> </span>:</span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> 29-30 OCTOBER 2008 </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkaji<span style="mso-tab-count: 2;"> </span>: Mahasiswa Poltekkes Malang</span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-list: l16 level1 lfo9; tab-stops: 13.5pt; text-align: justify; text-indent: 0cm;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">PENGKAJIAN</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo10; text-align: justify; text-indent: -18.0pt;"><b><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">DATA SUBJEKTIF</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Biodata</span></div></div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: auto;" /> </span> <div class="WordSection2"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Nama Ibu : Ny “Y” </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Umur : 28 tahun </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Agama : Islam</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Suku/bangsa : Minang/ Indonesia</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pendidikan : SLTP</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pekerjaan : Ibu rumah tangga</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Alamat rumah : Gn. Pangilun kec. Nanggalo, kodya Padang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Telp. Rumah : -</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Nama suami : Tn “A”</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Umur : 37 tahun</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Suku/ bangsa : Minang/ Indonesia</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Agama : Islam</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pendidikan : SLTP</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pekerjaan : Kuli</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Alamat rumah : Gn. Pangilun kec. Nanggalo, kodya Padang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Telp. Rumah : -</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: auto;" /> </span> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo11; tab-stops: 45.0pt; text-align: justify; text-indent: 0cm;"><span lang="NO-BOK" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="NO-BOK" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Keluhan Utama</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 63.0pt; text-align: justify; text-indent: -13.5pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan hamil 7 bulan. Ibu mengeluhkan nyeri pinggang, keluar air dari kemaluan sejak 5 jam yang lalu dan keluar darah sejak 8 jam yang lalu</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo11; tab-stops: 40.5pt; text-align: justify; text-indent: -13.5pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.</span></span><span lang="NO-BOK" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> Riwayat Kesehatan Sekarang</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 40.5pt; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Ibu mengatakan saat ini ibu tidak sedang menderita penyakit menurun (DM, hipertensi), menular (hepatitis B, TBC, AIDS/HIV), dan sistemik (penyakit jantung, ginjal).</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Kesehatan Dahulu</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Ibu mengatakan ibu tidak pernah menderita penyakit menurun (DM, hipertensi), menular (hepatitis B, TBC, AIDS/HIV), dan sistemik (penyakit jantung, ginjal).</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Riwayat Kesehatan Keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Ibu mengatakan dalam keluarga ibu maupun suami tidak ada yang menderita penyakit menurun (DM, hipertensi), menular (hepatitis B, TBC, AIDS/HIV), dan sistemik (penyakit jantung, ginjal) serta tidak ada riwayat kehamilan kembar.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Riwayat menstruasi</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 112.5pt; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Menarche<span style="mso-tab-count: 1;"> </span>: 13 tahun<span style="mso-tab-count: 2;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 112.5pt; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Banyaknya<span style="mso-tab-count: 1;"> </span>: 2x ganti pembalut/ hari<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 112.5pt; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Siklus<span style="mso-tab-count: 1;"> </span>: 30 hari<span style="mso-tab-count: 2;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 112.5pt; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Lama<span style="mso-tab-count: 1;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">: 5-7 hari</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 2;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 112.5pt; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Dismenorea<span style="mso-tab-count: 1;"> </span>: -<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 112.5pt; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">HPHT<span style="mso-tab-count: 1;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">14 April 2008</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 112.5pt; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">HTP<span style="mso-tab-count: 1;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">21 Januari 2009</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 112.5pt; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Fluor albus<span style="mso-tab-count: 1;"> </span>: -<span style="mso-tab-count: 2;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Riwayat pernikahan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 153.0pt; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Status pernikahan <span style="mso-tab-count: 1;"> </span>: Sah<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 153.0pt; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Pernikahan ke-<span style="mso-tab-count: 1;"> </span>: 1</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 153.0pt; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Lama pernikahan<span style="mso-tab-count: 1;"> </span>: 1 tahun</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 153.0pt; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Istri ke- <span style="mso-tab-count: 1;"> </span>: 1<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 153.0pt; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Usia awal menikah<span style="mso-tab-count: 1;"> </span>: 19 tahun</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">9. <span style="mso-tab-count: 1;"> </span>Riwayat KB</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 1;"> </span>Ibu mengatakan menggunakan alat kontrasepsi jenis KB suntik.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 1;"> </span>10. Riwayat kehamilan sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">ANC sejak UK 1 bulan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 2;"> </span><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">TM I<span style="mso-spacerun: yes;"> </span>1x, di puskesmas wuluhan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 2;"> </span><span style="mso-tab-count: 1;"> </span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">TM II<span style="mso-spacerun: yes;"> </span>1x, di puskesmas wuluhan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Imunisasi TT<span style="mso-tab-count: 1;"> </span>: 2x<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Terapi <span style="mso-tab-count: 2;"> </span>: Fe, Vit. C</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Keluhan umum<span style="mso-tab-count: 1;"> </span>: TM I<span style="mso-tab-count: 2;"> </span>: -</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>TM II<span style="mso-tab-count: 2;"> </span>: -</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Gerakan janin<span style="mso-tab-count: 1;"> </span>: Ibu merasakan gerakan janin sejak usia kehamilan 5 bulan </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 45.0pt 117.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">11. Pola kehidupan sehari-hari</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 5.4pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">NO.</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" width="236"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">JENIS</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">SEBELUM HAMIL</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">SELAMA HAMIL</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">1.</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">NUTRISI</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Nafsu makan</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">baik</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Baik</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Pola makan</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">3x/hari</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">3x/hari</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Jenis makanan</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Nasi, lauk (ikan), sayur</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Nasi, lauk(ikan),sayur</span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Porsi</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">1 piring</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">1 piring</span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Minuman</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Air putih</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Air putih + susu</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Jumlah yang diminum</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">7-8 gelas/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">7-8 gelas/hari + 1 gelas susu</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">2.</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">ELIMINASI</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">BAK(frekuensi, warna,bau,banyaknya)</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">5-6 x / hari, kuning jernih, amoniak</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">5-6 x / hari, kuning jernih, amoniak</span></div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">BAB(frekuensi,warna,konsistensi)</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">1x/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">1x/hari</span></div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3.</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">ISTIRAHAT</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Siang(lamanya)</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">1 jam/hari</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">1 jam/hari</span></div></td> </tr>
<tr style="mso-yfti-irow: 13;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Malam(lamanya)</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">6 jam/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">6-7 jam/hari</span></div></td> </tr>
<tr style="mso-yfti-irow: 14;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">4.</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">PERSONAL HYGIENE</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 15;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Mandi</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2x/hari</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2x/hari</span></div></td> </tr>
<tr style="mso-yfti-irow: 16;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Gosok gigi</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3x/hari</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3x/hari</span></div></td> </tr>
<tr style="mso-yfti-irow: 17;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Keramas</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3x/minggu</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3x/minggu</span></div></td> </tr>
<tr style="mso-yfti-irow: 18;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ganti CD</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2x/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2x/hari</span></div></td> </tr>
<tr style="mso-yfti-irow: 19;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">5.</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">KEBIASAAN HIDUP SEHAT</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 20;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Merikok</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 21;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Minum-minuman keras</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 22;"> <td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Narkoba</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> <td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 23; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Tempat BAB</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Jamban pribadi</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Jamban pribadi</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 40.5pt; text-align: justify; text-indent: -18.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">12. Riwayat psikososial-spiritual-ekonomi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>Ibu mengatakan bahwa pengambil keputusan dalam keluarga adalah suami.<span style="mso-spacerun: yes;"> </span>Ibu, suami dan keluarga sangat senang dan sangat mengharapkan kehamilan ini. Ibu, suami dan keluarga merencanakan persalinannya nanti berlangsung di puskesmas ataupun BPS dengan dibantu oleh bidan. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">B. DATA OBJEKTIF</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 13.5pt; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">1. Pemeriksaan Umum</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-indent: -18.0pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">KU<span style="mso-tab-count: 2;"> </span>: baik</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-indent: -18.0pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Kesadaran<span style="mso-tab-count: 1;"> </span>: composmentis</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">TB/BB<span style="mso-tab-count: 1;"> </span>: 157 cm / 55 kg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Lila<span style="mso-tab-count: 1;"> </span>: 23,5 cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">TD<span style="mso-tab-count: 2;"> </span>: 120/70 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">N<span style="mso-tab-count: 2;"> </span>: 80x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Rr<span style="mso-tab-count: 2;"> </span>: 20x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Suhu<span style="mso-tab-count: 1;"> </span>:37,5°C</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2. Pemeriksaan fisik (head to toe dari inspeksi, palpasi, perkusi dan juga auskultasi)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 81.0pt; text-align: justify; text-indent: 4.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a) Kepala <span style="mso-tab-count: 1;"> </span>: Bersih, tidak ada ketombe</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 81.0pt; text-align: justify; text-indent: 4.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b) Muka <span style="mso-tab-count: 1;"> </span>: </span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">pucat -, oedema -, cloasma gravidarum –</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 81.0pt; text-align: justify; text-indent: 4.5pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">c) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mata<span style="mso-tab-count: 1;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kelopak mata tidak ada oedema</span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">, </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Konjungtiva tidak pucat, Sclera tidak ikterik.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 81.0pt; text-align: justify; text-indent: -4.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d) </span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Hidung<span style="mso-tab-count: 1;"> </span>: simetris, bersih, benjolan -, sekret – </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 81.0pt; text-align: justify; text-indent: -4.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e) Mulut<span style="mso-tab-count: 1;"> </span>:</span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;"><span style="mso-spacerun: yes;"> </span>bibir lembab, bersih, pucat -,</span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Caries tidak ada, Stomatitis tidak ada</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 81.0pt; text-align: justify; text-indent: -4.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f) </span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Telinga<span style="mso-tab-count: 1;"> </span>: simetris, bersih</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 81.0pt; text-align: justify; text-indent: -4.5pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">g) Leher<span style="mso-tab-count: 1;"> </span>: pembesaran kelenjar tiroid dan kelenjar limfe - , bendungan vena jugularis –</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 81.0pt; text-indent: -58.5pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">h) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dada</span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;"><span style="mso-tab-count: 1;"> </span>: simetris, mamae bersih, mamae tegak, hiperpigmentasi areola dan papila<span style="mso-spacerun: yes;"> </span>mamae +/+, puting susu menonjol +/+, retraksi -, benjolan -/-, colostrum -/-, <span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>ronchi -, wheezing –</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 81.0pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">i) Thorak<span style="mso-tab-count: 1;"> </span>: Jantung dalam batas normal<span style="mso-spacerun: yes;"> </span>Paru dalam batas normal</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">j) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Abdomen :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo12; tab-stops: 45.0pt 94.5pt; text-align: justify; text-indent: -72.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi<span style="mso-tab-count: 1;"> </span>: pembesaran sesuai usia kehamilan aterm, Linea Mediana hiperpigmentasi, striae albican(+), luka bekas operasi (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo12; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Palpasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Leopold I<span style="mso-tab-count: 1;"> </span> : TFU 3 jari di atas pusat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Teraba lunak, tidak melenting, kemungkinan bokong janin </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Leopold II : Pada bagian kiri perut ibu teraba panjang, memapan, kemungkinan punggung janin dan pada bagian kanan perut ibu teraba tonjolan-tonjolan kecil, kemungkinan ekstremitas janin.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Leopold III : pada sebelah bawah perut ibu teraba keras, bulat, melenting, kemungkinan kepala janin. Kepala masih bisa digoyangkan / belum masuk PAP</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Leopold IV : Tidak dilakukan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mc. Donald : 27 cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TBBJ : (27-13) x 155 cm =2170 gram</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">HIS</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo14; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Frekwensi : 3-4 x/10 mnt</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo14; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Durasi : 40 detik.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo14; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Intensitas : kuat</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level1 lfo15; text-align: justify; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Auskultasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l34 level1 lfo16; tab-stops: 58.5pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DDJ : (+)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l34 level1 lfo16; tab-stops: 58.5pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Frekwensi : 160 x/mnt</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l34 level1 lfo16; tab-stops: 58.5pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Irama : Teratur</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l34 level1 lfo16; tab-stops: 58.5pt; text-align: justify; text-indent: 0cm;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Intensitas : Kuat</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f) Genitalia</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo17; tab-stops: 27.0pt; text-align: justify; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Vulva dan vagina</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo19; tab-stops: 58.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Warna : Merah kebiruan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo19; tab-stops: 58.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Luka : Tidak ada</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo19; tab-stops: 58.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Varices : Tidak ada</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo19; tab-stops: 58.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Oedema : Tidak ada</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo18; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perineum : sikatrik</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo18; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Anus : Tidak ada haemorroid. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo18; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengeluaran pervaginam : Air ketuban.dan darah</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo18; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan dalam</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pembukaan : 4-5 cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penipisan porsio : 50 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Konsistensi porsio : lunak</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Ketuban : (-)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Presentasi : kepala</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g) Ekstremitas</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo21; tab-stops: 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Atas :<span style="mso-tab-count: 1;"> </span> Oedema : Tidak ada.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 63.0pt; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span> Varices : Tidak ada.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 63.0pt; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span> Pergerakan : Aktif</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo21; tab-stops: 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bawah :<span style="mso-tab-count: 1;"> </span> Oedema : Tidak ada.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Varices : Tidak ada.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Pergerakan : Aktif</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.Pemeriksaan Penunjang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Haemoglobin : 10,9 gr%</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Hematokrit : 32%</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo9; text-indent: -36.0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">INTERPRETASI DATA DASAR</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Dx<span style="mso-tab-count: 1;"> </span>: GIIP10001 hamil 27-28 minggu I/T/H letkep dan preterm</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Ds<span style="mso-tab-count: 1;"> </span>: Ibu mengatakan hamil anak kedua dengan usia kehamilan<span style="mso-spacerun: yes;"> </span>27-28 minggu</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Do<span style="mso-tab-count: 1;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Palpasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Leopold I<span style="mso-tab-count: 1;"> </span> : TFU 3 jari di atas pusat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Teraba lunak, tidak melenting, kemungkinan bokong janin </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Leopold II : Pada bagian kiri perut ibu teraba panjang, memapan, kemungkinan punggung janin dan pada bagian kanan perut ibu teraba tonjolan-tonjolan kecil, kemungkinan ekstremitas janin.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Leopold III : pada sebelah bawah perut ibu teraba keras, bulat, melenting, kemungkinan kepala janin. Kepala masih bisa digoyangkan / belum masuk PAP</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Leopold IV : Tidak dilakukan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo9; text-align: justify; text-indent: -36.0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">INTERVENSI</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l26 level1 lfo36; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Beritahu keadaan ibu dan janinnya serta lakukan pendekatan dengan pasien.<br />
R/ Terjalin hubungan baik dengan pasien sehingga pasien lebih kooperatif terhadap setiap tindakan yang kita lakukan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo36; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Berikan Ibu<span style="mso-spacerun: yes;"> </span>asupan cairan per oral</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">R/<span style="mso-spacerun: yes;"> </span>Asupan cairan yang diberikan dapat digunakan sebagai persiapan tenaga Ibu saat<span style="mso-spacerun: yes;"> </span>meneran</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">3.<span style="mso-spacerun: yes;"> </span>Berikan dukungan psikologis pada pasien.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">R/ Ibu lebih tenang dan dapat menerima keadaannya</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l3 level1 lfo32; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Observasi TTV.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">R/ Deteksi dini adanya komplikasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l3 level1 lfo32; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Anjurkan ibu untuk miring ke kiri</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">R/ dengan ibu miring ke kiri tidak akan menekan vena cava inferior karena pembesaran uterus dan mempercepat turunnya kepala.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l3 level1 lfo32; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Anjurkan ibu melakukan teknik destraksi dan relaksasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">R/ teknik destraksi dan relaksasi yang tepat bisa memberikan ketenagan pada ibu dan meredakan nyeri</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 81.0pt; mso-add-space: auto; mso-list: l3 level1 lfo32; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -63.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Ajari ibu cara meneran yang benar dan efektif</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">R/ cara meneran yang benar dan efektif akan membantu proses persalinan dan mencegah pengeluaran tenaga yang sia-sia</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; mso-list: l3 level1 lfo32; tab-stops: 0cm; text-align: justify; text-indent: -22.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Observasi HIS dan DJJ tiap 30 menit</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 81.0pt; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">R/ deteksi dini adanya komplikasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l3 level1 lfo32; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Persiapan alat dan bahan pertolongan persalinan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">R/ dengan persiapan yang maksimal pertolongan persalinan yang aman dan nyaman dapat terwujud</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l3 level1 lfo32; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Lakukan kolaborasi dengan dokter obgyn pemberian therapi.<br />
R/ Fungsi dependent bidan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 75.0pt; mso-add-space: auto; mso-list: l13 level1 lfo33; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">IMPLEMENTASI</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo35; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Melakukan pendekatan dengan pasien, sehingga terjalin hubungan baik antara pasien dan bidan serta memberitahu pada ibu bahwa keadaan ibu dan janinnya baik-baik saja sehingga ibu lebih kooperatif.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo35; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Menganjurkan ibu makan makanan yang bergizi untuk memperoleh tenaga pada saat mengejan pada proses persalinan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo35; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Memberikan dukungan psikologis pada pasien dan meminta keluarga agar memberi semangat pada ibu sehingga ibu lebih tenang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo35; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Mengobservasi TTV untuk mengetahui secara dini adanya komplikasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">TD<span style="mso-tab-count: 2;"> </span>: 120 / 80 mmHg</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">N<span style="mso-tab-count: 2;"> </span>: 88 kali/menit</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">RR<span style="mso-tab-count: 2;"> </span>: 24 kali/menit</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 0cm 21.3pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">S<span style="mso-tab-count: 2;"> </span>: 36º C</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">5. Menganjurkan ibu untuk miring ke kiri agar tidak menekan vena cava inferior dan mempercepat turunnya kepala.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l19 level1 lfo34; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Menganjurkan ibu melakukan teknik destraksi dan relaksasi karena teknik destraksi dan relaksasi yang tepat bisa memberikan ketenagan pada ibu dan meredakan nyeri misalnya dengan menarik nafas panjang.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l19 level1 lfo34; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Mengajari ibu cara meneran yang benar dan efektif karena cara meneran yang benar dan efektif akan membantu proses persalinan dan mencegah pengeluaran tenaga yang sia-sia. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; mso-list: l19 level1 lfo34; tab-stops: 0cm; text-align: justify; text-indent: -22.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Mengobservasi HIS dan DJJ tiap 30 menit untuk mendeteksi dini adanya komplikasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l19 level1 lfo34; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">mempersiapan alat dan bahan pertolongan persalinan karena dengan persiapan yang maksimal pertolongan persalinan yang aman dan nyaman dapat terwujud. Melakukan juga teknik pencegahan infeksi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.0pt; mso-add-space: auto; mso-list: l19 level1 lfo34; tab-stops: 0cm 21.3pt; text-align: justify; text-indent: -39.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">Melakukan kolaborasi dengan dokter obgyn pemberian therapi.</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 36.0pt 72.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.3pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 16.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">DAFTAR PUSTAKA</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 16.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">www.askep-askeb-kita.blogspot.com</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -36.0pt;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Read more: <a href="http://askep-askeb.cz.cc/2009/09/askeb-kpd-dan-persalinan-preterm.html#ixzz0ftPpCprs"><span style="color: blue;">http://askep-askeb.cz.cc/2009/09/askeb-kpd-dan-persalinan-preterm.html#ixzz0ftPpCprs</span></a></span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div>Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-225301835219529162012-04-16T11:44:00.000+07:002012-04-16T11:44:16.842+07:00Letak Sungsang<!--[if !mso]> <style>
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<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%;">LANDASAN TEORI</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm;"><b style="mso-bidi-font-weight: normal;"><u><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1. Definisi</span></u></b></div><div class="MsoTitle" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 36.55pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Kehamilan sungsang adalah Kehamilan pada bayi dengan presentasi bokong (sungsang) dimana bayi letaknya sesuai dengan sumbu badan ibu, kepala berada pada fundus uteri, sedangkan bokong merupakan bagian terbawah di daerah pintu atas panggul atau simfisis. (Prof.Dr.Ida Bagus Gede Manuaba,SpOG,1998)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak sungsang merupakan keadaan dimana janin terletak memanjang dengan kepala d</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">i</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">fundus uteri dan bokong berada di bagian bawah kavum uteri</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(</span><span lang="EN-US"><a href="http://www.scribd.com/doc/12863508/Letak-Sungsang-lengkap"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">http://www.scribd.com/doc/12863508/Letak-Sungsang-lengkap</span></a></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.55pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak Sungsang adalah janin yang letaknya memanjang (membujur) dalam rahim, kepala berada di fundus dan bokong di bawah (Rustam M, 1998:350).</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 18.0pt; text-align: left;"><span lang="EN-GB" style="font-size: 12.0pt; line-height: 150%;">2. </span><u><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;">Persalinan Letak Sungsang</span></u><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;"></span></div><div class="MsoTitle" style="line-height: 150%; margin-left: 35.45pt; mso-pagination: none; page-break-after: avoid; text-align: justify; text-indent: 36.55pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Kejadian letak sungsang berkisar antara 2-3% bervariasi di berbagai tempat. Sekalipun kejadian kecil, tetap mempunyai penyulit yang besar dengan angka kematian sekitar 20-30% . ( Sarwono Prawirohardjo,2002)</span></div><div class="MsoTitle" style="line-height: 150%; margin-left: 35.45pt; mso-pagination: none; page-break-after: avoid; text-align: justify; text-indent: 36.55pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Pada letak kepala, kepala yang merupakan bagian terbesar lahir terlebih dahulu, sedangkan pesalinan letak sungsang justru kepala yang merupakan bagian terbesar bayi akan lahir terakhir. </span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 35.45pt; mso-pagination: none; page-break-after: avoid; text-align: left; text-indent: 36.55pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Persalinan kepala pada letak sungsang tidak mempunyai mekanisme “Maulage” karena susunan tulang dasar kepala yang rapat dan padat, sehingga hanya mempunytai waktu 8 menit, setelah badan bayi lahir. Keterbatasan waktu persalinan kepala dan tidak mempunyai mekanisme maulage dapat menimbulkan kematian bayi yang besar (Prof.Dr.Ida Bagus Gede Manuaba,SpOG,1998).<br style="mso-special-character: line-break;" /> <br style="mso-special-character: line-break;" /> </span></div><div align="left" class="MsoTitle" style="line-height: 150%; text-align: left; text-indent: 18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;">3<u>. Bentuk-Bentuk Letak Sungsang</u> (Prof.Dr.Ida Bagus Gede Manuaba,SpOG,1998)).</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; text-align: left; text-indent: 36.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Berdasarkan komposisi dari bokong dan kaki dapat ditentukan bentuk letak sungsang sebagai berikut :</span></div><div align="left" class="MsoTitle" style="line-height: 150%; text-align: left; text-indent: 72.0pt;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; mso-list: l9 level1 lfo28; tab-stops: list 36.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Letak Bokong Murni</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo28; tab-stops: list 54.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Teraba bokong</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo28; tab-stops: list 54.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Kedua kaki menjungkit ke atas sampai kepala bayi</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo28; tab-stops: list 54.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Kedua kaki bertindak sebagai spalk</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; mso-list: l9 level1 lfo28; tab-stops: list 36.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Letak Bokong Kaki Sempurna</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo28; tab-stops: list 54.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Teraba bokong</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo28; tab-stops: list 54.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Kedua kaki berada di samping bokong</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; mso-list: l9 level1 lfo28; tab-stops: list 36.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Letak Bokong Tak Sempurna</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo28; tab-stops: list 54.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Teraba bokong</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo28; tab-stops: list 54.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Disamping bokong teraba satu kaki</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; mso-list: l9 level1 lfo28; tab-stops: list 36.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Letak Kaki</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo28; tab-stops: list 54.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Bila bagian terendah teraba salah satu dan atau kedua kaki atau lutut</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo28; tab-stops: list 54.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Dapat dibedakan letak kaki bila kaki terendah ; letak bila lutut terendah</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; tab-stops: list 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 18.0pt; text-align: left; text-indent: 18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Untuk menentukan berbagai letak sungsang dapat dilakukan dengan melakukan pemeriksaan dalam, pemeriksaan foto abdomen, dan pemeriksaan ultrasonografi.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; text-align: left; text-indent: 36.0pt;"><br />
</div><ul style="margin-top: 0cm;" type="disc"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l38 level1 lfo30;"><b><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID;">Letak Bokong Murni (frank breech)<span style="mso-spacerun: yes;"> </span></span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">yaitu bokong saja yang menjadi bagian depan sedangkan kedua tungkai lurus ke atas. Posisi ini </span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: bold;">yang tersering dan meliputi hampir 2/3 presentasi bokong.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></li>
</ul><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 117.0pt; text-align: left; text-indent: -117.0pt;"><br />
</div><ul style="margin-top: 0cm;" type="disc"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l38 level1 lfo30;"><b><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID;">Letak Bokong Kaki Sempurna (complete breech) </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">disamping bokong teraba kaki, tungkai atas lurus keatas, tungkai bawah ekstensi</span></li>
</ul><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 117.0pt; text-align: left; text-indent: -117.0pt;"><br />
</div><ul style="margin-top: 0cm;" type="disc"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l38 level1 lfo30;"><span style="height: 286px; left: 0px; margin-left: 97px; margin-top: 81px; mso-ignore: vglayout; position: absolute; width: 358px; z-index: 1;"><img alt="images" height="286" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image002.jpg" width="358" /></span><b><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID;">Letak Bokong Tak Sempurna / lutut (incomplete breech) </span></b><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: bold;">yaitu<b> </b></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">letak sungsang dimana selain bokong bagian yang terendah juga kaki atau lutut. Incomplete breech terdapat 2 jenis yaitu letak lutut (presentasi lutut), dan letak kaki (presentasi kaki).</span></li>
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</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Posisi bokong ditentukan oleh sacrum, ada 4 posisi : </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l45 level1 lfo19; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Left sacrum anterior (sacrum kiri depan)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l45 level1 lfo19; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Right sacrum anterior (sacrum kanan depan)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l45 level1 lfo19; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Left sacrum posterior (sacrum kiri belakang)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l45 level1 lfo19; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Right sacrum posterior (sacrum kanan belakang)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo54; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><u><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Insiden</span></u></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak sungsang terjadi pada 3-4% dari seluruh persalinan. Kejadian letak sungsang berkurang dengan bertambahnya usia kehamilan. Letak sungsang pada usia kehamilan kurang dari 28 minggu sebesar 25%, pada kehamilan 32 minggu 7% dan, 1-3% pada kehamilan aterm. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; text-indent: 27.0pt;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo54; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><u><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Etiologi</span></u></b></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 18.0pt; text-align: left; text-indent: 18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Penyebab letak sungsang dapat berasal dari :</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 18.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Sudut Ibu </span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level2 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Keadaan rahim</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; mso-list: l7 level3 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Rahim arkuatus</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; mso-list: l7 level3 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Septum pada rahim </span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; mso-list: l7 level3 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Uterus dupleks</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; mso-list: l7 level3 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Mioma bersama kehamilan</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level2 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Keadaan plasenta</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; mso-list: l7 level3 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Plasenta letak rendah</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; mso-list: l7 level3 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Plasenta previa </span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level2 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Keadaan jalan lahir </span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; mso-list: l7 level3 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Kesempitan panggul</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; mso-list: l7 level3 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Deformitas tulang panggul</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; mso-list: l7 level3 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Terdapat tumor menjalani jalan lahir dan perputaran ke posisi kepala </span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Sudut janin </span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Pada janin tedapat berbagai keadaan yang menyebabkan letak sungsang : </span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level3 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Tali pusat pendek atau lilitan tali pusat</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level3 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-GB" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Kelainan bentuk kepala : hydrocephalus, anencephalus, karena kepala kurang sesuai dengan bentuk pintu atas panggul</span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"></span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level3 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Kehamilan kembar</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level3 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Hidramnion atau oligohidramion</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level3 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: bold;">Prematuritas.</span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"></span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; text-align: left;"><br />
</div><div class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Dalam keadaan normal, bokong mencapai tempat yang lebih luas sehingga terdapat kedudukan letak kepala. Disamping itu kepala janin merupakan bagian terbesar dan keras serta paling lambat. Melalui hukum gaya berat, kepala janin akan menuju kearah pintu atas panggul. Dengan gerakan kaki janin, ketegangan ligamentum rotundum dan kontraksi braxson hicks, kepala janin berangsur-angsur masuk ke pintu atas panggul.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo54; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><u><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Diagnosis</span></u></b></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; mso-list: l52 level1 lfo31; tab-stops: list 36.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Pemeriksaan abdominal</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; mso-list: l39 level2 lfo32; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Letaknya adalah memanjang.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; mso-list: l39 level2 lfo32; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-GB" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Pada palpasi teraba bagian keras, bundar, dan melenting pada fundus uteri. Punggung anak dapat diraba pada salah satu sisi perut dan bagian – bagian kecil pada pihak yang berlawanan. Di atas symphisis teraba bagian yang kurang bundar dan lunak.</span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"></span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; mso-list: l39 level2 lfo32; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-GB" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Pergerakan anak teraba oleh si ibu di bagian perut bawah, di bawah pusat, dan ibu sering merasa benda keras (kepala) mendesak tulang iga.</span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"></span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; mso-list: l52 level1 lfo31; tab-stops: list 36.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Denyut jantung janin </span></div><div class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Denyut jantung janin terdengar paling keras pada atau di atas umbilicus dan pada sisi yang sama pada punggung. Pada RSA (Right Sacrum Antorior) denyut jantung janin terdengar paling keras di kuadrat kanan atas perut ibu kadang-kadang denyut jantung janin terdengar di bawah umbilicus</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; text-align: left; text-indent: 36.0pt;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; mso-list: l52 level1 lfo31; tab-stops: list 36.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Pemeriksaan vaginal</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 58.5pt; mso-list: l1 level3 lfo33; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Bagian terendah teraba tinggi</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 58.5pt; mso-list: l1 level3 lfo33; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Tidak teraba kepala yang keras, rata dan teratur dengan garis-garis sutura dan fantenella. Hasil pemeriksaan negatif ini menunjukkan adanya mal presentasi.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 58.5pt; mso-list: l1 level3 lfo33; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Bagian terendahnya teraba lunak dan ireguler. Anus dan tuber ichiadicum terletak pada satu garis. Bokong dapat dikelirukan dengan muka.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 58.5pt; mso-list: l1 level3 lfo33; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Kadang-kadang pada presentasi bokong murni sacrum tertarik ke bawah dan teraba oleh jari-jari pemeriksa. Ia dapat dikelirukan dngan kepala oleh karena tulang yang keras.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 58.5pt; mso-list: l1 level3 lfo33; text-align: left; text-indent: -18.0pt;"><span lang="SV" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: SV;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: SV;">Sakrum ada di kuadran kanan depan panggul dan diameter gitochanterika ada pada diameter obligua kanan.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 58.5pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; mso-list: l52 level1 lfo31; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Pemeriksaan Sinar X</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; text-align: left;"><span lang="FI" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: FI;">Sinar X menunjukkan dengan tepat sikap dan posisi janin, demikian pula kelainan-kelainan seperti hydrocephalus.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; mso-list: l35 level1 lfo54; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><u><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;">Mekanisme persalinan letak sungsang fisiologis</span></u></div><div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo47; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Mekanisme Turunnya Bokong</span></div><div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US">Mekanisme persalinan hampir sama dengan letak kepala, hanya disini yang memasuki pintu atas panggul adalah bokong. Persalinan berlangsung agak lama, karena bokong dibandingkan dengan kepada lebih lembek, jadi kurang kuat menekan, sehingga pembukaan agak lama.</span></div><div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US">Bokong masuk ke dalam rongga panggul dengan garis pangkal paha melintang atau miring. Setelah menyentuh dasar panggul terjadi putaran paksi dalam, sehingga di pintu bawah panggul garis panggul paha menempati diameter anteposterior dan trokhanter depan berada dibawah simpisis. Kemudian terjadi fleksi lateral pada badan janin, sehingga trokhanter belakang melewati perineum dan lahirlah seluruh bokong diikuti oleh kedua kaki. Setelah bokong lahir terjadi putaran paksi luar dengan perut janin berada di posterior yang memungkinkan bahu melewati pintu atas panggul dengan garis terbesar bahu melintang atau miring. Terjadi putaran paksi dalam pada bahu, sehingga bahu depat berada dibawah simfisis dan bahu belakang melewati perineum. Pada saat tersebut kepala masuk ke dalam rongga panggul dengan sutura sagistalis melintang atau miring. Di dalam rongga panggul terjadi putaran paksi dalam kepala, sehingga muka memutar ke posterior dan oksiput ke arah simfisis. Dengan suboksiput sebagai hipomoklion, maka dagu, mulut, hidung, dahi dan seluruh kepala lahir berturut-turut melewati perineum.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo47; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-family: Symbol; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Mekanisme persalinan letak sungsang berlangsung sebagai berikut : </span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 49.65pt; mso-list: l7 level5 lfo29; text-align: left; text-indent: -14.2pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Persalinan bokong </span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 49.65pt; mso-list: l7 level5 lfo29; text-align: left; text-indent: -14.2pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Persalinan bahu</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 49.65pt; mso-list: l7 level5 lfo29; text-align: left; text-indent: -14.2pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Persalinan kepala</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 18.0pt; text-align: left; text-indent: 17.45pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">( Prof. Dr. Ida Bagus Gede Manuaba, SPOG,1998)</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 35.45pt; text-align: left; text-indent: 36.55pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">bokong masuk pintu atas panggul dapat melintang atau miring mengikuti jalan lahir dan melakukan putaran paksi dalam sehingga trochanter depan berada di bawah simfisis. Dengan trochanter depan sebagai hipomoklion akan lahir trochanter belakang dan selanjutnya seluruh bokong lahir untuk melakukan putaran paksi dalam sehingga bahu depan berada dibawah simfisis. Dengan bahu depan sebagai hipomoklion akan lahir bahu belakang bersama dengan tangan belakang diikuti kelahiran bahu depan dan tangan depan.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 35.45pt; text-align: left; text-indent: 36.55pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Bersamaan dengan kelahiran bahu, kepala bayi memasuki jalan lahir dapat melintang atau miring, serta melakukan putaran paksi dalam sehingga suboksiput berada di bawah simfisis. Suboksiput menjadi hipomoklion, berturut-turut akan lahir dagu, mulut, hidung, muka dan kepala seluruhnya.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 35.45pt; text-align: left; text-indent: 36.55pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Persalinan kepala mempunyai waktu terbatas sekitar 8 menit, setelah bokong lahir. Melampaui batas 8 menit dapat menimbulkan kesakitan /kematian bayi<span style="mso-spacerun: yes;"> </span>( Prof. Dr. Ida Bagus Gede Manuaba, SPOG,1998).</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 35.45pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Konsep Penatalaksanaan Letak Sungsang (Buku Acuan Nasional Pelayanan Kesehatan Maternal Neonatal,2002)</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 35.45pt; text-align: left; text-indent: 36.55pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Pertolongan persalinan letak sungsang memerlukan perhatian karena dapat menimbulkan komplikasi kesakitan, cacat permanen sampai dengan kematian bayi. Menghadapi kehamilan letak sungsang dapat diambil tindakan :</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 35.45pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Menurut Sarwono Prawirohardjo, berdasarkan jalan lahir yang dilalui, maka persalinan sungsang dibagi menjadi :</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 9.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 49.65pt; mso-list: l39 level3 lfo32; text-align: left; text-indent: -21.3pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Persalinan Pervaginam</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 45.0pt; mso-list: l11 level1 lfo37; tab-stops: list 45.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Spontaneous breech (Bracht)</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 45.0pt; mso-list: l11 level1 lfo37; tab-stops: list 45.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Extraksi Partiil (manual aid)</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 45.0pt; mso-list: l11 level1 lfo37; tab-stops: list 45.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Total extraction</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 45.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 49.65pt; mso-list: l39 level3 lfo32; text-align: left; text-indent: -21.3pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Persalinan per abdominal : Seksio Sesaria</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Indikasi untuk sectio caesaria antaranya panggul sempit, anak yang besar terutama primigravida dan tali pusat yang menumbung.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; mso-list: l35 level1 lfo54; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><u><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID;">Prosedur Persalinan Bayi Sungsang </span></u><u><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;"></span></u></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 31.5pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo47; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-family: Symbol; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;">Langkah klinik</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 18.0pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">1.Persetujuan tindakan medik</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 18.0pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">2.Persiapan Pasien :</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l42 level1 lfo34; tab-stops: list 54.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Ibu dalam posisi litotomi pada tempat tidur persalinan</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l42 level1 lfo34; tab-stops: list 54.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Mengosongkan kandung kemih , rektum serta membersihkan daerah perenium dengan antiseptik</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Instrumen :</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level4 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Perangkat untuk persalinan</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level4 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Perangkat untuk resusitasi bayi</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level4 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Uterotonika (Ergometrin maleat, Oksitosin)</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level4 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Anastesi lokal (Lidokain 2%)</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level4 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Cunam piper, jika tidak ada sediakan cunam panjang</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level4 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">g)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Semprit dan jarum no.23 (sekali pakai)</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level4 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">h)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Alat-alat infus</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level4 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">i)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Povidon Iodin 10%</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level4 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">j)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Perangkat episiotomi dan penjahitan luka episiotomi</span></div><div align="left" class="MsoTitle" style="line-height: 150%; text-align: left; text-indent: 18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">3.Persiapan Penolong</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level5 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Pakai baju dan alas kaki ruang tindakan, masker dan kaca mata pelindung</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level5 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Cuci tangan hingga siku dengan di bawah air mengalir</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level5 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Keringkan tangan dengan handuk DTT</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level5 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Pakai sarung tangan DTT / steril</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level5 lfo29; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Memasang duk (kain penutup)</span></div><div align="left" class="MsoTitle" style="line-height: 150%; text-align: left; text-indent: 18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">4.Tindakan Pertolongan Partus Sungsang</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 57.0pt; mso-list: l8 level1 lfo35; tab-stops: list 57.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Lakukan periksa dalam untuk menilai besarnya pembukaan, selaput ketuban dan penurunan bokong serta kemungkinan adanya penyulit.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 57.0pt; mso-list: l8 level1 lfo35; tab-stops: list 57.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Intruksikan pasien agar mengedan dengan benar selama ada his.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 57.0pt; mso-list: l8 level1 lfo35; tab-stops: list 57.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Pimpin berulang kali hingga bokong turun ke dasar panggul, lakukan episiotomi saat bokong membuka vulva dan perineum sudah tipis.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 57.0pt; mso-list: l8 level1 lfo35; tab-stops: list 57.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Melahirkan bayi :</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 57.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; mso-list: l8 level2 lfo35; mso-text-indent-alt: -9.0pt; tab-stops: list 84.0pt; text-align: left; text-indent: -84.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span>I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-GB" style="font-size: 12.0pt; line-height: 150%;">Persalinan spontan ( spontan Bracht)</span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">janin dilahirkan dengan kekuatan dan tenaga ibu sendiri. Cara ini disebut Bracht. Prosedur persalinan sungsang secara spontan :</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l6 level1 lfo20;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tahap lambat : mulai lahirnya bokong sampai pusar merupakan fase yang tidak berbahaya.</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l6 level1 lfo20;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tahap cepat : dari lahirnya pusar sampai mulut, pada fase ini kepala janin masuk PAP, sehingga kemungkinan tali pusat terjepit.</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l6 level1 lfo20;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tahap lama : lahirnya mulut sampai seluruh bagian kepala, kepala keluar dari ruangan yang bertekanan tinggi (uterus) ke dunia luar yang tekanannya lebih rendah sehingga kepala harus dilahirkan perlahan-lahan untuk menghindari pendarahan intrakranial (adanya tentorium cerebellum).</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 level1 lfo42; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Teknik persalinan Bracht </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 31.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pertolongan dimulai setelah bokong anak lahir. Pada letak bokong, bokong ini dipegang dengan 2 tangan sedemikian rupa, hingga kedua ibu jari pada permukaan belakang pangkal paha dan jari – jari lainnya pada permukaan bokong.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kalau kaki sudah lahir seperti pada letak bokong kaki, letak lutut dan letak kaki maka bokong dipegang sedemikian rupa hingga kedua ibu jari terletak pada lipat paha dan jari lainnya menggenggam bokong.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bokong ini dibawa keatas, ke arah perut ibu dan sedikit ke kiri atau ke kanan sesuai dengan letaknya punggung anak: sama sekali tidak boleh dilakukan tarikan karena dengan tarikan lengan dapat menjungkit.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bokong ini terus dibawa ke atas ke arah perut ibu sampai kepala lahir<b style="mso-bidi-font-weight: normal;">. </b>Keuntungan dari pertolongan secara Bracht ialah bahwa tangan sama sekali tidak masuk ke dalam jalan lahir, yang mengecilkan kemungkinan infeksi serta mengurangi trauma pada janin.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 level1 lfo42; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Indikasi </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>jika persalinan secara bracht mengalami kegagalan misalnya terjadi kemacetan saat melahirkan bahu atau kepala.Tahapan :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo2; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lahirnya bokong sampai pusar yang dilahirkan dengan tenaga ibu sendiri.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo2; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lahirnya bahu dan lengan yang memakai tenaga penolong dengan cara klasik (Deventer), Mueller, Louvset,<b style="mso-bidi-font-weight: normal;"> </b>Mauriceau, cunam piper.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo2; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="height: 290px; left: 0px; margin-left: 128px; margin-top: 47px; mso-ignore: vglayout; position: absolute; width: 435px; z-index: -7;"><img height="290" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image004.jpg" width="435" /></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lahirnya kepala dengan cara Mauriceau (Veit Smellie), de Sno, Wigand Martin – Winckel, Prague Terbalik, Neujoks.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -21.25pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
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</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 49.65pt; mso-list: l8 level2 lfo35; mso-text-indent-alt: -14.2pt; text-align: left; text-indent: -49.65pt;"><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span>II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;">Ektsraksi parsiil ( manual aid)</span></div><div class="MsoTitle" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 21.25pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Biasanya letak sungsang dapat lahir spontan sampai pusat lahir karena rintangan timbul pada waktu kelahiran bahu. Kalau pusat sudah lahir dantidak ada kemajuan misalnya karena HIS lemah atau karena rintangan bahu maka tidak boleh kita menunggu terlalu lama karena pada saat ini kepala mulai masuk kedalam rongga panggul dan menekan tali pusat pada dinding panggul hingga anak harus dilahirkan dalam ± 8 menit. </span></div><div class="MsoTitle" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 21.25pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Untuk melahirkan anak dalam keadaan ini kita pergunakan ekstraksi parsiil / manual aid.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 22.5pt; text-align: left; text-indent: 36.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Tehnik :</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; text-align: left; text-indent: 22.5pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Panggul dipegang begitu rupa hingga ibu jari berdampingan pada os sacrum. Kedua jari telunjuk pada crista iliaca dan jari lainnya menggenggam bokong dan pangkal paha. Sekarang dilakukan tarikan ke bawah kearah kaki penolong sampai ada rintangan. Pada saat ini kita dapat melahirkan bahu dengan :</span></div><div align="left" class="MsoTitle" style="line-height: 150%; text-align: left; text-indent: 58.5pt;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 72.0pt; mso-list: l15 level1 lfo45; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-family: Wingdings; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;">Melahirkan bahu dan lengan :</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 85.5pt; mso-list: l49 level1 lfo44; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">A)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;">Cara Klasik</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l32 level1 lfo43; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prinsip-prinsip melahirkan lengan belakang lebih dahulu karena lengan belakang berada di ruangan yang lebih besar (sacrum), baru kemudian melahirkan lengan depan di bawah simpisis tetapi jika lengan depan sulit dilahirkan maka lengan depan diputar menjadi lengan belakang, yaitu dengan memutar gelang bahu ke arah belakang dan kemudian lengan belakang dilahirkan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l32 level1 lfo43; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kedua kaki janin dilahirkan dan tangan kanan menolong pada pergelangan kakinya dan dielevasi ke atau sejauh mungkin sehingga perut janin mendekati perut ibu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l32 level1 lfo43; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bersamaan dengan itu tangan kiri penolong dimasukkan ke dalam jalan lahir dan dengan jari tengah dan telunjuk menelusuri bahu janin sampai fossa cubiti kemudian lengan bawah dilahirkan dengan gerakan seolah-olah lengan bawah mengusap muka </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">janin.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l32 level1 lfo43; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk melahirkan lengan depan, pegangan pada pergelangan kaki janin diganti dengan tangan kanan penolong dan ditarik curam ke bawah sehingga punggung janin mendekati punggung ibu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l32 level1 lfo43; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan cara yang sama lengan depan dilahirkan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l32 level1 lfo43; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika lengan depan sukar dilahirkan, maka harus diputar menjadi lengan belakang. Gelang bahu dan lengan yang sudah lahir dicengkram dengan kedua tangan penolong sedemikian rupa sehingga kedua ibu jari tangan penolong terletak di punggung dan sejajar dengan sumbu badan janin sedang jari-jari lain mencengkram dada. Putaran diarahkan ke perut dan dada janin sehingga lengan depan terletak di belakang kemudian lengan dilahirkan dengan cara yang sama. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm;"><span style="mso-ignore: vglayout; position: relative; z-index: -6;"><span style="height: 531px; left: 0px; left: 67px; position: absolute; top: -4px; width: 520px;"><img height="531" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image006.jpg" width="520" /></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
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</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
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</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; text-align: left;"><br />
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</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 2.0cm; mso-list: l49 level1 lfo44; text-align: left; text-indent: -21.25pt;"><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">B)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;">Cara Muller</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Pengeluaran bahu dan tangan secara Muller dilakukan jika dengan cara Bracht bahu dan tangan tidak bisa lahir.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 78.0pt; mso-list: l24 level1 lfo38; text-align: left; text-indent: -21.3pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Melahirkan bahu depan terlebih dahulu dengan menarik kedua kaki dengan cara yang sama seperti klasik, ke arah belakang kontra lateral dari letak bahu depan.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 78.0pt; mso-list: l24 level1 lfo38; text-align: left; text-indent: -21.3pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Setelah bahu dan lengan depan lahir dilanjutkan langkah yang sama untuk melahirkan bahu dan lengan belakang.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keuntungan : Tangan penolong tidak masuk jauh ke dalam jalan lahir sehingga bahaya infeksi minimal.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 117.0pt; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 117.0pt; text-align: left;"><span style="mso-ignore: vglayout; position: relative; z-index: -5;"><span style="height: 329px; left: 0px; left: 88px; position: absolute; top: -1px; width: 465px;"><img height="329" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image008.jpg" width="465" /></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"></span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 117.0pt; text-align: left;"><br />
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</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 2.0cm; mso-list: l49 level1 lfo44; text-align: left; text-indent: -21.25pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">C)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;">Cara Lovset</span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"> (Dilakukan bila ada lengan bayi yang terjungkit di belakang kepala / nuchal arm)</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 78.0pt; mso-list: l46 level1 lfo39; text-align: left; text-indent: -21.3pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Setelah bokong dan kaki bayi lahir memegang bayi dengan kedua tangan.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 78.0pt; mso-list: l46 level1 lfo39; text-align: left; text-indent: -21.3pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Memutar bayi 180<sup>o</sup> dengan lengan bayi yang terjungkit ke arah penunjuk jari tangan yang muchal.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 78.0pt; mso-list: l46 level1 lfo39; text-align: left; text-indent: -21.3pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="height: 327px; left: 0px; margin-left: 171px; margin-top: 52px; mso-ignore: vglayout; position: absolute; width: 340px; z-index: -4;"><img height="327" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image010.jpg" width="340" /></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Memutar kembali 180<sup>o</sup> ke arah yang berlawanan ke kiri atau ke kanan beberapa kali hingga kedua bahu dan lengan dilahirkan secara Klasik atau Muller.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 99.0pt; text-align: left;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l49 level1 lfo44; text-indent: -27.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">D)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara Mauriceau (Veit-Smellie)</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l51 level1 lfo21; text-align: justify; text-indent: -14.2pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tangan penolong yang sesuai dengan muka janin dimasukkan ke dalam jalan lahir. Jari tengah dimasukkan ke dalam mulut dan jari telunjuk dan jari ke 4 mencengkram fossa kanina, sedangkan jari lain mencengkeram leher. Badan anak diletakkan di atas lengan bawah penolong, seolah-olah janin menunggang kuda. Jari telunjuk dan jari ke 3 penolong yang lain mencengkeram leher janin dari arah punggung.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l51 level1 lfo21; text-align: justify; text-indent: -14.2pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="height: 307px; left: 0px; margin-left: 164px; margin-top: 163px; mso-ignore: vglayout; position: absolute; width: 348px; z-index: -3;"><img height="307" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image012.jpg" width="348" /></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kedua tangan penolong menarik kepala<span style="mso-spacerun: yes;"> </span>janin curam ke bawah sambil seorang asisten melakukan ekspresi kristeller. Tenaga tarikan terutama dilakukan oleh tangan penolong yang mencengkeram leher janin dari arah punggung. Jika suboksiput tampak di bawah simpisis, kepala janin diekspasi ke atas dengan suboksiput sebagai hipomoklion sehingga berturut-turut lahir dagu, mulut, hidung, mata, dahi, ubun-ubun besar dan akhirnya lahir seluruh kepala janin.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l44 level1 lfo23; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Melahirkan Kepala</span></b></div><ol start="1" style="margin-top: 0cm;" type="A"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l18 level1 lfo46;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mauriceau (veit smellie)</span></b></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;"><span style="height: 111px; left: 0px; margin-left: 401px; margin-top: 68px; mso-ignore: vglayout; position: absolute; width: 219px; z-index: -2;"><img height="111" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image014.jpg" width="219" /></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masukkan jari – jari dalam mulut (muka mengarah ke kiri = jari kiri, menagarah ke kanan = jari kanan). Letakkan anak menunggang pada lengan sementara tangan lain memegang pada tengkuk, lalu tarik ke bawah sampai rambut dan kepala<span style="mso-spacerun: yes;"> </span>dilahirkan. Kegunaan jari dalam mulut, hanya untuk menambah fleksi kepala.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 27.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 27.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 27.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 27.0pt;"><br />
</div><ol start="2" style="margin-top: 0cm;" type="A"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l18 level1 lfo46;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">de Sno</span></b></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tangan kiri menadah perut dan dada serta 2 jari diletakkan di leher (menunggang kuda). Tangan kanan menolong menekan di atas simphisis. Perbedaannya dengan Maruriceau ialah disini tangan tidak masuk dalam vagina.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 27.0pt;"><br />
</div><ol start="3" style="margin-top: 0cm;" type="A"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l18 level1 lfo46;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Wigand Martin – Winckel</span></b></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Satu tangan (kiri) dalam jalan lahir dengan telunjuk dalam mulut janin sedang jari tengah dan ibu jari pada rahang bawah. Tangan lain menekan ke atas simphisis atau fundus.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 27.0pt;"><br />
</div><ol start="4" style="margin-top: 0cm;" type="A"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l18 level1 lfo46;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Neujoks</span></b></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Satu tangan memegang leher janin dari depan, tangan lain memegang leher pada bahu, tarik janin ke bawah dengan bantuan dorongan dari atas simphisis.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 27.0pt;"><br />
</div><ol start="5" style="margin-top: 0cm;" type="A"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l18 level1 lfo46;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara Praque terbalik</span></b></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dilakukan pada ubun-ubun kecil terletak sebelah belakang. Satu tangan memegang bahu janin dari belakang. Tangan lain memegang kaki lalu menarik janin kea rah perut ibu dengan kuat.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; text-align: left;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 84.0pt; mso-list: l8 level2 lfo35; mso-text-indent-alt: -48.55pt; tab-stops: list 49.65pt; text-align: left; text-indent: -84.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span>III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-bidi-font-weight: normal;">Ekstraksi </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kita lakukan<span style="mso-spacerun: yes;"> </span>ekstraksi pada letak sungsang kalau kita menarik anak keluar pada waktu seluruh tubuh anak masih ada dalam jalan lahir. Ekstraksi ada 2 macam yaitu ekstraksi pada kaki dan ekstraksi bokong. Ekstraksi pada bokong hanya dilakukan jika ekstraksi pada kaki tidak mungkin. </span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 81.0pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">A). Ekstraksi Kaki</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; text-align: left; text-indent: 18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Dilakukan bila kala II tidak maju atau tampak gejala kegawatan ibu-bayi. Keadaan bayi / ibu mengharuskan bayi segera dilahirkan.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 2.0cm; mso-list: l5 level1 lfo40; text-align: left; text-indent: -21.25pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Tangan kanan masuk secara obstetrik melahirkan bokong, pangkal paha sampai lutut, kemudian melakukan abduksi dan fleksi pada paha janin sehingga kaki bawah menjadi fleksi,tangan yang lain mendorong fundus ke bawah. Setelah kaki fleksi pergelangan kaki dipegang dengan dua jari dan dituntun keluar dari vagina sampai batas lutut.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 2.0cm; mso-list: l5 level1 lfo40; text-align: left; text-indent: -21.25pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Kedua tangan penolong memegang betis janin, yaitu kedua ibu jari diletakkan di belakang betis sejajar sumbu panjang paha dan jari-jari lain di depan betis, kaki ditarik turun ke bawah sampai pangkal paha lahir.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 2.0cm; mso-list: l5 level1 lfo40; text-align: left; text-indent: -21.25pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Pegangan dipindah ke pangkal paha sehingga mungkin dengan kedua ibu jari di belakang paha, sejajar sumbu panjang paha dan jari lain di depan paha.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 2.0cm; mso-list: l5 level1 lfo40; text-align: left; text-indent: -21.25pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Pangkal paha ditarik curam ke bawah sampai trokhanter depan lahir kemudian pangkal paha dengan pegangan yang sama dievaluasi ke atas hingga trokhanter belakang lahir. Bila kedua trokhanter lahir berarti bokong telah lahir.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 2.0cm; mso-list: l5 level1 lfo40; text-align: left; text-indent: -21.25pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Sebaliknya bila kaki belakang yang dilahirkan lebih dulu, maka yang akan lahir lebih dahulu ialah trokhanter belakang dan untuk melahirkan trokhanter depan maka pangkal paha ditarik terus cunam ke bawah.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 2.0cm; mso-list: l5 level1 lfo40; text-align: left; text-indent: -21.25pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Setelah bokong lahir maka dilanjutkan cara Clasik , atau Muller atau Lovset.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; text-align: left; text-indent: 36.0pt;"><br />
</div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; text-align: left; text-indent: 36.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">B). Ekstraksi Bokong</span></div><div class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Dikerjakan bila presentasi bokong murni dan bokong sudah turun di dasar panggul, bila kala II tidak maju atau tampak keadaan janin lebih dari ibu yang mengharuskan bayi segera dilahirkan.</span></div><div class="MsoTitle" style="line-height: 150%; margin-left: 78.0pt; mso-list: l40 level1 lfo41; tab-stops: list 117.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Jari penunjuk penolong yang searah dengan bagian kecil janin, dimasukkan kedalam jalan lahir dan diletakkan dilipatan paha bagian depan. Dengan jari ini lipat paha atau krista iliaka dikait dan ditarik curam ke bawah. Untuk memperkuat tenaga tarikan ini, maka tangan penolong yang lain menekam pergelangan tadi dan turut menarik curam ke bawah.</span></div><div class="MsoTitle" style="line-height: 150%; margin-left: 78.0pt; mso-list: l40 level1 lfo41; tab-stops: list 117.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Bila dengan tarikan ini trokhanter depan mulai tampak di bawah simfisis, maka jari telujuk penolong yang lain mengkait lipatan paha ditarik curam ke bawah sampai bokong lahir.</span></div><div class="MsoTitle" style="line-height: 150%; margin-left: 78.0pt; mso-list: l40 level1 lfo41; tab-stops: list 117.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Setelah bokong lahir, bayi dilahirkan secara Clasik , atau Muller atau Lovset.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;"><span style="height: 348px; left: 0px; margin-left: 114px; margin-top: 13px; mso-ignore: vglayout; position: absolute; width: 468px; z-index: -1;"><img height="348" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image016.jpg" width="468" /></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 81.0pt; text-align: left;"><br />
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</div><div align="left" class="MsoTitle" style="line-height: 150%; text-align: left; text-indent: 18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">5. Manajemen Kala III</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 39.0pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">1. Lahirkan plasenta secara spontan atau manual apabila ada indikasi.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 39.0pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">2. Luka episiotomi atau robekan perenium dijahit.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 39.0pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">3. Beri Uterustonika atau medikamentosa yang diperlukan.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 39.0pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">4. Awasi kala IV.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 39.0pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">5. Lakukan pemeriksaan dan pengawasan nifas.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; text-align: left; text-indent: 18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">6. Dokumentasi</span></div><div align="left" class="MsoTitle" style="line-height: 150%; text-align: left; text-indent: 18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">7. Cuci tangan pasca tindakan</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l28 level1 lfo36; tab-stops: list 54.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">1.Periksa kembali tanda vital pasien, segera buat intruksi bila diperlukan.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">2.Catat kondisi pasien dan buat laporan tindakan dalam kolom yang tersedia.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l28 level1 lfo36; tab-stops: list 54.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Beri tahu pada pasien pasien dan keluarganya bahwa tindakan telah selesai dilakukan dan masih memerlukan perawatan.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 54.0pt; mso-list: l28 level1 lfo36; tab-stops: list 54.0pt; text-align: left; text-indent: -18.0pt;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">Jelaskan pada petugas tentang perawatan, jadwal pengobatan dan pemantauan sejak gejala-gejala yang harus diwaspadai.</span></div><div align="left" class="MsoTitle" style="line-height: 150%; margin-left: 36.0pt; text-align: left;"><span lang="EN-ID" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-ID;">(Buku Acuan Nasional Pelayanan Kesehatan Maternal Neonatal,2002)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.5pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo54; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prognosis</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prognosa bagi ibu pada letak sungsang tak banyak berbeda pada letak kepala; biasanya ruptura perineum lebih sering terjadi. Sebaliknya, prognosa bagi anak dengan letak sungsang lebih buruk terutama kalau anaknya besar dan ibunya seorang primi gravida. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kematian anak ± 14 %. Kalau kematian karena prematuritas dikurangi maka kematian anak dengan letak sungsang tetap 3X lebih besar daripada kematian anak letak kepala.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo54; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebab – sebab kematian anak pada letak sungsang</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo27; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah pusat lahir, maka kepala anak mulai masuk ke dalam rongga panggul, sehingga tali pusat tertekan antara kepala dan rongga panggul. Diduga bahwa kepala harus lahir dala 8 menit, sesudah pusat lahir supaya anak dapat lahir dengan semangat.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo27; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada letak sungsang dapat terjadi perdarahan otak karena kepala dilahirkan dengan cepat</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo27; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat terjadi kerusakan dari tulang belakang karena tarikan pada badan anak</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo27; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada letak sungsang lebih sering terjadi prolapsus foeniculi, karena bagian depan kurang baik menutup bagian bawah rahim. (Obstetri Patologi: 178)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
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</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR PUSTAKA</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l50 level1 lfo14; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Wiknjosastro H. persalinan Sungsang. Pelayanan Kesehatan Maternal dan Neonatal. Yayasan Bina Pustaka Sarwono Prawirohardjo, Jakarta 2007. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l50 level1 lfo14; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mochtar R. Persalinan Sungsang. Sinopsis Obstetri, edisi ke-2. EGC, Jakarta 1998.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l50 level1 lfo14; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian Obstetri dan Ginecologi FK Universitas Padjajaran Bandung. 1984. Obstetri Patologi. Bandung: Elstar offset.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l50 level1 lfo14; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US"><a href="http://www.scribd.com/doc/12863508/Letak-Sungsang-lengkap"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">http://www.scribd.com/doc/12863508/Letak-Sungsang-lengkap</span></a></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l50 level1 lfo14; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">http://bunciet.files.wordpress.com/2009/04/sungsang1.jpg</span></div><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></h1><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></h1><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></h1><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></h1><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></h1><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></h1><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></h1><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></h1><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></h1><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></h1><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></h1><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></h1><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></h1><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></h1><h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASKEB TEORI</span></h1><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PADA IBU G.P.... HAMIL 28-32 MGG ATAU ATERM I/T/H</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">INPARTU KALA.... FASE....</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">dengan LETAK SUNGSANG</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat pengkajian<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal / waktu<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkaji<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo3; text-indent: -14.2pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENGKAJIAN</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l43 level1 lfo4; text-indent: -10.9pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DATA SUBJEKTIF</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo5; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biodata Ibu dan Suami</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama, agama, suku, pendidikan, pekerjaan, alamat<span style="mso-tab-count: 2;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur<span style="mso-tab-count: 1;"> </span>: Untuk mengetahui resiko tinggi terjadinya resiko kehamilan (< 16 thn, > 35 thn)</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo5; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan Utama </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan yang mendorong ibu untuk memeriksakan keadaan kepada tenaga kesehatan (bidan). Keluhannya yaitu :</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo24; tab-stops: 0cm 21.3pt list 49.65pt; text-indent: -12.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">ibu mengatakan sering merasa benda keras (kepala) mendesak tulang iga.</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo24; tab-stops: 0cm 21.3pt list 49.65pt; text-indent: -12.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">ibu mengatakan sering merasa pergerakan janin pada bagian bawah perut</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo5; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Kesehatan Sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian tentang riwayat kesehatan sekarang yang dialami ibu sebagai dasar dalam menentukan tindakan yang akan dilakukan oleh bidan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo5; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Riwayat Kesehatan Dahulu</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian tentang riwayat kesehatan dahulu yang dialami ibu sebagai dasar dalam menentukan tindakan yang akan dilakukan oleh bidan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo5; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Kesehatan Keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai pendukung riwayat kesehatan yang dialami ibu sekarang. Adanya riwayat gemeli pada keluarga merupakan potensi bayi sungsang.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo5; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Menstruasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l53 level1 lfo9; tab-stops: 2.0cm 120.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menarche<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l53 level1 lfo9; tab-stops: 2.0cm 120.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lama<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l53 level1 lfo9; tab-stops: 2.0cm 120.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Konsistensi<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l53 level1 lfo9; tab-stops: 2.0cm 120.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jumlah<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l53 level1 lfo9; tab-stops: 2.0cm 120.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fluor Albus<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l53 level1 lfo9; tab-stops: 2.0cm 120.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Disminorhoe<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l53 level1 lfo9; tab-stops: 2.0cm 120.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HPHT<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l53 level1 lfo9; tab-stops: 2.0cm 120.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HTP<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo5; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Pernikahan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usia menikah, lama menikah, status pernikahan, pernikahan ke-,<span style="mso-spacerun: yes;"> </span>pengambilan keputusan dalam keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo5; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Obstetri</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan letak sungsang pada umumnya terjadi pada ibu multiparitas</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: -39.75pt; width: 731px;"><tbody>
<tr style="height: 28.3pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td rowspan="2" style="border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 16.2pt;" width="22"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">NO</span></div></td> <td colspan="3" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" width="113"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kehamilan</span></div></td> <td colspan="5" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.2pt;" width="207"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan</span></div></td> <td colspan="5" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 153.8pt;" width="205"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">anak</span></div></td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.75pt;" width="94"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nifas</span></div></td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.95pt;" width="89"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Laktasi</span></div></td> </tr>
<tr style="height: 9.65pt; mso-yfti-irow: 1;"> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.25pt;" width="28"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ke</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" width="38"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">usia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" width="47"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.4pt;" width="30"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tgl</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" width="37"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">jns</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.8pt;" width="56"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">penlng</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.05pt;" width="37"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tmp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" width="47"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" width="37"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sex</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L/P</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" width="37"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BB/PB</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.95pt;" width="47"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">H/M</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" width="37"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">T/G</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" width="47"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">usia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 32.75pt;" width="44"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lama</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" width="51"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.55pt;" width="42"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lama</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.4pt;" width="47"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komp</span></div></td> </tr>
<tr style="height: 28.3pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 16.2pt;" width="22"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.25pt;" width="28"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" width="38"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" width="47"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.4pt;" width="30"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" width="37"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.8pt;" width="56"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.05pt;" width="37"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" width="47"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" width="37"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" width="37"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.95pt;" width="47"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" width="37"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" width="47"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 32.75pt;" width="44"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" width="51"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.55pt;" width="42"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.4pt;" width="47"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo5; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat KB</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KB yang pernah digunakan, lamanya penggunaan, komplikasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo5; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat kehamilan sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ANC : - Berapa kali :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l31 level2 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TM I</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l31 level2 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TM II</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l31 level2 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TM III</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 35.45pt 134.7pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Obat yang di dapat :<span style="mso-spacerun: yes;"> </span>jumlah<span style="mso-spacerun: yes;"> </span>=</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 35.45pt 127.6pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Imunisasi TT <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>berapa kali =<span style="mso-spacerun: yes;"> </span>tanggal pemberian :</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 35.45pt 127.6pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 35.45pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat yang di dapat<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 4;"> </span>jumlah<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 35.45pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merasakan gerakan janin sejak uisa<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 35.45pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan <span style="mso-tab-count: 1;"> </span>Trimester I<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 106.35pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Trimester II<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 106.35pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Trimester III<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 35.45pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat kehamilan sekarang sangat berpengaruh terhadap kelancaran proses persalinan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo5; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat persalinan sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Datang ke bidan tanggal. . . jam. . . . </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kencang-kencang mulai kapan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">mulai keluar lendir jam berapa.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">keluar darah atau tidak, jika ya, mulai jam berapa.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketuban pecah atau utuh, jika pecah mulai jam berapa... </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo5; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola kebiasaan sehari-hari</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 25.85pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">No</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selama hamil</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saat Inpartu</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nutrisi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola makan</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nafsu<span style="mso-spacerun: yes;"> </span>makan</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis makanan</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Porsi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minuman</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jumlah yang diminum</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Eliminasi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAK ( frekuensi, warna, bau, banyaknya )</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB ( frekuensi, warna, konsistensi )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat MCK</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Isturahat</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 13;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Siang ( lamanya )</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 14;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Malam ( lamanya )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 15;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Personal hygiene</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 16;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mandi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 17;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gosok gigi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 18;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cuci rambut</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 19;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ganti CD</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 20;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebiasaan hidup sehat</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 21;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minum-minuman keras</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 22;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat-obatan terlarang</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 23; mso-yfti-lastrow: yes;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" width="35"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 194.15pt;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merokok</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian tentang kebiasaan sehari-hari sebagai acuan gambaran kesejahteraan janin dalam Rahim</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo5; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat psikososial, spiritual dan ekonomi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Respon ibu dan keluarga terhadap kehamilan, ekonomi (diketahui dari jenis pekerjaan), pengambil keputusan dalam keluarga, tempat dan petugas kesehatan yang diinginkan ibu dalam membantu persalinan </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l43 level1 lfo4; text-indent: -10.9pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DATA OBJEKTIF</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level1 lfo7; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Umum</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l36 level1 lfo6; tab-stops: 42.55pt 99.25pt; text-indent: -14.2pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>K/U<span style="mso-tab-count: 1;"> </span>: baik / lemah</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BB, TB, LILA tidak perlu dikaji lagi, tanyakan BB terakhir pada ibu atau lihat KMS</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l36 level1 lfo6; tab-stops: 42.55pt 99.25pt; text-indent: -14.2pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesadaran<span style="mso-tab-count: 1;"> </span>: composmentis/ letargis</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l36 level1 lfo6; tab-stops: 42.55pt 99.25pt; text-indent: -14.2pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TD<span style="mso-tab-count: 1;"> </span>: N : 100/ 70 -<span style="mso-spacerun: yes;"> </span>140/100 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l36 level1 lfo6; tab-stops: 42.55pt 99.25pt; text-indent: -14.2pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">N<span style="mso-tab-count: 1;"> </span>: N : 80-100 x / menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l36 level1 lfo6; tab-stops: 42.55pt 99.25pt; text-indent: -14.2pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">RR<span style="mso-tab-count: 1;"> </span>: N : 16-24 x / menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l36 level1 lfo6; tab-stops: 42.55pt 99.25pt; text-indent: -14.2pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">S<span style="mso-tab-count: 2;"> </span>: N : 36,5 – 37,5 ° C</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo7; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Fisik. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo25; tab-stops: 42.55pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kepala<span style="mso-tab-count: 1;"> </span>: dbn<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo25; tab-stops: 42.55pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Muka<span style="mso-tab-count: 2;"> </span>: dbn</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo25; tab-stops: 42.55pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mata<span style="mso-tab-count: 2;"> </span>: dbn</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo25; tab-stops: 42.55pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gilut<span style="mso-tab-count: 2;"> </span>: dbn</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo25; tab-stops: 42.55pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leher<span style="mso-tab-count: 2;"> </span>: dbn</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo25; tab-stops: 42.55pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dada<span style="mso-tab-count: 2;"> </span>: dbn</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo25; tab-stops: 42.55pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Payudara<span style="mso-tab-count: 1;"> </span>: dbn</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo25; tab-stops: 42.55pt 120.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 120.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi<span style="mso-tab-count: 1;"> </span>: linea nigra (+), cloasma gravidarum (+), bekas SC (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi <span style="mso-tab-count: 1;"> </span>L1 :<span style="mso-spacerun: yes;"> </span>teraba keras dan melenting pada daerah fundus</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L2 :<span style="mso-spacerun: yes;"> </span>teraba memanjang pada perut ibu di sisi kanan atau kiri atau kedua sisi perut ibu</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>L3 :<span style="mso-spacerun: yes;"> </span>bagian bawah teraba lunak dan tidak melenting </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>L4 :<span style="mso-spacerun: yes;"> </span>mengetahui seberapa besar bagian terendah janin yang masuk PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 148.85pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan DJJ <span style="mso-tab-count: 1;"> </span>: DJJ </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ditemukan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">setinggi atau sedikit lebih tinggi dari pada umbilikus</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> <span lang="EN-US">Pemeriksaan TBJ, pemeriksaan HIS </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l25 level1 lfo8; text-indent: -14.2pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekstrimitas atas dan ekstrimitas bawah<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-list: l25 level1 lfo8; tab-stops: 49.65pt 99.25pt; text-indent: -70.9pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genitalia<span style="mso-tab-count: 1;"> </span>: kondisi vagina sebagai jalan lahir sangat berpengaruh terhadap proses persalinan. Saat dilakukan VT teraba 3 tonjolan yaitu </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">teraba 3 tonjolan tulang yaitu tubera ossis ischii dan ujung os sacrum.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level1 lfo26; text-indent: -14.2pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anus <span style="mso-tab-count: 1;"> </span>: dbn</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level1 lfo7; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan penunjang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan penunjang mendukung hasil pengkajian data subjektif dan data objektif. Pemeriksaan yang dapat dilakukan antara lain, test Hb, USG dan test urine.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada pemeriksaan USG terdapat bayangan kepla di fundus</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo3; text-indent: -14.2pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">INTERPRETASI DATA DASAR</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 23.4pt; width: 528px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dx</span></div></td> <td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 344.7pt;" valign="top" width="460"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu G2P10001 hamil 38 minggu I/T/H inpartu fase laten dengan letak bokong kaki sempurna </span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ds</span></div></td> <td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 344.7pt;" valign="top" width="460"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil anak ke 2</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil 9 bulan</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan mengeluh kencang-kencang dari perut ke pinggang mulai jam ………. Dan telah mengeluarkan lender dan darah sejak jam ……….</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Do</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi </span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembesaran memanjang</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L I</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TFU 3 jari PX, fundus teraba kepala</span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L II</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Puka</span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L III</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian terbawah bokong</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L IV</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bokong masuk PAP</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DSI</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal</span></div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">NIS</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1 x tiap 20 menit lama < 20</span></div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genetalia</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Blood slym </span></div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">VT</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">U/V DBN, eff 25% Ø2 cm, ket<span style="mso-spacerun: yes;"> </span>+<span style="mso-spacerun: yes;"> </span>bagian terendah bokong ( sakrum jam……..H II ) teraba anus ( lubang kecil, tidak menghisap , mekonium (+) ) teraba 2 kaki disamping bokong </span></div></td> </tr>
<tr style="mso-yfti-irow: 12; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">USG</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terlihat kepala berada di bagian fundus dan bokong di bagian terbawah dan 2 kaki di samping bokong</span></div></td> </tr>
</tbody></table><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;"><br />
</div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 23.4pt; width: 528px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dx</span></div></td> <td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 344.7pt;" valign="top" width="460"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu G2P10001<span style="mso-spacerun: yes;"> </span>I hamil 38 minggu I/T/H inpartu fase laten dengan letak bokong</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> lutut</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> tidak sempurna </span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ds</span></div></td> <td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 344.7pt;" valign="top" width="460"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil anak ke 2</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil 9 bulan</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan mengeluh kencang-kencang dari perut ke pinggang mulai jam ………. Dan telah mengeluarkan lendir dan darah sejak jam ……….</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Do</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi </span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembesaran memanjang</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L I</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TFU 3 jari PX, fundus teraba kepala</span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L II</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Puka</span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L III</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian terbawah bokong</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L IV</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bokong masuk PAP</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DSI</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal</span></div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">NIS</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1 x tiap 20 menit lama < 20</span></div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genetalia</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Blood slym </span></div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">VT</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">U/V DBN, eff 25% Ø2 cm, ket<span style="mso-spacerun: yes;"> </span>+<span style="mso-spacerun: yes;"> </span>bagian terendah </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">bokong (</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">sakrum jam……..H II</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> teraba 1 patella dan 1 poptilea</span></div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">USG</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terlihat kepala berada di bagian fundus dan bokong di bagian terbawah dan 1 lutut di samping bokong</span></div></td> </tr>
<tr style="mso-yfti-irow: 13; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> </tr>
</tbody></table><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;"><br />
</div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 23.4pt; width: 528px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dx</span></div></td> <td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 344.7pt;" valign="top" width="460"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu G2P10001<span style="mso-spacerun: yes;"> </span>I hamil 38 minggu I/T/H inpartu fase laten dengan <span style="mso-spacerun: yes;"> </span>letak bokong </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">lutut sempurna</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> <span lang="EN-US"></span></span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ds</span></div></td> <td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 344.7pt;" valign="top" width="460"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil anak ke 2</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil 9 bulan</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan mengeluh kencang-kencang dari perut ke pinggang mulai jam ………. Dan telah mengeluarkan lendir dan darah sejak jam ……….</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Do</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi </span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembesaran memanjang</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L I</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TFU 3 jari PX, fundus teraba kepala</span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L II</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Puka</span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L III</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian terbawah bokong</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L IV</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bokong masuk PAP</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DSI</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal</span></div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">NIS</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1 x tiap 20 menit lama < 20</span></div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genetalia</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Blood slym </span></div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">VT</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">U/V DBN, eff 25% portio lunak Ø2 cm, ket<span style="mso-spacerun: yes;"> </span>+<span style="mso-spacerun: yes;"> </span>bagian terendah lutut teraba 2 patella dan 2 poptilea</span></div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">USG</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terlihat kepala berada di bagian fundus dan bokong di bagian terbawah dan 2 lutut di samping bokong</span></div></td> </tr>
<tr style="mso-yfti-irow: 13;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dx</span></div></td> <td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 344.7pt;" valign="top" width="460"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu G2P10001<span style="mso-spacerun: yes;"> </span>I hamil 37 – 42 minggu I/T/H inpartu kala I fase aktif dengan letak bokong </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">kaki </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tidak sempurn</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">a</span></div></td> </tr>
<tr style="mso-yfti-irow: 14;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ds</span></div></td> <td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 344.7pt;" valign="top" width="460"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil anak ke 2</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil 9 bulan</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan mengeluh kencang-kencang dari perut ke pinggang mulai jam ………. Dan telah mengeluarkan lendir dan darah sejak jam ……….</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan merasakan penuh dibagian atas dan gerakan terasa lebih banyak di bagaian bawah</span></div></td> </tr>
<tr style="mso-yfti-irow: 15;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Do</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 16;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi </span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembesaran memanjang</span></div></td> </tr>
<tr style="mso-yfti-irow: 17;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L I</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TFU 3 jari PX (TFU 31,5 cm), fundus teraba kepala</span></div></td> </tr>
<tr style="mso-yfti-irow: 18;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L II</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Puka</span></div></td> </tr>
<tr style="mso-yfti-irow: 19;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L III</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian terbawah bokong</span></div></td> </tr>
<tr style="mso-yfti-irow: 20;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L IV</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bokong masuk PAP</span></div></td> </tr>
<tr style="mso-yfti-irow: 21;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DSI</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal</span></div></td> </tr>
<tr style="mso-yfti-irow: 22;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">NIS</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1 x tiap 20 menit lama < 20</span></div></td> </tr>
<tr style="mso-yfti-irow: 23;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genetalia</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Blood slym<span style="mso-spacerun: yes;"> </span>(+)</span></div></td> </tr>
<tr style="mso-yfti-irow: 24;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">VT</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">U/V DBN, eff 100% portio lunak Ø10 cm, ket<span style="mso-spacerun: yes;"> </span>+<span style="mso-spacerun: yes;"> </span>bagian terendah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> bokong ( </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">sakrum jam……..H II</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> )</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> kaki teraba 1 tumit, (teraba sudut 90°) teraba rata jari-jari.</span></div></td> </tr>
<tr style="mso-yfti-irow: 25;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">USG</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terlihat kepala berada di bagian fundus dan 1 kaki di bagian terbawah</span></div></td> </tr>
<tr style="mso-yfti-irow: 26;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dx</span></div></td> <td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 344.7pt;" valign="top" width="460"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu G2P10001<span style="mso-spacerun: yes;"> </span>I hamil 37 – 42 minggu I/T/H inpartu kala I fase aktif dengan letak bokong kaki sempurna </span></div></td> </tr>
<tr style="mso-yfti-irow: 27;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ds</span></div></td> <td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 344.7pt;" valign="top" width="460"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil anak ke 2</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil 9 bulan</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan mengeluh kencang-kencang dari perut ke pinggang mulai jam ………. Dan telah mengeluarkan lendir dan darah sejak jam ……….</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan merasakan penuh dibagian atas dan gerakan terasa lebih banyak di bagaian bawah</span></div></td> </tr>
<tr style="mso-yfti-irow: 28;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Do</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 29;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi </span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembesaran memanjang</span></div></td> </tr>
<tr style="mso-yfti-irow: 30;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L I</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TFU 3 jari PX (TFU 31,5 cm), fundus teraba kepala</span></div></td> </tr>
<tr style="mso-yfti-irow: 31;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L II</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Puka</span></div></td> </tr>
<tr style="mso-yfti-irow: 32;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L III</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian terbawah bokong</span></div></td> </tr>
<tr style="mso-yfti-irow: 33;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L IV</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bokong masuk PAP</span></div></td> </tr>
<tr style="mso-yfti-irow: 34;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DSI</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal</span></div></td> </tr>
<tr style="mso-yfti-irow: 35;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">NIS</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1 x tiap 20 menit lama < 20</span></div></td> </tr>
<tr style="mso-yfti-irow: 36;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genetalia</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Blood slym<span style="mso-spacerun: yes;"> </span>(+)</span></div></td> </tr>
<tr style="mso-yfti-irow: 37;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">VT</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">U/V DBN, eff 100% portio lunak Ø10 cm, ket<span style="mso-spacerun: yes;"> </span>+<span style="mso-spacerun: yes;"> </span>bagian terendah kaki teraba 2 tumit, (teraba sudut 90° teraba rata jari-jari. )</span></div></td> </tr>
<tr style="mso-yfti-irow: 38; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">USG</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terlihat kepala berada di bagian fundus dan 2 kaki di bagian terbawah</span></div></td> </tr>
</tbody></table><div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;"><br />
</div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 23.4pt; width: 528px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">6</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dx</span></div></td> <td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 344.7pt;" valign="top" width="460"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu G2P10001<span style="mso-spacerun: yes;"> </span>I hamil 37 – 42 minggu I/T/H inpartu kala I fase aktif dengan letak bokong murni</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ds</span></div></td> <td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 344.7pt;" valign="top" width="460"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil anak ke 2</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil 9 bulan</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan mengeluh kencang-kencang dari perut ke pinggang mulai jam ………. Dan telah mengeluarkan lendir dan darah sejak jam ……….</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan merasakan penuh dibagian atas dan gerakan terasa lebih banyak di bagaian bawah</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Do</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi </span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembesaran memanjang</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L I</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TFU 3 jari PX (TFU 31,5 cm), fundus teraba kepala</span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L II</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Puka</span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L III</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian terbawah bokong</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L IV</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bokong masuk PAP</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DSI</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal</span></div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">NIS</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1 x tiap 20 menit lama < 20</span></div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genetalia</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Blood slym<span style="mso-spacerun: yes;"> </span>(+)</span></div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">VT</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">U/V DBN, eff 100% portio lunak Ø10 cm, ket<span style="mso-spacerun: yes;"> </span>+<span style="mso-spacerun: yes;"> </span>bagian terendah bokong ( sakrum jam……..H II ) teraba anus ( lubang kecil, tidak menghisap , mekonium (+) )</span></div></td> </tr>
<tr style="mso-yfti-irow: 12; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 25.15pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 26.15pt;" valign="top" width="35"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.85pt;" valign="top" width="92"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">USG</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.85pt;" valign="top" width="20"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 261.0pt;" valign="top" width="348"> <div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terlihat kepala berada di bagian fundus dan bagian terbawah adalah bokong</span></div></td> </tr>
</tbody></table><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo3; text-indent: -14.2pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">IDENTIFIKASI DIAGNOSA DAN MASALAH POTENSIAL</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level3 lfo49; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Asfiksia</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level3 lfo49; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Brach gagal</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level3 lfo49; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trauma jalan lahir</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level3 lfo49; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perdarahan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level3 lfo49; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Atonia uteri</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo3; text-indent: -14.2pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">IDENTIFIKASI KEBUTUHAN SEGERA</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level3 lfo50; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pertolongan bahu dan kepala</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level3 lfo50; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O<sub>2</sub></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level3 lfo50; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Resusitasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level3 lfo50; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Management pertolongan yang benar</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo3; text-indent: -14.2pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">INTERVENSI</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level4 lfo48; tab-stops: list 31.5pt 36.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jelaskan pada ibu tentang keadaan ibu dan janinnya </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ ibu lebih mengerti dan kooperatif terhadap tindakan yang dilakukan </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level4 lfo48; tab-stops: list 31.5pt 36.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan informed consent pada ibu </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ ibu mengerti tindakan yang dilakukan sehingga ibu kooperatif </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level4 lfo48; tab-stops: list 31.5pt 36.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Observasi DJJ dan HIS tiap 30 menit </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ deteksi dini adanya komplikasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level4 lfo48; tab-stops: list 31.5pt 36.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pimpin ibu mengejan dengan posisi litotom </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ deteksi persalinan berjalan lancar</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level4 lfo48; tab-stops: list 31.5pt 36.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan Eposiotomi </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: list 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ jalan lahir menjadi lebih luas</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level4 lfo48; tab-stops: list 31.5pt 36.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan persalinan dengan cara Bracth</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level1 lfo51; tab-stops: list 54.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Segera setelah bokong tampak suntikkan oxyticin 5 UI</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level1 lfo51; tab-stops: list 54.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bokong dipegang secara Bracth ( kedua ibu jari penolong sejajar dengan paha, jari-jari yang lain memegang daerah punggung )</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level1 lfo51; tab-stops: list 54.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Longgarkan tali pusat setelah lahirnya perut dan sebagian dada.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level1 lfo51; tab-stops: list 54.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan Hyperlordosis janin pada saat angulus scapula interior tampak di bawah sympisis ( dengan mengikuti gerak rotasi anterior yaitu punggung janin didekatkan kearah perut ibu tanpa tarikan disesuaikan dengan lahirnya badan bayi. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level4 lfo48; tab-stops: list 31.5pt 36.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letakkan bayi di perut ibu, bungkus bayi dengan handuk hangat </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ meminimalisir kontaminasi bayi dengan kotoran dari ibu saat persalinan </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level4 lfo48; tab-stops: list 31.5pt 36.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bersihkan jalan nafas , potong tali pusat R/ aliran darah bayi segera terpisah dari ibu dan dapat terbentuk sistem yang baru</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level4 lfo48; tab-stops: list 31.5pt 36.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan pada ibu untuk laktasi R/ inisiasi dini</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">VI.IMPLEMENTASI</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Pelaksanaan Intervensi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">VII. EVALUASI<span style="mso-spacerun: yes;"> </span>tanggal ………. Jam ……….</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">S<span style="mso-tab-count: 1;"> </span>: Ibu mengatakan lega dan bahagia karena bayinya lahir</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O<span style="mso-tab-count: 1;"> </span>: Placenta lahir spontan pervaginaan jam ………. Tanggal ………..jenis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-indent: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>kelamin<span style="mso-spacerun: yes;"> </span>………. BB ………. Gr, PB ……….cm, menangis spontan,</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-indent: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>warna kulit merah, gerakan aktif, As ……….</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>A<span style="mso-tab-count: 1;"> </span>: Ibu bersalin kala III dengan luka Epositomi grade</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>P<span style="mso-tab-count: 1;"> </span>: Lakukan palpasi uterus</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Lakukan inj oxytoci 10 VI</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Lakukan PTT</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Periksa kandung kemih</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Evaluasi jumlah pendarahan </span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Evaluasi jalan lahir</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Lakukan penjahitan<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level1 lfo48; tab-stops: list 18.0pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Catatan perkembangan tanggal ………. jam……….</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">S<span style="mso-tab-count: 1;"> </span>: Ibu mengatakan ari-arinya telah keluar dan perutnya mula-mula</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O<span style="mso-tab-count: 1;"> </span>: Placenta lahir spontan pervaginaan jam ………. Tanggal ……….</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kotiledon lengkap<span style="mso-spacerun: yes;"> </span>………. BB ………. Gr, PB ……cm, tebal …..cm diameter …….cm, insersi tali pusat pada placenta medial, selaput ketuban utuk (lengkap</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A <span style="mso-tab-count: 1;"> </span>: Ibu bersalin kala IV</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l48 level2 lfo52; tab-stops: list 45.0pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">P.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan kenyamanan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan ibu makanan dan minuman</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pantau UC, TD dan kandung kemih, perdarahan tiap 15 menit pada 1 jam pertama dan tiap 30 menit pada jam kedua</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level2 lfo51; tab-stops: list 63.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rooming in ibu dan bayi setelah kondisi bayi stabil</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level2 lfo51; tab-stops: list 63.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ajari ibu cara menyusui</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lampirkan lembar penapisan, lembar observasi dan partograf</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASUHAN KEBIDANAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PADA IBU G3P20002 HAMIL 32 MGG I/T/H</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">INPARTU KALA I FASE AKTIF DILATASI MAXIMAL</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">dengan LETAK SUNGSANG</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat pengkajian<span style="mso-tab-count: 1;"> </span>: RSU MATARAM</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal / waktu<span style="mso-tab-count: 1;"> </span>: 10 Mei 2008/ 19.30 WITA</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkaji<span style="mso-tab-count: 2;"> </span>: Mahasiswa Poltekkes Malang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo11; text-indent: -14.2pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENGKAJIAN</span></div><ol start="1" style="margin-top: 0cm;" type="A"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l29 level1 lfo12;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DATA SUBJEKTIF</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo13; text-indent: -14.2pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biodata </span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 45pt; width: 565px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama Ibu</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 153.0pt;" valign="top" width="204"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Ny. Muslimah</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" valign="top" width="102"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama Suami</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Tn. Muhidin</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 153.0pt;" valign="top" width="204"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: 30 tahun</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" valign="top" width="102"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: 32 tahun</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agama</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 153.0pt;" valign="top" width="204"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Islam</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" valign="top" width="102"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agama</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Islam</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suku</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 153.0pt;" valign="top" width="204"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Jawa</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" valign="top" width="102"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suku</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Jawa</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendidikan</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 153.0pt;" valign="top" width="204"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: SMP</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" valign="top" width="102"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendidikan</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: SMP</span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerjaan</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 153.0pt;" valign="top" width="204"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: IRT</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" valign="top" width="102"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerjaan</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Wiraswasta</span></div></td> </tr>
<tr style="mso-yfti-irow: 6; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alamat</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 153.0pt;" valign="top" width="204"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Jl. Jl. Bengawan No 25</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" valign="top" width="102"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alamat</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Jl. Bengawan No 25</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo13; text-indent: -14.2pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan Utama</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil 8 bulan anak ke-3. Kenceng-kenceng mulai tanggal 10 Mei 2008, pukul 06.00 WITA. Ibu mengatakan ada tekanan kuat pada perut bagian atas.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo13; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Kesehatan Sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Ibu mengatakan saat ini ibu tidak sedang menderita penyakit menurun (DM, hipertensi), menular (hepatitis B, TBC, AIDS/HIV), dan sistemik (penyakit jantung, ginjal).</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo13; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Kesehatan Dahulu</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Ibu mengatakan ibu tidak pernah menderita penyakit menurun (DM, hipertensi), menular (hepatitis B, TBC, AIDS/HIV), dan sistemik (penyakit jantung, ginjal).</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo13; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Riwayat Kesehatan Keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Ibu mengatakan dalam keluarga ibu maupun suami tidak ada yang menderita penyakit menurun (DM, hipertensi), menular (hepatitis B, TBC, AIDS/HIV), dan sistemik (penyakit jantung, ginjal) serta tidak ada riwayat kehamilan kembar.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo13; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Riwayat menstruasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Menarche<span style="mso-tab-count: 1;"> </span>: 13 tahun<span style="mso-tab-count: 2;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Banyaknya<span style="mso-tab-count: 1;"> </span>: 2x ganti pembalut/ hari<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Siklus<span style="mso-tab-count: 1;"> </span>: 28 hari<span style="mso-tab-count: 2;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Lama<span style="mso-tab-count: 1;"> </span>: 7 hari<span style="mso-tab-count: 2;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 4.0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Dismenorea<span style="mso-tab-count: 1;"> </span>: -<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">HPHT <span style="mso-tab-count: 1;"> </span>: 26-10-2007</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">HTP<span style="mso-tab-count: 1;"> </span>: 02-08-2008</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Fluor albus<span style="mso-tab-count: 1;"> </span>: -<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo13; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Riwayat pernikahan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 5.0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Status pernikahan <span style="mso-tab-count: 1;"> </span>: Sah<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 5.0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Pernikahan ke-<span style="mso-tab-count: 1;"> </span>: 1</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 5.0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Lama pernikahan<span style="mso-tab-count: 1;"> </span>: 1 tahun</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 5.0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Istri ke- <span style="mso-tab-count: 1;"> </span>: 1<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 5.0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Usia awal menikah<span style="mso-tab-count: 1;"> </span>: 19 tahun</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo13; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Obstetri</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: -22.95pt; width: 737px;"><tbody>
<tr style="height: 28.3pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td rowspan="2" style="border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" width="38"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">NO</span></div></td> <td colspan="3" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.7pt;" width="114"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kehamilan</span></div></td> <td colspan="4" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.6pt;" width="179"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan</span></div></td> <td colspan="5" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" width="216"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">anak</span></div></td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 76.4pt;" width="102"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nifas</span></div></td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.8pt;" width="88"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">laktasi</span></div></td> </tr>
<tr style="height: 37.3pt; mso-yfti-irow: 1;"> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.3pt;" width="28"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ke</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.0pt;" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.4pt;" width="47"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.7pt;" width="37"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">jns</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" width="57"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">penlng</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" width="38"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tmp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sex</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L/P</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BB/PB</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">H/M</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" width="36"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">T/G</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">usia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.9pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lama</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.6pt;" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">lama</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.2pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">komp</span></div></td> </tr>
<tr style="height: 28.3pt; mso-yfti-irow: 2;"> <td style="border-top: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" width="38"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.3pt;" width="28"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">I</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.0pt;" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">32 mg</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.4pt;" width="47"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.7pt;" width="37"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Spt B</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" width="57"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">dukun</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" width="38"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">rmh</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">H</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" width="36"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">T</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">11 th</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.9pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">40 hr</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.6pt;" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2 th</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.2pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-</span></div></td> </tr>
<tr style="height: 28.3pt; mso-yfti-irow: 3;"> <td style="border-top: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" width="38"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.3pt;" width="28"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">II</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.0pt;" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">36 mg</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.4pt;" width="47"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.7pt;" width="37"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Spt B</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" width="57"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bidan</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" width="38"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BPS</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">P</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3 kg / 49 cm</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">H</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" width="36"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">T</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">9 th</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.9pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">42 hr</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.6pt;" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2 th</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.2pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-</span></div></td> </tr>
<tr style="height: 28.3pt; mso-yfti-irow: 4; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" width="38"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.3pt;" width="28"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">H</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.0pt;" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.4pt;" width="47"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">M</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.7pt;" width="37"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">I</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" width="57"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" width="38"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">I</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">N</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">I</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" width="36"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.9pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.6pt;" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.2pt;" width="48"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
</tbody></table><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo13; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Riwayat KB</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Ibu mengatakan menggunakan alat kontrasepsi jenis KB suntik.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo13; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Riwayat kehamilan sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">ANC sejak UK 1 bulan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 2;"> </span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">TM I<span style="mso-spacerun: yes;"> </span>1x, di puskesmas </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 2;"> </span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">TM II<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>1x, di puskesmas</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 2;"> </span>TM III<span style="mso-spacerun: yes;"> </span>3x, di Rumah sakit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 5.0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Imunisasi TT<span style="mso-tab-count: 2;"> </span>: 2x<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 2;"> </span>Terapi <span style="mso-tab-count: 2;"> </span>: Fe, Vit. C</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 2;"> </span>Keluhan umum: TM I<span style="mso-tab-count: 2;"> </span>: mual muntah</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 4;"> </span><span style="mso-spacerun: yes;"> </span>TM II<span style="mso-tab-count: 2;"> </span>: -</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 4;"> </span><span style="mso-spacerun: yes;"> </span>TM III<span style="mso-tab-count: 2;"> </span>: adanya tekanan kuat pada perut bagian atas</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 2;"> </span>Gerakan janin<span style="mso-tab-count: 1;"> </span>: Ibu merasakan gerakan janin sejak usia kehamilan 5 bulan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo13; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat persalinan sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu datang ke bidan tanggal 10-05-08 jam 19.30<span style="mso-spacerun: yes;"> </span>WITA mengeluh kenceng-kenceng sejak tanggal 10-05-08<span style="mso-spacerun: yes;"> </span>jam 06.00 WITA, mulai keluar lendir bercampur darah tanggal10-05-08<span style="mso-spacerun: yes;"> </span>jam 18.00 WITA dan ketuban merembes sejak pukul 19.00 WITA tanggal 10-05-08 </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo13; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Pola kehidupan sehari-hari</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 5.4pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">NO.</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">JENIS</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">SELAMA HAMIL</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">SELAMA INPARTU</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">1.</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">NUTRISI</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Nafsu makan</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">baik</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Kurang</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Pola makan</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">3x/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Jenis makanan</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Nasi, lauk(ikan),sayur</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Roti </span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Porsi</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">1 piring</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">1 piring (dimakan 3 sendok)</span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Minuman</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Air putih + susu</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Air putih dan minuman isotonik</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Jumlah yang diminum</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">7-8 gelas/hari + 1 gelas susu</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">½ botol isotonik dan 1 gelas air putih</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">2.</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">ELIMINASI</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">BAK(frekuensi, warna,bau,banyaknya)</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">5-6 x / hari, kuning jernih, amoniak</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">1 kali</span></div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">BAB(frekuensi,warna,konsistensi)</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">1x/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Tempat BAB</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Jamban pribadi</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3.</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">ISTIRAHAT</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 13;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Siang(lamanya)</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">1 jam/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 14;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Malam(lamanya)</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">6-7 jam/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 15;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">4. </span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">PERSONAL HYGIENE</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 16;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Mandi</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2x/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 17;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Gosok gigi</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3x/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 18;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Keramas</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3x/minggu</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 19;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ganti CD</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2x/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 20;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">5. </span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">KEBIASAAN HIDUP SEHAT</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 21;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Merikok</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 22;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Minum-minuman keras</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 23; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.55pt;" valign="top" width="39"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Narkoba</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
</tbody></table><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo13; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Riwayat psikososial-spiritual-ekonomi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ibu mengatakan bahwa pengambil keputusan dalam keluarga adalah suami.<span style="mso-spacerun: yes;"> </span>Ibu, suami dan keluarga sangat senang dan sangat mengharapkan kehamilan ini. Ibu, suami dan keluarga merencanakan persalinannya nanti berlangsung di Rumah sakit dibantu oleh bidan. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">B. DATA OBJEKTIF</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.1pt; margin-right: 0cm; margin-top: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">1. Pemeriksaan umum</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt 78.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">KU<span style="mso-tab-count: 1;"> </span>: baik</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt 78.0pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;"><span style="mso-tab-count: 1;"> </span>Kesadaran<span style="mso-tab-count: 1;"> </span>: composmentis</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt 78.0pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;"><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">TB/BB<span style="mso-tab-count: 1;"> </span>: 157 cm / 55 kg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt 78.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>Lila<span style="mso-tab-count: 1;"> </span>: 23,5 cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt 78.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">TD<span style="mso-tab-count: 1;"> </span>: 120/80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt 78.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 1;"> </span>N<span style="mso-tab-count: 1;"> </span>: 86x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt 78.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 1;"> </span>Rr<span style="mso-tab-count: 1;"> </span>: 20x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt 78.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 1;"> </span>Suhu<span style="mso-tab-count: 1;"> </span>:36,4°C</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.1pt; margin-right: 0cm; margin-top: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2. Pemeriksaan fisik (head to toe dari inspeksi, palpasi, perkusi dan juga auskultasi)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 63.8pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Kepala<span style="mso-tab-count: 2;"> </span>: rambut bersih, rontok (-), benjolan (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 63.8pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Muka<span style="mso-tab-count: 2;"> </span>: pucat (-), oedema (-), cloasma gravidarum (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 63.8pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mata<span style="mso-tab-count: 2;"> </span>: konjungtiva tidak anemis<span style="mso-spacerun: yes;"> </span>Sklera tidak ikterus</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 63.8pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Hidung<span style="mso-tab-count: 2;"> </span>: simetris, bersih, benjolan (-), sekret (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 70.9pt; text-indent: -2.0cm;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Mulut<span style="mso-tab-count: 1;"> </span>: bibir lembab, bersih, pucat (-), stomatitis (-), lidah bersih, ginggivitis (-), caries gigi (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 63.8pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Telinga<span style="mso-tab-count: 2;"> </span>: simetris, bersih</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 63.8pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Leher<span style="mso-tab-count: 2;"> </span>: pembesaran kelenjar tiroid dan kelenjar limfe - , bendungan vena jugularis (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 70.9pt; text-indent: -2.0cm;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Dada<span style="mso-tab-count: 1;"> </span>: simetris, mamae bersih, mamae tegak, hiperpigmentasi areola dan papila<span style="mso-spacerun: yes;"> </span>mamae +/+, puting susu menonjol +/+, retraksi -, benjolan -/-,<span style="mso-spacerun: yes;"> </span>colostrum -/-, <span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>ronchi (-), wheezing (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Thoraks<span style="mso-tab-count: 1;"> </span>: Jantung dalam batas normal<span style="mso-spacerun: yes;"> </span>Paru dalam batas normal</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen<span style="mso-spacerun: yes;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l26 level1 lfo1; tab-stops: 1.0cm 70.9pt; text-indent: -70.85pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi<span style="mso-tab-count: 1;"> </span>: Membuncit sesuai usia kehamilan aterm, linea nigra hiperpigmentasi, striae gravidarum (+), Sikatrik (-) </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l26 level1 lfo1; text-indent: -7.05pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.65pt; text-indent: -1.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L1<span style="mso-tab-count: 1;"> </span>: TFU teraba 4 jari bawah processus xipoideus, teraba masa bulat, keras, melenting</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.65pt; text-indent: -1.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L2 <span style="mso-tab-count: 1;"> </span>: Tahanan terbesar di kiri, bagian-bagian kecil di kanan<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.65pt; text-indent: -1.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L 3 <span style="mso-tab-count: 1;"> </span>: Teraba masa besar, lunak, noduler (presentasi bokong)<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.65pt; text-indent: -1.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L 4 <span style="mso-tab-count: 1;"> </span>: Bagian terbawah janin sudah masuk PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.65pt; text-indent: -21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TFU<span style="mso-tab-count: 1;"> </span>: 27 cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.65pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TBJ <span style="mso-tab-count: 1;"> </span>: 2511 gr<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.65pt; text-indent: -1.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">His<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>: (+) 2x/ 10’ ∞ 30”</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l50 level1 lfo14; tab-stops: 1.0cm; text-indent: -63.75pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Auskultasi<span style="mso-tab-count: 1;"> </span>: Bising usus (+) Normal, DJJ : 13 – 12 – 13, teratur.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 70.9pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genitalia<span style="mso-tab-count: 2;"> </span>: Eksterna : Oedem (-), varises (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 120.5pt; text-indent: -49.6pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Interna<span style="mso-tab-count: 1;"> </span> : VT (19.30 WITA, 10-06-2008/ ) :u/v taa, portio teraba lunak, eff 75%, Ø 7 cm, ket (-), teraba bokong (presentasi bokong) H III, tidak ada bagian kecil yang menumbung.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 106.35pt 155.95pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekstremitas<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>atas <span style="mso-tab-count: 1;"> </span>: oedema -/-</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 155.95pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>bawah <span style="mso-tab-count: 1;"> </span>: oedema -/-, varises -/-</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.1pt; margin-right: 0cm; margin-top: 0cm;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">3. Pemeriksaan penunjang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hb<span style="mso-spacerun: yes;"> </span>: 9,7 gr%</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leukosit<span style="mso-spacerun: yes;"> </span>: 13.300/mmb3</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trombosit : 269.000/mm3</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">USG<span style="mso-tab-count: 1;"> </span>: terdapat bayangan kepala di fundus uteri<span style="mso-spacerun: yes;"> </span>( tgl 07-06-2008 )</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">II. INTERPRETASI DATA DASAR<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Dx<span style="mso-tab-count: 1;"> </span>:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Ibu G3P20002 hamil 32 mgg I/T/H inpartu kala 1 fase laten</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 35.45pt 42.55pt; text-indent: -1.0cm;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ds<span style="mso-tab-count: 1;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil 9 bulan anak ke-3. Kenceng-kenceng mulai tanggal 10 Mei 2008, pukul 06.00 WITA, keluar lendir bercampur darah dari kemaluan sejak pukul 18.00 (10-05-08). dan ketuban pecah tanggal 10-05-08 jam 19.00</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HPHT : </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3-8-2007</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Do<span style="mso-tab-count: 1;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l26 level1 lfo1; tab-stops: 49.65pt 106.35pt; text-indent: -70.85pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi<span style="mso-tab-count: 1;"> </span>: Membuncit sesuai usia kehamilan aterm, Linea Mediana hiperpigmentasi, striae gravidarum (+), Sikatrik (-) </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l26 level1 lfo1; tab-stops: 49.65pt 106.35pt; text-indent: -70.85pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi <span style="mso-tab-count: 1;"> </span>: L1 : TFU teraba 4 jari bawah processus xipoideus, teraba masa bulat, keras, melenting</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 134.7pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L2 <span style="mso-tab-count: 1;"> </span>: Tahanan terbesar di kiri, bagian-bagian kecil di kanan<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 134.7pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L 3 <span style="mso-tab-count: 1;"> </span>: Teraba masa besar, lunak, noduler (presentasi bokong)<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 134.7pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L 4 <span style="mso-tab-count: 1;"> </span>: Bagian terbawah janin sudah masuk PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 134.7pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TFU menurut MD : 27 cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 134.7pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TBJ <span style="mso-tab-count: 1;"> </span>: 2511 gr<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 134.7pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">His<span style="mso-spacerun: yes;"> </span>: (+) 2x/ 10’ ∞ 30”</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l50 level1 lfo14; tab-stops: 49.65pt 106.35pt; text-indent: -70.85pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Auskultasi<span style="mso-tab-count: 1;"> </span>: Bising usus (+) Normal, DJJ : 13 – 12 – 13, teratur.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 5.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genitalia: Eksterna <span style="mso-tab-count: 1;"> </span>: Oedem (-), varises (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 148.85pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 5.0cm; text-indent: -2.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Interna <span style="mso-tab-count: 1;"> </span>: VT (19.30 WITA, 10-06-2008/ ):u/v taa, portio teraba lunak, eff 25%, Ø 2 cm, ket (<sub>+</sub>), teraba bokong (presentasi bokong), H I,<span style="mso-spacerun: yes;"> </span>teraba anus ( lubang kecil, tidak menghisap , mekonium (+) ) teraba 2 kaki disamping bokong</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">III. IDENTIFIKASI DIAGNOSA DAN MASALAH POTENSIAL</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level3 lfo49; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Asfiksia</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level3 lfo49; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Brach gagal</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level3 lfo49; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trauma jalan lahir</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level3 lfo49; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perdarahan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level3 lfo49; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Atonia uteri</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">IV. IDENTIFIKASI KEBUTUHAN SEGERA</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level3 lfo50; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pertolongan bahu dan kepala</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level3 lfo50; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O<sub>2</sub></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level3 lfo50; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Resusitasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level3 lfo50; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Management pertolongan yang benar</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">V. INTERVENSI</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.<span style="mso-spacerun: yes;"> </span>Jelaskan pada ibu tentang kondisinya dan janinnya</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>R/ Ibu lebih mengerti dan kooperatif</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level1 lfo15; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan observasi<span style="mso-spacerun: yes;"> </span>TTV , DJJ, HIS dan pembukaan </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ pemantauan kondisi ibu dan janin</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level1 lfo15; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan ibu untuk makan dan minum </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ bahan makanan dan minuman merupakan pembangkit tenaga</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level1 lfo15; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan ibu untuk tidur dengan posisi miring kiri.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ mempercepat penurunan bagian terbawah janin dan memperlancar peredaran darah utero plasenta.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level1 lfo15; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ajari ibu cara meneran yang baik dan efektif.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ Membantu proses persalinan dan mencegah pengeluaran tenaga yang sia-sia.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level1 lfo15; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beritahu ibu dan keluarga tentang tindakan yang akan dilakukan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ mencegah kesalahpahaman antara ibu dan bidan</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo15; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan pertolongan persalinan sungsang sesuai dengan protap</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ melakukan pelayanan sesuai standart dan wewenang sebagai bidan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">VI. IMPLEMENTASI</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l17 level1 lfo16;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan pada ibu tentang kondisinya dan janinnya bahwa keadaan ibu dan janinnya baik-baik saja sehingga ibu mengerti dan lebih kooperatif dan proses persalinan berjalan lancer. Menjelaskan pula kepada ibu bahwa janinnya dalam posisi sungsang.</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l17 level1 lfo16;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Melakukan observasi<span style="mso-spacerun: yes;"> </span>tekanan darah, suhu dan pembukaan setiap 4 jam. DJJ, HIS dan nadi setiap 30 menit serta mencatat semua hasil pemeriksaan di partograf</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l17 level1 lfo16;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menganjurkan ibu untuk makan dan minum yaitu makanan yang berkarbohidrat untuk membangkitkan tenaga ibu</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l17 level1 lfo16;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menganjurkan ibu untuk tidur dengan posisi miring kiri.</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l17 level1 lfo16;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengajari ibu cara meneran yang baik dan efektif.</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l25 level1 lfo8; text-indent: -18.0pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menarik napas dari hidung lalu keluarkan melalui mulut</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l25 level1 lfo8; text-indent: -18.0pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada saat meneran mata tidak terpejam dan dagu menempel pada dada</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l25 level1 lfo8; text-indent: -18.0pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada saat meneran posisi tangan menarik lipatan paha</span></div><ol start="6" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l17 level1 lfo16;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberitahu ibu dan keluarga tentang tindakan yang akan dilakukan untuk mencegah terjadinya kesalahpahaman antara bidan, ibu dan keluarga tentang tindakan yang akan dilakukan</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l17 level1 lfo16;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Melakukan pertolongan persalinan sungsang sesuai protap</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-list: l3 level3 lfo17; tab-stops: 21.3pt; text-indent: -.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VII.</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">EVALUASI<br />
<span style="mso-tab-count: 1;"> </span>Tanggal : 10-06-2008 <span style="mso-tab-count: 4;"> </span>Jam : 20.00<span style="mso-spacerun: yes;"> </span>WITA</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 35.45pt; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">S <span style="mso-tab-count: 1;"> </span>: Ibu mengatakan kenceng-kencengnya bertambah sering, ibu mengatakan mengeluarkan lendir</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 35.45pt; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O <span style="mso-tab-count: 1;"> </span>: - K/U Ibu<span style="mso-spacerun: yes;"> </span>: baik</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- Kesadaran : Composmenitis</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- T D<span style="mso-spacerun: yes;"> </span>: 120/80 mmhg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- N<span style="mso-spacerun: yes;"> </span>: 84 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- S<span style="mso-spacerun: yes;"> </span>: 36º C<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- RR<span style="mso-spacerun: yes;"> </span>: 22 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 148.85pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 5.0cm; text-indent: -2.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- VT (20.00 WITA, 10-06-2008/ ):u/v taa, portio teraba lunak, eff 25%, Ø 2 cm, ket (-),teraba bokong (presentasi bokong), H I,<span style="mso-spacerun: yes;"> </span>teraba anus ( lubang kecil, tidak menghisap , mekonium (+) ) teraba 2 kaki disamping bokong</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 35.45pt; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A<span style="mso-tab-count: 1;"> </span>: Ibu G3P20002 hamil 32 mgg I/T/H inpartu kala I fase laten</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 35.45pt; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">P<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>: - Observasi kemajuan pasca persalinan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- manganjurkan ibu miring ke kiri</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- mempersiapkan alat-alat untuk persalianan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">CATATAN PERKEMBANGAN</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1. Tanggal : 10-06-2008<span style="mso-tab-count: 3;"> </span>Jam : 23.30 WITA</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">S<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ibu mengatakan perutnya semakin kencang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>TD<span style="mso-tab-count: 1;"> </span>: 110 / 80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 2;"> </span>N<span style="mso-spacerun: yes;"> </span>: 84 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 2;"> </span>S<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>: 36º C<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 2;"> </span>RR<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>: 22 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">VT (20.30 WITA, 10-06-2008/ ):u/v taa, portio teraba lunak, eff 75%, Ø 6 cm, ket (+),teraba bokong (presentasi bokong), H I,<span style="mso-spacerun: yes;"> </span>teraba anus ( lubang kecil, tidak menghisap , mekonium (+) ) teraba 2 kaki disamping bokong </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A<span style="mso-tab-count: 1;"> </span>: Ibu G3P20002 hamil 32 mgg I/T/H inpartu kala I fase aktif dilatasi maksimal</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 35.45pt; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">P<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>: Observasi kemajuan pasca persalinan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- manganjurkan ibu miring ke kiri</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- mempersiapkan alat-alat untuk persalianan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal : 11-06-2008<span style="mso-tab-count: 3;"> </span>Jam : 02.00 WITA</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">S<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ibu mengatakan perutnya semakin kencang dan ingin BAB</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>TD<span style="mso-tab-count: 1;"> </span>: 110 / 80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 2;"> </span>N<span style="mso-spacerun: yes;"> </span>: 84 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 2;"> </span>S<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>: 36º C<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 2;"> </span>RR<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>: 22 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">VT (20.30 WITA, 10-06-2008/ ):u/v taa, portio teraba lunak, eff 100%, Ø 10 cm, ket (-),teraba bokong (presentasi bokong), H I,<span style="mso-spacerun: yes;"> </span>teraba anus ( lubang kecil, tidak menghisap , mekonium (+) ) teraba 2 kaki disamping bokong </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A<span style="mso-tab-count: 1;"> </span>: Ibu G3P20002 hamil 32 mgg I/T/H inpartu kala II</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">P<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>: - Pimpin ibu untuk meneran bila ada his</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 162.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l36 level1 lfo6; tab-stops: 1.0cm 42.55pt 2.0cm; text-indent: -126.55pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Siapkan partus set </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 162.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l36 level1 lfo6; tab-stops: 1.0cm 42.55pt 2.0cm; text-indent: -126.55pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meminta keluarga untuk membantu ibu meneran</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 162.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l36 level1 lfo6; tab-stops: 1.0cm 42.55pt 2.0cm; text-indent: -126.55pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menganjurkan ibu untuk istitahat bila tidak ada kontraksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prosedur perslinan sungsang</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 19.6pt; width: 595px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" width="66"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 2.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">waktu</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 14.0cm;" width="529"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 12.2pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keterangan</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 2.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">20.00</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 14.0cm;" valign="top" width="529"> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adanya tanda dan gejala kala II</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 2.0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 14.0cm;" valign="top" width="529"> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menyiapkan alat dan menyiapkan diri</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 2.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">20.30</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 14.0cm;" valign="top" width="529"> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memastikan pembukaan telah benar-benar lengkap dan mendengarkan DJJ</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 2.0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 14.0cm;" valign="top" width="529"> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menyiapkan Ibu dan keluarga untuk membantu proses pimpinan meneran, Ibu disposisi litotomi, desinfeksi vulva dan perineum dengan betadine, amankan dengan duk steril</span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 2.0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 14.0cm;" valign="top" width="529"> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bersamaan adanya his, Ibu dipimpin mengejan.</span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 2.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">20.45</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 14.0cm;" valign="top" width="529"> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saat bokong crowning dengan diameter 3-5 cm, dilakukan episiotomy mediolateralis</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 2.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">20.48</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 14.0cm;" valign="top" width="529"> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saat bokong membuka vulva dengan diameter 3-5 cm melindungi perineum dengan satu tangan yang dilapisi duk, dan menyuntikkan oksitosin 5 unit 1 M penolong menunggu sampai seluruh bokong anak lahir</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 2.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">20.50</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 14.0cm;" valign="top" width="529"> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah bokong lahir, bokong dipegang secara fumeropelvik, Ibu terus dipimpin mengejan sampai umbilicus di luar vulva , tali pusar dikendorkan.</span></div></td> </tr>
<tr style="height: 96.5pt; mso-yfti-irow: 9;"> <td style="border-top: none; border: solid black 1.0pt; height: 96.5pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 2.0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 96.5pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 14.0cm;" valign="top" width="529"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah ujung tulang belikat lahir, bokong di arahkan ke atas (hiperlordose) kea rah perut ibu, sambil dilakukan ekspresi dari luar</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila terjadi kemacetan bahu dan lengan ujung tulang belikat tidak cepat lahir, terjadi kemacetan bahu dan lengan, lalu melahirkan bahu dan lengan dengan cara (Deventer/ klasik/ laset/ muller)</span></div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 2.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">20.58</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 14.0cm;" valign="top" width="529"> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; tab-stops: 14.2pt; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dilanjutkan dengan melahirkan kepala dengan cara mauriceau, sambil dilakukan ekspresi dan luar.</span></div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 2.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">21.00</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 14.0cm;" valign="top" width="529"> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; tab-stops: 14.2pt; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bayi lahir jam 21.00 WITA, BB 2.400 GR,<span style="mso-spacerun: yes;"> </span>JK ♂, AS 7/8</span></div></td> </tr>
<tr style="mso-yfti-irow: 12; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 2.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">21.05</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 14.0cm;" valign="top" width="529"> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; tab-stops: 14.2pt; text-indent: -14.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Segera dilakukan perawatan BBL</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm 2.0cm; text-indent: -21.25pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.5pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.5pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.5pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.5pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.5pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.5pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" /> </span> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 90.0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PROSEDUR TETAP PERSALINAN SUNGSANG RSUD KALISAT</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">LAPORAN PERSALINAN SUNGSANG</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo53; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adanya tanda dan gejala kala II</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo53; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menyiapkan alat dan menyiapkan diri</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo53; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memastikan pembukaan telah benar-benar lengkap dan mendengarkan DJJ</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo53; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menyiapkan Ibu dan keluarga untuk membantu proses pimpinan meneran, Ibu disposisi litotomi, desinfeksi vulva dan perineum dengan betadine, amankan dengan duk steril</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo53; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bersamaan adanya his, Ibu dipimpin mengejan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo53; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saat bokong crowning dengan diameter 3-5 cm, dilakukan episiotomy mediolateralis</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo53; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saat bokong membuka vulva dengan diameter 3-5 cm melindungi perineum dengan satu tangan yang dilapisi duk, dan menyuntikkan oksitosin 5 unit 1 M penolong menunggu sampai seluruh bokong anak lahir</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo53; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah bokong lahir, bokong dipegang secara fumeropelvik, Ibu terus dipimpin mengejan sampai umbilicus di luar vulva , tali pusar dikendorkan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo53; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah ujung tulang belikat lahir, bokong di arahkan ke atas (hiperlordose) kea rah perut ibu, sambil dilakukan ekspresi dari luar</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level3 lfo53; mso-text-indent-alt: -9.0pt; text-indent: -108.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span>i.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila terjadi kemacetan bahu dan lengan ujung tulang belikat tidak cepat lahir, terjadi kemacetan bahu dan lengan, lalu melahirkan bahu dan lengan dengan cara (Deventer/ klasik/ laset/ muller)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo53; tab-stops: 14.2pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dilanjutkan dengan melahirkan kepala dengan cara mauriceau, sambil dilakukan ekspresi dan luar.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo53; tab-stops: 14.2pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bayi lahir jam … BB … JK … AS …</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo53; tab-stops: 14.2pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Segera dilakukan perawatan BBL</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div>Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-37596363896000142222012-04-16T11:05:00.001+07:002012-04-16T11:05:04.227+07:00LetakLintang<!--[if !mso]> <style>
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<div align="center" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">KEHAMILAN DENGAN LETAK LINTANG</span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"></span></b></div><div align="center" style="line-height: 150%; text-align: center;"><br />
</div><ol start="1" type="I"><li class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l26 level1 lfo1; mso-margin-top-alt: auto; text-align: justify;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DEFINISI</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l5 level1 lfo2; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak lintang adalah bila dalam kehamilan atau dalam persalinan sumbu panjang janin melintang terhadap sumbu panjang ibu (termasuk di dalamnya bila janin dalam posisi oblique).</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l5 level1 lfo2; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak lintang kasep adalah letak lintang kepala janin tidak dapat didorong ke atas tanpa merobekkan uterus.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; mso-list: l5 level1 lfo2; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak lintang adalah suatu keadaan di mana janin melintang di dalam uterus dengan kepala pada sisi yang satu sedangkan bokong berada pada sisi yang lain. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; mso-margin-top-alt: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada umumnya bokong berada sedikit lebih tinggi daripada kepala janin, sedangkan bahu berada pada pintu atas panggul.<sup> </sup>Kelainan letak pada janin ini termasuk dalam macam-macam bentuk kelainan dalam persalinan (distosia). Distosia adalah kelambatan atau kesulitan persalinan. Dapat disebabkan kelainan tenaga (his), kelainan letak dan bentuk janin, serta kelainan jalan lahir.</span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; mso-margin-top-alt: auto; text-align: justify;"><img align="left" height="240" hspace="12" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image002.jpg" width="320" /><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; mso-margin-top-alt: auto; text-align: justify;"><br />
</div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; mso-margin-top-alt: auto; text-align: justify;"><br />
</div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; mso-margin-top-alt: auto; text-align: justify;"><br />
</div><div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; mso-margin-top-alt: auto; text-align: justify;"><br />
</div><div style="line-height: 150%;"><b><span lang="EN-US">II.1. INSIDENSI</span></b></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Angka kejadian letak lintang berkisar antara 0,5 – 2 %. Dari beberapa rumah sakit pendidikan di Indonesia dilaporkan : Medan 0,6 %, Jakarta 0,1 % (1948), Bandung 1,9 %. Grenhill melaporkan 0,3 %.</span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Angka kejadian letak lintang sebesar 1 dalam 300 persalinan. Hal ini dapat terjadi karena penegakkan diagnosis letak lintang dapat dilihat pada kehamilan muda dengan menggunakan ultrasonografi. Pemeriksaan USG juga bermanfaat dalam menegakkan adanya plasenta previa.</span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beberapa rumah sakit di Indonesia melaporkan angka kejadian letak lintang antara lain: RSUP Dr. Pirngadi, Medan 0,6%; RS Hasan sadikin, Bandung 1,9%; RSUP Dr. Cipto Mangunkusumo selama 5 tahun 0,1% dari 12827 persalinan; sedangkan Greenhill menyebut angka 0,3% dan Holland 0,5 – 0,6%.</span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan ditemukannya letak lintang pada pemeriksaan antenatal, sebaiknya diusahakan mengubah menjadi presentasi kepala dengan versi luar. Persalinan letak lintang memberikan prognosis yang jelek, baik terhadap ibu maupun janinnya. Faktor – faktor yang mempengaruhi kematian janin pada letak lintang di samping kemungkinan terjadinya letak lintang kasep dan ruptura uteri, juga sering akibat adanya tali pusat menumbung serta trauma akibat versi ekstraksi untuk melahirkan janin.</span></div><div style="line-height: 150%;"><b><span lang="EN-US">II.2. ETIOLOGI</span></b></div><div class="MsoNormal" style="line-height: 150%;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Faktor – faktor<span style="mso-spacerun: yes;"> </span>Penyebab dari letak lintang </span></b></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Penyebab dari letak lintang sering merupakan kombinasi dari berbagai faktor, sering pula penyebabnya tetap merupakan suatu misteri. </span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Faktor – faktor tersebut adalah :</span></div><div style="line-height: 150%; margin-left: 31.5pt;"><span lang="EN-US" style="font-family: "MS Mincho"; mso-ascii-font-family: "Times New Roman";">⁂</span><span lang="EN-US"> Fiksasi kepala tidak ada, karena panggul sempit, hidrosefalus, anensefalus, plasenta previa, dan tumor – tumor pelvis.</span></div><div style="line-height: 150%; margin-left: 31.5pt;"><span lang="EN-US" style="font-family: "MS Mincho"; mso-ascii-font-family: "Times New Roman";">⁂</span><span lang="EN-US"> Janin sudah bergerak pada hidramnion, multiparitas, anak kecil, atau sudah mati.</span></div><div style="line-height: 150%; margin-left: 31.5pt;"><span lang="EN-US" style="font-family: "MS Mincho"; mso-ascii-font-family: "Times New Roman";">⁂</span><span lang="EN-US"> Gemelli (kehamilan ganda)</span></div><div style="line-height: 150%; margin-left: 31.5pt;"><span lang="EN-US" style="font-family: "MS Mincho"; mso-ascii-font-family: "Times New Roman";">⁂</span><span lang="EN-US"> Kelainan uterus, seperti arkuatus, bikornus, atau septum</span></div><div style="line-height: 150%; margin-left: 31.5pt;"><span lang="EN-US" style="font-family: "MS Mincho"; mso-ascii-font-family: "Times New Roman";">⁂</span><span lang="EN-US"> Lumbar skoliosis</span></div><div style="line-height: 150%; margin-left: 31.5pt;"><span lang="EN-US" style="font-family: "MS Mincho"; mso-ascii-font-family: "Times New Roman";">⁂</span><span lang="EN-US"> Pelvic kidney dan kandung kemih serta rektum yang penuh.</span></div><div style="line-height: 150%; text-indent: 31.5pt;"><span lang="EN-US">Sebab terpenting terjadinya letak lintang ialah multiparitas disertai dinding uterus dan perut yang lembek.</span></div><div style="line-height: 150%;"><b><span lang="EN-US">II.3. DIAGNOSIS</span></b></div><div style="line-height: 150%;"><span lang="EN-US">(1) Inspeksi : Perut membuncit ke samping</span></div><div style="line-height: 150%;"><span lang="EN-US">(2) Palpasi : - Fundus uteri lebih rendah dari seharusnya tua kehamilan</span></div><div style="line-height: 150%; margin-left: 63.0pt;"><span lang="EN-US">- Fundus uteri kosong dan bagian bawah kosong, kecuali kalau bahu sudah masuk ke dalam pintu atas panggul</span></div><div style="line-height: 150%; margin-left: 63.0pt;"><span lang="EN-US">- Kepala (<i>ballotement</i>) teraba di kanan atau di kiri</span></div><div style="line-height: 150%;"><span lang="EN-US">(3) Auskultasi : Denyut jantung janin setinggi pusat kanan atau kiri.</span></div><div style="line-height: 150%;"><span lang="EN-US">(4) Pemeriksaan dalam (<i>vaginal toucher</i>) : </span></div><div style="line-height: 150%; margin-left: 36.0pt;"><span lang="EN-US">- Teraba tulang iga, skapula, dan kalau tangan menumbung teraba tangan. Untuk menentukan tangan kanan atau kiri lakukan dengan cara bersalaman.</span></div><div style="line-height: 150%; margin-left: 36.0pt;"><span lang="EN-US">- Teraba bahu dan ketiak yang bisa menutup ke kanan atau ke kiri. Bila kepala terletak di kiri, ketiak menutup ke kiri.</span></div><div style="line-height: 150%; margin-left: 36.0pt;"><span lang="EN-US">- Letak punggung ditentukan dengan adanya skapula, letak dada dengan klavikula.</span></div><div style="line-height: 150%; margin-left: 36.0pt;"><span lang="EN-US">- Pemeriksaan dalam agak sukar dilakukan bila pembukaan kecil dan ketuban intak, namun pada letak lintang biasanya ketuban cepat pecah.</span></div><div style="line-height: 150%;"><span lang="EN-US"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgHK72kVzKYjoK7xQJKIwQg9gKswp6qO0YfflZ_gs9wzG1Y-mF8SSkU2G2urZE1eipRdiJuv5f-TdLenLUIS-DBtYUS1L2AmrrRqtYHziOljl3nl4FaCcILI_PPCKZfI9GEjZzj6O8VWjk/"><span style="mso-no-proof: yes; text-decoration: none; text-underline: none;"><img alt="image" border="0" height="865" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="621" /></span></a></span></div><div style="line-height: 150%;"><b><span lang="EN-US">II.5. MEKANISME PERSALINAN</span></b></div><div style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US">Anak normal yang cukup bulan tidak mungkin lahir secara spontan dalam letak lintang. Janin hanya dapat lahir spontan, bila kecil (prematur), sudah mati dan menjadi lembek atau bila panggul luas.</span></div><div style="line-height: 150%;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Beberapa cara janin lahir spontan</span></b></div><div style="line-height: 150%;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>a. <b><i>Evolutio spontanea</i></b></span></div><div style="line-height: 150%; margin-left: 36.0pt; mso-list: l11 level1 lfo3; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Menurut DENMAN</span></div><div style="line-height: 150%; margin-left: 36.0pt;"><span lang="EN-US">Setelah bahu lahir kemudian diikuti bokong, perut, dada, dan akhirnya kepala.</span></div><div style="line-height: 150%; margin-left: 36.0pt; mso-list: l11 level1 lfo3; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Menurut DOUGLAS</span></div><div style="line-height: 150%; margin-left: 36.0pt;"><span lang="EN-US">Bahu diikuti oleh dada, perut, bokong dan akhirnya kepala.</span></div><div style="line-height: 150%;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>b. <b><i>Conduplicatio corpore</i></b></span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Kepala dan perut berlipat bersama – sama lahir memasuki panggul. Kadang – kadang oleh karena his, letak lintang berubah spontan mengambil bangun semula dari uterus menjadi letak membujur, kepala atau bokong, namun hal ini jarang terjadi. Kalau letak lintang dibiarkan, maka bahu akan masuk ke dalam panggul, turun makin lama makin dalam sampai rongga panggul terisi sepenuhnya oleh badan janin. Bagian korpus uteri mengecil sedang SBR meregang. Hal ini disebut Letak Lintang Kasep = <i>Neglected Transverse Lie</i></span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Adanya letak lintang kasep dapat diketahui bila ada ruptura uteri mengancam; bila tangan dimasukkan ke dalam kavum uteri terjepit antara janin dan panggul serta dengan narkosa yang dalam tetap sulit merubah letak janin.</span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Bila tidak cepat diberikan pertolongan, akan terjadi ruptura uteri dan janin sebagian atau seluruhnya masuk ke dalam rongga perut.</span></div><div style="line-height: 150%;"><span lang="EN-US">Pada letak lintang biasanya :</span></div><div style="line-height: 150%; margin-left: 36.0pt; mso-list: l17 level1 lfo4; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">ketuban cepat pecah</span></div><div style="line-height: 150%; margin-left: 36.0pt; mso-list: l17 level1 lfo4; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>pembukaan lambat jalannya</span></div><div style="line-height: 150%; margin-left: 36.0pt; mso-list: l17 level1 lfo4; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">partus jadi lebih lama</span></div><div style="line-height: 150%; margin-left: 36.0pt; mso-list: l17 level1 lfo4; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">tangan menumbung (20-50%)</span></div><div style="line-height: 150%; margin-left: 36.0pt; mso-list: l17 level1 lfo4; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">tali pusat menumbung (10%)</span></div><div class="MsoNormal" style="line-height: 150%;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">II.6. PROGNOSIS</span></b></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Meskipun letak lintang dapat diubah menjadi presentasi kepala, tetapi kelainan – kelainan yang menyebabkan letak lintang, seperti misalnya panggul sempit, tumor panggul dan plasenta previa masih tetap dapat menimbulkan kesulitan pada persalinan. Persalinan letak lintang memberikan prognosis yang jelek, baik terhadap ibu maupun janinnya.</span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">♦ Bagi ibu</span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Bahaya yang mengancam adalah ruptura uteri, baik spontan, atau sewaktu versi dan ekstraksi. Partus lama, ketuban pecah dini, dengan demikian mudah terjadi infeksi intrapartum.</span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">♦ Bagi janin</span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Angka kematian tinggi (25 – 49 %), yang dapat disebabkan oleh :</span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">(1) Prolasus funiculi</span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">(2) Trauma partus</span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">(3) Hipoksia karena kontraksi uterus terus menerus</span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">(4) Ketuban pecah dini</span></div><div class="MsoNormal" style="line-height: 150%;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">II.7. PENATALAKSANAAN</span></b></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">a. Pada kehamilan</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Pada primigravida umur kehamilan kurang dari 28 minggu dianjurkan posisi lutut dada, jika lebih dari 28 minggu dilakukan versi luar, kalau gagal dianjurkan posisi lutut dada sampai persalinan.</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Pada multigravida umur kehamilan kurang dari 32 minggu posisi lutut dada, jika lebih dari 32 minggu dilakukan versi luar, kalau gagal posisi lutut dada sampai persalinan.</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">b. Pada persalinan</span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Pada letak lintang belum kasep, ketuban masih ada, dan pembukaan kurang dari 4 cm, dicoba versi luar. Jika pembukaan lebih dari 4 cm pada primigravida dengan janin hidup dilakukan sectio caesaria, jika janin mati, tunggu pembukaan lengkap, kemudian dilakukan embriotomi. Pada multigravida dengan janin hidup dan riwayat obstetri baik dilakukan versi ekstraksi, jika riwayat obsterti jelek dilakukan SC. </span></div><div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Usahakan jadi letak membujur (kepala atau bokong) dengan melakukan versi luar pada primi dengan usia kehamilan 34-38 minggu, atau multi pada kehamilan 36-38 minggu.</span><span lang="EN-US" style="font-family: "Times New Roman","serif";"></span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dalam persalinan janin dapat dilahirkan dengan cara</span><span lang="EN-US" style="font-family: "Times New Roman","serif";"> pervaginam, yaitu dengan:</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l11 level1 lfo3; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">V</span><span lang="EN-US" style="font-family: "Times New Roman","serif";">ersi dan ekstraksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l11 level1 lfo3; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Embriotomi (dekapitasi-eviserasi) bila janin sudah meninggal</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><br />
<b style="mso-bidi-font-weight: normal;">Syarat versi:</b><br />
1.Diameter pembukaan <4 cm<br />
2.Ketuban belum pecah<br />
3.Anak hidup<br />
4.Dapat lahir pervaginam<br />
5.Bagian terendah masih dapat didorong keatas</span></div><div class="MsoNormal" style="line-height: 150%;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kontra indikasi versi:</span></b></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.Syarat tidak terpenuh</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.Keadaan yang membahayakan ibu dan anak : plasenta previa/solution plasenta hipertensi /preeklamsia cacat rahim</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.Gemeli</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.Tanda ruptura uteri imminens</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.Primi tua</span></div><div class="MsoNormal" style="line-height: 150%;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Menurut Eastman dan Greenhill.</span></b></div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">1. Bila ada panggul sempit seksio sesarea adalah cara yang terbaik dalam segala letak lintang, dengan anak hidup.<br />
2. Semua primi gravida dengan letak lintang harus ditolong dengan seksio sesarea walaupun tidak ada panggul sempit. </span></div><div style="line-height: 150%;"><br />
</div><div style="line-height: 150%;"><span lang="EN-US"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPRLFIHcj0dfHhE49afId7PoUVad6MY2kOVAHnu6JcFulnO075b5SvDE7-OZmjNoaNw30U1NeU91srmHEG4WEg6YSi2B13IV8GLhlaWnqbHCItTbd1JXE-I4bPpLZ3rAuIh-IUCmyo1aE/"><span style="mso-no-proof: yes; text-decoration: none; text-underline: none;"><img alt="image" border="0" height="732" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="621" /></span></a></span></div><div style="line-height: 150%;"><span lang="EN-US">Keterangan : <span style="mso-tab-count: 1;"> </span>VL : Versi Luar</span></div><div style="line-height: 150%; margin-left: 36.0pt; text-indent: 36.0pt;"><span lang="EN-US">VE : Versi Ekstraksi</span></div><div align="center" style="line-height: 150%; text-align: center;"><b><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;">DAFTAR PUSTAKA</span></b></div><div style="line-height: 150%;"><br />
</div><div style="line-height: 150%;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Martohoesodo, S dan Hariadi, R. 1999. <b>Distosia karena Kelainan Letak serta Bentuk Janin </b><u>dalam</u> Ilmu Kebidanan. Yayasan Bina Pustaka sarwono Prawirohardjo. Jakarta</span></div><div style="line-height: 150%;"><span lang="EN-US">Mansjoer, A dkk. 2001. <b>Kelaianan pada Persalinan</b> <u>dalam</u> Kapita Selekta Kedokteran 3<sup>th</sup> eds, jilid pertama. Media Aesculapius FKUI. Jakarta</span></div><div style="line-height: 150%;"><span lang="EN-US">Bowes, W. 2006. <b>Management of The Fetus in Transverse Lie</b>. www. Uptodate.com</span></div><div style="line-height: 150%;"><span lang="EN-US">Dasuki, D. 2000. <b>Distokia </b><u>dalam </u>Standar Pelayanan Medis RSUP Dr. Sardjito 2<sup>nd </sup>eds, cetakan 1. Medika FK UGM. Yogyakarta.</span></div><div style="line-height: 150%;"><span lang="EN-US">Mochtar, D. 1998. <b>Letak Lintang (<i>Transverse Lie)</i></b><i> </i><u>dalam</u> Sinopsis Obstetri : Obstetri Fisiologi, Obstetri Patologi 2<sup>nd</sup>eds. EGC. Jakarta.</span></div><div style="line-height: 150%;"><span lang="EN-US">Llweilyn. Jones, D. 2001. <b>Kelainan Presentasi Janin</b> <u>dalam</u> Dasar – dasar Obsteri & Ginekologi. Hipokrates. Jakarta</span></div><div style="line-height: 150%;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span><a href="http://minepoems.blogspot.com/2009/05/penanganan-letak-lintang.html">http://minepoems.blogspot.com/2009/05/penanganan-letak-lintang.html</a></span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
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</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASKEB TEORI</span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PADA IBU G.P.... INPARTU KALA.... FASE....dengan LETAK LINTANG</span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat pengkajian<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal / waktu<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkaji<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; tab-stops: 0cm 21.3pt; text-indent: -36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENGKAJIAN</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo6; tab-stops: 0cm 21.3pt; text-indent: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DATA SUBJEKTIF</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biodata Ibu dan Suami</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>: Agar tidak terjadi kekeliruan bila ada kesamaan nama</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 144.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -87.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur<span style="mso-tab-count: 1;"> </span>: Untuk mengetahui resiko tinggi terjadinya resiko kehamilan<span style="mso-spacerun: yes;"> </span>( < 16 thn, > 35 thn )</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agama<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>: mempermudah KIE</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suku<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>: mempermudah KIE</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendidikan<span style="mso-tab-count: 1;"> </span>: mempermudah KIE</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 148.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -91.85pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerjaan<span style="mso-tab-count: 1;"> </span>: menetahui taraf hidup / sosial ekonomi serta apakah pekerjaan mengganggu / tidak</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alamat<span style="mso-tab-count: 1;"> </span>: mempermudah asuhan saat kunjungan rumah</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan Utama</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan yang mendorong ibu untuk memeriksakan keadaan kepada tenaga kesehatan (bidan)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo16; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu sering merasakan gerakan janin pada bagian atas atau bawah pusat ibu.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo16; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan perut sebelah kanan lebih besar daripada perut bagian kiri atau sebaliknya</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Kesehatan Sekarang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian tentang riwayat kesehatan sekarang yang dialami ibu sebagai dasar dalam menentukan tindakan yang akan dilakukan oleh bidan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Riwayat Kesehatan Dahulu</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian tentang riwayat kesehatan dahulu yang dialami ibu sebagai dasar dalam menentukan tindakan yang akan dilakukan oleh bidan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Kesehatan Keluarga</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai pendukung riwayat kesehatan yang dialami ibu sekarang. Keluaraga dengan riwayat gemelli mempunyai kemungkinan lebih besar terjadi kehamilan lintang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Riwayat Menstruasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo11; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menarche</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo11; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lama</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo11; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Konsistensi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo11; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jumlah</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo11; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fluor Albus</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo11; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Disminorhoe</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo11; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HPHT</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo11; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HTP</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Pernikahan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usia menikah<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lama menikah<span style="mso-tab-count: 1;"> </span>: sebagai gambaran respon keluarga terhadap kehamilan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Status pernikahan<span style="mso-tab-count: 1;"> </span>: sebagai gambaran respon keluarga terhadap kehamilan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pernikahan Ke-<span style="mso-tab-count: 1;"> </span>: sebagai gambaran respon keluarga terhadap kehamilan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengambilan keputusan dalam keluarga<span style="mso-tab-count: 1;"> </span>: memudahkan pelaksanaan tindakan yang memerlukan persetujuan keluarga</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Obstetri</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan letak lintang sebagian besar terjadi pada ibu multiparitas</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: -59.5pt; width: 783px;"><tbody>
<tr style="height: 28.3pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td rowspan="2" style="border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.8pt;" valign="top" width="37"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">NO</span></div></td> <td colspan="3" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.9pt;" valign="top" width="112"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kehamilan</span></div></td> <td colspan="5" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 160.75pt;" valign="top" width="214"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan</span></div></td> <td colspan="5" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 153.8pt;" valign="top" width="205"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">anak</span></div></td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.9pt;" valign="top" width="107"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nifas</span></div></td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.3pt;" valign="top" width="108"> <div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">laktasi</span></div></td> </tr>
<tr style="height: 9.65pt; mso-yfti-irow: 1;"> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.6pt;" valign="top" width="29"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">ke</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.3pt;" valign="top" width="36"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">usia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Tgl</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">jns</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">penlng</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">tmp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Sex</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">L/P</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">BB/PB</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.95pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">H/M</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">T/G</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">usia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Lama</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" valign="top" width="51"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.65pt;" valign="top" width="48"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">lama</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 9.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.65pt;" valign="top" width="61"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">komp</span></div></td> </tr>
<tr style="height: 28.3pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.8pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.6pt;" valign="top" width="29"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.3pt;" valign="top" width="36"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.95pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.95pt;" valign="top" width="37"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.0pt;" valign="top" width="47"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.9pt;" valign="top" width="56"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" valign="top" width="51"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.65pt;" valign="top" width="48"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.65pt;" valign="top" width="61"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
</tbody></table><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat obstetri memberikan gambaran tentang faktor resiko yang mungkin dalam persalinan sekarang.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat KB</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo12; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KB yang pernah digunakan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo12; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lamanya penggunaan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo12; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komplikasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat kehamilan sekarang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ANC : - Berapa kali :</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 111.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level2 lfo12; tab-stops: 92.15pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TM I</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 111.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level2 lfo12; tab-stops: 92.15pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TM II</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 111.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level2 lfo12; tab-stops: 92.15pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TM III</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 92.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Obat yang di dapat :<span style="mso-spacerun: yes;"> </span>jumlah<span style="mso-spacerun: yes;"> </span>=</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 92.15pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Imunisasi TT :<span style="mso-spacerun: yes;"> </span>berapa kali =<span style="mso-spacerun: yes;"> </span>tanggal pemberian :</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat yang di dapat<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 4;"> </span>jumlah<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merasakan gerakan janin sejak uisa<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan <span style="mso-tab-count: 1;"> </span>Trimester I<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 2;"> </span>Trimester II<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 2;"> </span>Trimester III<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat kehamilan sekarang sangat berpengaruh terhadap kelancaran proses persalinan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat persalinan sekarang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Datang ke bidan tanggal. . . jam. . . . </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kencang-kencang mulai kapan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">mulai keluar lendir jam berapa.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">keluar darah atau tidak, jika ya, mulai jam berapa.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketuban pecah atau utuh, jika pecah mulai jam berapa... </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola kebiasaan sehari-hari</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 57.0pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">No</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebelum hamil</span></div></td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah hamil</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nutrisi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola makan</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nafsu<span style="mso-spacerun: yes;"> </span>makan</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis makanan</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Porsi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minuman</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jumlah yang diminum</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Eliminasi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAK ( frekuensi, warna, bau, banyaknya )</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB ( frekuensi, warna, konsistensi )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Isturahat</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Siang ( lamanya )</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 13;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Malam ( lamanya )</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 14;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Personal hygiene</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 15;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mandi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 16;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gosok gigi</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 17;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cuci rambut</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 18;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ganti CD</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 19;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebiasaan hidup sehat</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 20;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minum-minuman keras</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 21;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat-obatan terlarang</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 22;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merokok</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="height: 5.95pt; mso-yfti-irow: 23;"> <td style="border-top: none; border: solid black 1.0pt; height: 5.95pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 5.95pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 5.95pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 5.95pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 24;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">6</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inpartu saat ini</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 25;"> <td style="border-bottom: none; border-left: solid black 1.0pt; border-right: solid black 1.0pt; border-top: none; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Makan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis makanan </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Banyaknya</span></div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-right: solid black 1.0pt; border: none; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 26; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.4pt;" valign="top" width="35"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minum</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis minunan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Banyaknya</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.9pt;" valign="top" width="139"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-right-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.65pt;" valign="top" width="137"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div></td> </tr>
</tbody></table><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Pengkajian tentang kebiasaan sehari-hari sebagai acuan gambaran kesejahteraan janin dalam rahim</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat psikososial, spiritual dan ekonomi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo13; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Respon ibu dan keluarga terhadap kehamilan : untuk mengetahui adanya dukungan psikologi dan emosional dari keluarga atas kehamilan ibu.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo13; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekonomi (diketahui dari jenis pekerjaan) : untuk mengetahui kemampuan ibu dalam memenuhi kebutuhan kehamilannya baik kebutuhan nutrisi, pakaian, maupun kebutuhan lainnya</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo13; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengambil keputusan dalam keluarga : untuk mengetahui pengambil keputusan sehingga memudahkan bidan dalam menanyakan keputusan yang akan diambil saat berada dikondisi yang mendesak.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo13; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat dan petugas kesehatan yang diinginkan ibu dalam membantu persalinan : informasi ini dapat membantu ibu dalam menyiapkan hal-hal untuk persiapan persalinannya, misalnya kendaraan, orang yang akan mengantar, serta biaya yang perlu disiapkan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo6; tab-stops: 0cm 31.5pt; text-indent: -4.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DATA OBJEKTIF</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo9; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Umum</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo8; tab-stops: 0cm 21.3pt 58.5pt 130.5pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">K/U<span style="mso-tab-count: 2;"> </span>: baik / lemah</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 58.5pt 130.5pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>BB, TB, LILA tidak perlu dikaji lagi, tanyakan BB terakhir pada ibu atau lihat KMS</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo8; tab-stops: 0cm 21.3pt 58.5pt 130.5pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesadaran<span style="mso-tab-count: 2;"> </span>: composmentis/ letargis</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo8; tab-stops: 0cm 21.3pt 58.5pt 130.5pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TD<span style="mso-tab-count: 2;"> </span>: ( N : 110/ 70-140/100 mmHg)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo8; tab-stops: 0cm 21.3pt 58.5pt 130.5pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">N<span style="mso-tab-count: 2;"> </span>: ( 80-100 x /menit)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo8; tab-stops: 0cm 21.3pt 58.5pt 130.5pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">RR<span style="mso-tab-count: 2;"> </span>: ( 16-24 x /menit )</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo8; tab-stops: 0cm 21.3pt 58.5pt 130.5pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">S<span style="mso-tab-count: 2;"> </span>: ( 36,5-37,5 °C )</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai dasar acuan untuk melakukan tindakan pada ibu</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo9; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Fisik. Pemeriksaan fisik sebagai cara untuk mengetahui kesehatan yang dialami ibu sekarang.pemeriksaan fisik mendukung data subjektif yang diberikan ibu. Penulisan hasil pemeriksaan harus sesuai dengan apa yang ditemukan bukan menyimpulkan. Pemeriksaan yang dilakukan antara lain : </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kepala</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Muka</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mata</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gilut</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leher</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dada</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Payudara</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo27; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo8; tab-stops: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi bekas SC, striae, linea</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo8; tab-stops: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi <span style="mso-tab-count: 1;"> </span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">LI : TFU lebih rendah dari usia kehamilan, teraba tahanan memanjang atau terdapat bagian kecil</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm; text-indent: -22.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>LII <span style="mso-tab-count: 1;"> </span>: teraba bulat, lunak dan tidak melenting pada salah satu sisi dan pada sisi lain teraba bulat, keras dan melenting</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 76.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">LIII <span style="mso-tab-count: 1;"> </span>: bagian bawah kosong, kecuali kalau bahu sudah masuk ke dalam pintu atas panggul</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: 40.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">LIV <span style="mso-tab-count: 1;"> </span>: tidak dilakukan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l22 level1 lfo8; text-indent: -13.5pt;"><span lang="EN-US" style="mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeiksaan DJJ : Denyut jantung janin setinggi pusat kanan atau kiri, </span><span lang="EN-US" style="font-family: "Times New Roman","serif";">DJJ normal ( 120 -160 x/menit ) pantum<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>maximum terdengar disekitar umbilicus.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo8; tab-stops: 0cm; text-indent: -13.5pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan TBJ<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l22 level1 lfo8; text-align: justify; text-indent: -13.5pt;"><span lang="EN-US" style="mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan HIS : </span><span lang="EN-US" style="font-family: "Times New Roman","serif";">:≥ 3 x lama ≥ 40 detik / 10 menit</span></div><ul style="margin-top: 0cm;" type="disc"><li class="MsoNormal" style="line-height: 150%; mso-list: l18 level1 lfo27; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genitalia<span style="mso-tab-count: 1;"> </span>: kondisi vagina sebagai jalan lahir sangat berpengaruh terhadap proses persalinan. </span><span lang="EN-US" style="font-family: "Times New Roman","serif";"></span></li>
</ul><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l22 level1 lfo8; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif";">VT <span style="mso-tab-count: 1;"> </span>: u/v dbn, bloodslyn (+), portio lunak eff > 50 %, Ø ≥ 3 cm, ket (+), bagian terendah<span style="mso-spacerun: yes;"> </span>punggung (teraba scapula, ketiak,vertebrata )atau dada (klavikula,ketiak, sternum atau lengan (teraba akromion, siku) H>1tidak ada bagian keal yang menumbung.</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo27; tab-stops: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anus <span style="mso-tab-count: 1;"> </span>: periksa keadaan anus (ada hemoroid atau tidak -> antisipai pendarahan)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo27; tab-stops: 0cm; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Ekstrimitas atas dan ekstrimitas bawah<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo9; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan penunjang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Pemeriksaan penunjang mendukung hasil pengkajian data subjektif dan data objektif. Pemeriksaan yang dapat dilakukan antara lain, test Hb dan test urine.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; tab-stops: 0cm 21.3pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">INTERPRETASI DATA DASAR</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; text-indent: -20.7pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dx<span style="mso-tab-count: 1;"> </span>: Ibu G3P20002 37 minggu I/T/H inpartu kala I fase laten dengan letak lintang belum kasep</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ds<span style="mso-tab-count: 1;"> </span>: Ibu mengatakan hamil 9 bulan anak ketiga dan merasa kenceng – kenceng sejak kemarin</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HPHT<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Do<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen : </span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Inspeksi : Perut membuncit ke samping</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi <span style="mso-tab-count: 1;"> </span>LI : TFU lebih rendah dari usia kehamilan, teraba tahanan memanjang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -59.4pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>LII : teraba bulat, lunak dan tidak melenting pada salah satu sisi dan pada sisi lain teraba bulat, keras dan melenting</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -59.4pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>LIII : bagian bawah kosong, kecuali kalau bahu sudah masuk ke dalam pintu atas panggul</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 4;"> </span>LIV : tidak dilakukan</span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Auskultasi : Denyut jantung janin setinggi pusat kanan atau kiri.</span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan dalam (<i>vaginal toucher</i>) : portio lunak, effacement 25%. Ø 3cm, ketuban (+) , hodge I, teraba tulang iga, skapula, dan kalau tangan menumbung teraba tangan, bila tangan dimasukkan ke dalam kavum uteri tidak terjepit antara janin dan panggul</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; tab-stops: 0cm 21.3pt; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dx<span style="mso-tab-count: 1;"> </span>: Ibu G3P20002 37 minggu I/T/H inpartu kala I fase aktif akselerasi dengan letak lintang belum kasep</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ds<span style="mso-tab-count: 1;"> </span>: Ibu mengatakan hamil 9 bulan anak ketiga dan merasa kenceng – kenceng sejak kemarin</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HPHT<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Do<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen : </span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Inspeksi : Perut membuncit ke samping</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi <span style="mso-tab-count: 1;"> </span>LI : TFU lebih rendah dari usia kehamilan, teraba tahanan memanjang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -59.4pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>LII : teraba bulat, lunak dan tidak melenting pada salah satu sisi dan pada sisi lain teraba bulat, keras dan melenting</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -59.4pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>LIII : bagian bawah kosong, kecuali kalau bahu sudah masuk ke dalam pintu atas panggul</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 4;"> </span>LIV : tidak dilakukan</span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Auskultasi : Denyut jantung janin setinggi pusat kanan atau kiri.</span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan dalam (<i>vaginal toucher</i>) : portio lunak, effacement 25%. Ø 5cm, ketuban (+) , hodge I, teraba tulang iga, skapula, dan kalau tangan menumbung teraba tangan, bila tangan dimasukkan ke dalam kavum uteri tidak terjepit antara janin dan panggul</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; tab-stops: 0cm 21.3pt; text-indent: -1.0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dx<span style="mso-tab-count: 1;"> </span>: Ibu G3P20002 37 minggu I/T/H inpartu kala I fase aktif akselerasi dengan letak lintang belum kasep</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ds<span style="mso-tab-count: 1;"> </span>: Ibu mengatakan hamil 9 bulan anak ketiga dan merasa kenceng – kenceng sejak kemarin</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HPHT<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Do<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen : </span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Inspeksi : Perut membuncit ke samping</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi <span style="mso-tab-count: 1;"> </span>LI : TFU lebih rendah dari usia kehamilan, teraba tahanan memanjang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -59.4pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>LII : teraba bulat, lunak dan tidak melenting pada salah satu sisi dan pada sisi lain teraba bulat, keras dan melenting</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -59.4pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>LIII : bagian bawah kosong, kecuali kalau bahu sudah masuk ke dalam pintu atas panggul</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 4;"> </span>LIV : tidak dilakukan</span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Auskultasi : Denyut jantung janin setinggi pusat kanan atau kiri.</span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan dalam (<i>vaginal toucher</i>) : portio lunak, effacement 25%. Ø 5cm, ketuban (-) , hodge I, teraba tulang iga, skapula, dan kalau tangan menumbung teraba tangan, bila tangan dimasukkan ke dalam kavum uteri tidak terjepit antara janin dan panggul</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; tab-stops: 0cm 21.3pt; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dx<span style="mso-tab-count: 1;"> </span>: Ibu G3P20002 37 minggu I/T/H inpartu kala I fase aktif akselerasi dengan letak lintang kasep</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ds<span style="mso-tab-count: 1;"> </span>: Ibu mengatakan hamil 9 bulan anak ketiga dan merasa kenceng – kenceng sejak kemarin</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HPHT<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Do<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen : </span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Inspeksi : Perut membuncit ke samping</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi <span style="mso-tab-count: 1;"> </span>LI : TFU lebih rendah dari usia kehamilan, teraba tahanan memanjang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -59.4pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>LII : teraba bulat, lunak dan tidak melenting pada salah satu sisi dan pada sisi lain teraba bulat, keras dan melenting</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -59.4pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>LIII : bagian bawah kosong, kecuali kalau bahu sudah masuk ke dalam pintu atas panggul</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 4;"> </span>LIV : tidak dilakukan</span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Auskultasi : Denyut jantung janin setinggi pusat kanan atau kiri.</span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan dalam (<i>vaginal toucher</i>) : portio lunak, effacement 25%. Ø 5cm, ketuban (-) , hodge I, teraba tulang iga, skapula, dan kalau tangan menumbung teraba tangan, bila tangan dimasukkan ke dalam kavum uteri terjepit antara janin dan panggul</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; tab-stops: 0cm 21.3pt; text-indent: -21.25pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dx<span style="mso-tab-count: 1;"> </span>: Ibu G3P20002 hamil 37 minggu I/T/H inpartu kala I fase aktif akselerasi dengan letak lintang kasep</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ds<span style="mso-tab-count: 1;"> </span>: Ibu mengatakan hamil 9 bulan anak ketiga dan merasa kenceng – kenceng sejak kemarin</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HPHT<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Do<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen : </span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Inspeksi : Perut membuncit ke samping</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi <span style="mso-tab-count: 1;"> </span>LI : TFU lebih rendah dari usia kehamilan, teraba tahanan memanjang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -59.4pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>LII : teraba bulat, lunak dan tidak melenting pada salah satu sisi dan pada sisi lain teraba bulat, keras dan melenting</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-indent: -59.4pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>LIII : bagian bawah kosong, kecuali kalau bahu sudah masuk ke dalam pintu atas panggul</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 4;"> </span>LIV : tidak dilakukan</span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Auskultasi : Tidak terdengar denyut jantung janin </span></div><div style="line-height: 150%; margin-left: 57.75pt; mso-list: l13 level1 lfo10; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan dalam (<i>vaginal toucher</i>) : portio lunak, effacement 25%. Ø 5cm, ketuban (-) , hodge I, teraba tulang iga, skapula, dan kalau tangan menumbung teraba tangan, bila tangan dimasukkan ke dalam kavum uteri terjepit antara janin dan panggul</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; tab-stops: 0cm 21.3pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">IDENTIFIKASI DIAGNOSA DAN MASALAH POTENSIAL</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- Rupture<span style="mso-spacerun: yes;"> </span>Uteri</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- Prolasus funiculi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- Trauma partus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- Hipoksia karena kontraksi uterus terus menerus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- Ketuban pecah dini</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; tab-stops: 0cm 21.3pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">IDENTIFIKASI KEBUTUHAN SEGERA</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persiapan resusitasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; tab-stops: 0cm 21.3pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">MENYUSUN RENCANA ASUHAN YANG MENYELURUH (INTERVENSI)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rencana asuhan disusun berdasarkan hasil identifikasi masalah dan diagnosis serta dari kebutuhan pasien. Penetapan rencana asuhan harus disertai dengan rasional dari rencana tindakan. Rencana asuhan ditujukan untuk mempermudah pelaksanaan tindakan yang akan dilakukan oleh bidan (mengkoordinir dan memenegement tindakan) -> 58 langkah APN</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; tab-stops: 0cm 21.3pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">IMPLEMENTASI</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo28; tab-stops: 9.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beritahu ibu tentang keadaanya dan janinya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 9.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ ibu lebih mengerti dan koperatif terhadap tindakan yang akan dilakukan </span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo28; tab-stops: 0cm 22.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan inform consent</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 22.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ persetujuan tindakan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo28; tab-stops: 0cm 22.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan amniotomi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 22.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ mekanisme persalinan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo28; tab-stops: 0cm 22.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Melakukan tindakan sesuai dengan diagnose pasien :</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 0cm 22.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Melakukan versi luar pada pasien dengan letak lintang belum kasep, ketuban belum pecah dan pembukaan < 4 cm</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 0cm 22.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Melakukan versi ekstraksi pada pasien dengan letak lintang belum kasep dan pembukaan lengkap</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo30; tab-stops: 9.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan Versi ekstraksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo29; tab-stops: 9.0pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu posisi litotomi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo29; tab-stops: 9.0pt 72.0pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Buka vulava dengan ibu jari dan telunjuk tangan lainnya berdekatan dengan bagian kecil janin, dimasukkan ke dalam jalan lahir</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo29; tab-stops: 9.0pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah tangan kedalam jalan lahir tangan dipindahkan ke fundus untuk mendekatkan bagian-bagian kecil janin</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo29; tab-stops: 9.0pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tangan mencari kaki janin untuk dibawa keluar</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo29; tab-stops: 9.0pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada letak lintang, punggung didepan pegang kaki bawah dan apabila punggung dibelakang pegang kaki atas.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo29; tab-stops: 9.0pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah dilakukan rotasi periksa apakah versi tedlah berhasil dengan baik (letak janin sudah memanjang).</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo29; tab-stops: 9.0pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah evaluasi dengan teknik seperti baik janin dilahirkan secara ekstraksi dengan teknik seperti persalinan sungsang ( ekstraksi kaki ) tangan menelusuri bokong, pangkal paha lutut kemudian melakukan abduksi dan fleksi pada paha janin sehingga kaki bawah<span style="mso-spacerun: yes;"> </span>menjadi fleksi, tangan yang lain mendorong fundus kebawah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo29; tab-stops: 9.0pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah kaki fleksi, pergelangan kaki dipegang dengan 2 ibu jari dan dituntun keluar dari vagina sampai batas lutut.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo29; tab-stops: 9.0pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kedua tangan penolong memegang betis janin yaitu 2 ibu jari diletakkan dibelakang betis sejajar sumbu panjang paha dan jari-jari lain didepan betis, kaki ditarik sampai pangkal paha jari-jari.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo29; tab-stops: 9.0pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pegang dipindah di pangkal paha setinggi mungkin dengan kedua ibu jari dibelakang paha sejajar sumber panjan, jari lain didepan paha.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo29; tab-stops: 9.0pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pangkal paha ditarik curam kebawah sampai trokhanter depan lahir kemudian pangkal paha dengan pegangan yang sama dielavasi sehingga yang dilakukan lebih dahulu maka yang akan lahir dahulu adalah trokhanter depan maka pangkal paha ditarik terus curam kebawah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo29; tab-stops: 9.0pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah bokong lahir dilanjutkan dengan cara muller, kalsik atau lovset</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo29; tab-stops: 9.0pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lahirkan kepala bayi dengan cara meuricequ</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo29; tab-stops: 9.0pt 27.0pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letakkan bayi diperut ibu bengkus bayi dengan handuk hangat bersihkan jalan nafas bayi oleh asisten, tali pusat dipotong.</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 22.5pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 0cm 22.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Melakukan embriotomi pada pasien dengan letak lintang dan janin mati</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 0cm 22.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kolaborasi dengan dokter obgyn untuk melakukan bedah sesar pada pasien dengan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo15; tab-stops: 0cm 22.5pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">letak lintang kasep dan janin hidup</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo15; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">letak lintang belum kasep dan primipara</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 9.0pt 27.0pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; tab-stops: 0cm 21.3pt; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VII.</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">EVALUASI</span></div><div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>S<span style="mso-spacerun: yes;"> </span>: Ibu mengatakan mersa lega dan bahagia karena bayinya lahir.</span></div><div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>O<span style="mso-spacerun: yes;"> </span>: Bayi lahir suntan pervaginam tanggal………jam……….</span></div><div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Jenis kelamin<span style="mso-spacerun: yes;"> </span>,BB……gr, PB………….cm, menagis……..</span></div><div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Warna kulit……………..</span></div><div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>A/S :</span></div><div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>A<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: Ibu bersalin kala III</span></div><div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>P<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: Lakukan injeksi oksitosin</span></div><div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Lakukan PTT</span></div><div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Lakukan masase uterus untuk merangsang kotraksi</span></div><div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Evaluasi kandung perdarahan</span></div><div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Evaluasi jumlah perdarahan</span></div><div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Evaluasi jalan lahir </span></div><div class="MsoNormal" style="line-height: normal; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>Catatan perkembangan tanggal……..jam……..</span></div><div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>S<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>: Ibu mengatakan ari-arinya telah keluar secara spontan dan</span></div><div class="MsoNormal" style="line-height: normal; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>perutnya mules</span></div><div class="MsoNormal" style="line-height: normal; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>O<span style="mso-spacerun: yes;"> </span>: Placenta lahir lengkap jam…...kotiledon lengkap, tebal……cm</span></div><div class="MsoNormal" style="line-height: normal; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>diameter....cm</span></div><div class="MsoNormal" style="line-height: normal; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>A<span style="mso-spacerun: yes;"> </span>: Ibu bersalin kala IV</span></div><div class="MsoNormal" style="line-height: normal; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>P<span style="mso-spacerun: yes;"> </span>: Berikan ibu kenyamanan</span></div><div class="MsoNormal" style="line-height: normal; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Berikan ibu makan / minum</span></div><div class="MsoNormal" style="line-height: normal; margin-left: 54.0pt; tab-stops: 27.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Pantau UC, TD dan kandung kemih, perdarahan tiap 15 menit<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: normal; margin-left: 54.0pt; tab-stops: 27.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Pada jam ke I dan tiap 30 menit pada jam ke II</span></div><div class="MsoNormal" style="line-height: normal; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Rooming in ibu dan bayi setelah kondisi bayi stabil</span></div><div class="MsoNormal" style="line-height: normal; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Ajari ibu cara menyusui bayi yang baik dan benar.</span></div><div class="MsoNormal" style="line-height: normal; tab-stops: 27.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: normal; tab-stops: 27.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
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</div><div style="line-height: 150%;"><br />
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</div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASUHAN KEBIDANAN</span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PADA IBU G3P20002 HAMIL<span style="mso-spacerun: yes;"> </span>dengan LETAK LINTANG</span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat pengkajian<span style="mso-tab-count: 1;"> </span>: RSU SIDOARJO</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal / waktu<span style="mso-tab-count: 1;"> </span>: 10 April 2009/ 09.30 WITA</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkaji<span style="mso-tab-count: 2;"> </span>: Mahasiswa Poltekkes Malang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo19; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENGKAJIAN</span></div><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo20; tab-stops: 0cm 21.3pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DATA SUBJEKTIF</span></div><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo21; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biodata </span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 45pt; width: 547px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama Ibu</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 112.5pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Ny. Muslimah</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" valign="top" width="102"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama Suami</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 130.5pt;" valign="top" width="174"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Tn. Muhidin</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: 30 tahun</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" valign="top" width="102"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 130.5pt;" valign="top" width="174"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: 32 tahun</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agama</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Islam</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" valign="top" width="102"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agama</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 130.5pt;" valign="top" width="174"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Islam</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suku</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 112.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Jawa</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" valign="top" width="102"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suku</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 130.5pt;" valign="top" width="174"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Jawa</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendidikan</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: SMP</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" valign="top" width="102"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendidikan</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 130.5pt;" valign="top" width="174"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: SMP</span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerjaan</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: IRT</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" valign="top" width="102"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerjaan</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 130.5pt;" valign="top" width="174"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Wiraswasta</span></div></td> </tr>
<tr style="mso-yfti-irow: 6; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alamat</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt 112.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Jl. Bengawan No 25</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" valign="top" width="102"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alamat</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 130.5pt;" valign="top" width="174"> <div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Jl. Bengawan No 25</span></div></td> </tr>
</tbody></table><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo21; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan Utama</span></div><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; tab-stops: 49.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil 9 bulan anak ke-3 dan <span style="mso-spacerun: yes;"> </span>kenceng-kenceng 9 April 2009 pukul 21.00 WITA dan merasakan gerakan janin pada bagian bawah pusat ibu</span></div><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo21; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Kesehatan Sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Ibu mengatakan saat ini ibu tidak sedang menderita penyakit menurun (DM, hipertensi), menular (hepatitis B, TBC, AIDS/HIV), dan sistemik (penyakit jantung, ginjal).</span></div><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo21; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Kesehatan Dahulu</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Ibu mengatakan ibu tidak pernah menderita penyakit menurun (DM, hipertensi), menular (hepatitis B, TBC, AIDS/HIV), dan sistemik (penyakit jantung, ginjal).</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level1 lfo21; text-align: justify; text-indent: -13.5pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Riwayat Kesehatan Keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Ibu mengatakan dalam keluarga ibu maupun suami tidak ada yang menderita penyakit menurun (DM, hipertensi), menular (hepatitis B, TBC, AIDS/HIV), dan sistemik (penyakit jantung, ginjal) serta tidak ada riwayat kehamilan kembar.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level1 lfo21; text-align: justify; text-indent: -13.5pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Riwayat menstruasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Menarche<span style="mso-tab-count: 1;"> </span>: 13 tahun<span style="mso-tab-count: 2;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Banyaknya<span style="mso-tab-count: 1;"> </span>: 2x ganti pembalut/ hari<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Siklus<span style="mso-tab-count: 1;"> </span>: 28 hari<span style="mso-tab-count: 2;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Lama<span style="mso-tab-count: 1;"> </span>: 7 hari<span style="mso-tab-count: 2;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Dismenorea<span style="mso-tab-count: 1;"> </span>: -<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">HPHT <span style="mso-tab-count: 1;"> </span>: 3-8-2008</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">HTP<span style="mso-tab-count: 2;"> </span>: 10-5-2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Fluor albus<span style="mso-tab-count: 1;"> </span>: -<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -13.5pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">7. Riwayat pernikahan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 148.5pt; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Status pernikahan <span style="mso-tab-count: 1;"> </span>: Sah<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 148.5pt; text-align: justify; text-indent: 36.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Pernikahan ke-<span style="mso-tab-count: 1;"> </span>: 1</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 148.5pt; text-align: justify; text-indent: 36.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Lama pernikahan<span style="mso-tab-count: 1;"> </span>: 1 tahun</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 148.5pt; text-align: justify; text-indent: 36.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Istri ke- <span style="mso-tab-count: 1;"> </span>: 1<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 148.5pt; text-align: justify; text-indent: 36.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Usia awal menikah<span style="mso-tab-count: 1;"> </span>: 19 tahun</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 148.5pt; text-align: justify; text-indent: 36.0pt;"><br />
</div><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo17; tab-stops: 0cm 21.3pt; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Obstetri</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: -54.4pt; width: 771px;"><tbody>
<tr style="height: 28.3pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td rowspan="2" style="border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.8pt;" width="37"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">NO</span></div></td> <td colspan="3" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.0pt;" width="115"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">kehamilan</span></div></td> <td colspan="4" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 149.1pt;" width="199"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Persalinan</span></div></td> <td colspan="5" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" width="216"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">anak</span></div></td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" width="102"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">nifas</span></div></td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 76.5pt;" width="102"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">laktasi</span></div></td> </tr>
<tr style="height: 37.3pt; mso-yfti-irow: 1;"> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.6pt;" width="29"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">ke</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.0pt;" width="39"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">usia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.4pt;" width="47"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.6pt;" width="49"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">jns</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">penlng</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">tmp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Sex</span></div><div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">L/P</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">BB/PB</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">H/M</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" width="36"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">T/G</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">usia</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Lama</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Komp</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">lama</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 37.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">komp</span></div></td> </tr>
<tr style="height: 28.3pt; mso-yfti-irow: 2;"> <td style="border-top: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.8pt;" width="37"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">1.</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.6pt;" width="29"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">I</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.0pt;" width="39"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">32 mg</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.4pt;" width="47"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.6pt;" width="49"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Spt B</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">dukun</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">rmh</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">L</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">H</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" width="36"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">T</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">11 th</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">40 hr</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">2 th</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">-</span></div></td> </tr>
<tr style="height: 28.3pt; mso-yfti-irow: 3;"> <td style="border-top: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.8pt;" width="37"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">2</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.6pt;" width="29"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">II</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.0pt;" width="39"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">36 mg</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.4pt;" width="47"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.6pt;" width="49"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Spt B</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Bidan</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">BPS</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">P</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">3 kg / 49 cm</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">H</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" width="36"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">T</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">9 th</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">42 hr</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">-</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">2 th</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">-</span></div></td> </tr>
<tr style="height: 28.3pt; mso-yfti-irow: 4; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.8pt;" width="37"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">3.</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.6pt;" width="29"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">H</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.0pt;" width="39"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">A</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.4pt;" width="47"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">M</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.6pt;" width="49"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">I</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">L</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">I</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">N</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">I</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" width="42"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" width="36"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.5pt;" width="54"> <div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt; text-align: center;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">9. Riwayat KB</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Ibu mengatakan menggunakan alat kontrasepsi jenis KB suntik.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">10. Riwayat kehamilan sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 1;"> </span>ANC sejak UK 1 bulan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 2;"> </span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">TM I<span style="mso-spacerun: yes;"> </span>1x, di puskesmas </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 2;"> </span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">TM II<span style="mso-spacerun: yes;"> </span>1x, di puskesmas</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 2;"> </span>TM III<span style="mso-spacerun: yes;"> </span>2x terakhir tanggal Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 1;"> </span>Imunisasi TT<span style="mso-tab-count: 2;"> </span>: 2x<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 40.5pt; text-align: justify; text-indent: -27.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 2;"> </span>Terapi <span style="mso-tab-count: 2;"> </span>: Fe, Vit. C, kalk</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 40.5pt; text-align: justify; text-indent: -27.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 2;"> </span>Keluhan umum<span style="mso-tab-count: 1;"> </span>: TM I<span style="mso-tab-count: 2;"> </span>: mual muntah</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -27.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 4;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>TM II<span style="mso-tab-count: 2;"> </span>: -</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -27.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 5;"> </span><span style="mso-spacerun: yes;"> </span>TM III<span style="mso-tab-count: 1;"> </span>: -</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 40.5pt; text-align: justify; text-indent: -27.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 2;"> </span>Gerakan janin<span style="mso-tab-count: 1;"> </span>: Ibu merasakan gerakan janin sejak usia kehamilan 5 bulan</span></div><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 36.0pt; mso-add-space: auto; text-indent: -13.5pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">11. Pola kehidupan sehari-hari</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 5.4pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">NO.</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">JENIS</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">SEBELUM HAMIL</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">SELAMA HAMIL</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">1.</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">NUTRISI</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Nafsu makan</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">baik</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">baik</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Pola makan</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">3x/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">3x/hari</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Jenis makanan</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Nasi, lauk (ikan), sayur</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Nasi, lauk(ikan),sayur</span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Porsi</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">1 piring</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">1 piring</span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Minuman</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Air putih</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Air putih + susu</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Jumlah yang diminum</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">7-8 gelas/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">7-8 gelas/hari + 1 gelas susu</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">2.</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">ELIMINASI</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">BAK(frekuensi, warna,bau,banyaknya)</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">5-6 x / hari, kuning jernih, amoniak</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">5-6 x / hari, kuning jernih, amoniak</span></div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">BAB(frekuensi,warna,konsistensi)</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">1x/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">1x/hari</span></div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3.</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">ISTIRAHAT</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Siang(lamanya)</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">1 jam/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">1 jam/hari</span></div></td> </tr>
<tr style="mso-yfti-irow: 13;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Malam(lamanya)</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">6 jam/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">6-7 jam/hari</span></div></td> </tr>
<tr style="mso-yfti-irow: 14;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">4. </span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">PERSONAL HYGIENE</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 15;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Mandi</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2x/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2x/hari</span></div></td> </tr>
<tr style="mso-yfti-irow: 16;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Gosok gigi</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3x/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3x/hari</span></div></td> </tr>
<tr style="mso-yfti-irow: 17;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Keramas</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3x/minggu</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3x/minggu</span></div></td> </tr>
<tr style="mso-yfti-irow: 18;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ganti CD</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2x/hari</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2x/hari</span></div></td> </tr>
<tr style="mso-yfti-irow: 19;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">5. </span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">KEBIASAAN HIDUP SEHAT</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 20;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Merikok</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 21;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Minum-minuman keras</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 22;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Narkoba</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 23; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.75pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 176.8pt;" valign="top" width="236"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Tempat BAB</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Jamban pribadi</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172"> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Jamban pribadi</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">12. Riwayat psikososial-spiritual-ekonomi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ibu mengatakan bahwa pengambil keputusan dalam keluarga adalah suami.<span style="mso-spacerun: yes;"> </span>Ibu, suami dan keluarga sangat senang dan sangat mengharapkan kehamilan ini. Ibu, suami dan keluarga merencanakan persalinannya nanti berlangsung di Rumah sakit dibantu oleh dokter. </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -9.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">B. DATA OBJEKTIF</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">1. Pemeriksaan umum</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">KU<span style="mso-tab-count: 2;"> </span>: baik</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;"><span style="mso-tab-count: 1;"> </span>Kesadaran<span style="mso-tab-count: 1;"> </span>: composmentis</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;"><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">TB/BB<span style="mso-tab-count: 1;"> </span>: 157 cm / 55 kg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>Lila<span style="mso-tab-count: 2;"> </span>: 23,5 cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">TD<span style="mso-tab-count: 2;"> </span>: 120/80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 1;"> </span>N<span style="mso-tab-count: 2;"> </span>: 86x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 1;"> </span>Rr<span style="mso-tab-count: 2;"> </span>: 20x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;"><span style="mso-tab-count: 1;"> </span>Suhu<span style="mso-tab-count: 2;"> </span>:36,4°C</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2. Pemeriksaan fisik (head to toe dari inspeksi, palpasi, perkusi dan juga auskultasi)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Kepala<span style="mso-tab-count: 2;"> </span>: rambut bersih, rontok (-), benjolan (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Muka<span style="mso-tab-count: 2;"> </span>: pucat (-), oedema (-), cloasma gravidarum (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mata<span style="mso-tab-count: 2;"> </span>: konjungtiva tidak anemis<span style="mso-spacerun: yes;"> </span>Sklera tidak ikterus</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Hidung<span style="mso-tab-count: 2;"> </span>: simetris, bersih, benjolan (-), sekret (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify; text-indent: -67.5pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Mulut<span style="mso-tab-count: 2;"> </span>: bibir lembab, bersih, pucat (-), stomatitis (-), lidah bersih, ginggivitis (-), caries gigi (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Telinga<span style="mso-tab-count: 2;"> </span>: simetris, bersih</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify; text-indent: -67.5pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Leher<span style="mso-tab-count: 2;"> </span>: pembesaran kelenjar tiroid dan kelenjar limfe - , bendungan vena jugularis (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify; text-indent: -67.5pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Dada<span style="mso-tab-count: 2;"> </span>: simetris, mamae bersih, mamae tegak, hiperpigmentasi areola dan papila<span style="mso-spacerun: yes;"> </span>mamae +/+, puting susu menonjol +/+, retraksi -, benjolan -/-, <span style="mso-spacerun: yes;"> </span>colostrum -/-, <span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>ronchi (-), wheezing (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 85.5pt; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Thoraks<span style="mso-tab-count: 2;"> </span>: Jantung dalam batas normal<span style="mso-spacerun: yes;"> </span>Paru dalam batas normal</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo18; tab-stops: 67.5pt; text-align: justify; text-indent: -40.5pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi<span style="mso-tab-count: 1;"> </span>: Membuncit ke samping, Linea Nigra hiperpigmentasi, striae gravidarum (+), Sikatrik (-) </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo18; tab-stops: 67.5pt; text-align: justify; text-indent: -40.5pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 67.5pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L1 : TFU teraba 4 jari bawah processus xipoideus, teraba bagian memanjang pada fundus</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L2 : teraba masa keras dan melenting di perut bagian kanan<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -117.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>L 3 : tidak teraba</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L 4 : Bagian terbawah janin belum masuk PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TFU menurut MD : 27 cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 117.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TBJ <span style="mso-tab-count: 1;"> </span>: 2511 gr<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level1 lfo22; tab-stops: 49.5pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Auskultasi<span style="mso-tab-count: 1;"> </span>: Bising usus (+) Normal, DJJ : 13 – 12 – 13, teratur.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 94.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt 94.5pt; text-align: justify; text-indent: -54.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genitalia<span style="mso-tab-count: 3;"> </span>:<span style="mso-spacerun: yes;"> </span>Oedem (-), varises (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 103.5pt 153.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekstremitas<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>atas <span style="mso-tab-count: 1;"> </span>: oedema -/-</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 112.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>bawah : oedema -/-, varises -/-</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">3. Pemeriksaan penunjang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hb<span style="mso-spacerun: yes;"> </span>: 9,7 gr%</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leukosit<span style="mso-spacerun: yes;"> </span>: 13.300/mmb3</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ht<span style="mso-spacerun: yes;"> </span>: 29,1%</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trombosit : 269.000/mm3</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HbSAg<span style="mso-spacerun: yes;"> </span>: (-)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">II. INTERPRETASI DATA DASAR<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; mso-ansi-language: SV;">Dx<span style="mso-tab-count: 1;"> </span>:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Ibu G3P20002 hamil 35 – 36 minggu I / T / H dengan letak lintang kasep</span><span lang="SV" style="font-family: "Times New Roman","serif"; mso-ansi-language: SV;"></span></div><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; text-indent: -22.5pt;"><span lang="SV" style="font-family: "Times New Roman","serif"; mso-ansi-language: SV;">Ds<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan hamil 9 bulan anak ke-3 dan<span style="mso-spacerun: yes;"> </span>kenceng-kenceng sejak 9 April 2009 pukul 21.00 WITA dan merasakan gerakan janin pada bagian bawah pusat ibu</span></div><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 36.0pt; mso-add-space: auto; tab-stops: 49.5pt; text-indent: -18.0pt;"><br />
</div><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 36.0pt; mso-add-space: auto;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HPHT : </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3-8-2007</span></div><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 36.0pt; mso-add-space: auto;"><br />
</div><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-spacerun: yes;"> </span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Do<span style="mso-tab-count: 1;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo18; tab-stops: 67.5pt; text-align: justify; text-indent: -40.5pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi : Membuncit kesamping, Linea Nigra hiperpigmentasi, striae gravidarum (+), Sikatrik (-) </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo18; tab-stops: 67.5pt; text-align: justify; text-indent: -40.5pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi :<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 67.5pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L1 : TFU teraba 4 jari bawah processus xipoideus, teraba bagian memanjang pada fundus</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L2 : teraba masa keras dan melenting di perut bagian kanan<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -117.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>L 3 : tidak teraba / kosong</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L 4 : Bagian terbawah janin belum masuk PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TFU menurut MD : 27 cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 117.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TBJ <span style="mso-tab-count: 1;"> </span>: 2511 gr<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level1 lfo22; tab-stops: 49.5pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Auskultasi<span style="mso-tab-count: 1;"> </span>: Bising usus (+) Normal, DJJ : 13 – 12 – 13, teratur.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">III. IDENTIFIKASI DIAGNOSA DAN MASALAH POTENSIAL</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">IV. IDENTIFIKASI KEBUTUHAN SEGERA</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Kolaborasi dengan dokter Obgyn</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">V. INTERVENSI</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.<span style="mso-spacerun: yes;"> </span>Jelaskan pada ibu dan keluarga tentang kondisinya dan janinnya</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -13.5pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 2;"> </span>R/ Ibu lebih mengerti dan kooperatif</span></div><ol start="2" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l23 level1 lfo23; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan KIE tentang SC</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ Ibu dapat mempersiapkan kebutuhan untuk tindakan operasi nanti.</span></div><ol start="3" style="margin-top: 0cm;" type="1"><li class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo23; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Observasi kesejahteraan<span style="mso-spacerun: yes;"> </span>ibu & janin</span></li>
</ol><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ deteksi dini adanya komplikasi pada ibu dan janinnya</span></div><ol start="4" style="margin-top: 0cm;" type="1"><li class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo23; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan ibu untuk makan dan minum</span></li>
</ol><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ bahan makanan dan minuman merupakan pembangkit tenaga</span></div><ol start="5" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l23 level1 lfo23; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beritahu ibu dan keluarga tentang tindakan yang akan dilakukan.</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ mencegah kesalahpahaman antara ibu dan bidan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>VI. IMPLEMENTASI</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level1 lfo26; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan pada ibu dan keluarga tentang kondisinya dan janinnya.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kondisi ibu baik yaitu dengan tanda-tanda vital </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">TD: 120/80 mmHg, N: 86x/menit dan Rr: 20x/menit, selain itu pada janinnya mengalami letak lintang dengan kondisi baik.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><ol start="2" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l14 level1 lfo25; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberikan KIE tentang SC</span></li>
<li class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo25; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengobservasi kesejahteraan<span style="mso-spacerun: yes;"> </span>ibu & janin dengan cara selalu melakukan konseling tentang kehamilannya kepada tenaga kesehatan</span></li>
<li class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo25; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menganjurkan ibu untuk makan dan minum, yaitu makanan yang sesuai dengan kebutuhan gizi ibu hamil.</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l14 level1 lfo25; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberitahu ibu dan keluarga tentang tindakan yang akan dilakukan, yaitu melakukan tindakan operasi sextio caesar.</span></li>
</ol><div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm 21.3pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level3 lfo24; tab-stops: 22.5pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VII.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">EVALUASI<br />
Tanggal : 10 April 2009 <span style="mso-tab-count: 4;"> </span>Jam : 10.00 WITA</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 22.5pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">S : Ibu mengatakan telah mengerti tentang penjelasan yang diberikan </span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- K/U Ibu<span style="mso-spacerun: yes;"> </span>: baik</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Kesadaran : Composmenitis</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- T D<span style="mso-spacerun: yes;"> </span>: 120/80 mmhg</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- N<span style="mso-spacerun: yes;"> </span>: 84 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt 108.0pt 144.0pt 180.0pt center 234.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- S<span style="mso-spacerun: yes;"> </span>: 36º C<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- RR<span style="mso-spacerun: yes;"> </span>: 22 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Perdarahan : ± 250 cc</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu G3P20002 hamil 35 – 36 minggu I / T / H dengan letak lintang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 90.0pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">P<span style="mso-spacerun: yes;"> </span>: - Konseling dengan dokter obgyn</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo10; text-indent: -9.0pt;"><span lang="EN-US" style="mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Persiapan dilakukan SC</span><span lang="EN-US" style="font-family: "Times New Roman","serif";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div>Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-49726538791578015732012-04-16T01:40:00.000+07:002012-04-16T01:40:47.448+07:00Bartholinitis<!--[if !mso]> <style>
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">BARTHOLINITIS</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l9 level1 lfo3; text-indent: -21.3pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">PENGERTIAN </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo1; text-indent: -14.7pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Suatu kista duktus bartolin terinfeksi yang disebabkan oleh infeksi gonokolus, basil koliformis / organisme lainya (kedaruratan Obstetri dan Ginekologi : 97)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo1; text-indent: -14.7pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Peradangan mendadak glandula bartholini biasanya disebabkan oleh gonokokus dapat pula oleh bakteri lain. (Ilmu kebidanan : 410)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo1; text-indent: -14.7pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i><span lang="EN-US">Bartholinitis, </span></i><span lang="EN-US">adalah suatu jenis penyakit infeksi yang menyerang kelenjar Bartholin yang letaknya ada di sekitar sisi kanan/kiri klitoris. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo1; text-align: justify; text-indent: -14.7pt;"><span lang="EN-US" style="mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IT" style="mso-ansi-language: IT; mso-bidi-font-style: italic;">Peradangan bisa terjadi di lubang awal vagina. </span><span lang="FI" style="mso-ansi-language: FI; mso-bidi-font-style: italic;">Ini adalah bagian terluar dari kelamin perempuan. Peradangan pada bagian ini disebut bartholinitis. “Bartholinitis diambil dari kata bartholini, yaitu kelenjar yang terdapat pada bagian mulut lubang vagina. </span><span lang="EN-US" style="mso-bidi-font-style: italic;">Kelenjar ini biasanya terdapat pada posisi sekitar jam 5 dan 7. Fungsinya sebagai pelumas saat melakukan hubungan seksual</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic;">Peradangan rahim seringkali diawali oleh peradangan saluran vagina. Peradangan pada bagian ini disebut </span><i style="mso-bidi-font-style: normal;"><span lang="SV" style="mso-ansi-language: SV;">bartholinitis</span></i><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic;">. </span><i style="mso-bidi-font-style: normal;"><span lang="SV" style="mso-ansi-language: SV;">Bartholinitis</span></i><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic;"> berasal dari kata </span><i style="mso-bidi-font-style: normal;"><span lang="SV" style="mso-ansi-language: SV;">bartholini</span></i><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic;">, sebuah kelenjar yang terletak pada bagian depan saluran vagina. Selanjutnya, kuman yang berada di saluran vagina ini masuk lebih dalam ke saluran vagina. Jika dibiarkan, maka jumlah kuman semakin bertambah. Dan ketika daya tahan tubuh menurun, kuman secara leluasa menjelajah bagian lain, mulut rahim misalnya, sehingga menimbulkan servisitis. Biasanya, virus yang sering tinggal di daerah mulut rahim adalah </span><i style="mso-bidi-font-style: normal;"><span lang="SV" style="mso-ansi-language: SV;">Human papilloma virus</span></i><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic;"> (HPV). </span><span lang="EN-US" style="mso-bidi-font-style: italic;">Virus inilah yang menyebabkan infeksi, cikal bakal kanker rahim. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="mso-bidi-font-style: italic;">Kondisi yang paling membahayakan adalah jika infeksi di rahim dibiarkan dan menjalar ke dalam rongga panggul hingga menimbulkan radang. Radang panggul terjadi jika mikroba sudah menembus rongga perut. Salah satu mikroba yang senang bermain di sini biasanya adalah </span><i style="mso-bidi-font-style: normal;"><span lang="EN-US">Clamedia</span></i><span lang="EN-US" style="mso-bidi-font-style: italic;">. Mikroba ini sangat berbahaya, lantaran bisa bersemayam di saluran telur dan menyebabkan penyumbatan. Saluran telur yang tersumbat, menyebabkan sel telur tak bisa keluar, dan menyebabkan infertilitas. Akibatnya, seorang perempuan menjadi sulit hamil.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l9 level1 lfo3; text-indent: -21.3pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">ETIOLOGI</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;"><span lang="EN-US">Penyebab infeksi di oklusi duktus ekskretorius kelenjar, pseudokista bartholini timbul karena retensi pus di dalam duktus ekskretorius (Heller, lus, 1986). </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;"><span lang="EN-US">Suatu kista duktus bartholini terinfeksi yang disebabkan oleh infeksi gonokokus basil koliformis atau organisme lain (Ben-zion taber, 1994 : 97).</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;"><span lang="EN-US">Sumbatan duktus utama kelenjar bartholini menyebabkan retensi sekresi dan dilatasi. Kelenjar bartholinitis membesar, merah, nyeri dan lebih panas dan daerah sekitarnya. Isi dari dalam berupa nanah dapat keluar melalui duktus atau bila tersumbat (biasanya akibat infeksi), mengumpul didalam menjadi abses.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;"><span lang="EN-US">Adapun faktor resiko yang ibu miliki adalah, <i>pertama</i> frekuensi kontak seksual ibu yang jarang, mengingat suami sering di luar kota. Hal semacam ini seringkali menimbulkan kontak seksual yang amat <i>excited, </i>apalagi bagi pengantin baru seperti ibu. seringkali kemudian <i>foreplay</i> agak dilupakan, akibatnya ketika terjadi penetrasi, lubrikasi belum memadai, sehingga terjadilah iritasi. Iritasi inilah yang kemudian berpotensi untuk berkembang menjadi <i>Bartholinitis.</i> <i> </i></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;"><span lang="EN-US">Faktor resiko <i>kedua</i> adalah penyakit keputihan yang ibu alami sebelumnya. Mereka yang menderita <i>fluor albus</i>, cenderung memiliki daya tahan jaringan yang lemah, disamping ada <i>microorganism</i> (bakteri, jamur, parasit) yang memudahkan terjadinya <i>acute exacerbation,</i> yaitu<i> </i>munculnya keluhan klinis yang akut.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;"><span lang="EN-US">Kuman yang berada di sana bisa “jalan-jalan” ke wilayah lebih dalam, yaitu vagina. Peradangan di vagina ini sering disebut vaginitis, biasanya diikuti rasa nyeri saat bersenggama. Jumlah kuman pun makin lama makin banyak. Dan ketika daya tahan tubuh semakin menurun, kuman-kuman akan makin leluasa menjelajah bagian lain, mulut rahim misalnya, sehingga menimbulkan servisitis. Biasanya, virus yang sering tinggal di daerah mulut rahim adalah human papilloma virus (HPV). Virus inilah yang menyebabkan infeksi, cikal bakal kanker rahim.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;"><span lang="EN-US">Parahnya, jika terus menjalar, ia juga bisa menimbulkan radang panggul. Radang panggul terjadi jika mikroba sudah menembus rongga perut. Salah satu mikroba yang senang bermain di sini biasanya adalah klamedia. “Mikroba ini sangat berbahaya, lantaran bisa bersemayam di saluran telur dan menyumbat saluran ini. Saluran yang tersumbat ini akan menyebabkan sel telur tak bisa keluar saat pembuahan, dan mengakibatkan kemandulan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l9 level1 lfo3; text-indent: -21.3pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TANDA / GEJALA </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 35.45pt 120.5pt; text-align: justify; text-indent: -106.3pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Data Subjektif<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>nyeri perineum dapat begitu hebat, sehingga pasien tidak mampu duduk atau berjalan nyaman pembengkakan akut yang nyeri terlihat pada tepi lateral bawah orifisium vagina. Iritasi vulva sering menyertai</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 35.45pt 120.5pt; text-align: justify; text-indent: -106.3pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Data Objektif<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>pada pemeriksaan vulva terdapat massa berfluktuasi berbatas tegas, steris, lunak sangat nyeri tekan yang terletak lateral dan dapat posterior prenulum labiorum pudendi, yang dikelilingi oleh jaringan merah dan nyeri tekanan jelas. Labia majora sering edematosa (kedaruratan Obstetri dan Ginekologi : 97)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pada sepertiga posterior labia, selalu ada kemerahan unilateral pembengkakan nyeri terutama saat defekasi. Kadang-kadang pus keluar dari duktus ekskretorius (permukaan dalam labium minus) atau perforasi spontan (Gawat darurat Ginekologi dan Obstetri : 1986)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="SV" style="mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Benjolan dispareunia, terasa berat dan mengganggu koitus</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Ciri lainnya, nyeri saat berhubungan lantaran terjadi pergesekan yang mengakibatkan luka semakin hebat. Penderita radang pada alat reproduksi juga akan merasa tidak nyaman, pegal-pegal dan nyeri di sekitar alat reproduksi, misalnya selangkangan, paha dan panggul. </span><span lang="EN-US">Jika dilakukan pemeriksaan fisik, terlihat vagina berwarna kemerahan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Radang bermula ringan (hanya keputihan), tetapi bisa berubah menjadi berat karena beberapa kondisi. Misalnya, jumlah kuman yang tinggal, keganasan kuman, serta daya tahan penderita. Jika kondisinya kurang baik, dalam jangka dua hari pun radang ringan bisa berubah menjadi berat. Radang berat ditandai rasa terbakar pada vagina, cairan berbau dan terkadang bercampur darah, serta selalu menimbulkan noda di celana dalam.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="FI" style="font-size: 8.5pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="mso-ansi-language: FI;">Pada saat tertentu, peradangan akan semakin kondusif. Misalnya, saat haid. "Pada masa ini, daya tahan tubuh biasanya menurun. Akibatnya, rasa nyeri dan keputihan akan lebih hebat.” Darah haid merupakan sumber makanan bagi kuman di vagina. Itulah kenapa, dianjurkan tidak melakukan hubungan seksual saat haid. Sebab jika terdapat peradangan, hubungan seksual akan mengakibatkan pergesekan dan membuat luka semakin luas. Ditambah lagi, kuman semakin banyak karena mendapat banyak “makanan.” Jika terjadi peradangan saat melakukan hubungan seksual, sperma pun bisa rusak karena kuman menyerangnya.</span><span lang="FI" style="font-family: "Verdana","sans-serif"; font-size: 8.5pt; line-height: 150%; mso-ansi-language: FI;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo1; tab-stops: 35.45pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Peradangan alat reproduksi memiliki gejala yang berbeda, tergantung penyebabnya. Jika disebabkan oleh jamur, peradangan ditandai oleh sekresi (pengeluaran) cairan encer, yang disertai rasa gatal. Jamur tergolong sebagai mikroba yang berukuran relatif lebih besar, sehingga dapat memicu kerusakan jaringan yang lebih luas. Jamur bisa menyebabkan mulut rahim dan baru berubah menjadi kanker setelah 10 tahun</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; tab-stops: 35.45pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l9 level1 lfo3; text-indent: -21.3pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">PATOFISIOLOGI</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 1.0cm; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 109.6pt;" valign="top" width="146"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;"><span style="height: 19px; left: 0px; margin-left: 82px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 2;"><img height="19" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="2" /></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">Gonokokus</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 111.6pt;" valign="top" width="149"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;"><span style="height: 34px; left: 0px; margin-left: 87px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 3;"><img height="34" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="2" /></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">Basil koliformis</span></div></td> <td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 186.45pt;" valign="top" width="249"> <div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;"><span style="height: 16px; left: 0px; margin-left: 106px; margin-top: 20px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 4;"><img height="16" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="2" /></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">Organisme lain</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 109.6pt;" valign="top" width="146"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;"><span style="height: 2px; margin-left: 82px; margin-top: 9px; mso-ignore: vglayout; position: absolute; width: 321px; z-index: 1;"><img height="2" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" width="321" /></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;"></span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 111.6pt;" valign="top" width="149"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;"><br />
</div></td> <td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 186.45pt;" valign="top" width="249"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;"><br />
</div></td> </tr>
<tr style="height: 18.25pt; mso-yfti-irow: 2;"> <td rowspan="2" style="height: 18.25pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 109.6pt;" valign="top" width="146"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;"><br />
</div></td> <td style="height: 18.25pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.6pt;" valign="top" width="149"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;"><span style="height: 12px; left: 0px; margin-left: 113px; margin-top: 23px; mso-ignore: vglayout; position: absolute; width: 52px; z-index: 10;"><img height="12" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="52" /></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">Infeksi kelenjar bartholini</span></div></td> <td style="height: 18.25pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.05pt;" width="141"> <div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: center;"><span lang="EN-US" style="font-size: 11.0pt;">Tanda gejala</span></div><div class="MsoListParagraphCxSpMiddle" style="margin-left: 30.55pt; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -14.15pt;"><span lang="EN-US" style="font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 11.0pt;">Benjolan </span></div><div class="MsoListParagraphCxSpMiddle" style="margin-left: 30.55pt; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -14.15pt;"><span lang="EN-US" style="font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 11.0pt;">Nyeri</span></div><div class="MsoListParagraphCxSpMiddle" style="margin-left: 30.55pt; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -14.15pt;"><span lang="EN-US" style="font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 11.0pt;">Dispareuni</span></div></td> <td style="height: 18.25pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.4pt;" valign="top" width="107"> <div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 18.45pt; mso-yfti-irow: 3;"> <td style="height: 18.45pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.6pt;" valign="top" width="149"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;"><span style="height: 26px; left: 0px; margin-left: 80px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 5;"><img height="26" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="12" /></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;"></span></div></td> <td style="height: 18.45pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.05pt;" valign="top" width="141"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 15.05pt; mso-add-space: auto;"><br />
</div></td> <td style="height: 18.45pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.4pt;" valign="top" width="107"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 15.05pt; mso-add-space: auto;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 109.6pt;" valign="top" width="146"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 111.6pt;" valign="top" width="149"> <div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: center;"><span lang="EN-US" style="font-size: 11.0pt;">Proses perdarahan dalam kelenjar</span></div></td> <td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 186.45pt;" valign="top" width="249"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 109.6pt;" valign="top" width="146"> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;"><span style="height: 2px; margin-left: 82px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 301px; z-index: 6;"><img height="2" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="301" /></span><span style="height: 19px; margin-left: 77px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 8;"><img height="19" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" width="12" /></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;"></span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 111.6pt;" valign="top" width="149"> <div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;"><span style="height: 12px; left: 0px; margin-left: 83px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 7;"><img height="12" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" width="2" /></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;"></span></div></td> <td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 186.45pt;" valign="top" width="249"> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;"><span style="height: 19px; margin-left: 81px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 9;"><img height="19" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;"></span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 109.6pt;" valign="top" width="146"> <div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;"><span style="height: 26px; left: 0px; margin-left: 76px; margin-top: 46px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 11;"><img height="26" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" width="12" /></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">pus dapat keluar melalui duktus</span></div><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 111.6pt;" valign="top" width="149"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;"><br />
</div></td> <td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 186.45pt;" valign="top" width="249"> <div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;"><span style="height: 26px; left: 0px; margin-left: 81px; margin-top: 39px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 14;"><img height="26" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image013.gif" width="12" /></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">pus tidak keluar (duktus tersumbat)</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 109.6pt;" valign="top" width="146"> <div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;"><span style="height: 26px; left: 0px; margin-left: 74px; margin-top: 47px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 13;"><img height="26" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="12" /></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">Radang jika terjadi berulang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 111.6pt;" valign="top" width="149"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;"><br />
</div></td> <td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 186.45pt;" valign="top" width="249"> <div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;"><span style="height: 26px; left: 0px; margin-left: 81px; margin-top: 47px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 12;"><img height="26" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="12" /></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">Labia mayora menjadi odem, nyeri tekan (+)</span></div></td> </tr>
<tr style="mso-yfti-irow: 8; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 109.6pt;" valign="top" width="146"> <div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;"><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">Kista bartholini</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 111.6pt;" valign="top" width="149"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;"><br />
</div></td> <td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 186.45pt;" valign="top" width="249"> <div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;"><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">Abses bartholini</span></div></td> </tr>
</tbody></table><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l9 level1 lfo3; text-indent: -21.3pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">KOMPLIKASI </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo2; tab-stops: 49.65pt; text-align: justify; text-indent: -21.3pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ibu hamil dengan bartholinis juga rawan terhadap gonore sehingga anak bayi dapat menderita blenorea neonatorum</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo2; tab-stops: 49.65pt; text-align: justify; text-indent: -21.3pt;"><span lang="EN-US" style="font-family: Symbol; font-size: 8.5pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Bahaya Peradangan Saat Hamil</span><span lang="EN-US" style="font-family: "Verdana","sans-serif"; font-size: 8.5pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; tab-stops: 49.65pt; text-align: justify;"><span lang="FI" style="mso-ansi-language: FI;">Daya tahan tubuh pada wanita hamil biasanya akan menurun. Karena itu, infeksi akan semakin berkembang lantaran vagina wanita hamil biasanya lebih lembab. Apalagi, pengobatan pada orang hamil lebih sulit diberikan. Pengobatan harus dilakukan dengan sangat teliti karena berhubungan dengan kondisi janin. Kuman streptococcus bisa menyerang selaput ketuban dan mengakibatkan pecahnya ketuban, bahkan bisa menyerang si bayi. Jika bayi lahir lewat vagina yang memiliki banyak kuman, maka kuman-kuman itu pun akan ikut dengan si bayi. Akibat lain dari peradangan saat hamil, bayi bisa lahir prematur, terjadi penyebaran kuman pada tubuh bayi. </span><span lang="EN-US">Dan jika infeksi parah, bayi dalam rahim bisa meninggal.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; tab-stops: 49.65pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -21.3pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">PENATALAKSANAAN </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Diberikan antibiotik yang sesuai (umumnya terhadap klamidia, gonokok, bakteroides dan escherichia coli) bila belum terjadi abses. Jika sudah bernanah, harus dikeluarkan dengan sayatan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Jika terbentuk kista tidak besar dan tidak mengganggu, tidak perlu dilakukan apa-apa. Pembedahan berupa ekstirpasi dapat dilakukan bila diperlukan. Yang dianjurkan adalah marsupialisasi yaitu sayatan dan pengeluaran isi kista diikuti penjahitan dinding kista yang terbuka pada kulit vula yang terbuka pada sayatan. Tindakan ini terbukti tak berrisiko dan hasilnya memuaskan. Jika terdapat hubungan keluar yang permanen, infeksi rekoren dapat dicegah</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kista yang kecil pada wanita hamil dibiarkan saja dan baru diangkat kira-kira 3 bulan setelah persalinan. Apabila kista sangat besar sehingga dikhawatirkan akan pecah waktu persalinan, maka sebaiknya kista itu diangkat dalam keadaan tenang. Sebelum lahirada kalanya kista yang sangat besar baru diketahui sewaktu wanita sudah dalam persalinan dalam hal demikian dilakukan punksi dan cairan dikeluarkan walaupun ini bukan terapi tahap.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="EN-US" style="mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ada</span><span lang="EN-US"> dua hal yang ibu perlu lakukan, <i>pertama</i> obati keputihan ibu dengan tuntas, sebaiknya jangan ibu mengulang obat tanpa diperiksa kembali oleh dokter ibu, dan jangan takut untuk menggunakan cairan antiseptik pembersih vagina, sebab tidak akan mengakibatkan "kekeringan kandungan". <i>Kedua</i>, meski ibu amat kangen pada suami, maupun sebaliknya, tetaplah lakukan dengan lembut agar tidak sampai terjadi iritasi. <span style="mso-bidi-font-style: italic;"></span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="EN-US" style="mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-style: italic;">BERGAYA HIDUP SEHAT</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; tab-stops: 35.45pt; text-align: justify;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic;">Untuk menghadang radang, berbagai cara bisa dilakukan. Salah satunya adalah gaya hidup bersih dan sehat. </span><span lang="EN-US" style="mso-bidi-font-style: italic;">Anda bisa memulai dengan disiplin menjalankan aturan di bawah ini: </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; tab-stops: 35.45pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l7 level1 lfo10; tab-stops: 35.45pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-style: italic;">Makanlah makanan sehat, bergizi dan sesuai porsi Anda. Jika Anda mengalami kegemukan yang menyebabkan paha Anda bertemu satu sama lain, pergesekan pun akan sering terjadi. Akibatnya, bisa timbul luka, sehingga keadaan di sekitar menjadi panas dan lembab. Kuman dapat hidup subur di daerah tersebut. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l7 level1 lfo10; tab-stops: 35.45pt; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic;">Jangan memakai celana yang terlalu ketat, karena bisa menimbulkan gesekan. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l7 level1 lfo10; tab-stops: 35.45pt; text-align: justify; text-indent: -18.0pt;"><span lang="FI" style="mso-ansi-language: FI; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="mso-ansi-language: FI; mso-bidi-font-style: italic;">Pilih pakaian dalam dari katun, karena menyerap keringat. Dengan begitu, daerah vital selalu kering. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l7 level1 lfo10; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="FI" style="mso-ansi-language: FI; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="mso-ansi-language: FI; mso-bidi-font-style: italic;">Periksakan diri sesegera mungkin jika mengalami keputihan cukup lama. Tak perlu malu datang ke dokter kandungan sekalipun belum menikah. Pasalnya, mikroba yang mengakibatkan keputihan bisa terdapat di mana saja. Misalnya jamur senang bermain di air. Mikroba juga banyak terdapat di toilet umum. Oleh karenanya, berhati-hatilah saat menggunakan toilet umum. Siapa tahu, sebelum Anda, ada penderita radang yang sempat menggunakannya. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l7 level1 lfo10; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="EN-US" style="mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="mso-ansi-language: FI; mso-bidi-font-style: italic;">Biasakan membersihkan diri setelah buang air besar dengan membasuh dari depan ke belakang. Ini akan menghindari masuknya kuman dari anus ke alat kelamin. <br />
</span><span lang="EN-US" style="mso-bidi-font-style: italic;">Biasakan membersihkan alat kelamin setelah melakukan hubungan seksual.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l7 level1 lfo10; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic;">Jika tidak dibutuhkan, jangan menggunakan pantyliner (pembalut tipis untuk sehari-hari). Para perempuan seringkali salah kaprah. Ia merasa nyaman jika pakaian dalamnya selalu bersih. Ini artinya ia lebih mementingkan kebersihan pakaian dalamnya daripada daerah vitalnya. Jika ingin menggunakan pantyliner, gantilah sesering mungkin. Kita hidup di daerah tropis yang relatif panas, sehingga tubuh menjadi sering berkeringat dan keadaan di daerah vital pun otomatis menjadi lebih lembab.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: -14.15pt;"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>IN</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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</style> <![endif]--> </div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l5 level1 lfo7; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic;">Tuhan sudah membuat komposisi yang sempurna pada alat reproduksi kita, sehingga bisa membersihkan diri dan melawan kuman-kuman abnormal. Produk kosmetik pembersih dan pengharum vagina yang banyak diperdagangkan sebetulnya tidak diperlukan. Bahkan, penggunaan yang sembrono bisa membahayakan kuman lactobasilus. Padahal, kuman ini berfungsi menjaga keasaman vagina tetap pada PH 3. Dalam keadaan asam, vagina bisa membersihkan diri secara alami dan melawan kuman-kuman abnormal. Misalnya, setelah melakukan hubungan seksual, sperma yang bersifat basa akan mengakibatkan keasaman berubah. lactobasilus akan segera menyeimbangkannya kembali. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l5 level1 lfo7; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic;">Yang paling penting, hindari melakukan hubungan seksual dengan pasangan berganti-ganti. Ingat, kuman juga bisa berasal dari pasangan Anda. Jika pasangann berganti-ganti, tidak gampang mendeteksi siapa yang menulari Anda. Peradangan sangat berhubungan dengan penyakit menular seksual dan tingkah laku seksual bebas.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 35.45pt; text-align: justify;"><br />
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</div><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">DAFTAR PUSTAKA</span></b></div><div class="MsoNormal"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-style: italic;">Suryadi, S. 2005.</span><span lang="SV" style="mso-ansi-language: SV;"> <i style="mso-bidi-font-style: normal;">Hati – Hati Radang Vagina Bisa Disebabkan Kanker Rahim.</i> </span><span lang="EN-US"><a href="http://www.menstruasi.com/_tips_n_info/article.php?article_id=136">http://www.menstruasi.com/_tips_n_info/article.php?article_id=136</a>. </span><span lang="NO-BOK" style="mso-ansi-language: NO-BOK;">Tanggal akses 06 November 2008.</span></div><div class="MsoNoSpacing" style="line-height: 150%;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%;"><span lang="NO-BOK" style="mso-ansi-language: NO-BOK;">Kusmarjadi, Didi. 2008. <i style="mso-bidi-font-style: normal;">Bartholinitis</i>. </span><span lang="EN-US"><a href="http://konsultasi-spesialis-obsgin.blogspot.com/2008/10/bartholinitis.html"><span lang="NO-BOK" style="mso-ansi-language: NO-BOK;">http://konsultasi-spesialis-obsgin.blogspot.com/2008/10/bartholinitis.html</span></a></span><span lang="NO-BOK" style="mso-ansi-language: NO-BOK;"> . Tanggal akses 06 November 2008.</span></div><div class="MsoNoSpacing" style="line-height: 150%;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%;"><span lang="NO-BOK" style="line-height: 150%; mso-ansi-language: NO-BOK; mso-bidi-font-size: 12.0pt;">Taber, Ben-Zion. 1994. <i style="mso-bidi-font-style: normal;">Kedaruratan Obstetri dan Ginekologi</i>. Jakarta : EGC</span></div><div class="MsoNoSpacing" style="line-height: 150%;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%;"><span lang="NO-BOK" style="mso-ansi-language: NO-BOK;">Wijaya, Andik.2003.<i style="mso-bidi-font-style: normal;">Bartholinitis</i>.</span></div><div class="MsoNoSpacing" style="line-height: 150%;"><span lang="EN-US"><a href="http://%20jawaban.com/news/relationship/detail.php?id_news=080721200743">http:// jawaban.com/news/relationship/detail.php?id_news=080721200743</a>. Tanggal akses 06 November 2008.</span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;"></span></div><div class="MsoNoSpacing" style="line-height: 150%;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Wiknjosasro, Hanafi. 2005. Ilmu Kandungan. Jakarta : YBP-SP</span></div><div class="MsoNoSpacing" style="text-align: justify;"><br />
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</div><div align="center" class="MsoNoSpacing" style="text-align: center;"><span lang="SV" style="font-size: 13.0pt; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">ASUHAN KEBIDANAN </span></div><div align="center" class="MsoNoSpacing" style="text-align: center;"><span lang="SV" style="font-size: 13.0pt; mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">PADA IBU P<sub>10001</sub> dengan ABSES BARTHOLINI </span></div><div class="MsoNoSpacing"><br />
</div><div class="MsoNoSpacing"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Tempat Pengkajian............</span></div><div class="MsoNoSpacing"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Tanggal dan Jam ...........</span></div><div class="MsoNoSpacing"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Pengkaji ......</span></div><div class="MsoNoSpacing"><br />
</div><div class="MsoNoSpacing" style="margin-left: 1.0cm; mso-list: l3 level1 lfo1; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">PENGKAJIAN </span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l1 level1 lfo2; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">DATA SUBYEKTIF</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; mso-list: l2 level1 lfo3; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Biodata</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; mso-list: l2 level1 lfo3; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Keluhan Utama</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; text-align: justify;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Ibu mengatakan merasakan seperti ada benda berat disamping lubang kemaluannya terasa nyeri dan panas</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; mso-list: l2 level1 lfo3; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Riwayat Kesehatan Sekarang</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Ibu mengatakan merasakan seperti ada benda berat disamping lubang kemaluannya jika berjalan terasa ada benda berat di kemaluannya</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; mso-list: l2 level1 lfo3; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Riwayat Kesehatan Dahulu</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; text-align: justify;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Dapat terjadi pada ibu yang memiliki penyakit-penyakit kelamin (gonorea, sifilis, ulkus molle, limfogranuloma venerim dan granuloma inguinale), tuberkulosis, vulvitis, herpes genitalis, kondiloma akuminatim dan vulvitis</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; mso-list: l2 level1 lfo3; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Riwayat Kesehatan Keluarga</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Terjadi pada riwayat keluarga / suami dengan PMS & PHS</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; mso-list: l2 level1 lfo3; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Riwayat Menstruasi</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Flour albus<span style="mso-tab-count: 1;"> </span>: ada</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; mso-list: l2 level1 lfo3; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Riwayat Perkawinan </span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Status perkawinan <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>tidak berpengaruh</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Istri ke <span style="mso-tab-count: 3;"> </span>:<span style="mso-spacerun: yes;"> </span>1 (ibu juga tidak berganti-ganti pasangan)</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Lama perkawinan <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>tidak berpengaruh</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; mso-list: l2 level1 lfo3; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Riwayat Obstetri</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Tidak berpengaruh</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; mso-list: l2 level1 lfo3; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Riwayat KB</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Pemakaian kondom dapat mencegah penularan PMS</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; mso-list: l2 level1 lfo3; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Pola Kebiasaan Sehari-hari</span></div><div class="MsoNoSpacing" style="margin-left: 148.85pt; tab-stops: 5.0cm; text-indent: -3.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Nutrisi <span style="mso-tab-count: 1;"> </span>: nutrisi jelek</span></div><div class="MsoNoSpacing" style="margin-left: 148.85pt; tab-stops: 5.0cm; text-indent: -3.0cm;"><span lang="FI" style="mso-ansi-language: FI; mso-bidi-font-size: 12.0pt;">Eliminasi <span style="mso-tab-count: 1;"> </span>: ibu takut untuk kencing karena terasa sangat nyeri pada kemaluannya</span></div><div class="MsoNoSpacing" style="margin-left: 148.85pt; tab-stops: 5.0cm; text-indent: -3.0cm;"><span lang="FI" style="mso-ansi-language: FI; mso-bidi-font-size: 12.0pt;">Istirahat<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>tidak berpengaruh </span></div><div class="MsoNoSpacing" style="margin-left: 148.85pt; tab-stops: 5.0cm; text-indent: -3.0cm;"><span lang="FI" style="mso-ansi-language: FI; mso-bidi-font-size: 12.0pt;">Aktifitas seksual<span style="mso-tab-count: 1;"> </span>: jika coitus dengan ganti-ganti pasangan / coitus dengan penderita PMS, ibu akan tertular, potensial bartholinitis</span></div><div class="MsoNoSpacing" style="margin-left: 148.85pt; tab-stops: 5.0cm; text-indent: -3.0cm;"><span lang="FI" style="mso-ansi-language: FI; mso-bidi-font-size: 12.0pt;">Personal Hygiene<span style="mso-tab-count: 1;"> </span>: terjadi pada wanita yang mempunya pola personal Hygiene yang kurang, dan lingkungan yang tidak bersih.</span></div><div class="MsoNoSpacing" style="margin-left: 148.85pt; tab-stops: 5.0cm; text-indent: -3.0cm;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l1 level1 lfo2; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">DATA OBYEKTIF</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; mso-list: l6 level1 lfo4; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Pemeriksaan Umum</span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-indent: -98.7pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Kesadaran umum <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>lesu</span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-indent: -98.7pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Kesadaran<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>composmentis</span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-indent: -98.7pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">BB<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>berpengaruh,obesitas menyebabkan paha saling bertemu satu sama lain sehingga sering terjadi pergesekan akibatnya timbul luka sehingga keadaan disekitar menjadi panas dan lembab, kuman dapat hidup subur di daerah tersebut.</span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-indent: -98.7pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">TD<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>dbn</span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-indent: -98.7pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">N<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>dbn</span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-indent: -98.7pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Rr<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>dbn</span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-indent: -98.7pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">T<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>dbn </span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; mso-list: l6 level1 lfo4; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Pemerikasaan Fisik</span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-indent: -98.7pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Muka<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>pucat (-), oedem (-), menyeringai </span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-indent: -98.7pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Mata <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>konjunctiva merah muda, sklera putih</span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-indent: -98.7pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Gilut<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>bersih, bibir merah muda</span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-indent: -98.7pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Leher <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>pembesaran kelenjar tiroid (-), pembesaran kelenjar limfe (+), bendungan vena jugularis (-)</span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-indent: -98.7pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Dada<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>C/P dbn, payudara : dbn</span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-align: justify; text-indent: -98.7pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Abdomen <span style="mso-tab-count: 1;"> </span>: dbn</span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-align: justify; text-indent: -98.7pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Genitalia<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>kel. Bartholin membesar, warna merah, nyeri tekan (+), berbatsan tegas, lunak, labia mayor mangalami pembengkakan </span></div><div class="MsoNoSpacing" style="margin-left: 163.05pt; tab-stops: 155.95pt; text-align: justify; text-indent: -98.7pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">ekstremitas<span style="mso-tab-count: 1;"> </span>: dbn</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; mso-list: l6 level1 lfo4; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Pemeriksaan penunjang</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Pemeriksaan laboratorium dalam perwarnaan dan biakan bakteri</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 1.0cm; mso-list: l3 level1 lfo1; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">INTERPRETASI DATA DASAR</span></div><div class="MsoNoSpacing" style="margin-left: 2.0cm; tab-stops: 49.65pt; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Dx <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>ibu P<sub>10001</sub> dengan abses batholin</span></div><div class="MsoNoSpacing" style="margin-left: 2.0cm; tab-stops: 49.65pt 70.9pt; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Ds<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ibu mengatakan memiliki 1 anak, mengeluh merasakan panas dan nyeri di samping lubang kemaluannya. </span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Jika berjalan, merasakan seperti ada benda berat / benjolan disamping lubang kemaluannya </span></div><div class="MsoNoSpacing" style="margin-left: 2.0cm; tab-stops: 49.65pt 70.9pt; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Do<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>ibu tampak lesu, menyeringai</span></div><div class="MsoNoSpacing" style="margin-left: 2.0cm; tab-stops: 49.65pt 70.9pt; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"> </span>Genitalia : kelenjar bartholin mebesar, labia mayora membengkak, kel. </span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Bartholin berwarna merah, berbatas tegas, lunak, nyeri tekan (+) pada lateral dan dekat posterior prenulum labiorum pudendi</span></div><div class="MsoNoSpacing" style="margin-left: 70.9pt; tab-stops: 49.65pt 2.0cm; text-indent: -42.55pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 1.0cm; mso-list: l3 level1 lfo1; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">ANTISIPASI MASALAH POTENSIAL</span></div><div class="MsoNoSpacing" style="margin-left: 64.35pt; text-indent: 7.65pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">-</span></div><div class="MsoNoSpacing" style="margin-left: 1.0cm;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 1.0cm; mso-list: l3 level1 lfo1; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">INDENTIFIKASI KEBUTUHAN SEGERA</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; text-indent: 25.65pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">-</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; text-indent: 25.65pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 1.0cm; mso-list: l3 level1 lfo1; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">INTERVENSI</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l0 level1 lfo5; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Jelaskan kepada ibu tentang keadaanya </span></div><div class="MsoNoSpacing" style="margin-left: 63.8pt; tab-stops: 63.8pt; text-indent: -17.45pt;"><span lang="DE" style="mso-ansi-language: DE; mso-bidi-font-size: 12.0pt;">R / ibu lebih mengerti dan lebih kooperatif</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l0 level1 lfo5; text-indent: -18.0pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Kolaborasi dengan dokter SpOG untuk tidakan marsupialisasi</span></div><div class="MsoNoSpacing" style="margin-left: 63.8pt; tab-stops: 63.8pt; text-indent: -17.45pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">R /<span style="mso-tab-count: 1;"> </span>menghilangkan abses</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l0 level1 lfo5; text-indent: -18.0pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Kolaborasi dengan laboratorium dalam perwarnaan dan biakan bakteri</span></div><div class="MsoNoSpacing" style="margin-left: 63.8pt; tab-stops: 63.8pt; text-indent: -17.45pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">R /<span style="mso-tab-count: 1;"> </span>mengidentifikasi bakteri patogen</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l0 level1 lfo5; text-indent: -18.0pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Kolaborasi dengan dokter SpOG untuk pemberian analgesik dan antibiotik </span></div><div class="MsoNoSpacing" style="margin-left: 63.8pt; tab-stops: 63.8pt; text-indent: -17.45pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">R /<span style="mso-tab-count: 1;"> </span>mengurangi rasa nyeri dan membunuh bakteri patogen </span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l0 level1 lfo5; text-indent: -18.0pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Anjurkan ibu duduk berendam di air hangat</span></div><div class="MsoNoSpacing" style="margin-left: 63.8pt; tab-stops: 63.8pt; text-indent: -17.45pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">R /<span style="mso-tab-count: 1;"> </span>memberikan rasa nyaman pada ibu</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l0 level1 lfo5; text-indent: -18.0pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Ajari ibu cara cebok yang benar</span></div><div class="MsoNoSpacing" style="margin-left: 63.8pt; tab-stops: 63.8pt; text-indent: -17.45pt;"><span lang="IT" style="mso-ansi-language: IT; mso-bidi-font-size: 12.0pt;">R /<span style="mso-tab-count: 1;"> </span>mengurangi infeksi bakteri dari anus</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l0 level1 lfo5; tab-stops: 63.8pt; text-indent: -18.0pt;"><span lang="IT" style="mso-ansi-language: IT; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IT" style="mso-ansi-language: IT; mso-bidi-font-size: 12.0pt;">Anjurkan pada ibu untuk kontrol ulang setelah tindakan marsupialisasi</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; tab-stops: 63.8pt;"><span lang="IT" style="mso-ansi-language: IT; mso-bidi-font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>R/ observasi keadaan umum ibu</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; tab-stops: 63.8pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 1.0cm; mso-list: l3 level1 lfo1; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">IMPLEMENTASI</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Menjelaskan kepada ibu tentang kondisinya bahwa terdapat abses didaerah kemaluan ibu dan akan dilakukan tidakan marsoplalisasi yaitu mengeluarkan cairan lalu menjahit kembali</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Melakukan kolaborasi dengan dokter SpOG untuk melakukan tidakan marsupalisasi</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Melakukan kolaborasi dengan laboratorium untuk mengidentifikasi bakteri patogen</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Melakukan kolaborasi dengan SpOG untuk pemberian analgesik dan antibiotik</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-size: 12.0pt;">Menganjurkan ibu duduk berendam diair hangat</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Mangajari ibu cara yang benar dari depan kebelakang dengan menggunakan sabun dan dibilas dengan air bersih</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">Menganjurkan ibu kontrol ulang 1minggu setelah tindakan marsupialisasi</span></div><div class="MsoNoSpacing" style="margin-left: 46.35pt; text-align: justify;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 1.0cm; mso-list: l3 level1 lfo1; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VII.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">EVALUASI</span></div><div class="MsoNoSpacing" style="margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">S<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>ibu mengatakan sudah tidak merasakan benjola pada kemaluannya dan terasa sedikit nyeri</span></div><div class="MsoNoSpacing" style="margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">O<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>telah dilakukan tindakan marsupialisasi </span></div><div class="MsoNoSpacing" style="margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">A<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>ibu P<sub>10001 </sub>post tindakan marsupialisasi</span></div><div class="MsoNoSpacing" style="margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -1.0cm;"><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;">P<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>anjurxkan untuk kontrol satu minggu lagi</span></div><div class="MsoNoSpacing" style="margin-left: 2.0cm; tab-stops: 42.55pt; text-indent: -1.0cm;"><br />
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 18.0pt; line-height: 150%;">ADNEXITIS</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">I.<span style="mso-spacerun: yes;"> </span>PENGERTIAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.5pt; text-align: justify; text-indent: 31.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Adnexitis adalah infeksi pada adnexa rahim. Adnexa adalah jaringan yang berada disekitar rahim termasuk tuba fallopi dan ovarium.<span style="mso-spacerun: yes;"> </span>(www.tiki-index.php.htm..com.2007)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.5pt; text-align: justify; text-indent: 31.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Adnexitis adalah radang pada tuba fallopi dan ovarium yang biasanya terjadi bersamaan.<span style="mso-spacerun: yes;"> </span>(Sarwono, 1999:287).</span></div><div style="line-height: 150%; margin-left: 22.5pt; text-align: justify; text-indent: 31.5pt; text-justify: inter-ideograph;"><strong><span lang="EN" style="font-weight: normal; mso-ansi-language: EN; mso-bidi-font-weight: bold;">Adnexitis</span></strong><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="mso-ansi-language: EN;"> </span></b><span lang="EN" style="mso-ansi-language: EN;">adalah infeksi atau radang pada adnexa rahim. Adnexa adalah jaringan yang berada di sekitar rahim, termasuk tuba fallopi dan ovarium. (www.kesehatan<<catatan si Kuke.htm.2008)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.5pt; text-align: justify; text-indent: 31.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Adnexitis adalah infeksi atau radang pada adnexa rahim.<span style="mso-spacerun: yes;"> </span></span><span lang="FI" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">(</span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;"><a href="http://www.ikunorgtiki.com/"><span lang="FI" style="color: windowtext; mso-ansi-language: FI; text-decoration: none; text-underline: none;">www.ikunorgtiki.com</span></a></span><span lang="FI" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.5pt; text-align: justify; text-indent: 31.5pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><b style="mso-bidi-font-weight: normal;"><span lang="FI" style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: FI;">ADNEXITIS AKUT </span></b></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="FI" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">II.<span style="mso-spacerun: yes;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">ETIOLOGI</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Infeksi oleh Neisseria gonorhoe dan Chlamydia trachomatis.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Melakukan aktifitas seks tanpa kondom.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Radang atau infeksi yang menjalar ke atas dari uterus, bisa juga datang dari tempat ekstra vaginal lewat jalan darah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Infeksi setelah aborsi atau infeksi masa nifas.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Akibat tindakan kerokan (kurretage) laparatomi, pemasangan IUD</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Perluasan radang dari alat atau organ yang letaknya tidak jauh seperti appendiks.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="SV" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Melahirkan dengan alat yang tidak steril</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Ganti-ganti pasangan seks</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Sebelumnya sudah pernah terkena pelvic inflamatory disease</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">III.</span></b><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;">TANDA GEJALA</b></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Adnexitis kadang memunculkan gejala kadang pula tidak.<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Gejala umumnya adalah :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l14 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Demam terjadi secara tiba-tiba dan parah terutama akibat Gonnorhoe</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l14 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Sakit pada perut bagian bawah atau kram yang tidak berhubungan dengan haid<span style="mso-spacerun: yes;"> </span>(bukan premenstuasi syndrom)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l14 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Nyeri tekan kanan dan kiri di perut bagian bawah </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l14 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Nyeri saat berhubungan seksual</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l14 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Nyeri BAK</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l14 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Keluarnya cairan berbau dan berwarna kekuningan dari vagina</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l14 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Menstruasi tidak teratur yaitu perdarahan bercak atau spoting sampai perdarahan irreguler</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l14 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Nyeri punggung</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l14 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Dismenore</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l14 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Mennoraghie</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt; mso-list: l14 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Mual muntah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;">ADNEXITIS KRONIK</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -36.0pt; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">ETIOLOGI :</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 53.45pt; mso-list: l11 level1 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Terjadi sebagai lanjutan dari adnexitis akut</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 53.45pt; mso-list: l11 level1 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Dari permulaan sifatnya kronis seperti adnexitis tuberculosa</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -36.0pt; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">GEJALA :</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 53.45pt; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Anamnesis telah menderita adnexitis akut</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 53.45pt; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Nyeri di perut bagian bawah, nyeri ini bertambah sebelum dan sewaktu haid, kadang-kadang nyeri di pinggang atau waktu buang air besar </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 53.45pt; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Disminorea </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 53.45pt; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Mennoragia</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 53.45pt; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Infertilitas </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">IV.<span style="mso-spacerun: yes;"> </span>MENEGAKKAN DIAGNOSA</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Ada</span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;"> beberapa kriteria untuk menegakkan diagnosis <b style="mso-bidi-font-weight: normal;">adnexitis akut</b> :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l1 level1 lfo1; text-align: justify; text-indent: 0cm; text-justify: inter-ideograph;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1. </span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Kriteria minimal </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l5 level1 lfo2; tab-stops: 21.0pt; text-align: justify; text-indent: 21.0pt; text-justify: inter-ideograph;"><span lang="FI" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">l<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Ditemukannya pergerakkan halus adneksa dan rahim</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l5 level1 lfo2; tab-stops: 21.0pt; text-align: justify; text-indent: 21.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">l<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Pergerakan halus pada leher rahim</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">VT</span></b><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;"> : nyeri saaat portio digoyang , nyeri kiri dan kanan uterus, kadang ada penebalan dari tuba (tuba yang sehat tidak teraba).</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l4 level1 lfo3; text-align: justify; text-indent: 0cm; text-justify: inter-ideograph;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.</span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;"> Kriteria tambahan </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l3 level1 lfo4; tab-stops: 21.0pt; text-align: justify; text-indent: -13.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">l<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Keluarnya cairan tidak normal dari vagina, umumnya berbau, berwarna kuning atau kehijauan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l3 level1 lfo4; tab-stops: 21.0pt; text-align: justify; text-indent: 21.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">l<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Panas tubuh menjadi 38 ˚C </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l3 level1 lfo4; tab-stops: 21.0pt; text-align: justify; text-indent: 21.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">l<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Pasien pernah mengalami Gonorrhea atau Chlamydia</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l2 level1 lfo5; text-align: justify; text-indent: 0cm; text-justify: inter-ideograph;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3. </span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Kriteria spesifik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify; text-indent: 31.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Perlu diwaspadai bahwa adnexitis dapat terjadi secara tiba - tiba dan menyebabkan permasalahan yang serius tanpa terlebih dahulu memunculkan gejala - gejala oleh karena itu dianjurkan wanita untuk memeriksakan ke dokter dan menganjurkan pemeriksaan laparoscopy. Dalam current obgyn 9<sup>th</sup> edisi 2003, 65 - 90 % wanita ter prediksi secara akurat terkena adnexitis berkat laparroscopy.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify; text-indent: 31.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Laparoscopy adalah tindakan pembedahan perut dengan menggunakan teleskop/ teropong tanpa melakukan penyayatan lebar pada dinding perut. Teknik pembedahan dilakukan dengan membuat sayatan sekitar lebih kurang 1cm untuk memasukkan alat teleskop dan selanjutnya pemeriksaan atau alat operasi organ dalam perut dilakukan menggunakan alat tersebut dengan melihat dari monitor TV yang ada. Dokter juga perlu melakukan pemeriksaan untuk membedakan adnexitis dengan mencari tahu ada tidaknya mikroorganisme penyebab adnexitis. Hal ini dapat dilakukan dengan pemeriksaan laboratorium yaitu periksaan cairan vagina, kemudian dilakukan pengecatan gram atau gram - stain/ smear</span><span lang="EN-US" style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"> (</span><span lang="EN-US" style="color: black; font-size: 12.0pt; line-height: 150%;">cecil's 5th ed.).</span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;"> </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify; text-indent: 31.5pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify; text-indent: 31.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Penggunaan pelvic ultra sound juga sangat membantu untuk mendiagnosis penyakit ini. Ultrasound berguna untuk melihat pelvic, apakah tuba fallopi melebar ataukah muncul nanah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><b><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Adapun menegakkan diagnosa adnexitis kronik :</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Dengan thoucer dapat teraba adnex tumor.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Adnex ini dapat berupa pyosalphinx atau hidrosalphinx. LED meninggi dan biasanya ada leko dan limphocytosis.<span style="mso-spacerun: yes;"> </span>Salah satu bntuk yang khas ialah yang disebut <b style="mso-bidi-font-weight: normal;">salphingitis isthmica nodosa</b> dimana proses radang hanya nampak pada pars isthmica berupa tonjolan kecil yang dapat menyerupai myoma.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Adnexitis pada seorang virgo harus menimbulkan <b style="mso-bidi-font-weight: normal;">kecurigaan pada adnexitis tuberculosa</b>.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">V. <span style="mso-spacerun: yes;"> </span>DIAGNOSA BANDING </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 148.85pt; mso-list: l6 level1 lfo6; tab-stops: 21.0pt; text-align: justify; text-indent: -127.55pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">n<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Appendicitis<span style="mso-tab-count: 1;"> </span>: tempat nyeri tekan lebih tinggi. ( Mc. Burney ). Pada appendicitis rangkaian gejala awalnya yang klasik yaitu nyeri periumbilikalis, diikuti dengan anoreksia, nausea atau vomitus atau keduanya, dan pergeseran rasa nyeri ke kuadran kanan bawah.<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 148.85pt; mso-list: l6 level1 lfo6; tab-stops: 21.0pt; text-align: justify; text-indent: -127.55pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">n<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Kehamilan ektopik <span style="mso-tab-count: 1;"> </span>: biasanya tidak ada demam, LED tidak meninggi dan lekositose tidak seberapa, kalau tes kehamilan positif maka adnexitis dapat dikesampingkan tapi kalau negative keduanya mungkin. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 148.85pt; mso-list: l6 level1 lfo6; tab-stops: 21.0pt; text-align: justify; text-indent: -127.55pt; text-justify: inter-ideograph;"><span lang="SV" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">n<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Divertikulitis<span style="mso-tab-count: 1;"> </span>: dapat sulit dibedakan dari adnexitis sisi kiri.<span style="mso-spacerun: yes;"> </span>Serangan khas divertikulitis ditandai dengan nyeri pada kuadran kiri bawah, menggigil, demam dan tanda-tanda peritonium.<span style="mso-spacerun: yes;"> </span>Masa yang nyeri dapt terpalpasi di atas sigmoid.<span style="mso-spacerun: yes;"> </span>Pasien dapat memberikan riwayat serangan divertikulitis.</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">VI . PENGOBATAN </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.5pt; text-align: justify; text-indent: 31.5pt; text-justify: inter-ideograph;"><span lang="SV" style="color: black; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pengobatan penyakit ini disesuaikan dengan penyebabnya. Misalnya akibat chlamydia, maka pengobatannya pun ditujukan untuk membasmi chlamydia. Secara umum, pengobatan adnexitis ini umumnya berupa terapi antibiotik. Jika dengan terapi ini tidak terjadi kemajuan, maka penderita perlu dibawa ke rumah sakit untuk diberikan terapi lainnya. Rawat inap menjadi sangat diperlukan apabila:<br />
a) keluar nanah dari tuba fallopi<br />
b) kesakitan yang amat sangat (seperti: mual, muntah, dan demam tinggi)<br />
c) penurunan daya tahan tubuh<br />
d) kehamilan<br />
Siapapun yang terdiagnosis terkena adnexitis dalam 2 bulan pertama, perlu melakukan pengobatan untuk menghentikan infeksi. Bagi wanita yang merasa takut setelah positif terdiagnosis adnexitis, dianjurkan untuk menjalani psikoterapi, agar selama masa penyembuhan, mereka tidak takut lagi akan adanya kekambuhan. Selain itu, pasien juga harus disiplin dan rajin mengunjungi dokter, terutama dokter spesialis seperti dokter spesialis kandungan.</span><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"> </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.5pt; text-align: justify; text-indent: 31.5pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">VII . PENCEGAHAN </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 31.5pt; tab-stops: 27.0pt; text-align: justify; text-indent: 22.5pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pencegahan tidak hanya dari pihak wanita saja, pihak laki - laki juga perlu membantu agar pasangan tidak tertular.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 31.5pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Penangan ini antara lain dapat dilakukan dengan : </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l0 level1 lfo7; tab-stops: 21.25pt 27.0pt list 34.75pt; text-align: justify; text-indent: -31.5pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Setia pada pasangan, penyakit ini sebagian besar ditularkan melalui hubungan seks bebas.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l0 level1 lfo7; tab-stops: 21.25pt 27.0pt list 34.75pt; text-align: justify; text-indent: -31.5pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Segera hubungi dokter apabila gejala - gejala penyakit ini muncul </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l0 level1 lfo7; tab-stops: 21.25pt 27.0pt list 34.75pt; text-align: justify; text-indent: -31.5pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Rutin memriksakan diri dan pasangan ke dokter ahli kandungan </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l0 level1 lfo7; tab-stops: 21.25pt 27.0pt list 34.75pt; text-align: justify; text-indent: -31.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Penggunaan kondom saat berhubungan seksual </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l0 level1 lfo7; tab-stops: 21.25pt 27.0pt list 34.75pt; text-align: justify; text-indent: -31.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Menjaga kebersihan organ genital.</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span lang="FI" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">ASUHAN KEBIDANAN</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span lang="FI" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">PADA IBU P….. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">DENGAN ADNEXITIS AKUT</span></b></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">I.<span style="mso-spacerun: yes;"> </span>PENGKAJIAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">A.<span style="mso-spacerun: yes;"> </span>Data Subjektif</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">1.<span style="mso-spacerun: yes;"> </span>Biodata </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 27.0pt 67.5pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Umur<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>: terjadi pada usia reproduktif</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 27.0pt 67.5pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pekerjaan <span style="mso-tab-count: 1;"> </span>: sering terjadi pada PSK</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="FI" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">2.<span style="mso-spacerun: yes;"> </span>Keluhan Utama</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 58.5pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="FI" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Ibu mengatakan merasakan keluhan :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 94.5pt; mso-list: l15 level1 lfo9; tab-stops: list 94.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Demam </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 94.5pt; mso-list: l15 level1 lfo9; tab-stops: list 94.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Sakit pada perut bagian bawah atau kram yang tidak berhubungan dengan haid<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 94.5pt; mso-list: l15 level1 lfo9; tab-stops: list 94.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Nyeri tekan kanan dan kiri di perut bagian bawah </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 94.5pt; mso-list: l15 level1 lfo9; tab-stops: list 94.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Nyeri saat berhubungan seksual</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 94.5pt; mso-list: l15 level1 lfo9; tab-stops: list 94.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Nyeri BAK</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 94.5pt; mso-list: l15 level1 lfo9; tab-stops: list 94.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Keluarnya cairan berbau dan berwarna kekuningan dari vagina</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 94.5pt; mso-list: l15 level1 lfo9; tab-stops: list 94.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Menstruasi tidak teratur yaitu perdarahan bercak </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 94.5pt; mso-list: l15 level1 lfo9; tab-stops: list 94.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Nyeri punggung</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 94.5pt; mso-list: l15 level1 lfo9; tab-stops: list 94.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Nyeri saat menstruasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 94.5pt; mso-list: l15 level1 lfo9; tab-stops: list 94.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Mual muntah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3.<span style="mso-spacerun: yes;"> </span>Riwayat Kesehatan Sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ibu mengatakan sedang menderita penyakit kelamin (Gonnorhoe) dan keputihan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 40.5pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">4.<span style="mso-spacerun: yes;"> </span>Riwayat Kesehatan Dahulu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ibu mengatakan pernah menderita penyakit kelamin (Gonnorhoe), pernah kuret, pernah infeksi karena AKDR.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l0 level1 lfo7; tab-stops: 27.0pt list 34.75pt; text-align: justify; text-indent: -22.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Riwayat Kesehatan Keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Ibu mengatakan suami menderita penyakit kelamin (Gonnorhoe)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l0 level1 lfo7; tab-stops: 27.0pt list 34.75pt; text-align: justify; text-indent: -22.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Riwayat Menstruasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Haid tidak teratur, menstruasi dapat meningkat dalam jumlah dan lama, perdarahan bercak, disminorhea, dan keputihan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l0 level1 lfo7; tab-stops: 27.0pt list 34.75pt; text-align: justify; text-indent: -22.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Riwayat Pernikahan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Sering ganti-ganti pasangan </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l0 level1 lfo7; tab-stops: 27.0pt list 34.75pt; text-align: justify; text-indent: -22.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Riwayat Ostetri</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Pernah keguguran</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l0 level1 lfo7; tab-stops: 27.0pt list 34.75pt; text-align: justify; text-indent: -22.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Riwayat KB</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Ibu sedang atau pernah menggunakan IUD</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 40.5pt; mso-list: l0 level1 lfo7; tab-stops: 27.0pt list 34.75pt; text-align: justify; text-indent: 0cm; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Pola Kegiatan Sehari-hari</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 40.5pt; mso-list: l7 level1 lfo8; tab-stops: 27.0pt list 36.0pt; text-align: justify; text-indent: 27.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Nutrisi <span style="mso-tab-count: 3;"> </span><span style="mso-tab-count: 1;"> </span>: kurang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 40.5pt; mso-list: l7 level1 lfo8; tab-stops: 27.0pt list 36.0pt; text-align: justify; text-indent: 27.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Eliminasi <span style="mso-tab-count: 2;"> </span><span style="mso-tab-count: 1;"> </span>: nyeri saat BAK</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 40.5pt; mso-list: l7 level1 lfo8; tab-stops: 27.0pt list 36.0pt; text-align: justify; text-indent: 27.0pt; text-justify: inter-ideograph;"><span lang="NO-BOK" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="NO-BOK" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK;">Personal Hygiene<span style="mso-tab-count: 1;"> </span>: vulva hygiene yang salah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; mso-list: l7 level1 lfo8; tab-stops: 27.0pt list 36.0pt; text-align: justify; text-indent: 0cm; text-justify: inter-ideograph;"><span lang="NO-BOK" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="NO-BOK" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK;">Aktifitas seksual<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>: nyeri saat berhubungan seksual</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.5pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="NO-BOK" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK;">B.<span style="mso-spacerun: yes;"> </span>Data Objektif</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="NO-BOK" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK;">1</span></b><span lang="NO-BOK" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK;">.<span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;">Pemeriksaan Umum</b></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; tab-stops: 21.25pt 27.0pt 67.5pt; text-align: justify; text-justify: inter-ideograph;"><span lang="NO-BOK" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK;">Keadaan Umum<span style="mso-tab-count: 1;"> </span>: <span style="mso-spacerun: yes;"> </span>baik-cukup</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; tab-stops: 21.25pt 27.0pt 67.5pt; text-align: justify; text-justify: inter-ideograph;"><span lang="NO-BOK" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK;">Kesadaran<span style="mso-tab-count: 2;"> </span>: <span style="mso-spacerun: yes;"> </span>composmentis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; tab-stops: 21.25pt 27.0pt 67.5pt; text-align: justify; text-justify: inter-ideograph;"><span lang="NO-BOK" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK;">TTV<span style="mso-tab-count: 2;"> </span><span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>TD<span style="mso-tab-count: 1;"> </span>: dbn (100/60 – 140/80 mmHg)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; tab-stops: 21.25pt 27.0pt 67.5pt; text-align: justify; text-justify: inter-ideograph;"><span lang="NO-BOK" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK;"><span style="mso-tab-count: 4;"> </span><span style="mso-tab-count: 1;"> </span>S<span style="mso-tab-count: 1;"> </span>: 36,5- >38 <sup>O</sup>C</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; tab-stops: 21.25pt 27.0pt 67.5pt; text-align: justify; text-justify: inter-ideograph;"><span lang="NO-BOK" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK;"><span style="mso-tab-count: 4;"> </span><span style="mso-tab-count: 1;"> </span>N<span style="mso-tab-count: 1;"> </span>: dbn-meningkat (80-100 x/mnt)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; tab-stops: 21.25pt 27.0pt 67.5pt; text-align: justify; text-justify: inter-ideograph;"><span lang="NO-BOK" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK;"><span style="mso-tab-count: 4;"> </span><span style="mso-tab-count: 1;"> </span>RR<span style="mso-tab-count: 1;"> </span>: dbn (16-20 x/mnt)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="NO-BOK" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK;">2.<span style="mso-spacerun: yes;"> </span>Pemeriksaan fisik</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="NO-BOK" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK;">Wajah<span style="mso-tab-count: 2;"> </span>: dbn-anemia</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Mata<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>: sclera putih, konjungtiva normal-anemis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Leher<span style="mso-tab-count: 2;"> </span>: dbn</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Perut<span style="mso-tab-count: 2;"> </span>: nyeri tekan bagian kanan dan kiri perut bagian bawah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 134.7pt; tab-stops: 21.25pt 27.0pt 127.6pt; text-align: justify; text-indent: -67.2pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Genetalia <span style="mso-tab-count: 1;"> </span>: ada cairan fluor albus yang berbau dan berwarna kehijauan atau kuning</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 135.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">VT</span></b><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"> : nyeri saaat portio digoyang , nyeri kiri dan kanan uterus, kadang ada penebalan dari tuba (tuba yang sehat tidak teraba).</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">3.<span style="mso-spacerun: yes;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="NO-BOK" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK;">Pemeriksaan</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;"> Penunjang </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -21.25pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Pemeriksaan darah lengkap : Hb, Leukosit, LED</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -21.25pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Pewarnaan Gram Endoservik dan Biakan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -21.25pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Kecepatan sedimentasi eritrosit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -21.25pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Kuldosintesis </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -21.25pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Tes kahamilan dengan beta HCG</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -21.25pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Foto abdomen </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -21.25pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Urinalisis </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 3.0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -21.25pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Laparoskopi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">II <span style="mso-spacerun: yes;"> </span>DIAGNOSIS </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify; text-indent: -22.5pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Ds : Ibu mengatakan Demam, Sakit pada perut bagian bawah atau kram yang tidak berhubungan dengan haid, Nyeri tekan kanan dan kiri di perut bagian bawah, Nyeri saat berhubungan seksual, Nyeri BAK, Keluarnya cairan berbau dan berwarna kekuningan dari vagina, Menstruasi tidak teratur yaitu perdarahan bercak, Nyeri punggung, Nyeri saat menstruasi, Mual muntah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.5pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="PT-BR" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Do : </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="PT-BR" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Keadaan Umum<span style="mso-tab-count: 1;"> </span>: baik-cukup</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="PT-BR" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Kesadaran<span style="mso-tab-count: 2;"> </span>: composmentis</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="PT-BR" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;"><span style="mso-tab-count: 3;"> </span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">TTV<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>: <span style="mso-spacerun: yes;"> </span>TD<span style="mso-tab-count: 1;"> </span>: dbn (100/60 – 140/80 mmHg)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; tab-stops: 21.25pt 27.0pt 67.5pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 4;"> </span>S<span style="mso-tab-count: 1;"> </span>: 36,5- >38 <sup>O</sup>C</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; tab-stops: 21.25pt 27.0pt 67.5pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 4;"> </span>N<span style="mso-tab-count: 1;"> </span>: dbn-meningkat (80-100 x/mnt)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; tab-stops: 21.25pt 27.0pt 67.5pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 4;"> </span>RR<span style="mso-tab-count: 1;"> </span>: dbn (16-20 x/mnt)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Wajah<span style="mso-tab-count: 2;"> </span>: dbn-anemia</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Mata<span style="mso-tab-count: 2;"> </span>: sclera putih, konjungtiva normal-anemis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Leher<span style="mso-tab-count: 2;"> </span>: dbn</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Perut<span style="mso-tab-count: 2;"> </span>: nyeri tekan bagian kanan dan kiri perut bagian bawah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 4.0cm; tab-stops: 27.0pt 106.35pt; text-align: justify; text-indent: -68.4pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Genetalia <span style="mso-tab-count: 1;"> </span>: ada cairan fluor albus yang berbau dan berwarna kehijauan atau kuning</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 117.0pt; tab-stops: 27.0pt; text-align: justify; text-indent: -22.5pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>VT : nyeri saaat portio digoyang , nyeri kiri dan kanan uterus, kadang ada penebalan dari tuba (tuba yang sehat tidak teraba).</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l12 level1 lfo16; tab-stops: 21.25pt 27.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="SV" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pemeriksaan darah lengkap : Hb : normal-anemis, hematokrit : normal, Leukosit meningkat, LED meningkat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l12 level1 lfo16; tab-stops: 21.25pt 27.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="SV" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pewarnaan Gram Endoservik dan Biakan : positif bila terdapat biakan bakteri <i style="mso-bidi-font-style: normal;">Neisseria gonorrhoeae</i></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l12 level1 lfo16; tab-stops: 21.25pt 27.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Kecepatan sedimentasi eritrosit : sering meningkat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l12 level1 lfo16; tab-stops: 21.25pt 27.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="IT" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IT" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">Kuldosintesis : positif bila cairan yang diaspirasi non hemoragik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l12 level1 lfo16; tab-stops: 21.25pt 27.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="SV" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Tes kahamilan dengan beta HCG : negatif</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l12 level1 lfo16; tab-stops: 21.25pt 27.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="SV" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Foto abdomen : dapat mrmbantu bila dicurigai ada benda asing, cairan intra peritonium atau organisme penghasil gas. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l12 level1 lfo16; tab-stops: 21.25pt 27.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Urinalisis : normal</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l12 level1 lfo16; tab-stops: 27.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Laparoskopi : dapat membantu bila diagnosis tidak pasti</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.5pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Dx<span style="mso-tab-count: 1;"> </span>: Ibu P…… dengan Adnexitis Akut</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">III. ANTISIPASI MASALAH POTENSIAL</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l9 level1 lfo17; tab-stops: 21.25pt 27.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Peritonitis, pyosalphing, abses tubo ovarium, tromboplebitis septik, limfangitis, selulitis, perihepatitis, abses pada ligamentum latum.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l9 level1 lfo17; tab-stops: 21.25pt 27.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Infertil.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">IV. IDENTIFIKASI KEBUTUHAN SEGERA</span></b></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>-</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">V. INTERVENSI</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">1. Beritahu ibu tentang keadaannya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-indent: 13.5pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">R/ ibu mengerti keadaannya dan lebih kooperatif</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">2. Berikan ibu inform concernt</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-indent: 13.5pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">R/ persetujuan untuk tindakan medis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3. Berikan asupan nutrisi TKTP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-indent: 13.5pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">R/ memperbaiki KU ibu sehingga mempercepat proses penyembuhan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">4. Ajari ibu cara vulva Hygiene yang benar dang anti CD min 2x / hari</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-indent: 13.5pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">R/ menjaga kebersihan genetalia dan mencegah infeksi lebih lanjut</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 31.5pt; tab-stops: 22.5pt 27.0pt; text-align: justify; text-indent: -13.5pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">5. Berikan konseling kepada pasangan tentang keadaan yang dialami ibu yaitu menyangkut aktifitas seksual.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 31.5pt; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">R/ dengan informasi yang benar, pengetahuan pasangan bertambah sehingga timbul pengertian dan tercipta hubungan yang baik antar ibu dan suami.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 27.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">6. Kolaborasi dengan dokter untuk pemberian analgesic, antipiretik, dan aantibiotik (metronidazole dan dosicyclin)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">R/ tugas dependent bidan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">7. Kolaborasi dengan dokter untuk tindakan laparoskopi eksploratif atau histerektomi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-indent: 13.5pt; text-justify: inter-ideograph;"><span lang="IT" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">R/ evaluasi jaringan yang terinfeksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-indent: 13.5pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="IT" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">VI. IMPLEMENTASI</span></b></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><span lang="IT" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">Pelaksanaan dari intervensi.</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><b style="mso-bidi-font-weight: normal;"><span lang="PT-BR" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">VII. EVALUASI</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="PT-BR" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Jam/Tanggal :…….</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="PT-BR" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">S<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="ES-TRAD" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD;">O<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="ES-TRAD" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD;">A<span style="mso-tab-count: 1;"> </span>: Ibu P…… dengan Adnexitis Akut</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><span lang="ES-TRAD" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD;">P<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: justify; text-justify: inter-ideograph;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span lang="ES-TRAD" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD;">DAFTAR PUSTAKA</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; tab-stops: 21.25pt 27.0pt; text-align: center;"><br />
</div><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 12.0pt; text-align: justify; text-indent: -63.8pt; text-justify: inter-ideograph;"><span lang="ES-TRAD" style="font-size: 12.0pt; mso-ansi-language: ES-TRAD;">Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Padjajaran. 1981. <i style="mso-bidi-font-style: normal;">Ginekologi.</i> Bandung : Elstar Offset.</span></div><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 12.0pt; text-align: justify; text-indent: -63.8pt; text-justify: inter-ideograph;"><span lang="ES-TRAD" style="font-size: 12.0pt; mso-ansi-language: ES-TRAD;">Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Padjajaran. 1984. <i style="mso-bidi-font-style: normal;">Obstetri Patologi.</i> Bandung : Elstar Offset. </span></div><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 12.0pt; text-align: justify; text-indent: -63.8pt; text-justify: inter-ideograph;"><span lang="ES-TRAD" style="font-size: 12.0pt; mso-ansi-language: ES-TRAD;">Mochtar, Rustam. 1998. <i style="mso-bidi-font-style: normal;">Synopsis Obstetri Jilid 1</i>. Jakarta : EGC.</span></div><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 12.0pt; text-align: justify; text-indent: -63.8pt; text-justify: inter-ideograph;"><span lang="ES-TRAD" style="font-size: 12.0pt; mso-ansi-language: ES-TRAD;">Prawiro Hardjo, Sarwono. 2005<i style="mso-bidi-font-style: normal;">. Ilmu Kandungan.</i> Jakarta : YBP-SP</span></div><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 12.0pt; text-align: justify; text-indent: -63.8pt; text-justify: inter-ideograph;"><span lang="ES-TRAD" style="font-size: 12.0pt; mso-ansi-language: ES-TRAD;">Prawiro Hardjo, Sarwono. </span><span lang="SV" style="font-size: 12.0pt; mso-ansi-language: SV;">2005. <i style="mso-bidi-font-style: normal;">Ilmu Kebidanan.</i> Jakarta : YBP-SP</span></div><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 12.0pt; text-align: justify; text-indent: -63.8pt; text-justify: inter-ideograph;"><span lang="SV" style="font-size: 12.0pt; mso-ansi-language: SV;">Taber, Ben-Zion. 1994. <i style="mso-bidi-font-style: normal;">Kapita Selekta Kedaruratan Obstetri dan Ginekologi</i>. </span><span lang="FI" style="font-size: 12.0pt; mso-ansi-language: FI;">Jakarta : EGC. </span></div><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 12.0pt; text-align: justify; text-indent: -63.8pt; text-justify: inter-ideograph;"><span lang="FI" style="font-size: 12.0pt; mso-ansi-language: FI;">http://www.tiki-index.php.htm..com.2007 </span></div><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 12.0pt; text-align: justify; text-indent: -63.8pt; text-justify: inter-ideograph;"><span lang="FI" style="font-size: 12.0pt; mso-ansi-language: FI;">http://</span><span lang="EN-US" style="font-size: 12.0pt;"><a href="http://www.ikunorgtiki.com/"><span lang="FI" style="color: windowtext; mso-ansi-language: FI; text-decoration: none; text-underline: none;">www.ikunorgtiki.com</span></a></span><span lang="FI" style="font-size: 12.0pt; mso-ansi-language: FI;">.2008</span></div><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 12.0pt; text-align: justify; text-indent: -63.8pt; text-justify: inter-ideograph;"><span lang="FI" style="font-size: 12.0pt; mso-ansi-language: FI;">http://www.kesehatan<<catatan si Kuke.htm.2008</span><span style="font-size: 12.0pt; mso-ansi-language: IN;"></span></div>Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0tag:blogger.com,1999:blog-7621867379838256899.post-7588302614926820462012-04-16T00:55:00.000+07:002012-04-16T00:55:50.977+07:00Perdarahan Antepartum<!--[if !mso]> <style>
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<div class="WordSection1"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PERDARAHAN ANTEPARTUM</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l92 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PENGERTIAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Perdarahan Antepartum adalah :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l63 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Perdarahan dari alat kelamin pada penderita hamil 20 minggu sampai lahirnya anak (Obstetri Phantom F.K Surabaya : 320)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l63 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Perdarahan yang terjadi setelah kehamilan 28 minggu (Sinopsis Obstetri Moch. Roestam 1998 : 269)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l63 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Perdarahan antepartum biasanya dibatasi pada perdarahan jalan lahir setelah kehamilan 23 minggu (Ilmu Kebidanan. Sarwono P 2005 : 362)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l63 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Perdarahan pervaginam pada kehamilan di atas 28 minggu atau lebih (Manuaba. 1998 : 253)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l63 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kesimpulan, Perdarahan antepartum adalah perdarahan dari alat kelamin yang terjadi pada kehamilan <span style="color: black;">20 minggu</span> sampai lahirnya anak</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 40.5pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l92 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PERDARAHAN YANG DISEBABKAN OLEH KEHAMILAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l21 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">SOLUSIO PLASENTA </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l48 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pengertian</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l25 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Solusio plasenta adalah lepasnya sebagian atau seluruh plasenta dengan implantasi yang normal sebelum anak lahir, pada umur kehamilan 20 minggu atau lebih</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">(Obstetri Phantom. FK Surabaya : 330)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l25 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Solusio plasenta adalah suatu keadaan dimana plasenta yang letaknya normal terlepas dari perlekatannya sebelum janin lahir. Biasanya dihitung sejak kehamilan 28 minggu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">(Sinopsis Obstetri Moch. Rustam. 1998 : 279)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l25 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Solusio plasenta adalah terlepasnya plasenta yang letaknya normal pada korpus uteri sebelum janin lahir, biasanya terjadi dalam triwulan ketiga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">(Ilmu Kebidanan. Sarwono P. 2005 : 376)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l25 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Solusio plasenta adalah pelepasan sebagian atau seluruh plasenta yang normal implantasinya antara minggu 22 dan lahirnya anak </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">(Obstetri patologi. FK Universitas Padjajaran bandung. 1984 : 120)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l37 level1 lfo86; tab-stops: 27.0pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kesimpulan solutio placenta adalah lepasnya sebagian atau seluruh placenta yang implantasinya normal pada corpus uteri sebelum janin lahir, biasanya terjadi sejak umur 20 minggu atau lebih. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l48 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Faktor Penyebab</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Penyebab solusio plasenta tidak diketahui dengan pasti tetapi ada beberapa keadaan yang ditemukan berhubungan dengan solusio plasenta ini </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l56 level1 lfo6; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Multiparitas</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">Para</span><span lang="EN-US"> 5 mempunyai resiko untuk menjadi solusio plasenta 3-4 kali lebih besar dari primipara</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l56 level1 lfo6; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Defisiensi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">Hibbart menemukan pada 72 dari 73 penederita solusio plasenta menunjukkan defisiensi asam folat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l56 level1 lfo6; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pre-eclampsia dan hipertensi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l56 level1 lfo6; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Trauma dari luar : kecelakaan, manipulasi obstetric (versi luar)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l56 level1 lfo6; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tekanan pada vena cava inferior yang meningkat (karena tertekan oleh uterus)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l56 level1 lfo6; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Hydramnion sesudah ketuban pecah, gemelli sesudah anak pertama lahir</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">(Obstetri Phantom. FK Surabaya : 330)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l44 level1 lfo7; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tali pusat yang pendek</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l44 level1 lfo7; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Umur lanjut</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">(Obstetri Patologi. FK Universitas Padjadjaran bandung. 1984 : 123)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l48 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Klasifikasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo8; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Menurut derajat lepasnya plasenta </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level1 lfo9; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Solusio plasenta parsialis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Bila hanya sebagian saja plasenta terlepas dari tempat perlekatannya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level1 lfo9; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Solusio plasenta totalis (komplet)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Bila seluruh plasenta sudah terlepas dari tempat perlekatannya </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level1 lfo9; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Prolapsus plasenta </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Bila plasenta turun ke bawah dan dapat teraba pada pemeriksaan dalam</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo8; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Menurut penyebabnya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l53 level1 lfo10; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Non toksik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Biasanya ringan dan terjadinya partus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l53 level1 lfo10; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Toksik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Lebih parah, terjadinya biasanya pada kehamilan trimester ketiga, dan disertai kelainan-kelainan organik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo8; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Menurut tingkat gejala klinik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l41 level1 lfo11; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Solusio plasenta ringan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Ruptur sinus marginalis atau terlepasnya sebagian kecil plasenta yang tidak berdarah banyak akan menyeybabkan perdarahan pervaginam berwarna kehitaman dan sedikit. Perut agak teras sakit atau terus menerus agak tegang. Bagian-bagian janin mudah diraba</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l41 level1 lfo11; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Solusio plasenta sedang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Plasenta telah terlepas lebih dari seperempat. Tanda dan gejala dapat timbul perlahan atau mendadak dengan gejala sakit perut terus menerus lalu terjadi perdarahan pervaginam. Dinding uterus teraba tegang terus menerus dan nyeri tekan sehingga bagian-bagian janin sukar diraba. Telah ada tanda-tanda persalinan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l41 level1 lfo11; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Solusio plasenta berat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Plasenta terleas lebih dari 2/3 permukaannya. Penderita jatuh syok dan janinnya telah meninggal. Uterus sangat tegang<span style="mso-spacerun: yes;"> </span>seperti papan dan sangat nyeri. Perdarahan pervaginam bias belum terjadi. Telah ada kelainan pembekuan darah dan kelainan ginjal.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l41 level1 lfo11; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tanda dan gejala</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Pada kasus yang ringan perdarahan sedikit, kadang-kadang berhenti, kadang berulang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Pada kasus yang berat :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Perdarahan yang disertai nyeri, juga di luar his</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Anemi dan shock, beratnya anemi dan shock sering tidak sesuai dengan banyaknya darah yang keluar</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Rahim keras seperti papan dan nyeri dipegang karena isi rahim bertambah dengan darah yang berkumpul di belakang plasenta hingga rahim teregang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Palpasi sukar karena rahim keras</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Fundus uteri makin lama makin naik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Bunyi jantung biasanya tidak ada</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pada toucher teraba ketuban yang tegang terus menerus (karena isi rahim bertambah)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Sering ada proteinuria karena disertai toxaemia</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;"><span lang="EN-US">(Obstetri Patologi FK Universitas Padjadjaran Bandung 1984 : 123)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Bila lebih dari 1/3 bagian plasenta yang lepas, anak biasanya sudah mati</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dapat terjadi hypofibrinogenemia</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Persalinan biasanya cepat terjadi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">VT : Ketuban terasa tegang dan menonjol</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;"><span lang="EN-US">(Obstetri Panthom FK Surabaya : 332)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l41 level1 lfo11; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Komplikasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Hypofibrinogenemia</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;"><span lang="EN-US">Thombroplastin like material dari perdarahan retro plasenta masuk ke peredaran darah ibu sehingga terjadi Disseminated Intravascular Coagulation (DIC)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;"><span lang="EN-US">Gejal dari hypofibrinogenemia terlihat bila kadar fibrinogen kurang dari 150 mg %, dan berat bila kurang dari 90 mg %.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Couvelaire uterus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;"><span lang="EN-US">Extravasasi darah ke myometrium sampai ke peritoneum. Dapat terus ke peritoneum tuba, ke jaringan ligamentum latum dan ovarium</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;"><span lang="EN-US">Ini hanya terlihat pada laparotomi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l69 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Acute Renal Failure</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;"><span lang="EN-US">Bila terjadi hipovolemia yang lama apalagi disertai vasokontriksi di ginjal, dapat terjadi kegagalan faal ginjal yang mendadak</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l41 level1 lfo11; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pathologi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify; text-indent: 18.0pt;"><span lang="EN-US">Perdarahan mula-mula terjadi di deciduas dualis. Desidua terpecah, lapisan tipis ikut dengan plasenta dan yang tebal terus kontak dengan uterus.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify; text-indent: 18.0pt;"><span lang="EN-US">Pada kasus yang ringan, perdarahan berhenti dan tidak memberi gejala, hanya diketahui waktu memeriksa plasenta terdapat bekuan darah yang sudah mengadakan organisasi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify; text-indent: 18.0pt;"><span lang="EN-US">Pada kasus yang berat, perdarahan progresif, kemungkinan terjadi :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l57 level1 lfo13; tab-stops: list 90.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">External bleeding</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; text-align: justify;"><span lang="EN-US">Darah mencari jalan keluar antara membrane dan uterus keluar melalui canalis cervicalis. Keadaan ini banyak terjadi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l57 level1 lfo13; tab-stops: list 90.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Internal bleeding</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; text-align: justify;"><span lang="EN-US">Perdarahan tidak keluar melalui canalis cervicalis tetapi terkumpul dalam uterus, kemungkinannya :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-list: l29 level1 lfo14; tab-stops: list 108.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Darah tertahan di belakang plasenta karena tepinya masih melekat dengan uterus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-list: l29 level1 lfo14; tab-stops: list 108.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Darah tidak bisa keluar karena tertahan oleh kepala yang menutup SBR dan cervix</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-list: l29 level1 lfo14; tab-stops: list 108.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Darah masuk ke rongga amnion</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; text-align: justify;"><span lang="EN-US">Internal bleeding merupakan keadaan yang lebih berbahaya karena memberikan komplikasi yang berat.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; text-align: justify;"><span lang="EN-US">Juga macam ini yang memberikan gejala khas solusio plasenta </span></div></div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" /> </span> <div class="WordSection2"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DIAGNOSIS BANDING ANTARA SOLUSIO PLASENTA DAN PLASENTA PREVIA</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">SOLUSIO PLASENTA</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">PLASENTA PREVIA</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kejadian</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hamil tua</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Inpartu</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hamil tua</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Anamnesa</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Mendadak</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Terdapat trauma</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Perdarahan dengan nyeri</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Perlahan, tanpa disadari</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Tanpa trauma</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Perdarahan tanpa nyeri</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Keadaan umum</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Tidak sesuai dengan perdarahan </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Anemis, tekanan darah, nadi dan pernapasan tak sesuai dengan perdarahan </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Dapat disertai pre eklampsi/eklampsi </span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Sesuai dengan perdarahan yang tampak</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Tidak ada</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Palpasi abdomen</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Tegang, nyeri</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Bagian janin sulit diraba</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Lembek, tanpa reasa nyeri</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Bagian janin mudah diraba</span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Denyut jantung janin</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Asfiksia sampai mati tergantung lepasnya plasenta </span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Asfiksia</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Meninggal bila HBs kurang 5 gr %</span></div></td> </tr>
<tr style="mso-yfti-irow: 6; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Pemeriksaan dalam</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ketuban tegang menonjol</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Jaringan plasenta </span></div></td> </tr>
</tbody></table></div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" /> </span> <div class="WordSection3"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">ASUHAN KEBIDANAN</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">PADA IBU HAMIL <span style="mso-spacerun: yes;"> </span>TM II dan TM III </span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Dengan SOLUTIO PLACENTA</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Tempat Pengkajian<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Waktu Pengkajian<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Tempat Pengkajian<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Nama Pengkaji<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 9.0pt; mso-list: l55 level1 lfo15; tab-stops: list 9.0pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pengkajian</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l101 level1 lfo16; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Biodata</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 41.4pt; width: 528px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 90.0pt;" valign="top" width="120"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Umur<span style="mso-tab-count: 2;"> </span>:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 306.0pt;" valign="top" width="408"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Wanita dengan umur > 35 tahun memiliki resiko untuk menjadi solutio plasenta 3x4 lebih besar daripada usia < 35 tahun</span></div></td> </tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 90.0pt;" valign="top" width="120"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Pekerjaan<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 306.0pt;" valign="top" width="408"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Untuk <span style="color: black;">menentukan estimasi nutrisi dan tingkat aktivitas</span></span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l62 level1 lfo17; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Keluhan utama</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;"><span lang="EN-US">Adalah keluhan yang menyebabkan ibu datang ke pelayanan kesehatan, keluhan yang biasanya terjadi pada ibu hamil dengan solutio plasenta adalah :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l91 level1 lfo18; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Terjadi pada usia kehamilan lebih dari 5 bulan (20 minggu)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l91 level1 lfo18; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Darah keluar pervaginam berwarnamerah kehitaman</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l91 level1 lfo18; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ibu mengatakan perutnya nyeri</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l62 level1 lfo17; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kesehatan Sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;"><span lang="EN-US">Terjadi pada kehamilan dengan anemis, perut terasa nyeri, hipofibrinogemia, trauma (kecelakaan, manipulasi obstetric-versi luar), ibu dengan tumor dan polip endometrium</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l62 level1 lfo17; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kesehatan Dahulu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;"><span lang="EN-US">Terjadi pada ibu hamil dengan riwayat hipertensi kehamilan, anemis, trauma langsung saat kehamilan seperti jatuh</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l62 level1 lfo17; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kesehatan Keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;"><span lang="EN-US">Dalam keluarga ibu atau suami biasanya ada riwayat hipertensi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l62 level1 lfo17; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Menstruasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l62 level1 lfo17; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Perkawinan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; tab-stops: 189.0pt; text-align: justify; text-indent: -144.0pt;"><span lang="EN-US">Usia pertama menikah<span style="mso-tab-count: 1;"> </span>: Wanita dengan umur > 35 tahun memiliki resiko untuk menjadi solutio plasenta 3x4 lebih besar daripada usia < 35 tahun</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l62 level1 lfo17; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Obstetri </span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 41.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 2.85pt 0cm 2.85pt; mso-yfti-tbllook: 480;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td colspan="3" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Kehamilan</span></div></td> <td colspan="4" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Persalinan</span></div></td> <td colspan="5" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Bayi</span></div></td> <td colspan="3" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Nifas</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Hamil ke</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">UK</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Komp</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Jenis</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Penolong</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Tempat</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Komp</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Sex</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">PB/BB</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">T/G</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">H/M</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Umur</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Laktasi</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">KB</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Komplikasi</span></div></td> </tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;"><span lang="EN-US">Biasanya terjadi pada ibu hamil usia lanjut dan multiparitas</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l62 level1 lfo17; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kehamilan Sekarang</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 41.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Trimester</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">ANC</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Keluhan</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Teraphy</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">KIE</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ket</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">I</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">1x</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Sering kencing</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Fe, Vit C, Kalk</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l78 level1 lfo19; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kebersihan alat kemaluan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l78 level1 lfo19; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Sering ganti CD</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">II</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">2x</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Perdarahan keluar kehitaman dari kemaluan dan perut nyeri</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Rawat inap di RS</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l78 level1 lfo19; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US"> </span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">III</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l78 level1 lfo19; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US"> </span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l62 level1 lfo17; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pola Kegiatan Sehari-hari</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 9.0pt; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US">Terjadi pada ibu hamil dengan :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l89 level1 lfo87; tab-stops: list 81.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="color: black;">Malnutrisi : pola nutrisi yaitu frekuensi makan yang kurang atau jenis makanann yang tidak bergizi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l89 level1 lfo87; tab-stops: list 81.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Aktivitas yang tinggi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l62 level1 lfo17; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Psikososial</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l101 level1 lfo16; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Data Obyektif</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l18 level1 lfo20; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan Umum</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 153.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt left 144.0pt; text-align: justify; text-indent: -108.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Keadaan umum<span style="mso-tab-count: 1;"> </span>: penderita tidak sesuai dengan perdarahan yang keluar dari vagina karena terjadinya internal bleeding</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 153.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt left 144.0pt; text-align: justify; text-indent: -108.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TD<span style="mso-tab-count: 2;"> </span>: dbn sampai <span style="mso-spacerun: yes;"> </span>menurun (N=110-120/70-80 mmHg)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Nadi <span style="mso-tab-count: 2;"> </span>: dbn sampai meningkat (N-60-100 x/menit)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pernapasan <span style="mso-tab-count: 1;"> </span>: dbn sampai meningkat (N=16-20 x /menit)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Suhu <span style="mso-tab-count: 2;"> </span>: DBN<span style="mso-spacerun: yes;"> </span>36,2 <sup>o </sup>C – 38 <sup>o</sup> C (Ladeweg : 2006)</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 180.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>36 <sup>o </sup>C – 37,2 <sup>o</sup> C (Varney : 1997)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 3;"> </span><span style="mso-tab-count: 1;"> </span>36 <sup>o </sup>C – 37,5 <sup>o</sup> C (Depkes)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l18 level1 lfo20; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan Fisik</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 41.4pt; width: 504px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 92.15pt;" valign="top" width="123"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Muka<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 285.85pt;" valign="top" width="381"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu terlihat pucat (disebabkan perdarahan baik internal atau eksternal karena solutio plasenta menandakan ibu menderita animea)</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 92.15pt;" valign="top" width="123"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Mata<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 285.85pt;" valign="top" width="381"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Konjungtiva pucat (disebabkan perdarahan baik internal dan eksternal karena solutio plasenta menandakan ibu menderita anemia)</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 92.15pt;" valign="top" width="123"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 285.85pt;" valign="top" width="381"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l61 level1 lfo22; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Perut terasa tegang / keras seperti papan terus menerus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l61 level1 lfo22; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Fundus uteri makin lama makin naik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">N : 20 minggu : 3 jari dibawah pusat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>24 minggu : setinggi pusat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>28 minggu : 3 jari di atas usat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>32 minggu : pertengahan pusat – px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>36 minggu : 3 jr di bawah px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>40 minggu : pertengahan pusat - px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l61 level1 lfo22; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Auskultasi DJJ dapat normal, gawat janin (tidak normal), sampai tidak terdengar sedang (N=100-180 x / menit)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l61 level1 lfo22; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dinding perut terasa sakit/nyeri, nyeri tekan, nyeri tekan lepas</span></div></td> </tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 92.15pt;" valign="top" width="123"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 285.85pt;" valign="top" width="381"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l61 level1 lfo22; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Perdarahan +/-, berwarna kehitaman sedikit / banyak</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l61 level1 lfo22; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">PDMO, yaitu pemeriksaan dalam yang dilakukan di atas meja operasi secara langsung melalui tindakan. Pada perdarahan sangat banyak dan pada ibu dengan anemia berat, tidak dianjurkan melakukan PDMO sebagai upaya menentukan diagnosis. PDMO harus dilakukan dalam keadaan siap operasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l61 level1 lfo22; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">PDMO dilakukan sebagai berikut : pada pemeriksaan teraba ketuban menonjol</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l18 level1 lfo20; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan penunjang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l35 level1 lfo23; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">USG</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;"><span lang="EN-US">Untuk mengetahui </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l96 level1 lfo88; tab-stops: list 81.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">seberapa banyak bagian plasenta yang lepas ( hanya sedikit, rupture sinus marginalis, 1/3, 2/3, seluruhnya )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l96 level1 lfo88; tab-stops: list 81.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kondisi janin : baik, fetal distress, mati</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l96 level1 lfo88; tab-stops: list 81.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Cairan amnion : dbn / normal</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l35 level1 lfo23; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksan darah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l34 level1 lfo24; tab-stops: list 81.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Hb dan hematokrit </span><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US"> untuk mengetahui derajat anemi pada ibu hamil</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l34 level1 lfo24; tab-stops: list 81.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Golongan darah dan rhesus : digunakan untuk menyiapkan darah 2-4 unit untuk tranfusi darah dan luasnya perdarahan menentukan perlunya penggantian darah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l55 level1 lfo15; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Interpretasi Data Dasar</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 11.8pt; width: 552px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l54 level1 lfo25; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G P (multiparitas) dengan UK > 20 mgg (preterm) I / T /H dengan solutio plasenta ringan </span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Ds<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan haml anak ke …, dengan usia kehamilan …. bulan perutnya kadang-kadang nyeri, dan dari kemaluannya keluar sedikit darah berwarna merah kehitaman </span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Do<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">K/u <span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu<span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abd<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">USG<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb<span style="mso-spacerun: yes;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DBN</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DBN ( N : 110-120 / 70-80 mmHg )</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DBN ( N : 60-100 x/ menit )</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DBN ( 16-20 x/ menit ) </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DBN</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Gerakan janin normal</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">LI : sesuai usia kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>N : 20 minggu : 3 jari dibawah pusat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>24 minggu : setinggi pusat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>28 minggu : 3 jari di atas pusat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>32 minggu : pertengahan pusat - px</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LII: puka/puki</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LIII : kepala, bokong </span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LIV : belum / sudah masuk PAP</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DJJ dbn ( 100-180x/menit )</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Perdarahan pervaginam +/- berwarna merah kehitaman sedikit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Plasenta terlepas pada sinus marginalisnya, keadaan janin baik, cairan ketuban normal</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Normal <span style="mso-spacerun: yes;"> </span>TM II<span style="mso-spacerun: yes;"> </span>: lebih dari 10,5 gr %</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>TM III : lebih dari 11 gr % </span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l54 level1 lfo25; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G P (multiparitas) dengan UK > 36 mgg (aterm) I / T /H dengan solutio plasenta ringan </span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Ds<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan haml anak ke …, dengan usia kehamilan…bulan perutnya kadang-kadang nyeri, dan dari kemaluannya keluar sedikit darah berwarna merah kehitaman </span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Do<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">K/u<span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu<span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abd<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">USG<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb<span style="mso-spacerun: yes;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DBN</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DBN ( N : 110-120 / 70-80 mmHg )</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DBN ( N : 60-100 x/ menit )</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DBN ( 16-20 x/ menit ) </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DBN</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Gerakan janin normal</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">LI : sesuai usia kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>N :36 minggu : 3 jr di bawah px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>40 minggu : pertengahan pusat – px</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LII: puka/puki</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LIII : kepala, bokong </span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LIV : belum / sudah masuk PAP</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DJJ dbn ( 100-180x/menit )</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Perdarahan pervaginam +/- berwarna merah kehitaman sedikit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Plasenta terlepas pada sinus marginalisnya, keadaan janin baik, cairan ketuban normal</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Normal <span style="mso-spacerun: yes;"> </span>TM III : lebih dari 11 gr % </span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l54 level1 lfo25; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G P (multiparitas) dengan UK > 36 mgg (aterm) I / T /H dengan solutio plasenta sedang</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Ds<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan haml anak ke …, dengan usia kehamilan…bulan perutnya sering nyeri, gerakan janinnya berkurang dan dari kemaluannya keluar sedikit darah berwarna merah kehitaman yang jumlahnya sedang / biasa</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Do<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">K/u<span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu<span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abd<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">USG<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb<span style="mso-spacerun: yes;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Normal sampai lemah</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">menurun ( < N : 110-120 / 70-80 mmHg )</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">meningkat ( >N : 60-100 x/ menit )</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">meningkat ( >16-20 x/ menit ) </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DBN</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Gerakan janin berkurang ( < 3x / hr ), perut tegang / nyeri tekan</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">LI : TFU makin lama makin naik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>N :36 minggu : 3 jr di bawah px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>40 minggu : pertengahan pusat – px</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LII: sulit diraba</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LIII : sulit diraba</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LIV : sulit diraba</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DJJ tidak normal ( kurang dari 100 / lebih dari 180 )</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Perdarahan pervaginam +/- berwarna merah kehitaman sedang / biasa</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Plasenta terlepas lebih dari ¼ bagian lateral, kondisi janin : fetal distress, amnion normal</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Anemia ( kurang dari normal<span style="mso-spacerun: yes;"> </span>TM III : lebih dari </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">11 gr % )</span></div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l54 level1 lfo25; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G P (multiparitas) dengan UK > 36 mgg (aterm) I / T /H dengan solutio plasenta berat</span></div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Ds<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan hamil anak ke …, dengan usia kehamilan…bulan perutnya sering nyeri, gerakan janinnya berkurang dan dari kemaluannya keluar sedikit darah berwarna merah kehitaman yang jumlahnya banyak dan bergumpal</span></div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Do<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">K/u<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu<span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abd<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">USG<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb<span style="mso-spacerun: yes;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">lemah</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">menurun ( < N : 110-120 / 70-80 mmHg )</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">meningkat ( >N : 60-100 x/ menit )</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">meningkat ( >16-20 x/ menit ) </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DBN</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Gerakan janin berkurang ( < 3x / hr ), perut tegang seperti papan ,nyeri terus menerus</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">LI : TFU makin lama makin naik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>N :36 minggu : 3 jr di bawah px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>40 minggu : pertengahan pusat – px</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LII: sulit diraba</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LIII : sulit diraba</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LIV : sulit diraba</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DJJ tidak normal ( kurang dari 100 / lebih dari 180 )</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Perdarahan pervaginam +/- berwarna merah kehitaman banyak</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Plasenta terlepas lebih dari 2/3 bagian lateral, kondisi janin : fetal distress, amnion normal</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Anemia ( kurang dari normal<span style="mso-spacerun: yes;"> </span>TM III : lebih dari </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">11 gr % )</span></div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l54 level1 lfo25; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G P (multiparitas) dengan UK > 20 mgg 1/T/mati dengan solutio plasenta berat</span></div></td> </tr>
<tr style="mso-yfti-irow: 13;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Ds<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan hamil anak ke <span style="mso-spacerun: yes;"> </span>, ibu tidak merasakan gerakan janinnya, perutnya nyeri, dan dari kemaluannya keluar darah berwarna merah kehitaman banyak dan bergumpal</span></div></td> </tr>
<tr style="mso-yfti-irow: 14; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Do<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">K/u<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu<span style="mso-tab-count: 2;"> </span>: Abd<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">USG<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb<span style="mso-spacerun: yes;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">lemah</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">menurun (kurang dari 110-120/70-80 mmHg)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">meningkat (>100x/menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">meningkat (> 20 x /menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DBN</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">HIS adekuat/cukup, perut teraba tegang seperti papan, gerakan janin tidak ada, dinding perut tersa nyeri</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">LI = TFU makin lama makin naik</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="height: 40px; left: 0px; margin-left: 46px; margin-top: 20px; mso-ignore: vglayout; position: absolute; width: 208px; z-index: 5;"> </span></div><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td bgcolor="white" height="40" style="background: white; vertical-align: top;" width="208"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 5;"> <table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div class="shape" style="padding: 3.6pt 7.2pt 3.6pt 7.2pt;"> <div class="MsoNormal"><span lang="EN-US">Bagian janin sulit diraba</span></div></div></td> </tr>
</tbody></table></span> </td> </tr>
</tbody></table><span style="height: 64px; left: 0px; margin-left: 30px; margin-top: 4px; mso-ignore: vglayout; position: absolute; width: 16px; z-index: -12;"><img height="64" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="16" /></span><span lang="EN-US">LII </span> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">LIII</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">LIV</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DJJ -</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Perdarahan +/- warna merah kehitaman</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Plasenta terlepas lebih dari 2/3 bagian lateral, kondisi janin : mati , amnion normal</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Anemia ( kurang dari normal<span style="mso-spacerun: yes;"> </span>TM III : lebih dari </span></div><div class="MsoNormal"><span lang="EN-US">11 gr % )</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Diagnosa yang diambil</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 11.8pt; width: 552px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l54 level1 lfo25; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">III</span><span lang="EN-US"> P20002 dengan UK 38 mgg I / T /H dengan APB</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Ds<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan hamil anak ketiga, dengan usia kehamilan 9 bulan perutnya sering nyeri, gerakan janinnya berkurang dan dari kemaluannya keluar sedikit darah berwarna merah kehitaman yang jumlahnya sedang / biasa</span></div></td> </tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Do<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">K/u<span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu<span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abd<span style="mso-tab-count: 2;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb <span style="mso-spacerun: yes;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">cukup</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">100/90 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">100 x/ menit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">24 x / menit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">36,5 ºC</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Gerakan janin berkurang ( < 3x / hr ), perut tegang / nyeri tekan</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">LI : TFU makin lama makin naik ( 2 jr dibawah px )</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LII: sulit diraba</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LIII : sulit diraba</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US">LIV : sulit diraba</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DJJ : 100 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Perdarahan pervaginam +/- berwarna merah kehitaman sedang / biasa</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">9 gr %</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l55 level1 lfo15; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Identifikasi Masalah</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l38 level1 lfo26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">preshock dan shock</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l38 level1 lfo26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Gawat janin</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l38 level1 lfo26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">hipofibri nogemia</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l38 level1 lfo26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">couvelaire uterus</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l38 level1 lfo26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">acute renal failure</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l55 level1 lfo15; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Identifikasi Kebutuhan Segera</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l9 level1 lfo27; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Rehidrasi dan persiapan donor darah</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l9 level1 lfo27; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Rujuk ke rumah sakit</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l55 level1 lfo15; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Intervensi</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l64 level1 lfo28; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Jelaskan pada ibu dan keluarga tentang keadaan ibu dan janinnya. </span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ ibu mengerti tentang keadaannya dan lebh kooperatif </span></div><ol start="2" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l64 level1 lfo28; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">pasang infuse RL 20 tetes / menit</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ keseimbangan cairan dan elektrolit</span></div><ol start="3" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l64 level1 lfo28; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">berikan konseling pada ibu dan keluarga</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ persiapan mental dan ibu serta keluarga dapat lebih kooperatif</span></div><ol start="4" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l64 level1 lfo28; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">informed consent</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ sebagai persetujuan atas tindakan dilakukan yang dilakukan</span></div><ol start="5" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l64 level1 lfo28; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">observasi HIS, DJJ, nadi tiap 15 menit</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ deteksi dini adanya komplikasi</span></div><ol start="6" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l64 level1 lfo28; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">observasi tekanan darah, suhu tiap 2 jam k/p</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ deteksi dini adanya komplikasi</span></div><ol start="7" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l64 level1 lfo28; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Siapkan rujukan ( BAKSOKU )</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ menyelamatkan ibu dan bayi</span></div><ol start="8" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l64 level1 lfo28; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Kolaborasi dengan dokter untuk USG</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ memantau keadaan janin</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l55 level1 lfo15; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">IMPLEMENTASI</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>_</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l55 level1 lfo15; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">VII.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">EVALUASI</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US">(tanggal :…………, jam :……………..)</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 36pt; width: 508px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">S<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan nyeri pada perutnya, gerakan janinnya semakin berkurang dan keluar darah dari alat kemaluannya berwarna merah kehitaman biasa</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">O<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD : 110/80 mmHg</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N : 80 x/ menit</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR : 20 x/ menit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu : 36,7ºC</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DJJ <span style="mso-spacerun: yes;"> </span>: 100 x/ menit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">USG : placenta terlepas lebih dari 2/3 bagian lateral</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb : 10 gr %</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">A<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">III</span><span lang="EN-US"> P20002 dengan UK 38 mgg I / T /H dengan solution plasenta sedang</span></div></td> </tr>
<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">P<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Rehidrasi</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Persiapan operasi SC ( a/p dokter )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l74 level1 lfo29; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">pasang dauer kateter</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l74 level1 lfo29; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">lakukan scern</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l74 level1 lfo29; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">pasang pakaian operasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l74 level1 lfo29; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">persiapkan alat operasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l74 level1 lfo29; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">persiapkan tempat operasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">R/ pencegahan infeksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l58 level1 lfo30; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">persiapan untuk bayi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l20 level1 lfo31; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">alat resusitasi pernafasan : alat penghisap lender</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l20 level1 lfo31; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">O<sub>2</sub></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l20 level1 lfo31; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tempat tidur khusus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l20 level1 lfo31; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tempat plasenta </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>(tanggal :…………, jam :……………..)</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 36pt; width: 508px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">S<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan telah siap untuk dioperasi</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">O<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD : 110/80 mmHg</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N : 80 x/ menit</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR : 20 x/ menit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu : 36,7 ºC</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">A<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">III</span><span lang="EN-US"> P20002 dengan UK 38 mgg I / T /H dengan solution plasenta sedang</span></div></td> </tr>
<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">P<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Melakukan operasi sc oleh dokter</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Catatan perkembangan (tanggal :…., jam :….)</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 36pt; width: 508px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">S<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan pusing pada kepalanya</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">O<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu telah dioperasi oleh dr. SpOG pada tanggal ….jam ….</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Luka operasi + (melintang, </span><span lang="EN-US" style="font-family: Symbol; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">±</span></span><span lang="EN-US"> 15 cm, kering, tidak ada pest)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD : 110/80 mmHg</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N : 80 x/menit</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR : 20 x/menit</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">S :<span style="mso-spacerun: yes;"> </span>36,7 ºC</span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abd : TFU 1 jari </span><span lang="EN-US" style="font-family: Symbol; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">¯</span></span><span lang="EN-US"> pusat. UC baik, blast kosong</span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Genitalia : PPV +, </span><span lang="EN-US" style="font-family: Symbol; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">±</span></span><span lang="EN-US"> 50 cc</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Bayi lahir tanggal ….jam….., jenis kelamin </span><span lang="EN-US" style="font-family: "Arial","sans-serif";">♂</span><span lang="EN-US">/</span><span lang="EN-US" style="font-family: "Arial","sans-serif";">♀</span><span lang="EN-US">, PB/BB, AS anus +/-, cacat +/-, caput sucekdonium +/-, cepat hematom +/-, plasenta lahir lengkap jam …</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">A<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu P3003 post sc</span></div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">P<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Observasi TTV </span></div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Nadi, TD, tiap 15 menit pada 1 jam pertama dan tiap 30 menit pada 1 jam kedua</span></div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu tiap jam pada 2 jam post sc</span></div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Observasi perdarahan pervaginam, TFU, UC tiap 15 menit pada 1 jam pertama dan tiap 30 menit pada 1 jam kedua</span></div></td> </tr>
<tr style="mso-yfti-irow: 13;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Dengarkan peristaltik usus (peristaltic usus -)</span></div></td> </tr>
<tr style="mso-yfti-irow: 14;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Observasi luka operasi</span></div></td> </tr>
<tr style="mso-yfti-irow: 15; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kolaborasi dengan dokter SpOG untuk pemberian antibiotika dan obat penunjang (alinaminF, roborantia,antibiotika)</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Catatan perkembangan (tanggal …., jam….)</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 36pt; width: 508px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">S<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan telah dioperasi sesar dan masih nyeri pada luka jahitan</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan senang karena bayinya telah lahir dengan selamat</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">O<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu telah dioperasi oleh dr. SpOG pada tanggal ….jam ….</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Luka operasi + (melintang, </span><span lang="EN-US" style="font-family: Symbol; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">±</span></span><span lang="EN-US"> 15 cm, kering, tidak ada pest)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD : DBN (110-120/70-80 mmHg)</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N : DBN (60-100 x/menit)</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR : DBN(16-20 x/menit)</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">S : DBN : <span style="mso-tab-count: 1;"> </span>36,5 </span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abd : TFU 1 jari </span><span lang="EN-US" style="font-family: Symbol; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">¯</span></span><span lang="EN-US"> pusat. UC baik, blast kosong</span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Genitalia : PPV +, </span><span lang="EN-US" style="font-family: Symbol; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">±</span></span><span lang="EN-US"> 20 cc</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">A<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu P3003 2 jam post sc</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">P<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Observasi TTV </span></div></td> </tr>
<tr style="mso-yfti-irow: 9; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Observasi luka operasi</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" /> </span> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">PLASENTA PREVIA</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l86 level1 lfo32; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">A<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pengertian</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l68 level1 lfo33; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Plasenta previa adlah plasenta yang berimplantasi pada segmen bawah rahim dan menutupi sebagian atau seluruh uteri internum (Pelayanan Kesehatan Maternal dan Neonatal-YBP-SP. 2002 : 162)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l68 level1 lfo33; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Plasenta previa adalah plasenta yang letaknya abnormal, yaitu pada segmen bawah uterus sehingga dapat menutupi sebagian atau seluruh pembukaan jalan lahir (Ilmu Kebidanan. Sarwono P. 2005 : 365)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l68 level1 lfo33; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Plasenta previa adalah plasenta dengan implantasi di sekitar segmen bawah rahim, sehingga dapat menutupi sebagian atau seluruh ostium uteri internum (Ilmu Kebidanan, Penyakit Kandungan dan KB untuk Pendidikan Bidan. Manuaba. 1998 : 253)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l68 level1 lfo33; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Plasenta previa adalah jaringan plasenta yang tidak tertanam dalam korpus uteri tetapi terletak sangat dekat atau pada ostium uteri interim (Obstetri Williams. F. Gary Cunningham. 1995 : 846)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l68 level1 lfo33; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kesimpulan, Placenta previa adalah jaringan placenta yang tidak tertanam dalam corpus uteri tetapi berimplantasi pada segmen bawah rahim atau sangat dekat dengan ostium uteri internum, sehingga menutupi sebagian atau seluruh ostium uteri internum</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l86 level1 lfo32; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">A<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Klasifikasi Plasenta Previa</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Secara teoritis, klasifikasi plasenta previa didasarkan atas terabanya jaringan plasenta melalui pembukaan jalan lahir 4 cm, yaitu :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l10 level1 lfo34; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Plasenta previa totalis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level3 lfo34; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Apabila jaringan plasenta menutupi seluruh ostium uteri internum pada pembukaan cervix 4 cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level3 lfo34; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Plasenta previa sentralis yaitu bila pusat plasenta berada tepat dengan sentral kanalis servikalis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l10 level1 lfo34; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Plasenta previa parsialis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">Apabila jaringan plasenta menutupi sebagian dari ostium uteri internum, pada pembukaan cervix 4 cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l10 level1 lfo34; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Plasenta previa marginalis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">Apabila pinggir plasenta berada tepat pada pinggir ostium uteri internum pada pembukaan cervix 4 cm</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l10 level1 lfo34; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Plasenta previa letak rendah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">Plasenta yang letaknya abnormal pada segmen bawah uterus, akan tetapi belum sampai menutupi uteri internum. Pinggir plasenta berada kira-kira 3-4 cm di atas pinggir ostium</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">Uteri internum, sehingga tidak akan teraba pada pembukaan jalan lahir</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l86 level1 lfo32; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">A<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Etiologi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Implantasi plasenta di segmen bawah rahim dapat disebabkan :</span></div><ul style="margin-top: 0cm;" type="disc"><li class="MsoNormal" style="line-height: 150%; mso-list: l83 level1 lfo35; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Endometrium di functus uteri belum siap menerima implantasi</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l83 level1 lfo35; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Endometrium yang tipis sehingga diperlukan perluasan plasenta untuk mampu memberikan nutrisi pada janin</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l83 level1 lfo35; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Vascularisasi pada daerah deciduas yang tidak cukup sehingga plasenta mencari makanan ke daerah lain yang mengakibatkan plasenta menjadi bertambah luas. Sering terklihat kedua pada plasenta previa bahwa plasenta lebih tipis dan luas. Kekurangan vascularisasi ini dapat disebabkan oleh radang atau atrofi pada endometrium.</span></li>
</ul><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Factor-faktor yang dapat meningkatkan kejadian plasenta previa :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l31 level1 lfo36; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Umur penderita</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l93 level1 lfo37; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Umur muda </span><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US"> karena endometrium masih belum sempurna</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l93 level1 lfo37; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Umur di atas 35 tahun </span><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US"> karena endometrium yang berkurang kesuburannya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l31 level1 lfo36; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Paritas</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l93 level1 lfo37; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pada paritas yang tinggi dan jarak anak yang terlalu dekat kejadian plasenta previa makin besar karena endometrium belum sempat sembuh</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l31 level1 lfo36; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Endometrium yang cacat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l93 level1 lfo37; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Bekas implantasi plasenta pada kehamilan yang lalu dengan jarak pendek</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l93 level1 lfo37; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Bekas operasi, bekas kuretage, atau plasenta manual</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l93 level1 lfo37; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Perubahan endometrium pada mioma uteri atau polip</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l93 level1 lfo37; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pada keadaan malnutrisi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l86 level1 lfo32; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">A<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tanda dan gejala</span></div><ol start="1" style="margin-top: 0cm;" type="a"><li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo38; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Perdarahan tanpa alasan dan tanpa rasa nyeri merupakan gejala utama dan pertama dari plasenta previa. Perdarahan dapat terjadi pada saat tidur atau sedang melakukan aktivitas. Perdarahan pertama biasanya tidak banyak, sehingga tidak akan berakibat fatal. Akan tetapi, perdarahan berikutnya hamper selalu lebih banyak daripada sebelumnya. Darahnya berwarna merah segar, berlainan dengan darah yang disebabkan oleh solusio plasenta yang berwarna kehitam-hitaman.</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">Perdarahan plasenta previa totalis akan terjadi lebih dini daripada plasenta letak rendah, yang mungkin bau berdarah setelah persalinan mulai.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">Bentuk perdarahan yang sedikit ataupun banyak dapat menimbulkan penyakit pada janin maupun ibu. Penyakit bagi ibu dapat menimbulkan anemia sampai syok. Sedangkan untuk janin dapat menimbulkan asfiksia sampai kematian janin dalam rahim.</span></div><ol start="2" style="margin-top: 0cm;" type="a"><li class="MsoNormal" style="line-height: 150%; mso-list: l11 level1 lfo38; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Turunnya bagian terbawah janin ke dalam pintu atas pinggul akan terhalang karena adanya plasenta di bagian bawah uterus, atau dapat menimbulkan kelainan letak janin dalam rahim.</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l86 level1 lfo32; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">A<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Patofisiologi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Plasenta previa adalah implantasi plasenta di segmen bawah rahim sehingga menutupi kanalis servikalis dan mengganggu proses persalinan dengan terjadinya perdarahan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span style="height: 23px; left: 0px; margin-left: 144px; margin-top: 396px; mso-ignore: vglayout; position: absolute; width: 256px; z-index: 8;"> </span></div><table cellpadding="0" cellspacing="0"><tbody>
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<tr> <td> <div class="shape" style="padding: 0pt 0pt 0pt 0pt;"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="EN-US" style="font-size: 10.0pt;">Perdarahan </span></div></div></td> </tr>
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<tr> <td> <div class="shape" style="padding: 0pt 0pt 0pt 0pt;"> <div class="MsoNormal"><span lang="EN-US" style="font-size: 10.0pt;">Endometrium belum sempurna</span></div></div></td> </tr>
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<tr> <td> <div class="shape" style="padding: 0pt 0pt 0pt 0pt;"> <div class="MsoNormal"><span lang="EN-US" style="font-size: 10.0pt;">Endometrium di fundus uteri belum siap menerima implantasi</span></div></div></td> </tr>
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</tbody></table></span><span lang="EN-US"><img height="422" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="542" /></span><span lang="EN-US">Sumber : Manuaba. 1998 : 253-254</span> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l86 level1 lfo32; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">A<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Penanganan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Plasenta previa dengan perdarahan merupakan keadaan darurat kebidanan yang memerlukan penanganan yang baik. Bentuk pertolongan pada plasenta previa adalah :</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l46 level1 lfo39; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Segera melakukan operasi persalinan untuk dapat menyelamatkan ibu dan anak atau untuk mengurangi kesakitan dan kematian</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l46 level1 lfo39; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Memecahkan ketuban di atas meja operasi selajutnya pengawasan untuk dapat melakukan pertolongan lebih lanjut</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l46 level1 lfo39; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Bidan yang menghadapi perdarahan plasenta previa dapat mengambil sikap melakukan rujukan ke tempat pertolongan yang mempunyai fasilitas cukup.</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">Dalam melakukan rujukan penderita plasenta previa sebaiknya dilengkapi dengan :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l79 level1 lfo40; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemasangan infus untuk mengimbangi perdarahan </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l79 level1 lfo40; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Sedapat mungkin diantar oleh petugas</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l79 level1 lfo40; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dilengkapi dengan keterangan secukupnya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l79 level1 lfo40; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dipersiapkan donor darah untuk tranfusi darah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">Perawatan selanjutnya tergantung pada bahaya perdarahan terhadap ibu dan viabilitas janin.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l81 level1 lfo41; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Penanganan pasif/konservatif/ekspektatif</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Tujuan penanganan pasif adalah supaya janin tidak terlahir premature, penderita dirawat tanpa melakukan pemeriksaan dalam. Pemantauan klinis dilaksanakan secara ketat dan baik. Syarat-syarat penanganan pasif :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l23 level1 lfo42; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kehamilan pretern (< 36 minggu atau taksiran berat janin < 2500 gram) dengan perdarahan sedikit yang kemudian berhenti</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l23 level1 lfo42; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Keadaan umum ibu cukup baik (kadar Hb dalam batas normal)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l23 level1 lfo42; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Janin masih hidup</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l23 level1 lfo42; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Belum ada tanda-tanda in partu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Pada penanganan pasif ini, penderita harus dirawat di rumah sakit sejak perdarahan pertama sampai pemeriksaan menunjukkan tidak adanya plasenta previa atau sampai bersalin. Transfuse darah dan operasi harus dapat dilakukan setiap saat apabila diperlukan. Bila perdarahan berhenti dan waktu untuk mencapai 37 minggu masih lama, pasien dapat dipulangkan untuk rawat jalan (kecuali apabila rumah pasien di luar kota dan jarak untuk mencapai rumah sakit lebih dari 2 jam) dengan pesan agar tidak bekerja terlalu keras, tidak boleh coitus dan segera kembali ke rumah sakit apabila terjadi perdarahan ulang.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l81 level1 lfo41; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Penanganan aktif (tindakan segera)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Penanganan aktif dilakukan apabila perdarahan yang telah berlangsung atau yang akan berlangsung akan membahayakan ibu dan/atau janinnya, atau kehamilannya telah cukup 36 minggu, atau taksiran berat janin telah mencapai 2500 gram. Terdapat dua pilihan cara persalinan, yaitu persalinan pervaginam dan persalinan perdarahan abdominam (seksio sesarea)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Persalinan pervaginam bertujuan agar bagian terbawah janin menekan plasenta dan bagian plasenta yang berdarah selama persalinan berlangsung, sehingga perdarahan berhenti.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Seksio sesarea betujuan secepatnya mengangkat sumber perdarahan, dengan demikian memberikan kesempatan kepada uterus untuk berkontraksi menghentikan perdarahannya dan untuk menghindarkan perlukaan serviks dan segmen bawah uterus yang rapuh apabila dilangsungkan persalinan pervaginam.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l47 level1 lfo43; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Melahirkan pervaginam</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;"><span lang="EN-US">Perdarahan akan berhenti jika ada penekanan pada plasenta. Penekanan tersebut dapat dilakukan dengan cara-cara sebagai berikut :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l13 level1 lfo44; tab-stops: list 90.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ð<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Amniotomi dan akselerasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; text-align: justify;"><span lang="EN-US">Umumnya dilakukan pada plasenta previa parsialis/marginalis dengan pembukaan > 3 cm serta presentasi kepala. Dengan memecah ketuban, plasenta akan mengikuti segmen bawah rahim dan ditekan oleh kepala janin. Jika kontraksi uterus belum ada atau masih lemah, akselerasi dengan infuse oksitosin.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l13 level1 lfo44; tab-stops: list 90.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ð<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Versi Braxton Hicks</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; text-align: justify;"><span lang="EN-US">Dilakukan versi ke letak sungsang. Satu kaki dikeluarkan sebagai tampon dan diberikan pemberat untuk mempercepat pembukaan dan menghentikan perdarahan. Versi Braxton Hicks tidak dilakukan pada janin yang masih hidup </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l13 level1 lfo44; tab-stops: list 90.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ð<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Traksi dengan Cunam Willet atau Cunam Willet Gausz</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; text-align: justify;"><span lang="EN-US">Kulit kepala janin dijepit dengan Cunam Willet, kemudian diberi beban/pemberat secukupnya yang ketubannya telah dipecahkan untuk mempercepat pembukaan dan menghentikan perdarahan. Tindakan ini biasanya dilakukan pada janin yang telah meninggal.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l13 level1 lfo44; tab-stops: list 90.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ð<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemasangan kantng karet Metreurynter</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; text-align: justify;"><span lang="EN-US">Kantong karet dipasang untuk menghentikan perdarahan dan mempercepat pembukaan sehingga persalinan dapat segera berlangsung</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l47 level1 lfo43; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Sectio sesarea</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;"><span lang="EN-US">Prinsip utama dalam melakukan section sesarea adalah untuk menyelamatkan ibu, sehingga walaupun janin meninggal atau tidak punya harapan hidup, tindakan ini tetap dilaksanakan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;"><span lang="EN-US">Tindakan utama section sesarea :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l28 level1 lfo45; tab-stops: list 90.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Melahirkan janin dengan segera sehingga uterus dapat segera berkontraksi dan menghentikan perdarahan </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l28 level1 lfo45; tab-stops: list 90.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Menghindarkan kemungkinan terjadinya robekan pada serviks uteri, jika janin dilahirkan pervaginam.</span></div></div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" /> </span> <div class="WordSection4"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="height: 30px; left: 0px; margin-left: 479px; margin-top: 383px; mso-ignore: vglayout; position: absolute; width: 72px; z-index: 11;"> </span></div><table cellpadding="0" cellspacing="0"><tbody>
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<tr> <td> <div class="shape" style="padding: .75pt .75pt .75pt .75pt;"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="EN-US" style="font-size: 10.0pt;">His mulai</span></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
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<tr> <td> <div class="shape" style="padding: .75pt .75pt .75pt .75pt;"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="EN-US" style="font-size: 10.0pt;">Perdarahan </span></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
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<tr> <td> <div class="shape" style="padding: .75pt .75pt .75pt .75pt;"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="EN-US" style="font-size: 10.0pt;">Prematur Konservatif Rawat Inap</span></div></div></td> </tr>
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</tbody></table></span><span lang="EN-US"><img height="876" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="570" /></span> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">ASUHAN KEBIDANAN</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">PADA IBU HAMIL TM II DAN TM III</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">DENGAN PLACENTA PREVIA</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Tanggal Pengkajian<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Waktu Pengkajian<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Tempat Pengkajian<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Nama Pengkaji<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Pengkajian</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l86 level1 lfo32; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">A<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Data Subjektif</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l8 level1 lfo51; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Biodata</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-insideh: none; mso-border-insidev: none; mso-padding-alt: 0cm 2.85pt 0cm 2.85pt; mso-yfti-tbllook: 480; width: 100.0%;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 20.86%;" valign="top" width="20%"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Umur<span style="mso-tab-count: 2;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 79.14%;" valign="top" width="79%"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l24 level1 lfo49; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Umur muda (< 16 tahun) lebih beresiko karena endometrium yang kurang subur</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l24 level1 lfo49; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Umur </span><span lang="EN-US" style="font-family: "Arial","sans-serif";">≥</span><span lang="EN-US"> 35 tahun lebih berseiko karena pertumbuhan endometrium yang kurang subur</span></div></td> </tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 20.86%;" valign="top" width="20%"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Pekerjaan<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 79.14%;" valign="top" width="79%"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Untuk mengetahui estimasi nutrisi dan tingkat aktivitas ibu</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l8 level1 lfo51; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Keluhan utama </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l73 level1 lfo50; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Hamil TM II dan TM III</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l73 level1 lfo50; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Darah keluar pervaginam berwarna merah segar</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l73 level1 lfo50; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Perdarahan tidak disertai nyeri</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l73 level1 lfo50; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Perdarahan pertama biasanya tidak banyak, akan tetapi perdarahan berikutnya hampir selalu lebih banyak daripada sebelumnya</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l8 level1 lfo51; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kesehatan Sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l77 level1 lfo52; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Terjai pada hamil dengan tumor-tumor seperti mioma uteri dan polip endometrium </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l77 level1 lfo52; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Terjadi pada ibu hamil dengan malnutrisi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l8 level1 lfo51; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kesehatan Dahulu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo53; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Terjai pada ibu hamil dengan riwayat curetase, placenta manual, atau operasi, misalnya SC atau pengangkatan kista</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l8 level1 lfo51; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kesehatan Keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Apakah dari keluarga ada riwayat APB</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l8 level1 lfo51; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Menstruasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">HPHT :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l8 level1 lfo51; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Pernikahan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 153.0pt; text-align: justify; text-indent: -135.0pt;"><span lang="EN-US">Usia pertama menikah<span style="mso-tab-count: 1;"> </span>:Umur muda (< 16 tahun) lebih beresiko karena endometrium yang kurang subur dan cervix belum matang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 153.0pt; text-align: justify;"><span lang="EN-US">Umur </span><span lang="EN-US" style="font-family: "Arial","sans-serif";">≥</span><span lang="EN-US"> 35 tahun lebih berseiko karena pertumbuhan endometrium yang kurang subur</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 36.0pt 72.0pt 108.0pt 144.0pt 189.65pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l8 level1 lfo51; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat kehamilan, persalinan, nifas yang lalu</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 41.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 2.85pt 0cm 2.85pt; mso-yfti-tbllook: 480;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td colspan="3" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Kehamilan</span></div></td> <td colspan="4" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Persalinan</span></div></td> <td colspan="5" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Bayi</span></div></td> <td colspan="3" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Nifas</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Hamil ke</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">UK</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"></span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Komp</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Jenis</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Penolong</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Tempat</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Komp</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Sex</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">PB/BB</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">T/G</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">H/M</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Umur</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Laktasi</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">KB</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Komplikasi</span></div></td> </tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 2.85pt 0cm 2.85pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Ibu hamil dengan multiparitas,jarak anak terlalu dekat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l8 level1 lfo51; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kehamilan Sekarang</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 41.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Trimester</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">ANC</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Keluhan</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Teraphy</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">KIE</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ket</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">I</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">1 kali</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">-</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Tablet Fe 30 tablet, kalk, vit. C</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l78 level1 lfo19; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Makan makanan bergizi dan cukup cairan</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">II</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">(akhir)</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">2 kali</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Perdarahan sedikit keluar dari kemaluan</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l78 level1 lfo19; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Terapi pengobatan konservatif di rumah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l78 level1 lfo19; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Di rawat di RS sampai TBJ </span><span lang="EN-US" style="font-family: Symbol; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">±</span></span><span lang="EN-US"> 2000 gr atau kehamilan sudah sampai 31 minggu</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l78 level1 lfo19; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Jangan banyak aktifitas</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l78 level1 lfo19; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Keluarga harus siap membawa ibu ke RS jika terjadi perdarahan hebat</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">USG </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hasil :</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Letak implantasi placenta, jarak tepi placenta dari ostium uteri internum, cairan amnion normal</span></div></td> </tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">III</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">2 kali</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Perdarahan ulang yang hebat</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">-</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">-</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">USG </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hasil :</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Letak implantasi placenta, jarak tepi placenta dari ostium uteri internum, cairan amnion normal</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l8 level1 lfo51; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pola kegiatan sehari-hari</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Terjadi pada ibu hamil dengan </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l90 level1 lfo90; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Malnutrisi, frekuensi makan yang kurang dan jenis makanan yang kurang bergizi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l90 level1 lfo90; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">merokok, minum minuman keras, dan mengkonsumsi obat-obatan terlarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l8 level1 lfo51; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Psikososial</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">B. DATA OBYEKTIF</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l70 level1 lfo54; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Pemeriksaan umum</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l82 level1 lfo55; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Keadaan umum : dijumpai keadaan bervariasi dan keadaan normal sampai syok</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l82 level1 lfo55; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kesadaran : kesadaran penderita bervariasi dan kesadaran baik sampai koma</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l82 level1 lfo55; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TTV : pada pemeriksaan dapat dijumpai :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l60 level1 lfo56; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tekanan darah, nadi, dan pernapasan dalam batas normal</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l60 level1 lfo56; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tekanan darah turun, nadi dan pernapasan meningkat</span></div><ol start="2" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l70 level1 lfo54; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Pemeriksaan fisik</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l14 level1 lfo57; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Muka<span style="mso-tab-count: 1;"> </span>: tampak pucat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l14 level1 lfo57; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Mata<span style="mso-tab-count: 1;"> </span>: konjungtiva pucat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l14 level1 lfo57; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>: pemeriksaan palpasi abdomen</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; mso-list: l27 level3 lfo58; tab-stops: list 144.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Janin belum cukup bulan, tinggi fundus uteri sesuai dengan umur kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; mso-list: l27 level3 lfo58; tab-stops: list 144.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dijumpai kelainan letak janin (sungsang atau melintang) dalam rahim</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; mso-list: l27 level3 lfo58; tab-stops: list 144.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Bagian teendah janin masih tinggi karena plasenta di segmen bawah rahim</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; mso-list: l27 level3 lfo58; tab-stops: list 144.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Apabila letak kepala, biasanya kepala masih goyang/teraba/mengolok di atas PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; mso-list: l27 level3 lfo58; tab-stops: list 144.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dapat dirasakan bantalan pada SBR terutama pada ibu yang kurus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; mso-list: l27 level3 lfo58; tab-stops: list 144.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Biasanya tidak ada kontraksi uterus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; text-align: justify;"><span lang="EN-US">Pemeriksaan auskultasi abdomen</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; mso-list: l27 level3 lfo58; tab-stops: list 144.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">DJJ bervariasi dari normal sampai gawat janin dan selanjutnya tidak terdengar</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l14 level1 lfo57; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Genitalia <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>-<span style="mso-spacerun: yes;"> </span>terlihat perdarahan pervaginam berwarna merah segar</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; mso-list: l27 level3 lfo58; tab-stops: list 144.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">PDMO, yaitu pemeriksaan dalam yang dilakukan di atas meja operasi secara langsung melalui pembukaan serviks dan siap untuk segera melakukan tindakan. Pola perdarahan yang sangat banyak dan pada ibu dengan anemia berat, tidak dianjurkan melakukan PDMO sebagai upaya menentukan diagnosis. PDMO harus dilakukan dalam keadaan siap operasi. PDMO dilakukan sebagai berikut :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l36 level1 lfo59; tab-stops: list 162.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pada letak kepala, perabaan akan terasa lunak antara jari dan kepala janin terdapat plasenta </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l14 level1 lfo57; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ekstemitas<span style="mso-tab-count: 1;"> </span>: teraba dingin pada ujung-ujung ekstremitas atas dan bawah</span></div><ol start="3" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l70 level1 lfo54; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Pemeriksaan penunjang</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l100 level1 lfo60; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan USG</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Dengan pemeriksaan ini dapat ditentukan implantasi plasenta atau jarak tepi plasenta terhadap ostium uteri internum. Kandung kemih DBN, cairan amnion DBN</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l21 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Interpretasi Data Dasar</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 11.8pt; width: 552px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l54 level1 lfo25; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G P (multiparitas) dengan Usia Kehamilan 20 minggu – 37 minggu (preterm) I/T/H dengan plasenta previa marginalis</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Ds<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan hamil anak ke …, dengan usia kehamilan….bulan, ibu mengatakan keluar darah dari kemaluannya secara tiba-tiba tanpa sebab, tanpa rasa nyeri dan berulang-ulang. Darahnya berwarna merah terang, perut tidak mules dan volumenya semakin hari semakin bertambah banyak, HPHT :</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Do<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">K/u <span style="mso-spacerun: yes;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TTV<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">USG<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb<span style="mso-spacerun: yes;"> </span>: </span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Normal sampai lemah</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD menurun (kurang dari 110-120/70-80 mmHg)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N meningkat (>100x/menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR meningkat (> 20 x /menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu DBN </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TFU sesuai dengan usia kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>20 minggu : 3 jari dibawah pusat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>24 minggu : setinggi pusat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>28 minggu : 3 jari di atas usat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>32 minggu : pertengahan pusat – px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>36 minggu : 3 jari di bawah px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dijumpai kelainan letak janin (sungsang atau melintang) dalam rahim</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Apabila letak kepala, biasanya kepala masih goyang/teraba/mengolak di atas PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dapat dirasakan bantalan pada SBR terutama pada ibu yang kurus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tidak ada kontraksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">DJJ+: dbn sampai asfiksia ( N: 100-180x/menit )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Terlihat perdarahan berwarna merah segar</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Pada pemeriksaan terlihat letak plasenta berada tepat di tepi atau pinggir ostium interi internum, cairan amnion normal,kondisi janin normal sampai asfiksia</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Normal sampai anemis ( N : TM II 10,5 g % ,<span style="mso-spacerun: yes;"> </span>TM III 11 g % )</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l54 level1 lfo25; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G P (multiparitas) dengan Usia Kehamilan 20 minggu – 37 minggu (preterm) I/T/H dengan plasenta previa parsialis</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Ds<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan hamil anak ke …, usia kehamilannya …bulan</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">ibu mengatakan keluar darah dari kemaluannya secara tiba-tiba tanpa sebab, tanpa rasa nyeri dan berulang-ulang. Darahnya berwarna merah terang, perut tidak mules dan volumenya semakin hari semakin bertambah banyak, HPHT :</span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Do<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">K/u :</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TTV<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">USG<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb<span style="mso-spacerun: yes;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Normal sampai lemah</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD menurun (kurang dari 110-120/70-80 mmHg)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N meningkat (>100x/menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Rr meningkat (> 20 x /menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu DBN</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TFU sesuai dengan usia kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>20 minggu : 3 jari dibawah pusat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>24 minggu : setinggi pusat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>28 minggu : 3 jari di atas usat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>32 minggu : pertengahan pusat – px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>36 minggu : 3 jari di bawah px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dijumpai kelainan letak janin (sungsang atau melintang) dalam rahim</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Apabila letak kepala, biasanya kepala masih goyang/teraba/mengolak di atas PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dapat dirasakan bantalan pada SBR terutama pada ibu yang kurus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tidak ada kontraksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">DJJ+: dbn sampai asfiksia ( N: 100-180x/menit )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Terlihat perdarahan berwarna merah segar</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Pada pemeriksaan terlihat letak plasenta menutupi </span><span lang="EN-US" style="font-family: "Arial","sans-serif";">≤</span><span lang="EN-US"> 1/3 bagian ostium uteri internum, kondisi janin baik sampai asfiksia, cairan amnion normal</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Normal sampai anemis ( N : TM II 10,5 g % ,<span style="mso-spacerun: yes;"> </span>TM III 11 g % )</span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l54 level1 lfo25; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G P (multiparitas) dengan Usia Kehamilan 20 minggu – 37 minggu (preterm) I/T/H dengan plasenta previa totalis</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Ds<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan hamil anak ke …, usia kehamilannya …bulan</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan keluar darah dari kemaluannya secara tiba-tiba tanpa sebab, tanpa rasa nyeri dan berulang-ulang. Darahnya berwarna merah terang, perut tidak mules dan volumenya semakin hari semakin bertambah banyak, HPHT :</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Do<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">K/u :</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TTV<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">USG<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb<span style="mso-spacerun: yes;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Normal sampai lemas</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD menurun (<110-120/70-80 mmHg)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N meningkat (>100x/menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Rr meningkat (> 20 x /menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu DBN</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TFU sesuai dengan usia kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>20 minggu : 3 jari dibawah pusat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>24 minggu : setinggi pusat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>28 minggu : 3 jari di atas usat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>32 minggu : pertengahan pusat – px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>36 minggu : 3 jari di bawah px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dijumpai kelainan letak janin (sungsang atau melintang) dalam rahim</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Apabila letak kepala, biasanya kepala masih goyang/teraba/mengolak di atas PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dapat dirasakan bantalan pada SBR terutama pada ibu yang kurus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tidak ada kontraksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">DJJ+: dbn sampai asfiksia ( N: 100-180x/menit )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Terlihat perdarahan berwarna merah segar</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Pada pemeriksaan terlihat letak plasenta menutupi seluruh ostium uteri internum, kondisi janin dapat baik sampai asfiksia, cairan ketuban normal</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Normal sampai anemis ( N : TM II 10,5 g % ,<span style="mso-spacerun: yes;"> </span>TM III 11 g % )</span></div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l54 level1 lfo25; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G P (multiparitas) dengan Usia Kehamilan >37 minggu (aterm) I/T/H dengan plasenta previa marginalis</span></div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Ds<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan hamil anak ke …, dengan usia kehamilan….bulan, ibu mengatakan keluar darah dari kemaluannya secara tiba-tiba tanpa sebab, tanpa rasa nyeri dan berulang-ulang. Darahnya berwarna merah terang, perut tidak mules dan volumenya semakin hari semakin bertambah banyak, HPHT :</span></div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Do<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">K/u<span style="mso-spacerun: yes;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TTV<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US">USG<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US">Hb<span style="mso-spacerun: yes;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Normal sampai lemah</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD menurun (kurang dari 110-120/70-80 mmHg)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N meningkat (>100x/menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR meningkat (> 20 x /menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu DBN </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TFU sesuai dengan usia kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>36 minggu : 3 jari di bawah px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>40 minggu : pertengahan px-pusat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dijumpai kelainan letak janin (sungsang atau melintang) dalam rahim</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Apabila letak kepala, biasanya kepala masih goyang/teraba/mengolak di atas PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Bagian terendah janin masih tinggi karena plasenta berada di SBR </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dapat dirasakan bantalan pada SBR terutama pada ibu yang kurus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tidak ada kontraksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">DJJ+: dbn sampai asfiksia ( N: 100-180x/menit )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Terlihat perdarahan berwarna merah segar</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">PDMO </span><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US"> pada perabaan akan terasa lunak tepat di tepi atau pada pinggir ostium ateri internum pada pembukaan cervix 4 cm</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Pada pemeriksaan terlihat letak plasenta berada tepat di tepi atau pinggir ostium interi internum, cairan amnion normal,kondisi janin normal sampai asfiksia</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Normal sampai anemis ( N : TM III 11 g % )</span></div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l54 level1 lfo25; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G P (multiparitas) dengan Usia Kehamilan > 37 minggu (aterm) I/T/H dengan plasenta previa parsialis</span></div></td> </tr>
<tr style="mso-yfti-irow: 13;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Ds<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan hamil anak ke …, usia kehamilannya …bulan</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">ibu mengatakan keluar darah dari kemaluannya secara tiba-tiba tanpa sebab, tanpa rasa nyeri dan berulang-ulang. Darahnya berwarna merah terang, perut tidak mules dan volumenya semakin hari semakin bertambah banyak, HPHT :</span></div></td> </tr>
<tr style="mso-yfti-irow: 14;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Do<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">K/u :</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TTV<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US">USG<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US">Hb<span style="mso-spacerun: yes;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Normal sampai lemah</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD menurun (kurang dari 110-120/70-80 mmHg)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N meningkat (>100x/menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Rr meningkat (> 20 x /menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu DBN</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TFU sesuai dengan usia kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>36 minggu : 3 jari di bawah px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>40 minggu : pertengahan px pusat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dijumpai kelainan letak janin (sungsang atau melintang) dalam rahim</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Apabila letak kepala, biasanya kepala masih goyang/teraba/mengolak di atas PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dapat dirasakan bantalan pada SBR terutama pada ibu yang kurus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tidak ada kontraksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">DJJ+: dbn sampai asfiksia ( N: 100-180x/menit )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Terlihat perdarahan berwarna merah segar</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">PDMO </span><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US"> pada perabaan akan terasa lunak tepat di tepi atau pada pinggir ostium ateri internum pada pembukaan cervix 4 cm</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Pada pemeriksaan terlihat letak plasenta menutupi </span><span lang="EN-US" style="font-family: "Arial","sans-serif";">≤</span><span lang="EN-US"> 1/3 bagian ostium uteri internum, kondisi janin baik sampai asfiksia, cairan amnion normal</span></div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US">Normal sampai anemis ( N : TM III 11 g % )</span></div></td> </tr>
<tr style="mso-yfti-irow: 15;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l54 level1 lfo25; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G P (multiparitas) dengan Usia Kehamilan > 37 minggu (aterm) I/T/H dengan plasenta previa totalis</span></div></td> </tr>
<tr style="mso-yfti-irow: 16;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Ds<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan hamil anak ke …, usia kehamilannya …bulan</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan keluar darah dari kemaluannya secara tiba-tiba tanpa sebab, tanpa rasa nyeri dan berulang-ulang. Darahnya berwarna merah terang, perut tidak mules dan volumenya semakin hari semakin bertambah banyak, HPHT :</span></div></td> </tr>
<tr style="mso-yfti-irow: 17; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Do<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">K/u :</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TTV<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">USG<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb<span style="mso-spacerun: yes;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Normal sampai lemas</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD menurun (<110-120/70-80 mmHg)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N meningkat (>100x/menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Rr meningkat (> 20 x /menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu DBN</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TFU sesuai dengan usia kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>36 minggu : 3 jari di bawah px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 19.45pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>40 minggu : pertengahan pusat px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dijumpai kelainan letak janin (sungsang atau melintang) dalam rahim</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Apabila letak kepala, biasanya kepala masih goyang/teraba/mengolak di atas PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dapat dirasakan bantalan pada SBR terutama pada ibu yang kurus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tidak ada kontraksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">DJJ+: dbn sampai asfiksia ( N: 100-180x/menit )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Terlihat perdarahan berwarna merah segar</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">PDMO </span><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US"> pada perabaan akan terasa lunak antara jari dan kepala janin terdapat plasenta pada pembukaan cervix 4 cm</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Pada pemeriksaan terlihat letak plasenta menutupi seluruh ostium uteri internum, kondisi janin dapat baik sampai asfiksia, cairan ketuban normal</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Normal sampai anemis ( N : TM III 11 g % )</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Diagnosa yang diambil ( tanggal 3 April 2008, jam 19.00)</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 11.8pt; width: 552px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l54 level1 lfo25; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu GIII P20002 hamil 36 minggu I/T/H dengan APB</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Ds<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan hamil anak ketiga, dengan usia kehamilan 9 bulan, ibu mengatakan keluar darah dari kemaluannya secara tiba-tiba tanpa sebab, tanpa rasa nyeri dan berulang-ulang. Darahnya berwarna merah terang, perut tidak mules dan volumenya semakin hari semakin bertambah banyak, HPHT : 17 Agustus 2007</span></div></td> </tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Do<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">K/u<span style="mso-spacerun: yes;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TTV<span style="mso-tab-count: 2;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb<span style="mso-spacerun: yes;"> </span>: </span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Baik</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Composmetis</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD : 110/80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>80x/menit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR :<span style="mso-spacerun: yes;"> </span>20 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu : 36,7 ºC</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Terasa bantalan pada SBR </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">LI : TFU 3 jari dibawah px</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">LII : Puka</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">LIII : Kepala</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">LIV : belum masuk PAP</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DJJ :<span style="mso-spacerun: yes;"> </span>11-12-11 (136 x/menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Terlihat perdarahan berwarna merah segar</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">10 gr %</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l21 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Antisipasi Masalah Potensial</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l51 level1 lfo61; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Perdarahan </span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l51 level1 lfo61; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Anemia</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l51 level1 lfo61; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Syok</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l51 level1 lfo61; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Gawat janin</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l51 level1 lfo61; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Retensio plasenta, karena implantasi plasenta di daerah yang tidak dapat berkontraksi dengan baik</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l51 level1 lfo61; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Robekan pada serviks, karena serviks menjadi lebih rapuh</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l51 level1 lfo61; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">HPP, karena kontraksi di SBR tidak baik</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l51 level1 lfo61; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Infeksi puerperalis, karena daerah bekas implantasi plasenta lebih dekat dengan vagina sehingga perjalanan bakteri dari luar akan lebih cepat</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l21 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Identifikasi masalah potensial</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l32 level1 lfo92; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Rehidrasi dan persiapan donor darah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l32 level1 lfo92; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kolaborasi dengan dokter untuk melakukan USG</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l21 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Intervensi</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l17 level1 lfo91; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Jelaskan pada ibu dan keluarga tentang keadaan ibu dan janinnya. </span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 18.0pt;"><span lang="EN-US">R/ ibu mengerti tentang keadaannya dan lebh kooperatif </span></div><ol start="2" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l17 level1 lfo91; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Berikan konseling pada ibu dan keluarga</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 18.0pt;"><span lang="EN-US">R/ persiapan mental dan ibu serta keluarga dapat lebih kooperatif</span></div><ol start="3" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l17 level1 lfo91; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Anjurkan ibu untuk banyak istirahat dan mengurangi aktivitas</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ dengan mengurangi aktivitas diharapkan dapat mengurangi terjadinya perdarahan</span></div><ol start="4" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l17 level1 lfo91; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Atasi animea dengan memberikan tablet Fe</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ memperbaiki keadaan umum ibu</span></div><ol start="5" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l17 level1 lfo91; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Anjurkan ibu untuk segera ke dokter bila terjadi perdarahan yang banyak</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ deteksi dini adanya komplikasi<span style="mso-spacerun: yes;"> </span></span></div><ol start="6" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l17 level1 lfo91; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Anjurkan ibu untuk memeriksakan kehamilannya ke dokter untuk melakukan USG</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 18.0pt;"><span lang="EN-US">R/ memantau keadaan janin dan mengetahui letak placenta</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l21 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">IMPLEMENTASI</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>_</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l21 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">VII.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">EVALUASI</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US">(tanggal :3 April 2008, jam : 19.30 )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 99.0pt; text-align: justify; text-indent: -54.0pt;"><span lang="EN-US">S<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ibu mengatakan mengerti penjelasan yang diberikan dan akan melakukan anjuran yang diberikan oleh bidan, serta berjanji akan segera memeriksakan kehamilannya ke dokter</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 81.0pt 90.0pt 99.0pt; text-align: justify; text-indent: 18.0pt;"><span lang="EN-US">O<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ibu dapat mengulang penjelasan yang diberikan oloeh bidan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 99.0pt; text-align: justify;"><span lang="EN-US">Ibu dapat menjawab pertanyaan yang disampaikan oleh bidan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 99.0pt; text-align: justify; text-indent: -54.0pt;"><span lang="EN-US">A<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ibu G</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">III</span><span lang="EN-US"> P20002 dengan UK 36 mgg I / T /H dengan APB</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 99.0pt; text-align: justify; text-indent: -54.0pt;"><span lang="EN-US">P<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Anjurkan ibu untuk meneruskan intervensi di rumah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 99.0pt; text-align: justify;"><span lang="EN-US">Anjurkan ibu untuk segera periksa ke dokter</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 99.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US">Catatan Perkembangan (tanggal: 4 april 2008 jam:09.00)</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 36pt; width: 508px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">S<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan keluar darah dari kemaluannya tanpa sebab, tanpa nyeri dan berulang, darah berwarna merah terang, dan perut tidak mulas</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">O<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD : 110/80 mmHg</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N : 80 x/ menit</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR : 20 x/ menit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu : 36,7ºC</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DJJ<span style="mso-spacerun: yes;"> </span>: 11-12-11 (136 x/ menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">USG : placenta terletak menutupi seluruh ostium uteri internum, kondisi janin baik, cairan amnion normal</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb : 10 gr %</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">A<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">III</span><span lang="EN-US"> P20002 dengan UK 36 mgg I / T /H dengan placenta previa totalis</span></div></td> </tr>
<tr style="height: 126.45pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;"> <td style="height: 126.45pt; padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">P<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="height: 126.45pt; padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.55pt; mso-list: l20 level1 lfo31; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan penanganan konservatif</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 30.55pt; mso-list: l94 level1 lfo93; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Anjurkan ibu untuk banyak istirahat dan mengurangi aktivitasnya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 30.55pt; mso-list: l94 level1 lfo93; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Anjurkan ibu untuk segera kembali bila terjadi perdarahan yang banyak</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: -5.45pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Catatan perkembangan (tanggal: 4 mei 2008, jam: 11.00)</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 36pt; width: 508px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">S<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan keluar darah dari kemaluannya yang banyak tanpa rasa sakit, gerakan janin berkurang</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">O<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">k/u : cukup</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD : 90/60 mmHg</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N : 60 x/ menit</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR : 14 x/ menit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu : 36,7ºC</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">DJJ<span style="mso-spacerun: yes;"> </span>: 100 x/ menit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb : 9 gr %</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">A<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">III</span><span lang="EN-US"> P20002 dengan UK 37 mgg I / T /H dengan placenta previa totalis</span></div></td> </tr>
<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">P<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Rehidrasi dan melakukan donor darah</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Persiapan operasi SC ( a/p dokter )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l74 level1 lfo29; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">pasang dauer kateter</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l74 level1 lfo29; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">lakukan scern</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l74 level1 lfo29; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">pasang pakaian operasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l74 level1 lfo29; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">persiapkan alat operasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l74 level1 lfo29; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">persiapkan tempat operasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">R/ pencegahan infeksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l58 level1 lfo30; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">persiapan untuk bayi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l20 level1 lfo31; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">alat resusitasi pernafasan : alat penghisap lender</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l20 level1 lfo31; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">O<sub>2</sub></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l20 level1 lfo31; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tempat tidur khusus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l20 level1 lfo31; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tempat plasenta </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Catatan perkembangan</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US">(tanggal : 4 Mei 2008, jam :16.00)</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 36pt; width: 508px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">S<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan telah siap untuk dioperasi</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">O<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">k/u : baik</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD : 110/80 mmHg</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N : 80 x/ menit</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR : 20 x/ menit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu : 36,7 ºC</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Hb : 11 gr %</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">A<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu G</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">III</span><span lang="EN-US"> P20002 dengan UK 38 mgg I / T /H dengan placenta previa totalis</span></div></td> </tr>
<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">P<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Melakukan operasi sc oleh dokter</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Catatan perkembangan (tanggal : 4 Mei 2008, jam :17.30)</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 36pt; width: 508px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">S<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan pusing pada kepalanya</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">O<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Luka operasi + (melintang, </span><span lang="EN-US" style="font-family: Symbol; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">±</span></span><span lang="EN-US"> 15 cm, kering, tidak ada pest)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD : 110/80 mmHg</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N : 80 x/menit</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR : 20 x/menit</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">S :<span style="mso-spacerun: yes;"> </span>36,7 ºC</span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abd : TFU 1 jari </span><span lang="EN-US" style="font-family: Symbol; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">¯</span></span><span lang="EN-US"> pusat. UC baik, blast kosong</span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Genitalia : PPV +, </span><span lang="EN-US" style="font-family: Symbol; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">±</span></span><span lang="EN-US"> 50 cc</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Bayi lahir tanggal 4 Mei 2008, jam 16.30, jenis kelamin </span><span lang="EN-US" style="font-family: "Arial","sans-serif";">♂</span><span lang="EN-US">, PB/BB 46 cm / 3100 gr, AS 5-6, anus +, cacat +, caput sucekdonium -, cepat hematom -, plasenta lahir lengkap jam 16.45</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">A<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu P3003 post sc</span></div></td> </tr>
<tr style="mso-yfti-irow: 9;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">P<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Observasi TTV </span></div></td> </tr>
<tr style="mso-yfti-irow: 10;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Nadi, TD, tiap 15 menit pada 1 jam pertama dan tiap 30 menit pada 1 jam kedua</span></div></td> </tr>
<tr style="mso-yfti-irow: 11;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Suhu tiap jam pada 2 jam post sc</span></div></td> </tr>
<tr style="mso-yfti-irow: 12;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Observasi perdarahan pervaginam, TFU, UC tiap 15 menit pada 1 jam pertama dan tiap 30 menit pada 1 jam kedua</span></div></td> </tr>
<tr style="mso-yfti-irow: 13;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Dengarkan peristaltik usus (peristaltic usus -)</span></div></td> </tr>
<tr style="mso-yfti-irow: 14;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Observasi luka operasi</span></div></td> </tr>
<tr style="mso-yfti-irow: 15; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Kolaborasi dengan dokter SpOG untuk pemberian antibiotika dan obat penunjang (alinaminF, roborantia,antibiotika)</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span lang="EN-US">Catatan perkembangan (tanggal 4 Mei 2008, jam 19.00)</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 36pt; width: 508px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">S<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan telah dioperasi sesar dan masih nyeri pada luka jahitan</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan senang karena bayinya telah lahir dengan selamat</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">O<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu telah dioperasi oleh dr. SpOG pada tanggal 4 Mei 2008, jam 16.00</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Luka operasi + (melintang, </span><span lang="EN-US" style="font-family: Symbol; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">±</span></span><span lang="EN-US"> 15 cm, kering, tidak ada pest)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">TD : 110/80 mmHg</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">N : 80 x/menit</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">RR : 20 x/menit</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">S : 36,5 </span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abd : TFU 1 jari </span><span lang="EN-US" style="font-family: Symbol; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">¯</span></span><span lang="EN-US"> pusat. UC baik, blast kosong</span></div></td> </tr>
<tr style="mso-yfti-irow: 6;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Genitalia : PPV +, </span><span lang="EN-US" style="font-family: Symbol; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">±</span></span><span lang="EN-US"> 20 cc</span></div></td> </tr>
<tr style="mso-yfti-irow: 7;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">A<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu P3003 2 jam post sc</span></div></td> </tr>
<tr style="mso-yfti-irow: 8;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">P<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Observasi TTV </span></div></td> </tr>
<tr style="mso-yfti-irow: 9; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 50.45pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 330.3pt;" valign="top" width="440"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Observasi luka operasi</span></div></td> </tr>
</tbody></table></div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" /> </span> <div class="WordSection5"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">INSERSIO VELAMENTOSA</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 9.0pt; mso-list: l95 level1 lfo62; tab-stops: list 9.0pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pengertian</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l40 level1 lfo63; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Insersio velamentosa merupakan kelainan insersi tali pusat yaitu insersi tali pusat jauh di luar plasenta, di daerah membrane (Manuaba. 1998 : 238)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l40 level1 lfo63; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Insersio velamentosa adalah tali pusat tidak berinsersi pada jaringan plasenta tapi pada selaput janin sehingga pembuluh darah umtalikus berjalan diantara amnion dan korion menuju plasenta (Sarwono P. 2002 : 357)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l40 level1 lfo63; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Insersio velamentosa adalah kelainan insersi tali pusat yaitu tali pusat berinsersi dalam ketuban, dan pembuluh-pembuluh darah berjalan diantara lapisan amnion dan korion ke plasenta (Rustam M. 1998 : 249)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l40 level1 lfo63; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Insersio velamentosa adalah insersio tali pusat pada membrane di luar plasenta (Manuaba, 1993: 31)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l95 level1 lfo62; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Komplikasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Bahaya insersio velamentosa bila terjadi vasa previa, yaitu pembuluh darahnya melintasi kanalis servikalis sehingga ketuban pecah, embuluh darah yang berasal dari janin ikut serta pecah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Gejala klinis vasa previa adalah ketuban pecah diikuti perdarahan merah (barukaya O<sub>2</sub>) selanjutnya distress janin. Kematian janin pada pecahnya vasa previa mencapai 60% sampai 70% terutama bila pembukaan masih kecil karena kesempatan section sesaria terbatas dengan waktu. Bila dijumpai atau dapat ditegakkan diagnosis vas previa saat melakukan pemeriksaan dalam, penderita dirujuk ke rumah sakit untuk pertolongan dengan primer section secarea. (Manuaba. 1998 : 238)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Vasa previo dalam persalinan dapat menyebabkan perdarahan antepartum. Bila perdarahanannya banyak maka kehamilan harus segera diakhiri. (Sarwono P. 2002. 357)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Vasa Previa <span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Vasa previa pada insersio velamentosa adalah suatu keadaan dimana tali pusat berinsersio ke dalam selaput ketuban dan pembuluhd arah bercabang diantara amnion dan korion sebelum masuk pembuluh daah tanpa terlindungi oleh whartans jelly, pembuluh darah tersebut amat rapuh. Jika tertekan, janin akan mengalami asphyxia. Jika pecah, vetus akan menderita perdarahan. Pada kedua keadaan ini sering dijumpai kematian janin. (Hakimi. 1996 : 431)</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l16 level1 lfo64; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Gejala</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l43 level1 lfo65; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tidak ada kelainan sebelum pecah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l43 level1 lfo65; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Saat ketuban pecah pembuluh darah dapat pecah, terjadi gejala klinis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l85 level1 lfo66; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ketuban pecah disertai perdarahan </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l85 level1 lfo66; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dikuti dengan tanda fetal distress</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;"><span lang="EN-US">(Manuaba, 1993 : 31)</span></div><ol start="2" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l16 level1 lfo64; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Diagnosis</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l43 level1 lfo65; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Frekuensi DJJ : kemungkinan vasa previa dapat dipertimbankan jika tiap kali terjadi perdarahan pervaginam (PPV) disertai oleh ketidakteratran DJJ</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l43 level1 lfo65; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan vaginal : adanya pembuluh darah dapat teraba oleh jari-jari tangan pemeriksa. Keadaan ini bias dikacaukan dengan keadaan tali pusat melintang astium internum serviks</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l43 level1 lfo65; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Amnioskopi : dapat dilihat pembuluh darah yang melintang ostium internum serviks</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l43 level1 lfo65; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Test kleihauer : prosedur ini memperlihatkan adanya sel-sel darah merah janin dan menegakkan kepastian bahwa perdarahan berasal dari sirkulasi fetal </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">(Hakimi. 1996 : 432)</span></div><ol start="3" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l16 level1 lfo64; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Penatalaksanaan</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l43 level1 lfo65; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dengan adanya perdarahan fetal diperlukan kelahiran segera secara pervag ataupun SC</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l43 level1 lfo65; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Jika tidak ada perdarahan, mungkn diperlukan SC tapi bila ditunggu kelahiran pervag, selaput ketuban dapat dipecahkan di tempat yang jauh dari pembuluh darah dan bayi diekstraksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l43 level1 lfo65; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Jika janin sudah meninggal, ditunggu kelahiran pervag</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l43 level1 lfo65; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pada post partum dilakukan pemeriksaan darah pada bayi, jika perlu lakukan tranfusi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l43 level1 lfo65; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">(hakimi. 1996:439)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l95 level1 lfo62; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Embriologi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Ada</span><span lang="EN-US"> beberapa teori yang mungkin dapat menjelaskan</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l59 level1 lfo67; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Yolk sac : menjadi lebih dekat, pada korion pada satu sisi yang jauh dari tempat plasenta yang sebenarnya, hal ini mengakibatkan implantasi yang abnormal dari pembuluh darah umbilicus pada membran</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l59 level1 lfo67; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Migrasi pada body stalk ke tempat lain di luar desidua basalis, teori ini lebih mendukung karena korion lebih banyak pembuluh darah</span></li>
</ol><div align="center" class="MsoNormal" style="text-align: center;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span><br clear="all" style="page-break-before: always;" /> ASUHAN KEBIDANAN</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="EN-US">PADA IBU G…P… IN PARTU KALA II</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="EN-US">DENGAN INSERTIO VELAMENTOSA</span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US">Tempat pengkajian :</span></div><div class="MsoNormal"><span lang="EN-US">Tanggal pengkajian :</span></div><div class="MsoNormal"><span lang="EN-US">Waktu pengkajian :</span></div><div class="MsoNormal"><span lang="EN-US">Nama pengkaji :</span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 18.0pt;"><span lang="EN-US">I.Pengkajian</span></div><div class="MsoNormal" style="margin-left: 18.0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>A Data subyektif</span></div><div class="MsoNormal" style="margin-left: 18.0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>1 Biodata</span></div><div class="MsoNormal" style="margin-left: 18.0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>-</span></div><div class="MsoNormal" style="margin-left: 18.0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>2 Keluhan utama</span></div><div class="MsoNormal" style="margin-left: 99.0pt; mso-list: l80 level1 lfo94; tab-stops: list 99.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ibu mengatakan hamil ( aterm )</span></div><div class="MsoNormal" style="margin-left: 99.0pt; mso-list: l80 level1 lfo94; tab-stops: list 99.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ibu merasa kenceng-kenceng dan merasa ingin BAB</span></div><div class="MsoNormal" style="margin-left: 99.0pt; mso-list: l80 level1 lfo94; tab-stops: list 99.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ibu mengatakan keluar lendir bercampur darah dari kemaluannya</span></div><div class="MsoNormal" style="margin-left: 99.0pt; mso-list: l80 level1 lfo94; tab-stops: list 99.0pt; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ibu mengatakan telah keluar air ketuban yang diikuti dengan keluarnya darah</span></div><div class="MsoNormal" style="margin-left: 81.0pt;"><br />
</div><div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;"><span lang="EN-US">3 Riwayat Kesehatan Sekarang</span></div><div class="MsoNormal" style="margin-left: 99.0pt; mso-list: l52 level1 lfo95; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Hamil anak ke….</span></div><div class="MsoNormal" style="margin-left: 81.0pt;"><br />
</div><div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;"><span lang="EN-US">4 Riwayat Kesehatan Dahulu</span></div><div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>-</span></div><div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;"><span lang="EN-US">5 Riwayat Kesehatan Keluarga</span></div><div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>-</span></div><div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;"><span lang="EN-US">6 Riwayat Menstruasi</span></div><div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>HPHT: …..</span></div><div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;"><br />
</div><div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;"><span lang="EN-US">7 Riwayat Pernikahan</span></div><div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>-</span></div><div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;"><br />
</div><div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;"><span lang="EN-US">8 Riwayat Kehamilan, Persalinan, dan Nifas yang lalu</span></div><div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span></div><table align="left" border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 6.75pt; margin-right: 6.75pt; width: 671px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td colspan="3" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 109.75pt;" width="146"> <div align="center" class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;"><span lang="EN-US">Kehamilan</span></div></td> <td colspan="4" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.65pt;" width="185"> <div align="center" class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;"><span lang="EN-US">Persalinan</span></div></td> <td colspan="5" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 144.0pt;" width="192"> <div align="center" class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;"><span lang="EN-US">Bayi</span></div></td> <td colspan="3" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.65pt;" width="148"> <div align="center" class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;"><span lang="EN-US">Nifas</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.8pt;" valign="top" width="54"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">Hamil</span></div><div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">ke</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.15pt;" valign="top" width="38"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">UK</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.8pt;" valign="top" width="54"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">Komp</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">jenis</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.8pt;" valign="top" width="46"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">Peno</span></div><div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">long</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.35pt;" valign="top" width="46"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">Tem</span></div><div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">pat</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">komp</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">sex</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">PB/</span></div><div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">BB</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">T/</span></div><div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">G</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">H/</span></div><div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">M</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">Umur</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" valign="top" width="60"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">Lakt</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.5pt;" valign="top" width="37"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">KB</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.15pt;" valign="top" width="51"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><span lang="EN-US">komp</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.8pt;" valign="top" width="54"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.15pt;" valign="top" width="38"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.8pt;" valign="top" width="54"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.8pt;" valign="top" width="46"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.35pt;" valign="top" width="46"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" valign="top" width="60"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.5pt;" valign="top" width="37"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.15pt;" valign="top" width="51"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> </tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.8pt;" valign="top" width="54"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.15pt;" valign="top" width="38"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.8pt;" valign="top" width="54"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.8pt;" valign="top" width="46"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.35pt;" valign="top" width="46"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" valign="top" width="60"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.5pt;" valign="top" width="37"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.15pt;" valign="top" width="51"> <div class="MsoNormal" style="mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 83.55pt; mso-element-top: 3.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span></span></div><div class="MsoNormal" style="tab-stops: 54.0pt; text-indent: 54.0pt;"><span lang="EN-US">9. Riwayat kehamilan sekarang</span></div><div class="MsoNormal"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">Trimester</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">ANC</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">Keluhan</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">Terapy</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">KIE</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">Keterangan</span></div></td> </tr>
<tr style="height: 20.65pt; mso-yfti-irow: 1;"> <td style="border-top: none; border: solid windowtext 1.0pt; height: 20.65pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">TM I</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">1x</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">-</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">Iod, Fe dan Vit C (30 tablet), kalk</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">Makan makanan bergizi dan cukup cairan</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">TM II</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">1x</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">-</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">Fe dan Vit C (30 tablet), kalk</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">Makan makanan bergizi dan cukup cairan</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">TM III</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">2x</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">Sering kencing</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">Fe dan Vit C (30 tablet), kalk</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">Kebersihan genetalia</span></div><div class="MsoNormal"><span lang="EN-US">Sering mengganti CD</span></div><div class="MsoNormal"><span lang="EN-US">Tanda-tanda persalinan</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.8pt;" valign="top" width="98"> <div class="MsoNormal"><span lang="EN-US">-</span></div></td> </tr>
</tbody></table><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="tab-stops: 54.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>10. Pola kegiatan sehari-hari</span></div><div class="MsoNormal"><span lang="EN-US"><span style="mso-tab-count: 3;"> </span>_</span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="tab-stops: 54.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>11 Riwayat Psikososial</span></div><div class="MsoNormal"><span lang="EN-US"><span style="mso-tab-count: 3;"> </span>_</span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US">B. DATA OBYEKTIF</span></div><div class="MsoNormal" style="tab-stops: 18.0pt 36.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>1.<span style="mso-tab-count: 1;"> </span>Pemeriksaan Umum</span></div><div class="MsoNormal" style="tab-stops: 18.0pt 36.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 153.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt left 144.0pt; text-align: justify; text-indent: -108.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Keadaan umum<span style="mso-tab-count: 1;"> </span>: baik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 153.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt left 144.0pt; text-align: justify; text-indent: -108.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TD<span style="mso-tab-count: 2;"> </span>: dbn (N=110-120/70-80 mmHg)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Nadi <span style="mso-tab-count: 2;"> </span>: dbn (N-60-100 x/menit)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pernapasan <span style="mso-tab-count: 1;"> </span>: dbn (N=16-20 x /menit)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Suhu <span style="mso-tab-count: 2;"> </span>: DBN<span style="mso-spacerun: yes;"> </span>36,2 <sup>o </sup>C – 38 <sup>o</sup> C (Ladeweg : 2006)</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 180.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>36 <sup>o </sup>C – 37,2 <sup>o</sup> C (Varney : 1997)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 4;"> </span>36 <sup>o </sup>C – 37,5 <sup>o</sup> C (Depkes)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo96; tab-stops: 18.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan fisik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 18.0pt 36.0pt 108.0pt 126.0pt; text-align: justify;"><span lang="EN-US">Muka<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>DBN (tidak pucat )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 18.0pt 36.0pt 108.0pt 126.0pt; text-align: justify;"><span lang="EN-US">Mata<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>DBN ( konjungtiva merah muda )</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 36.0pt 108.0pt 126.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Abdomen<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Gerakan janin normal sampai berkurang (N : 8-10x/hari)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 126.0pt; text-align: justify;"><span lang="EN-US">LI : sesuai usia kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>N :36 minggu : 3 jr di bawah px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>40 minggu : pertengahan pusat – px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt; text-align: justify;"><span lang="EN-US">LII: ( teraba tahanan keras dan memanjang di sebelah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt 153.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>kiri/kanan ) puki/puka</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt; text-align: justify;"><span lang="EN-US">LIII : (teraba bagian keras, bundar, dan melenting / besar,</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt 144.0pt 162.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 2;"> </span>lunak, kurang melenting) kepala/bokong </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt; text-align: justify;"><span lang="EN-US">LIV : (bagian terendah janin mudah digerakkan / susah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt 162.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>digerakkan) belum / sudah masuk PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US">DJJ : bervariasi dari normal sampai gawat janin dan selanjutnya tidak terdengar / tiap kali terjadi perdarahan akan disertai oleh ketidak teraturan DJJ ( 100-180x/menit )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; tab-stops: 153.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US">HIS<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>DBN (HIS normal yang adekuat 3-4x /10’ selama >40’’</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; tab-stops: 108.0pt 126.0pt 153.0pt; text-align: justify; text-indent: -135.0pt;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>terlihat perdarahan berwarna merah setelah ketuban pecah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; tab-stops: 108.0pt 126.0pt 153.0pt; text-align: justify; text-indent: -135.0pt;"><span lang="EN-US"><span style="mso-tab-count: 2;"> </span>VT : v/v membuka, portio tidak teraba, eff 100%, Ø lengkap,kepala, H IV, UUK jam 12, tidak teraba bagian kecil janin, teraba pembuluh darah arteri yang berdenyut</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; tab-stops: 108.0pt 126.0pt 153.0pt; text-align: justify; text-indent: -135.0pt;"><br />
</div><ol start="3" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo96; tab-stops: list 36.0pt left 126.0pt 153.0pt; text-align: justify;"><span lang="EN-US">Pemeriksaan penunjang</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 117.0pt; tab-stops: 126.0pt 153.0pt; text-align: justify; text-indent: -81.0pt;"><span lang="EN-US">Tes kleihauer : prosedur ini memperlihatkan adanya sel-sel darah merah janin, dan menegakkan kepastian bahwa perdarahan berasal dari sirkulasi fetal.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 117.0pt; tab-stops: 126.0pt 153.0pt; text-align: justify; text-indent: -81.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 117.0pt; tab-stops: 126.0pt 153.0pt; text-align: justify; text-indent: -81.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 126.0pt 153.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US">II.<span style="mso-tab-count: 1;"> </span>Interpretasi Data Dasar</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 126.0pt 153.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Dx<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Ibu G…. P…. dengan UK > 36 mgg (aterm) I / T /H inpartu kala II dengan vasa previa</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 126.0pt 153.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Ds<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Ibu hamil anak ke…..dengan usia kehamilan……..bulan, HPHT :……..</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 54.0pt;"><span lang="EN-US">Ibu merasa kenceng-kenceng sejak ….. dan merasa ingin BAB</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt;"><span lang="EN-US">Ibu mengatakan keluar lendir bercampur darah dari kemaluannya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt;"><span lang="EN-US">Ibu mengatakan telah keluar air ketuban yang diikuti dengan keluarnya darah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;"><span lang="EN-US">Do<span style="mso-spacerun: yes;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 153.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt left 144.0pt; text-align: justify; text-indent: -108.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Keadaan umum<span style="mso-tab-count: 1;"> </span>: baik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 153.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt left 144.0pt; text-align: justify; text-indent: -108.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: GCS (4-5-6)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TD<span style="mso-tab-count: 2;"> </span>: dbn (N=110-120/70-80 mmHg)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Nadi <span style="mso-tab-count: 2;"> </span>: dbn (N-60-100 x/menit)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pernapasan <span style="mso-tab-count: 1;"> </span>: dbn (N=16-20 x /menit)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Suhu <span style="mso-tab-count: 2;"> </span>: DBN<span style="mso-spacerun: yes;"> </span>36,2 <sup>o </sup>C – 38 <sup>o</sup> C (Ladeweg : 2006)</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 180.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>36 <sup>o </sup>C – 37,2 <sup>o</sup> C (Varney : 1997)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 4;"> </span>36 <sup>o </sup>C – 37,5 <sup>o</sup> C (Depkes)</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 36.0pt 108.0pt 126.0pt; text-align: justify;"><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Gerakan janin normal sampai berkurang (N : 8-10x/menit)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 126.0pt; text-align: justify;"><span lang="EN-US">LI : sesuai usia kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>N :36 minggu : 3 jr di bawah px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>40 minggu : pertengahan pusat – px</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt; text-align: justify;"><span lang="EN-US">LII: puka/puki</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt; text-align: justify;"><span lang="EN-US">LIII : kepala, bokong </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt; text-align: justify;"><span lang="EN-US">LIV : belum / sudah masuk PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US">DJJ : bervariasi dari normal sampai gawat janin dan selanjutnya tidak terdengar / tiap kali terjadi perdarahan akan disertai oleh ketidak teraturan DJJ ( 100-180x/menit )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; tab-stops: 153.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US">HIS<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>DBN (HIS normal yang adekuat 3-4x /10’ selama >40’’</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; tab-stops: 108.0pt 126.0pt 153.0pt; text-align: justify; text-indent: -135.0pt;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>terlihat perdarahan berwarna merah setelah ketuban pecah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; tab-stops: 108.0pt 126.0pt 153.0pt; text-align: justify; text-indent: -135.0pt;"><span lang="EN-US"><span style="mso-tab-count: 2;"> </span>VT : v/v membuka, portio tidak teraba, eff 100%, Ø lengkap,kepala, H IV, UUK jam 12, tidak teraba bagian kecil janin, teraba pembuluh darah arteri yang berdenyut </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 117.0pt; tab-stops: 126.0pt 153.0pt; text-align: justify; text-indent: -81.0pt;"><span lang="EN-US">Tes kleihauer : prosedur ini memperlihatkan adanya sel-sel darah merah janin, dan menegakkan kepastian bahwa perdarahan berasal dari sirkulasi fetal.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 117.0pt; tab-stops: 126.0pt 153.0pt; text-align: justify; text-indent: -81.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 108.0pt 126.0pt 153.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; tab-stops: 108.0pt 126.0pt 153.0pt; text-align: justify; text-indent: -135.0pt;"><span lang="EN-US">Diagnosa yang diambil ( 8 April 2008, jam 18.00 WIB )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 126.0pt 153.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US">Dx<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Ibu G II P10001 dengan UK 37 mgg I / T /H inpartu kala II dengan vasa previa</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 126.0pt 153.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Ds<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Ibu mengatakan hamil anak ketiga dengan usia kehamilan 9 bulan, merasa kenceng-kenceng sejak jam 14.00 WIB, merasa seperti<span style="mso-spacerun: yes;"> </span>ingin BAB, keluar lendir bercampur darah dari kemaluannya, telah keluar air ketuban yang diikuti dengan keluarnya darah, HPHT 19 Juli 2007</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;"><span lang="EN-US">Do<span style="mso-spacerun: yes;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 153.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt left 144.0pt; text-align: justify; text-indent: -108.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Keadaan umum<span style="mso-tab-count: 1;"> </span>: baik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 153.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt left 144.0pt; text-align: justify; text-indent: -108.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: Composmetis </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TD<span style="mso-tab-count: 2;"> </span>: 120/80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Nadi <span style="mso-tab-count: 2;"> </span>: 80 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pernapasan <span style="mso-tab-count: 1;"> </span>: 18 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;"><span lang="EN-US">Suhu <span style="mso-tab-count: 2;"> </span>: 36,5 °C</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 36.0pt 108.0pt 126.0pt; text-align: justify;"><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Gerakan janin berkurang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt; text-align: justify;"><span lang="EN-US">LI : setengah px - pst, kepala</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt; text-align: justify;"><span lang="EN-US">LII: puka</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt; text-align: justify;"><span lang="EN-US">LIII : kepala, sudah masuk PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; tab-stops: 19.45pt 126.0pt; text-align: justify;"><span lang="EN-US">LIV : sudah masuk PAP ( 1/5 )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US">DJJ : 100 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; tab-stops: 153.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US">HIS<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>4x /10’ selama 42”</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; tab-stops: 108.0pt 126.0pt 153.0pt; text-align: justify; text-indent: -135.0pt;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>terlihat perdarahan berwarna merah setelah ketuban pecah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; tab-stops: 108.0pt 126.0pt 153.0pt; text-align: justify; text-indent: -135.0pt;"><span lang="EN-US"><span style="mso-tab-count: 2;"> </span>VT : v/v membuka, portio tidak teraba, eff 100%, Ø lengkap,kepala, H IV, UUK jam 12, tidak teraba bagian kecil janin, teraba pembuluh darah arteri yang berdenyut</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 171.0pt; tab-stops: 108.0pt 126.0pt 153.0pt; text-align: justify; text-indent: -135.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l88 level1 lfo97; tab-stops: 36.0pt; text-align: justify; text-indent: -36.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Antisipasi masalah potensial</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l88 level2 lfo97; tab-stops: 36.0pt list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Distress janin</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l88 level2 lfo97; tab-stops: 36.0pt list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kematian Janin</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 36.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l88 level1 lfo97; tab-stops: 36.0pt; text-align: justify; text-indent: -36.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Identifikasi kebutuhan segera</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l88 level2 lfo97; tab-stops: 36.0pt list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Terminasi kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 36.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l88 level1 lfo97; tab-stops: 36.0pt; text-align: justify; text-indent: -36.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Intervensi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l88 level3 lfo97; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Jelaskan pada ibu dan keluarga tentang keadaan ibu dan janinnya. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">R/ dengan mengetahui keadaannya dan janinnya ibu dapat lebih kooperatif</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l88 level4 lfo97; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Siapkan alat dan bahan pertolongan persalinan, serta alat bantu resusitasi bagi bayi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">R/ persalinan dapat berjalan lancar</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l88 level6 lfo97; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Beri pendampingan pada ibu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">R/ persalinan dapat lebih lancar karena adanya dukungan psikologis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l88 level6 lfo97; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">4<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">observasi DJJ saat tidak ada HIS</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">R/ deteksi dini adanya komplikasi pada janin</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US">5.<span style="mso-spacerun: yes;"> </span>Pimpin ibu meneran ketika ada HIS</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: 54.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>R/ mempercepat proses persalinan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l15 level1 lfo98; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Beri asupan nutrisi dan cairan peroral saat tidak ada HIS</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">R/ sebagai tenaga dalam proses persalinan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US">VI.<span style="mso-spacerun: yes;"> </span>Implementasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 36.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 2;"> </span>_</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 36.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l88 level1 lfo97; tab-stops: 36.0pt list 54.0pt; text-align: justify; text-indent: -36.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Evaluasi ( tanggal 8 April 2008, jam 18.30 )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 36.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>S<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Ibu merasa cemas karena bayinya belum menangis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>O<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Bayi lahir tanggal 8 April 2008 jam 18.30, jenis kelamin </span><span lang="EN-US" style="font-family: "Arial","sans-serif";">♂</span><span lang="EN-US">, 50 cm/3200gram, AS 5-6, anus +, cacat -, caput sucekdonium +</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>A<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Ibu P2002 kala III</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>P<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Resusitasi BBL</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US"><span style="mso-tab-count: 2;"> </span>Berikan injeksi Vit. K secara<span style="mso-spacerun: yes;"> </span>IM</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US"><span style="mso-tab-count: 2;"> </span>Manajemen Aktif Kala III</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l22 level1 lfo99; tab-stops: 36.0pt list 99.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Palpasi adanya janin kedua ( tidak ada janin kedua TFU setinggi pusat )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l22 level1 lfo99; tab-stops: 36.0pt list 99.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Beritahu ibu bahwa dia akan disuntik oksitosin</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l22 level1 lfo99; tab-stops: 36.0pt list 99.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan penyuntikan oksitosin 10 IU secara IM vastus lateralis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l22 level1 lfo99; tab-stops: 36.0pt list 99.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan PTT ketika ada HIS sampai 15 menit<span style="mso-spacerun: yes;"> </span>( tali pusat tidak bertambah panjang, tidak ada semburan darah, kontraksi uterus buruk)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l22 level1 lfo99; tab-stops: 36.0pt list 99.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemberian oksitosin ulang 10 IU secara IM</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l22 level1 lfo99; tab-stops: 36.0pt list 99.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan PTT kedua selama 15 menit (tali pusat tidak bertambah panjang, ada sedikit semburan darah, kontraksi uterus buruk)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; tab-stops: 36.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -45.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US">Catatan perkembangan ( tanggal 8 April 2008 jam 19.00)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US">S : ibu merasa lega bayinya sudah menangis, tapi ibu cemas karena ari-arinya belum keluar</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">O : Placenta tidak lepas setelah 30 menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">A :<span style="mso-spacerun: yes;"> </span>Ibu P20002 Kala III dengan retensio placenta</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">P :<span style="mso-spacerun: yes;"> </span>Placenta manual</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l87 level1 lfo100; tab-stops: 36.0pt 72.0pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tangan kiri melebarkan genitalia eksterna, tangan kanan dimasukkan sampai mencapai tepi placenta dengan menelusuri tali pusat.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l87 level1 lfo100; tab-stops: 36.0pt 72.0pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tepi placenta dilepaskan dengan bagian ulnar tangan kanan, tangan kiri menahan fundus uteri sehingga tidak terdorong ke atas.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l87 level1 lfo100; tab-stops: 36.0pt 72.0pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Setelah seluruh placenta lepas, tangan dikeluarkan bersama dengan placenta </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l87 level1 lfo100; tab-stops: 36.0pt 72.0pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan eksplorasi untuk mencari sisa plasenta atau membrannya (tidak ada sisa placenta dan membrane)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt 72.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: 36.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -45.0pt;"><span lang="EN-US">Catatan perkembangan ( tanggal 8 April 2008 jam 19.20)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US">S<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>ibu merasa lega karena ari-arinya telah keluar</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">O : Placenta lahir dengan placenta manual, lengkap dengan insersio velamentosa, jam 19.18</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">A :<span style="mso-spacerun: yes;"> </span>Ibu P20002 Kala IV </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">P :<span style="mso-spacerun: yes;"> </span>Observasi TD, nadi, TFU, UC, Kandung kemih, dan perdarahan tiap 15 menit pada 1 jam pertama dan 30 menit pada 1 jam kedua</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Observasi suhu tiap jam pada 2 jam post partum</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 14.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" width="51"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Jam</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.3pt;" width="70"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">TD</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">(mmHg)</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.7pt;" width="60"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Nadi</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">(x/menit)</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" width="60"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Suhu</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">(°C)</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.0pt;" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">TFU</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.0pt;" width="52"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">UC</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.8pt;" width="73"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Kandung</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">kemih</span></div></td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.65pt;" width="70"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Perdara</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">han</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" width="51"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">19.30</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.3pt;" width="70"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">110/70</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.7pt;" width="60"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">84</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" width="60"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">36,5</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.0pt;" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">1 jr<span style="mso-spacerun: yes;"> </span>↓ pst</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.0pt;" width="52"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Baik</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.8pt;" width="73"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Kosong</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.65pt;" width="70"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">50 cc</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" width="51"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">19.45</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.3pt;" width="70"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">110/70</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.7pt;" width="60"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">80</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" width="60"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.0pt;" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">1 jr<span style="mso-spacerun: yes;"> </span>↓ pst</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.0pt;" width="52"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Baik</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.8pt;" width="73"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Kosong</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.65pt;" width="70"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" width="51"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">20.00</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.3pt;" width="70"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">110/70</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.7pt;" width="60"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">80</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" width="60"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.0pt;" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">1 jr<span style="mso-spacerun: yes;"> </span>↓ pst</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.0pt;" width="52"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Baik</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.8pt;" width="73"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Kosong</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.65pt;" width="70"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">30cc</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" width="51"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">20.15</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.3pt;" width="70"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">110/70</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.7pt;" width="60"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">84</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" width="60"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.0pt;" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">1 jr<span style="mso-spacerun: yes;"> </span>↓ pst</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.0pt;" width="52"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Baik</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.8pt;" width="73"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Kosong</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.65pt;" width="70"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">-</span></div></td> </tr>
<tr style="mso-yfti-irow: 5;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" width="51"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">20.45</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.3pt;" width="70"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">120/80</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.7pt;" width="60"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">80</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" width="60"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">36,8</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.0pt;" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">2 jr<span style="mso-spacerun: yes;"> </span>↓ pst</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.0pt;" width="52"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Baik</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.8pt;" width="73"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Kosong</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.65pt;" width="70"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">10 cc</span></div></td> </tr>
<tr style="mso-yfti-irow: 6; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.0pt;" width="51"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">21.15</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.3pt;" width="70"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">120/80</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.7pt;" width="60"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">80</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" width="60"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.0pt;" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">2 jr<span style="mso-spacerun: yes;"> </span>↓ pst</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.0pt;" width="52"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">Baik</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.8pt;" width="73"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">kosong</span></div></td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.65pt;" width="70"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">-</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="EN-US">Catatan Perkembangan ( tanggal 8 April 2008, jam 21.15 )</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US">S<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>ibu mengatakan perutnya mulas</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">O : TD : 120/80 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 54.0pt 81.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>N<span style="mso-spacerun: yes;"> </span>:<span style="mso-tab-count: 1;"> </span>80 x/ menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 54.0pt 81.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>S<span style="mso-spacerun: yes;"> </span>:<span style="mso-tab-count: 1;"> </span>36,8 °C</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 54.0pt 81.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Abdomen : TFU : 2 jr<span style="mso-spacerun: yes;"> </span>↓ pst</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 54.0pt 108.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Kontraksi uterus baik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 54.0pt 108.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Kandung kemih kosong</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 54.0pt 108.0pt; text-align: justify;"><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Genitalia : perdarahan pervag + ( 10cc )</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">A :<span style="mso-spacerun: yes;"> </span>Ibu P</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">20002</span><span lang="EN-US"> 2 jam post partum </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 36.0pt; text-align: justify;"><span lang="EN-US">P :<span style="mso-spacerun: yes;"> </span>Anjurkan untuk segera menyusui bayinya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: 18.0pt;"><span lang="EN-US">Anjurkan ibu untuk mobilisasi dini</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 54.0pt; text-align: justify;"><span lang="EN-US">Berikan penyuluhan tentang ASI eksklusif, perawatan tali pusat, personal hygiene, imunisasi, gizi bagi ibu nifas.</span></div></div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" /> </span> <div class="WordSection6"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">RUPTURE SINUS MARGINALIS</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 9.0pt; mso-list: l65 level1 lfo68; tab-stops: list 9.0pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pengertian</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l5 level1 lfo69; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Sinus marginalis adalah suatu ruang yang luas<span style="mso-spacerun: yes;"> </span>terdapat ada pinggir plasenta untuk menampung darah yang bersal dari ruang interviler (Sarwono P. 2005:67)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l5 level1 lfo69; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Sinus marginalis adalah penampungan sementara daah retro plasenta yang akan kembali menuju sirkulasi umum ibu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify;"><span lang="EN-US">(Manuaba, 2001 : 437)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l5 level1 lfo69; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Sinus marginalis merupakan salah satu saluran tempat darah dari ruang intervillous mengalir kembali ke sirkulasi maternal sinus marginalis ini menjadi bingkai sirkum ferentia plasenta </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify;"><span lang="EN-US">(Hakimi, 1996: 432)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l5 level1 lfo69; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Sinus marginalis merupakan tempat pengaliran darah yang sudah terpakai dari siklus maternal plasenta berkumpul pada sinus marginalis pada tepi plasenta kemudian baru masuk vena uterine</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify;"><span lang="EN-US">(dr. Hariadi,<span style="mso-spacerun: yes;"> </span>:15)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l65 level1 lfo68; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Gejala Klinis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Pada keadaan normal bagian sinus marginalis akan robek dalam kala plasenta<span style="mso-spacerun: yes;"> </span>terlepas pada dinding rahim. Ada kalanya sinus marginalis mengalami rupture pada trimester ketiga kehamilan, </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Gambaran klinisnya berupa :</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l39 level1 lfo70; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">perdarahan ringan tanpa nyeri yang disertai regiditas (penegangan) uterus</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l39 level1 lfo70; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">perubahan frekuensi DJJ</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l65 level1 lfo68; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Etiologi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Belum dapat diketahui dengan jelas</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">(Hakimi, 1996 : 432)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Pada fase SBR sinus ini dapat pecah karena :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l5 level1 lfo69; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Hypertensi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l5 level1 lfo69; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Solusio plasenta </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l5 level1 lfo69; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Plasenta previa</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l5 level1 lfo69; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Trauma</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">(dr. Hartadi,<span style="mso-spacerun: yes;"> </span>: 15)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l65 level1 lfo68; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Penatalaksanaan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Jika terjadi pada trimester III dan perdarahan berhenti tidak timbul lagi selama beberapa hari dan jika tidak terdapat plasenta previa. Maka dilakukan pemeriksaan inspekulo untuk menyingkirkan lesi pada tempat tersebut. Jika semua pemeriksaan ini memberikan hasil yang negative dipertimbangkan pemulangan pasien dari RS.</span></div></div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" /> </span> <div class="WordSection7"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">PLASENTA SIRKUMVALATA</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 9.0pt; mso-list: l45 level1 lfo71; tab-stops: list 9.0pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pengertian</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l75 level1 lfo72; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Plasenta sirkumvalata adalah lempeng korionik yang terletak di sisi janin dari plasenta, adalah lebih kecil daripada lempeng basal yang terletak di sisi maternal dan pada permukaan fetal plasenta tersebut ditemukan sebuah cekungan sentral yang dikelilingi oleh cincin yang menebal serta berwarna putih kelabu dan terletak dengan jarak yang bervariasi dari bagian tepi.</span></div><div align="right" class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: right;"><span lang="EN-US">(Obstetri Williams. 1995. 628)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l75 level1 lfo72; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Plasenta sirkumvalata yaitu pada pinggir plasenta dijumpai cincin yang putih akibat desidua vera masuk diantara selaput ketuban.</span></div><div align="right" class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: right;"><span lang="EN-US">(Sinopsis Obstetri. 1998. 247)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l75 level1 lfo72; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Plasenta sirkumvalata yaitu plasenta yang dibagian fetalnya terdapat cincin putih. Bila cincin fibrin putih terdapat pada bagian tepi, plasenta sirkumvalata ini disebut plasenta marginalis. Kejadian plasenta sirkumvalata ini sekitar 25 sampai 10% dan meningkatkan keguguran, solusio plasenta, dan kelahiran plasenta telanjang karena seluruh membrane tertinggal. Plasenta telanjang sering terjadi pada plasenta marginalis.</span></div><div align="right" class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: right;"><span lang="EN-US">(Manuaba. 1998, 237)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l45 level1 lfo71; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Etiologi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Diduga bahwa chorion frondosum terlalu kecil dan untuk mencukupi kebutuhan, villi menyerbu ke dalam desiava di luar permukaan frondosum. Insidensinya lebih kurang 2-18%. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l45 level1 lfo71; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Komplikasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Beberapa ahli mengatakan bahwa plasenta sirkumvalata ini serng menyebabkan abortus dan solusio plasenta.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Pada plasenta marginata mungkin terjadi adeksi dari selaput sehingga plasenta lahir telanjang. Tertinggalnya selaput ini dapat menyebabkan perdarahan dan infeksi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l45 level1 lfo71; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Gejala <span style="mso-spacerun: yes;"> </span>Klinis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Diagnosis plasenta sirkumvalata dapat ditegakkan etelah plasenta lahir, tetapi dapat diduga bila ada perdarahan intermiten atau hidrorea</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l45 level1 lfo71; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Penanganan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;"><span lang="EN-US">Penanganan pada umumnya sama dengan penanganan perdarahan antepartum lainnya dengan :</span></div><ul style="margin-top: 0cm;" type="disc"><li class="MsoNormal" style="line-height: 150%; mso-list: l98 level1 lfo73; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Pemasangan infus</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l98 level1 lfo73; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Tanpa melakukan UT</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l98 level1 lfo73; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Merujuk atau kolaborasi dengan dokter</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l98 level1 lfo73; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Persiapan donor (memeriksa golongan darah, menyiapkan transfusi darah)</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l98 level1 lfo73; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Persiapan operasi SC</span></li>
</ul></div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" /> </span> <div class="WordSection8"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">ASUHAN KEBIDANAN PADA IBU HAMIL DENGAN PLASENTA SIRKUMVALATA</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 9.0pt; mso-list: l49 level1 lfo74; tab-stops: list 9.0pt; text-align: justify; text-indent: -9.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pengkajian</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l30 level1 lfo75; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Biodata</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l42 level1 lfo76; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Biodata</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 41.4pt; width: 528px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 86.75pt;" valign="top" width="116"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Umur<span style="mso-tab-count: 2;"> </span>:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 309.25pt;" valign="top" width="412"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Terjadi pada ibu hamil umur muda < 25 tahun dan umur </span><span lang="EN-US" style="font-family: "Arial","sans-serif";">≥</span><span lang="EN-US"> 35 tahun (Mochtar Rustam. 1998: 272) </span></div></td> </tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 86.75pt;" valign="top" width="116"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Pekerjaan<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 309.25pt;" valign="top" width="412"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Pekerjaan dengan penghasilan rendah sehingga sulit memenuhi kebutuhan nutrisi</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l42 level1 lfo76; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Keluhan utama</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l91 level1 lfo18; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ibu mengatakan saat ini hamil 28 minggu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l91 level1 lfo18; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ibu mengeluh mengalami perdarahan pervaginam tanpa sebab, tanpa nyeri dan berulang. Perdarahan timbul secara tiba-tiba tanpa sebab apapun. Kadang-kadang perdarahan terjadi sewaktu bangun tidur pagi hari tanpa disadari tempat tidur ada darahnya. Perdarahan cenderung berulang dengan volume lebih banyak dari sebelumnya.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l42 level1 lfo76; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kesehatan Sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Pada saat ini ibu mengalami perdarahan yang keluar dari kemaluannya darah merah segar</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l42 level1 lfo76; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kesehatan Dahulu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Ibu pernah menderita hipertensi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l42 level1 lfo76; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kesehatan Keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Dalam keluarga ada riwayat APB</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l42 level1 lfo76; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Riwayat Kehamilan, persalinan dan nifas yang lalu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Terjadi pada usia muda < 25 tahun dan umur </span><span lang="EN-US" style="font-family: "Arial","sans-serif";">≥</span><span lang="EN-US"> 35 tahun. Ibu dengan riwayat APB</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l42 level1 lfo76; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pola kegiatan sehari-hari</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo77; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Nutrisi : terjadi perubahan pola makan/nutrisi (malnutrisi)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level1 lfo77; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Aktifitas : terjadi pada ibu dengan aktifitas banyak dan berat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l30 level1 lfo75; tab-stops: list 27.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Data Obyektif</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l84 level1 lfo78; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan Umum</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Keadaan umum<span style="mso-tab-count: 1;"> </span>: dijumpai keadaan bervariasi dari normal sampai dengan syok</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kesadaran<span style="mso-tab-count: 1;"> </span>: dijumpai keadaan bervariasi dari baik composmentis-koma</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l72 level1 lfo21; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">TTV : biasanya normal, pasien tampak sehat (apabila perdarahan tidak banyak) normal : 120/80 mmHg N:60-100 x/menit, Rr : 16-20 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l84 level1 lfo78; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan Fisik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l14 level1 lfo57; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Muka<span style="mso-tab-count: 1;"> </span>: tampak pucat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l14 level1 lfo57; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; mso-list: l27 level3 lfo58; tab-stops: list 144.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Apabila letak kepala, biasanya kepala masih goyang/teraba/mengolak di atas PAP, sukar didorong ke PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; mso-list: l27 level3 lfo58; tab-stops: list 144.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Biasanya tidak ada kontraksi uterus, DJJ normal teratur, jelas (N: 100 – 160 x/menit)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l14 level1 lfo57; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Genitalia <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;"><span lang="EN-US">Terlihat perdarahan pervaginam berwarna merah segar<span style="mso-spacerun: yes;"> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l84 level1 lfo78; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan penunjang</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 47.8pt; mso-border-insideh: none; mso-border-insidev: none; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Lab :</span></div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l71 level1 lfo79; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Hb. Hematokrit</span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l71 level1 lfo79; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Trombosit</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l71 level1 lfo79; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Waktu pembekuan darah</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l71 level1 lfo79; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Waktu protrombin</span></div></td> </tr>
<tr style="mso-yfti-irow: 4;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l71 level1 lfo79; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Waktu tromboplastin parsial</span></div></td> </tr>
<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l71 level1 lfo79; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Elektrolit plasma</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l100 level1 lfo60; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemeriksaan USG</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;"><span lang="EN-US">Terdapat gambaran cincin pada permukaan fetal serta terdapat perlekatan pada funikulus umbikalis. Cincin tersusun dari lipatan rangkap amnion dan korion dengan desidua yang berdegenerasi dan fibrin di atasnya.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l49 level1 lfo74; tab-stops: 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Interpretasi Data Dasar</span></div><table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 11.8pt; width: 552px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l54 level1 lfo25; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu hamil dengan usia kehamilan 28 minggu I/T/H dengan plasenta sirkumvalata </span></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Ds<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td colspan="2" style="padding: 0cm 2.85pt 0cm 2.85pt; width: 358.15pt;" valign="top" width="478"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengatakan saat ini hamil 28 minggu</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Ibu mengeluh mengalami perdarahan pervaginam tanpa sebab tanpa nyeri dan berulang. Perdarahan timbul secara tiba-tiba tanpa sebab.</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Do<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Muka<span style="mso-tab-count: 2;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Tampak pucat</span></div></td> </tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;"> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 56.15pt;" valign="top" width="75"> <div class="MsoNormal" style="line-height: 150%; margin-left: 6.2pt; text-align: justify;"><br />
</div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 85.45pt;" valign="top" width="114"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Genitalia<span style="mso-tab-count: 1;"> </span>:</span></div></td> <td style="padding: 0cm 2.85pt 0cm 2.85pt; width: 272.7pt;" valign="top" width="364"> <div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Apabila letak kepala, biasanya kepala masih goyang/teraba/mengolak di atas PAP, sukar didorong ke PAP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; mso-list: l100 level1 lfo60; tab-stops: list 17.6pt; text-align: justify; text-indent: -17.6pt;"><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Biasanya tidak ada kontraksi uterus, DJJ normal teratur, jelas (N: 100 – 160 x/menit)</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-US">Terlihat perdarahan pervaginam berwarna merah segar</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l49 level1 lfo74; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Antisipasi Masalah Potensial</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l97 level1 lfo80; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Potensial terjadinya syok hipovolemik</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l97 level1 lfo80; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Potensial terjadi anemic</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l97 level1 lfo80; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">potensial rupture pembuluh darah janin, terjadi perdarahan janin</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l49 level1 lfo74; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Identifikasi Kebutuhan Segera</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l26 level1 lfo81; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Pasang infus RL</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l26 level1 lfo81; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Kolaborasi dengan dokter</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l26 level1 lfo81; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Persiapan untuk operasi</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l49 level1 lfo74; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"><span lang="EN-US"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Intervensi</span></div><ol start="1" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l66 level1 lfo82; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">pasang infus dan berikan cairan RL 20 x/ menit</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ memperbaiki kondisi umum ibu menjadi lebih baik dan rehidrasi</span></div><ol start="2" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l66 level1 lfo82; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Observasi TTV dan perdarahan </span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ deteksi dini penurunan Hb dalam darah</span></div><ol start="3" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l66 level1 lfo82; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Informed consent kepada ibu dan keluarga</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ persetujuan dan pertanggungjawaban kepada keluarga</span></div><ol start="4" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l66 level1 lfo82; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Kolaborasi dengan dokter dan tim medis untuk pemeriksaan USG dan tindakan lebih lanjut selama operasi serta pemberian terapi</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ membantu menegakkan diagnosa</span></div><ol start="5" style="margin-top: 0cm;" type="1"><li class="MsoNormal" style="line-height: 150%; mso-list: l66 level1 lfo82; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Kolaborasi dengan laboratorium untuk pemeriksaan Hb, hematokrit, trombosit, waktu pembekuan darah, waktu protrombin, waktu tromboplastinparsial, elektrolit plasma</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l66 level1 lfo82; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Kolaborasi dengan PMI untuk mempersiapkan darah dan tranfusi darah</span></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span lang="EN-US">R/ persiapan bila terjadi kegawatdaruratan</span></div></div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" /> </span> <div class="WordSection9"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">DAFTAR PUSTAKA</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">Bagian Obstetri dan Ginekologi FK UNPAD. 1984. <i style="mso-bidi-font-style: normal;">Obstetri Patologi. </i>Bandung : Elstar Offset</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">Cunningham, F. Garry. 1995. <i style="mso-bidi-font-style: normal;">Obstetri Williams</i>. Jakarta. : EGC</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">Kelompok Belajar Mahasiswa FK Surabaya. Obstetri Phantom</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">Mansjoer Arif. 2000. <i style="mso-bidi-font-style: normal;">Kapita Selekta Kedokteran. </i>Jakarta : Media Aqusculapius</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">Manuaba, Ida Bagus Ede. 1998. <i style="mso-bidi-font-style: normal;">Ilmu Kebidanan, Penyakit Kandungan dan KB untuk Pendidikan Bidan</i>. Jakarta : EGC</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">Prawirohardjo, Sarwono. 2005. <i style="mso-bidi-font-style: normal;">Ilmu Kebidanan</i>, Jakarta : Yayasan Bina Pustaka</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify; text-indent: -27.0pt;"><span lang="EN-US">Hakimi. 1996. <i style="mso-bidi-font-style: normal;">Ilmu Kebidanan Patologi dan Fisiologi Persalinan</i> Jakarta : Yayasan Essentia Medisa</span></div></div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" /> </span> <div class="WordSection10"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></div><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" /> </span></b> <div class="WordSection11"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="height: 652px; left: -5px; mso-ignore: vglayout; position: relative; top: 0px; width: 1017px; z-index: 12;"><img height="652" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" width="1017" /></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"> </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" /> </span><br clear="ALL" style="mso-ignore: vglayout;" /> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="EN-US">PENATALAKSANAAN SOLUTIO PLASENTA</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="height: 15px; left: 0px; margin-left: 256px; margin-top: 19px; mso-ignore: vglayout; position: absolute; width: 16px; z-index: 14;"><img height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="16" /></span><span lang="EN-US">Solutio Plasenta</span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: center;"><span style="height: 14px; left: 0px; margin-left: 264px; margin-top: 24px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 15;"><img height="14" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="2" /></span><span lang="EN-US">Gradasi</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="height: 14px; left: 0px; margin-left: 35px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 13;"><img height="14" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="2" /></span><span lang="EN-US"><img height="697" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" width="604" /></span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span></div><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" /> </span> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">DAFTAR ISI</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 360.0pt right blank 384.0pt; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">LEMBAR JUDUL <span style="mso-tab-count: 1 dotted;">....................................................................................... </span><span style="mso-tab-count: 1;"> </span>i</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 360.0pt right blank 384.0pt; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">KATA PENGANTAR <span style="mso-tab-count: 1 dotted;">................................................................................. </span><span style="mso-tab-count: 1;"> </span>ii</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 360.0pt right blank 384.0pt; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">DAFTAR ISI <span style="mso-tab-count: 1 dotted;">................................................................................................ </span><span style="mso-tab-count: 1;"> </span>iii</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 360.0pt right blank 384.0pt; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">BAB<span style="mso-spacerun: yes;"> </span>I<span style="mso-spacerun: yes;"> </span>PENDAHULUAN <span style="mso-tab-count: 1 dotted;">......................................................................... </span><span style="mso-tab-count: 1;"> </span>1</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l0 level2 lfo5; tab-stops: list 66.0pt left dotted 360.0pt right blank 384.0pt; text-align: justify; text-indent: -24.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Latar Belakang <span style="mso-tab-count: 1 dotted;">..................................................................... </span><span style="mso-tab-count: 1;"> </span>1</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l0 level2 lfo5; tab-stops: list 66.0pt left dotted 360.0pt right blank 384.0pt; text-align: justify; text-indent: -24.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Tujuan <span style="mso-tab-count: 1 dotted;">.................................................................................... </span><span style="mso-tab-count: 1;"> </span>1</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l0 level2 lfo5; tab-stops: list 66.0pt left dotted 360.0pt right blank 384.0pt; text-align: justify; text-indent: -24.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Metode Penulisan <span style="mso-tab-count: 1 dotted;">................................................................ </span><span style="mso-tab-count: 1;"> </span>1</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l0 level2 lfo5; tab-stops: list 66.0pt left dotted 360.0pt right blank 384.0pt; text-align: justify; text-indent: -24.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Manfaat Penulisan <span style="mso-tab-count: 1 dotted;">............................................................... </span><span style="mso-tab-count: 1;"> </span>1</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 360.0pt right blank 384.0pt; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">BAB<span style="mso-spacerun: yes;"> </span>II PERMASALAHAN <span style="mso-tab-count: 1 dotted;">...................................................................... </span><span style="mso-tab-count: 1;"> </span>2</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 360.0pt right blank 384.0pt; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">BAB III PEMBAHASAN <span style="mso-tab-count: 1 dotted;">........................................................................... </span><span style="mso-tab-count: 1;"> </span>3</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l2 level2 lfo6; tab-stops: list 66.0pt left dotted 360.0pt right blank 384.0pt; text-align: justify; text-indent: -21.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">3.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Definisi Persalinan <span style="mso-tab-count: 1 dotted;">.............................................................. </span><span style="mso-tab-count: 1;"> </span>3</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l2 level2 lfo6; tab-stops: list 66.0pt left dotted 360.0pt right blank 384.0pt; text-align: justify; text-indent: -21.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">3.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Definisi Nyeri Persalinan <span style="mso-tab-count: 1 dotted;">................................................... </span><span style="mso-tab-count: 1;"> </span>3</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l2 level2 lfo6; tab-stops: list 66.0pt left dotted 360.0pt right blank 384.0pt; text-align: justify; text-indent: -21.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">3.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Mekanisme Nyeri Persalinan <span style="mso-tab-count: 1 dotted;">............................................. </span><span style="mso-tab-count: 1;"> </span>3</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l2 level2 lfo6; tab-stops: list 66.0pt left dotted 360.0pt right blank 384.0pt; text-align: justify; text-indent: -21.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">3.4<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Faktor Yang Memperparah Rasa Sakit </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: dotted 360.0pt right blank 384.0pt; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"> </span>Atau Nyeri Persalinan <span style="mso-tab-count: 1 dotted;">......................................................... </span><span style="mso-tab-count: 1;"> </span>4</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l2 level2 lfo6; tab-stops: list 66.0pt left dotted 360.0pt right blank 384.0pt; text-align: justify; text-indent: -21.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">3.5<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Penanggulangan Nyeri Persalinan <span style="mso-tab-count: 1 dotted;">..................................... </span><span style="mso-tab-count: 1;"> </span>5</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 360.0pt right blank 384.0pt; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">BAB IV PENUTUP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l8 level2 lfo7; tab-stops: list 66.0pt left dotted 360.0pt right blank 384.0pt; text-align: justify; text-indent: -21.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">4.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Saran <span style="mso-tab-count: 1 dotted;">...................................................................................... </span><span style="mso-tab-count: 1;"> </span>8</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l8 level2 lfo7; tab-stops: list 66.0pt left dotted 360.0pt right blank 384.0pt; text-align: justify; text-indent: -21.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">4.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Simpulan <span style="mso-tab-count: 1 dotted;">............................................................................... </span><span style="mso-tab-count: 1;"> </span>8</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 360.0pt right blank 384.0pt; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">DAFTAR PUSTAKA</span></div><div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 360.0pt right blank 384.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 360.0pt right blank 384.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">BAB I</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">PENDAHULUAN</span></b></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo8; tab-stops: list 36.0pt; text-align: justify; text-indent: -36.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">1.1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">LATAR BELAKANG </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Persalinan merupakan proses fisiologis yang terjadi pada tiap kehamilan. Meskipun hal tersebut merupakan proses fisiologis selalu dihubungkan dengan penderitaan. Nyeri pada persalinan bukanlah hal yang baru dikenal sekarang tetapi sudah ada sejak jaman dahulu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Menurut catatan sejarah manusia tidak henti-hentinya berusaha untuk mengurangi atau menghilangkan rasa nyeri pada persalinan, baik dengan cara fisik maupun psikologis. Saat ini wanita menganggap persalinan sebagai komponen utama yang terdiri dari nyeri dan kerja keras. Pemikiran yang demikian akan sangat menganggu baik pada ibu maupun janin karena stress dapat mengakibatkan pengurangan aliran darah ibu dan janin</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Oleh karena itu perlu dilakukan penanggulangan rasa nyeri persalina untuk mengurangi atuapun juga menghilangkan rasa nyeri tersebut.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo8; tab-stops: list 36.0pt; text-align: justify; text-indent: -36.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">1.2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">TUJUAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Adapun tujuan penulisan dari makalah ini adalah untuk mengetahui mengenai mekanisme nyeri persalinan sehingga dapat diketahui pula menggenai penanggulangan dari nyeri persalinan ini sendiri </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo8; tab-stops: list 36.0pt; text-align: justify; text-indent: -36.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">1.3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">METODE PENULISAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Makal ini disusun berdasarkan informasi-informasi yang dihimpun melalui studi pustaka dari berbagai literature yang ada di perpustakaan </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo8; tab-stops: list 36.0pt; text-align: justify; text-indent: -36.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">1.4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">MANFAAT PENULISAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Manfaat makalah ini adalah untuk mengembangkan apresiasai masyarakat pada umumnya dan pembaca pada khususnya terhadap nyeri persalinan sebagai sesuatu yang fisiologis sehingga segera dapat ditanggulangi karena sesuatu yang tidak diketahui dapat lebih menyakitkan daripada mestinya</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">BAB II</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">PERMASALAHAN</span></b></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>Nyeri persalinan merupakan salah satu hal yang ditakutkan oleh ibu hamil. rasa tegang dan cemas selalu menggangu pikiranya sehingga tidak jarang perasaan bahagia karena tidak lama lagi hadir seorang<span style="mso-spacerun: yes;"> </span>anak melengkapi kehidupan rumah tangganya tertutupi oleh rasa takut ini.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>Hal di atas dikarenakan persepsi persalinan yang tertanam di benak kebanyakan ibu cukup menyeramkan. Wanita yang menjalani persalinan diibaratkan sedang ”<i style="mso-bidi-font-style: normal;">menantang maut</i>”, “<i style="mso-bidi-font-style: normal;">bertaruh nyawa</i>” dan kondisinya digambarkan sebagai “<i style="mso-bidi-font-style: normal;">satu kaki di dunia, satu kaki di akhirat</i>”. Seiring cerita orang-orang sekitar yang pernah melahirkan menambah rasa cemas calon ibu. Mereka menggambarkan persalinan secara menakutkan </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
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</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">BAB III</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">PEMBAHASAN</span></b></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo9; tab-stops: list 36.0pt; text-align: justify; text-indent: -36.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">3.1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">DEFINISI PERSALINAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Partus adalah suatu proses pengeluaran hasil konsepsi yang dapat hidup dari dalam uterus melalui vagina ke dunia luar (<i style="mso-bidi-font-style: normal;">Ilmu Kebidanan, hal180)</i></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Persalinan adalah suatu proses pengeluaran hasil konsepsi (janin + uri), yang dapat hidup ke dunia luar dari rahim melalui jalan lahir atau dengan jalan lain (<i style="mso-bidi-font-style: normal;">Synopsis Obstetri, hal 91)</i></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 25.65pt; text-align: justify; text-indent: 36.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo9; tab-stops: list 36.0pt; text-align: justify; text-indent: -36.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">3.2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">DEFINISI NYERI PESALINAN </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Adalah rasa nyeri yang berhubungan dengan pesalinan pada kala I dan kala II yang merupakan proses yang fisiologis yang selalu dihubungkan dengan penderitaan. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Nyeri persalinan biasanya dikaitkan dengan regangan, tekanan dan robekan struktur-struktur lokal. Dipandang dari proses persalinan rasa nyeri tidak perlukan, yang diperlukan adalah kontraksi rahim. Sakit kontraksi dalam persalinan merupakan nyeri primer. Daerah yang mengalami nyeri primer antara lain: pinggang, pungung, perut dan pangkal paha. Sebagai efek kontraksi timbul juga nyeri skunder seperti mual, pusing, sakit kepala, muntah, tubuh gemetar, panas dingin atau bergantian keduanya, kram, pegal-pegal dan nyeri otot.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Rasa nyeri pada suatu alat tubuh tidak selalu berarti bahwa alat tubuh tadi yang sakit tapi dapat berasal dari rahim dan bukan dari otot punggung sediri</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo9; tab-stops: list 36.0pt; text-align: justify; text-indent: -36.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">3.3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">MEKANISME NYERI PERSALINAN </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Rasa sakit terjadi karena adanya aktifitas besar di dalam tubuh guna menggeluarkan bayi. Umumnya rasa sakit saat kontraksi dimulai dari bagian bawah punggung kemudian menyebar ke bagian bawah perut mungkin juga menyebar ke kaki. Rasa sakit dimulai seperti sedikit tertusuk, lalu mencapai puncak kemudian menghilang seluruhnya.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Belum ada persesuaian pendapat mengenai mekanisme yang sebenarnya yang neimbulkan rasa nyeri pada persalinan. Teori yang dikemukakan antara lain :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 62.7pt; mso-list: l6 level1 lfo1; tab-stops: list 62.7pt; text-align: justify; text-indent: -25.65pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Membukanya mulut rahim.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 62.7pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Banyak data yang menunjang bahwa nyeri pada kala pembukaan terutama disebabkan oleh membukanya mulut rahim, misalnya : peregangan otot polos merupakan rangsangan yang cukup untuk menimbulkan nyeri. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 62.7pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Terdapat hubungan yang erat antara besarnya pembukaan mulut rahim dan intensitas nyeri (makin membuka rahim makin nyeri), terdapat hubungan antara timbunya rasa nyeri dan kontraksi rahim.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 62.7pt; mso-list: l6 level1 lfo1; tab-stops: list 62.7pt; text-align: justify; text-indent: -25.65pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Kontraksi dan peregangan rahim.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 62.7pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Rangsangan nyeri disebabkan oleh tertekannya ujung syaraf sewaktu rahim berkontraksi dan terenggangnya rahim bagian bawah. Kejadian itu terjadi ketika otot-otot rahim berkontraksi untuk mendorong bayi keluar.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 62.7pt; mso-list: l6 level1 lfo1; tab-stops: list 62.7pt; text-align: justify; text-indent: -25.65pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Kontraksi mulut rahim.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 62.7pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Teori ini kurang dapat diterima oleh karena jaringan mulut rahim hanya sedikit mengandung jaringan otot.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 62.7pt; mso-list: l6 level1 lfo1; tab-stops: list 62.7pt; text-align: justify; text-indent: -25.65pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Peregangan jaringan rahim bagian bawah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 62.7pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Peregangan jalan lahir oleh kepala janin pada akhir kala pengeluaran menimbulkan rasa nyeri paling hebat dalam proses persalinan. Selain itu, bersamaan dengan setiap kontraksi, kandung kemih, rektum, tulang belakang dan tulang pubic menerima tekanan yang kuat dari rahim. Berat dari kepala bayi ketika bergerak ke bawah saluran lahir juga mengakibatkan tekanan. Semua ini akan terasa menyakitkan bagi ibu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 51.3pt; text-align: justify; text-indent: 36.0pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo9; tab-stops: list 36.0pt; text-align: justify; text-indent: -36.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">3.4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">FAKTOR YANG MEMPERPARAH RASA SAKIT ATAU NYERI PERSALINAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Selain menyebabkan nyeri persalinan di atas, berbagai hambatan fisisk dan psikologis pada ibu saat persalinan dapat menambah rasa sakit persalinan :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.15pt; mso-list: l1 level1 lfo2; tab-stops: list 51.3pt; text-align: justify; text-indent: -28.5pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Faktor fisik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Tindakan dokter untuk melancarkan persalinan antara lain: episiotomi, penggunaan alat bantu seperti: forcep dan vacum, pemutaran bayi yang dalam posisi sungsang atau menggunakan obat yang dapat memicu terjadinya kontraksi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Persalinan berlangsung sangat lama.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Ibu mempunyai penyakit yang muncul saat bersalin seperti asma, jantung, atau darah tinggi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Pemeriksaan jalan lahir yang berulang-ulang oleh beberapa tenaga medis.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Besarnya pembukaan mulut rahim.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Banyaknya persalinan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Besarnya janin</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">KU pasien</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.15pt; mso-list: l1 level1 lfo2; tab-stops: list 51.3pt; text-align: justify; text-indent: -28.5pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Faktor psikologis.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Ibu melahirkan sendiri tanpa pendamping.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Ibu mengalami keletihan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Ibu haus dan lapar.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">ibu berfikir tentang sakit.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Ibu stres, cemas dan tegang selama kontraksi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Ibu takut pada hal-hal yang belum diketahui.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Ibu mengasihani diri sendiri</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Ibu tidak siap untuk melahirkan atau persalinan yang tidak sesuai jadwal yang diperkirakan (mendadak)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 76.95pt; mso-list: l1 level2 lfo2; tab-stops: list 76.95pt; text-align: justify; text-indent: -25.65pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Kehamilan yang tidak diinginkan, dst.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 51.3pt; tab-stops: list 90.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo9; tab-stops: list 36.0pt; text-align: justify; text-indent: -36.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">3.5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">PENANGULANGAN NYERI PERSALINAN.</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Stres dalam nyeri persalinan menyebabkan produksi hormon stres naik sehingga mengakibatkan pengurangan<span style="mso-spacerun: yes;"> </span>aliran darah ibu-janin. Bila nyeri persalinan dapat diatasi dengan baik maka menurut falconer dan powel (1982) hormon stres dalam alam darah akan turun dan mengurangi kebutuhan O<sub>2</sub> sampai 14 %.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Ada banyak cara pendekatan untuk menguranggi atau meredakan nyeri </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 25.65pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Pada persalinan. Semua cara tersebut hendaknya harus memenuhi syarat :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l1 level2 lfo2; tab-stops: list 63.0pt; text-align: justify; text-indent: -37.35pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Aman bagi ibu dan bayi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l1 level2 lfo2; tab-stops: list 63.0pt; text-align: justify; text-indent: -37.35pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Tak mempengaruhi<span style="mso-spacerun: yes;"> </span>sistim pernafasan, jantung, pembuluh darah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l1 level2 lfo2; tab-stops: list 63.0pt; text-align: justify; text-indent: -37.35pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Tak mempengaruhi jalanya persalinan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l1 level2 lfo2; tab-stops: list 63.0pt; text-align: justify; text-indent: -37.35pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Tak mempengaruhi bayi selama dalam rahim dan setelah lahir.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l1 level2 lfo2; tab-stops: list 63.0pt; text-align: justify; text-indent: -37.35pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Tak ada<span style="mso-spacerun: yes;"> </span>efek samping yang berbahaya.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l1 level2 lfo2; tab-stops: list 63.0pt; text-align: justify; text-indent: -37.35pt;"><span style="font-family: Symbol; font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="15" src="file:///C:/Users/Revi/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="17" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Kemungkinan berhasil<span style="mso-spacerun: yes;"> </span>besar.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 25.65pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Dari segi psikologis, jika ibu mempersiapkan tubuh dan pikiranya sebenarnya kecemasan akan raa sakit persalinan dapat diatasi. Bahkan mungkin akan membuat persalinan lebih nyaman untuk dihadapi. Berikut ini merupakan beberapa upaya untuk mempersiapkan tubuh dan pikiran dalam menghadapi persalinan:</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.6pt; mso-list: l7 level1 lfo3; tab-stops: list 45.6pt; text-align: justify; text-indent: -19.95pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">a<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Lakukan latihan persiapan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.6pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Berlatih, baik latihan pernafasan, Peregangan atau latihan kebugaran. Selain itu istirahat yang cukup agar tidak didera kelelahan saat persalinan. Jangan banyak melakukan banyak kegiatan pada bulan<span style="mso-spacerun: yes;"> </span>ke 9 kehamilan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.6pt; mso-list: l7 level1 lfo3; tab-stops: list 45.6pt; text-align: justify; text-indent: -19.95pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">b<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Tempat rasa sakit dalam sudut pandang yang bebas.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.6pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Pertama, jika memang persalinan itu menyakitkan. Berfikirlah bahwa rasa sakit itu tidak akan berlangsung untuk selamanya<span style="mso-spacerun: yes;"> </span>hanya akan berlangsung selama beberapa jam saja yang benar-benar terasa tidak nyaman. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.6pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Kedua , rasa sakit yang diderita memiliki tujuan yang jelas dan positif, yaitu kontraksi secara bertahan akan mendekatkan pada ibu dengan kelahiran.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.6pt; mso-list: l7 level1 lfo3; tab-stops: list 45.6pt; text-align: justify; text-indent: -19.95pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">c<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Dapatkan informasi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.6pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Carilah informasi sebanyak-banyaknya tentang persalinan. Sesuatu yang tidak diketahui dapat lebih menyakitkan daripada sebagaimana mestinya.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.6pt; mso-list: l7 level1 lfo3; tab-stops: list 45.6pt; text-align: justify; text-indent: -19.95pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">d<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Jangan melaluinya sendiri.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.6pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Meskipun enggan memegang tangan pendamping persalinan tetapi cukup menenangkan jika ibu tahu ada seseorang yang khusus mendampingi ibu selama jam-jam yang sulit dan tidak nyaman.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Cara lain yang bisa dilakukan untuk menanggulangi rasa nyeri persalinan antara lain. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l5 level1 lfo4; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Hipnosis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Cara ini sangat efektif untuk jumlah kecil tapi membutuhkan waktu yang lama.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l5 level1 lfo4; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Akupuntur</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Sampai saat ini peranannya masih kecil dalam </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">penanggulangan nyeri dalam persalinan karena hasilnya sangat bervariasi dan kurang dapat diharapkan </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l5 level1 lfo4; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Analgesia</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Di sini penyuntikan obat analgetika akan menyebabkan hilangnya rasa nyeri pada persalinan. Kadang obat pereda sakit tertentu sangat dibutuhkan dan justru disarankan oleh dokter agar persalinan berlangsung efektif. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l5 level1 lfo4; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Musik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Musik ditujukan untuk membantu pendengar untuk merasa santai atau digunakan untuk menyamarkan suara lain yang sulit diterima. Musik ini merupakan salah satu teknik relaksasi untuk mengurangi rasa nyeri persalinan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><br />
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</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">BAB IV</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">PENUTUP</span></b></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">4.1<span style="mso-spacerun: yes;"> </span>Saran</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Nyeri persalinan perlu diperkenalkan pada ibu hamil agar ibu tidak berpersepsi<span style="mso-spacerun: yes;"> </span>yang macam-macam tentang persalinan itu sendiri karena hal tersebut akan sangat menggangu sirkulasi peredaran darah ibu-janin dikarenakan ibu mengalami tekanan aau dalam kondisi stres. Nyeri persalinan itu sendiri sebenarnya dapat ditanggulangi untuk mengurangi atau bahkan menghilangkan rasa nyeri pada persalinan sehingga ibu dapat<span style="mso-spacerun: yes;"> </span>ditanggulangi untuk mengurangi atau bahkan menghilangkan rasa nyeri pada persalinan sehingga ibu dapat merasa sedikit nyaman dengan persalinannya</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">4.2<span style="mso-spacerun: yes;"> </span>Simpulan </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Rasa nyeri pada merupakan suatu hal yang fisiologis yang terjadi baik pada kala I (pembukaan) maupun maupun kala II (pengeluaran). Nyeri ini sebenarnya tidak semata-mata disebabkan oleh perubahan perubahan fisik yang terjadi pada ibu bersalin tetapi juga disebabkan oleh kondisi psikologis ibu yang menggangap persalinan itu merupakan suatu peristiwa yang menakutkan. Oleh karena itu perlu dilakukan teknik relaksasi dan juga pendampingan pada saat persalinan agar kondisi psikologis ibu bisa stabil.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;"><br />
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</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">DAFTAR PUSTAKA </span></b></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
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</div><div class="MsoNormal" style="margin-left: 54.15pt; text-indent: -54.15pt;"><span style="font-size: 13.0pt; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Muhiman,Muhardi,dkk.1986.<b style="mso-bidi-font-weight: normal;"><u>Penanggulangan Nyeri Pada Persalinan</u></b>.</span></div><div class="MsoNormal" style="margin-left: 54.15pt; text-indent: -18.15pt;"><span style="font-size: 13.0pt; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Jakarta:FKUI.</span></div><div class="MsoNormal" style="margin-left: 54.15pt; text-indent: -18.15pt;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-size: 13.0pt; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Mander,Rosemary.2003.<b style="mso-bidi-font-weight: normal;"><u>Nyeri Persalinan</u></b>.Jakarta:EGC.</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-size: 13.0pt; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Danuatmaja,Bonny. dkk.2004.<b style="mso-bidi-font-weight: normal;"><u>Persalinan Normal Tanpa Rasa Sakit</u></b>.</span></div><div class="MsoNormal" style="text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Jakarta:Puspa Swara.</span></div><div class="MsoNormal" style="text-align: justify; text-indent: 36.0pt;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-size: 13.0pt; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Mochtar,Rustam.1998.<b style="mso-bidi-font-weight: normal;"><u>Sinopsis Obstetri</u></b>. Jakarta:EGC.</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-size: 13.0pt; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Wiknjosastro,Hanifa.2006.<b style="mso-bidi-font-weight: normal;"><u>Ilmu Kebidanan</u></b>.Jakarta:Yayasan Bina Pustaka</span></div><div class="MsoNormal" style="text-align: justify; text-indent: 36.0pt;"><span style="font-size: 13.0pt; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">Sarwono Prawirohardjo.</span></div><div class="MsoNormal" style="text-align: justify;"><br />
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</div>Anonymoushttp://www.blogger.com/profile/13881894576118838754noreply@blogger.com0