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8/17/2019 Boyolali 26nov - 2 Des YL RR
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Stase RSUD Pandan Arang
Boyolali Melaporkan Pasien26 November – 2 Desember 20!
dr. Robert Ridwan (YA )
dr. Yulinar Budi Adhi(YL)
Program Pendidikan Dokter Spesialis "bstetridan #inekologi$ak%ltas &edokteran Universitas Negeri
Sebelas MaretR%ma' Sakit Dr( Moe)ardi S%rakarta
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R*SUM*TOTAL PASIEN : 24 PASIEN• PARTUS FISIOLOGIS : 2 PASIEN• PARTUS PATOLOGIS : 12 PASIEN• MAYOR OBSTETRI : 2PASIEN• MINOR OBSTETRI : 2PASIEN
• MAYOR GINEKOLOGI : 1PASIEN• MINOR GINEKOLOGI : 3PASIEN• RENCANA MAYOR OBSTETRI : -PASIEN• RENCANA MINOR OBSTETRI : - PASIEN• RENCANA MINOR GINEKOLOGI : - PASIEN• KONSERVATIF : 1PASIEN• SISA VK : - PASIEN•Insers IU! : PASIEN
2
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PAR+US$,S,"-"#,S
&ASUS
3
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PAR+US $,S,"-"#,S 2 &as%s
1. Ny. Dia H, G2P1A0 , 29 thn UK 38mgg
Lahir bayi laki-laki L 3100 gr A!8-9-10
2. Ny. !"ranti G3P2A0 #2 thn "k 38mgg
lahir bayi $%r%m$"an L 3100 grA! 8-9-10
#
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PAR+USPA+"-"#,S
2 &ASUS
&
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Postdate.postterm/ kas%s
1.Ny. 'L G1P0A0, 1( th, UK ) #1 mgg
KPD 1 hari $a*a Primigra+i*a Hamil$t*at%
Lahir bayi $%r%m$"an, L 3(00 gr, A! &-/-(
2.Ny. ! G1P0A0, 22 th , UK #1 mgg
Primigra+i*a hamil $t*at%
Lahir bayi $%r%m$"an ,L 2(00 gr, A!8-9-10
/
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(((Postdate.postterm
3.Ny. PU G2P1A0 2#thn UK ) #2 mgg!%"n*igra+i*a hamil $t%rm
lahir bayi $%r%m$"an L 3200 gr A!
8-9-10#.Ny. U G3P2A0 3# thn UK #1 mgg
"ltigra+i*a hamil $t%rm
lahir bayi laki-laki L 3&00 gr A! 8-9-10
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&*+UBAN P*A1 D,N, / kas%s
1. Ny. !, G1P0A0, 22 th UK ) 3( mgg
KPD 1 hari $a*a Primigra+i*a Hamil
At%rmLahir bayi $%r%m$"an,L 2300 gr, A! (-8-9
2. Ny.',G1P0A0, 22thn UK ) 39 mgg KPD 1& 4am $a*a $rimigra+i*a hamil
at%rm
Lahir bayi laki-laki ,L 2/00 gr A! 8-9-
8
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K%t"ban $%ah *ini5
3. Ny. !L, G2P1A0, 21 th UK ) 3( mgg
KPD 1/ 4am $a*a %"n*igra+i*a HamilAt%rm
Lahir bayi $%r%m$"an,L 2900 gr, A!
8-9-10
#. Ny. 6!, G2P1A0, 38 th UK ) 39 mgg
KPD 1 hari %"n*igra+i*a Hamil
at%rm7ri ! #,& thn yllLahir bayi $%r%m$"an,L 2900 gr, A! 8-9-10
9
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ak%m *kstraksi2&as%s
1. Ny. ', G2P0A1, 2# th UK ) #0 mgg
Kala :%tal *itr% !%k"n*igra+i*a Hamilat%rm
Lahir bayi Laki-laki, L 3000 gr, A! /-(-8
2 .Ny.L6 G1P0A0 2( thn Uk 3/ mgg
P; KPD 12 4am $a*a $rimigra+i*a hamil$r%t%rm
Lahir bayi $%r%m$"an L 2100 gram A! (-8-9allar*r% 30 %"ai "ia k%hamilan 3&-3/mgg
10
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Presbo . ,U#R kas%s
1. Ny.N G1P0A0 2( thn "k 39 mgg $t man"al ai* a
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U=D1 ka"
1. Ny. K G3P2A0 #1 thn "k 30 mgg
P; U=D m"ltigra+i*a h $r%t%rm
Lahir bayi $%r%m$"an L 1(00 grma%rai >-?
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MA3"R "BS+*+R,
&ASUS
13
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1. 1. N"#SR G3P2A$ 4$ %&n '( 3) *++
ReSCTPe*,MO ./ KP! 1 &.r *'0%+r..
&.*0 .%er* + r5 SC 26
Lahir bayi laki-laki, L 2/00 gr, A! /-(-
8
1#
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#,N*&"-"#,
! kas%s1. Ny. ' G2P1A0 2( thn "k 1/ mgg
Pt k"r%ta% a
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#,N*&"-"#,
#. Ny.! G3P2A0 31 thn "k 13mgg
$t k"r%ta% a
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MA3"R #,N*&"-"#, &as%s
Hit%r%ktmi 'tal ) 1 Ka"
1.Ny. !P, P2A0, &0 th
Pt !"$ra%r+ial hit%r%ktmi aimyma "t%ri
1(
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&"NS*RA+,$
ka"
18
K ti:
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Kn%r+ati: )
ka"1. Ny. G1P0A0 38 thn Uk ) 33 mgg KPD 1 hari $a*a $rimigra+i*a hamil
$r%t%rm
19
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D,S&US,
20
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#P0A04 25 t'4 U& 7mingg%
Pr%b Primigra+i*a hamilat%rm *g riayat ama
21
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&ronologis Se7r.n+ G1P$A$ 8 29 %.&'n '( 3 *+ .%.n+ en+.n (e0'&.n
(en;en+-(en;en+#.sen *er.s. &.*0 ) '0.n8+er.(.n
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Pemeriksaan $isik K' : .(8 ;*
VS T! : 11$/9$ **?+ N : 6/*en% 6/*n%
Rr : 2$6/*n% S : 38 7CM.%. C. -/- SI -/-
T&7r.6 : C7r : B@ I-II 14$ 6/*en% sn+ =->
P'0*7 : S!V =,/,> ST=-/->
A s'e0 NT =>8 %er.. 3-46/1$/2$
Gen : VU %en.n+ nn+ .+n. n8 P7r%7 %.(
%er..8e*.(..n 0en+(. e : $AK=,> KK=->
en'n
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2/
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P%rmaalahan
ana4%m%n $a*a
K%hamilanb%rik"tnya
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;$i*%milgi *an %tilgi
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&-AS,$,&AS,
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A!A
'h% Am%rian 'hrai !i%ty )
"at" $%nyakit *%ngan iri r%$ntrakh%a *an brnk" t%rha*a$b%rbagai rangangan mani:%taia*anya $%ny%m$itan 4alan na$ayang l"a *an *%ra4atnya *a$at
b%r"bah-"bah
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A!A PADA K;HALAN
• Ama brnkial% m%r"$akan $%nyakitbtr"ki *i$%rkirakan 1B-#B anitahamil m%n*%rita ama
• 29B ka" m%mbaik
•#9B ka" t%ta$
• 22B ka" m%mb"r"k
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PA'C=!CLCG
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P*N#ARU1 &*1AM,-AN+*R1ADAP ASMA
Prg%t%rn *an $rtaglan*in ;ka%rbai %rangan ama $a*atrim%t%r ata" $a*a aat$%ralinan
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P;NGAUH A!A ';HADAPK;HALAN
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t%r*a$at kr%lai b%rmakna antara:"ngi $ar" ib" *%ngan b%rat lahir
4anin
Angka k%matian $%rinatal 2E li$at
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P%nanganan ama krnik$a*a k%hamilan
1. ant"an $iklgik m%n%nangkan$%n*%rita baha k%hamilannyati*ak akan m%m$%rb"r"k $%r4alanan
klini $%nyakit
2. %nghin*ari al%rg%n yang t%lah*ik%tah"i *a$at m%nimb"lkan
%rangan ama3. D%%nitiai ata" im"nt%ra$i
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#. Fika *i$%rl"kan *a$at *ib%rikan t%rb"latin"l:at 2,&-& mh $%r ral 3 kali %hari, ata"b%ta agni lainnya.
&. 'ambahkan krtikt%ri* ral/. P%rtimbangan antibitika $rlaki $a*a
k%m"ngkinan a*anya in:%ki al"ran na:aata.
(. rmlyn *i"m m%n%gah t%r4a*inya%rangan ama, *%ngan *i 20-#0 mg, #kali %hari %ara inhalai
l k h il
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'atalakaana K%hamilan!%lan4"tnya
• P%natalakanaan $ai%n ini "nt"kk%hamilan %lan4"tnya yait" "nt"k*a$at m%ngntrl ama nya
Kn"l *%ngan '! $ar"
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+*R,MA&AS,1