CC 12 okt DKP

8/16/2019 CC 12 okt DKP

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Sunday, October 12Sunday, October 12 thth 20142014

8/16/2019 CC 12 okt DKP


8/16/2019 CC 12 okt DKP


8/16/2019 CC 12 okt DKP


8/16/2019 CC 12 okt DKP


8/16/2019 CC 12 okt DKP


8/16/2019 CC 12 okt DKP


8/16/2019 CC 12 okt DKP


Name : Mrs. H Age : 31 yo Address : Occupation : Housewife Date of Admission : October 12 th 2 1! Date of "#amination : October 12 th 2 1! M$ Number : %irst day of &ast 'eriode : (anuari 2 th 2 1! Due Date : O)tober 2* th 2 1!

I. HISTORY TAKING

8/16/2019 CC 12 okt DKP


'atient +2'1A , 31 years o-d, ! .1 wee)sgestationa- age, referred from midwife with+2'1A ! wee)s gestationa- age, history

of /0 * years ago with indication 0'D.'atient fee- pregnant more than months.%eta- mo ement sti-- can be fee-. %re uent-ycontraction ha e been fe-t. Amniotic %-uidha e not been fe-t yet. 4-oody show 5 6

8/16/2019 CC 12 okt DKP


History of DM : deniedHistory of hypertension : denied

History of asthma : deniedHistory of heart disease : deniedHistory of a--ergy : denied

8/16/2019 CC 12 okt DKP


+ood

%re uent-y, at midwife since 3 months pregnancy

8/16/2019 CC 12 okt DKP


H. History of MenstruationMenarche : 13 y.o

&ength of periode : 78* days

Menstruation cyc-e : 29 days

%re uency of marriage : 1 time&ength of marriage : 9 years

0ontraception 5 6: in ection

8/16/2019 CC 12 okt DKP


+enera- Appeareance :0ompos mentis

;ita- /ign4-ood 'ressure : 12 <9 mmHg$espiration $ate : 2 bpmHeart $ate : 99 bpm

=emperature : 37,> 0

II. PHYSI A! "#A$INATION

8/16/2019 CC 12 okt DKP


'a-e con ungti a58<86?cteric sc-era58<86

Abdo%en &/upe-, 'ain 'ressure 586,pa-pated sing-e fetus, ertica-e-ongated ?@, head

presentation, right bac),contraction 5 62#<1 <3 B<mi-d, %eta- Heart$ate 5 6 12811812 regu-er,head has entered pe- ic,%unda- height 3 cm, "%C4

2 gram

or& Heart /ound ?8??, $egu-er,Murmur 586Pu'%o& ;esicu-ar /ound 5 <

6, Add. /ound 58<86

Gen(ta'&;=: <u norma-, agina- wa--norma-, portio soft at, opening3 cm, eE : 3 F, headpresentation, head down at H ?,/)in Amnion and sign can tassessed, Amniotic %-uid 586,b-oody show 5 6

8/16/2019 CC 12 okt DKP


8/16/2019 CC 12 okt DKP


)SG &Appear sing-e fetus, ?@ ertica- e-ongated, rightbac), head presentation, %eta- Heart $ate 5 64'D .29 cm < A0 3>.72 cm < %& 7. 2 < "%4C2 gram'-asenta insersion in fundus grade ??Amniotic uid enough 5A%? . 76No ma or congenita-

A**eareance & +etu (n a -ood cond(t(on

8/16/2019 CC 12 okt DKP


/eorang +3'2A , 2* tahun, @G 3* ! minggu. 'asien datang

sendiri dengan )e-uhan merembes dengan riwayat obstetri danferti-itas bai). 'asien merasa hami- 9 bu-an.

Dari pemeri)saan si): /upe-, N= 586, teraba anin tungga- ?@meman ang, pres)ep, pu)a, H?/ , H?/ 5 6 2#<1 <3 B<sedang,

D(( 5 6 12811812 regu-er, )epa-a anin masu) panggu- I1<3, =%@ 3 cm, =4( 2 !> gram

;=: <u tenang, dinding agina dbn, porsio -una) mendatar,pembu)aan 3 cm, eE : 2>F, pres)ep, )epa-a turun di H ??, GGdan penun u) be-um dapat dini-ai, AG 5 6 ernih tida) berbau,/=&D 5 6

'emeri)saan @/+ =ampa) anin tungga-, ?@ meman ang, pu)a,pres)ep, "%4C 31 7 gram, Gesan: /aat ini anin da-am )ondisibai)

8/16/2019 CC 12 okt DKP


P / e*ha'o Pe' (co ( *ro*ort(onecond -ra (d, u''ter%, (n'abor,ta-e I 'aten *ha e

• Pro*o e re S TP e%• In or% con ent• on u't ane te (on• In3 ce tr(a on 1 a%*524hour

6(n te t

$ana-e%ent

8/16/2019 CC 12 okt DKP


8/16/2019 CC 12 okt DKP


0'D is an obstetric condition in which a babyJshead is too -arge or a motherJs birth cana- toosma-- to permit norma- -abor or birth.

?n re-ati e 0'D, the siKe of the babyJs head iswithin norma- -imits but -arger than a erage orthe siKe of the motherJs birth cana- is withinnorma- -imits but sma--er than a erage, orbothL re-ati e 0'D is often o ercome bymo-ding of the head, the forces of -abor, or theuse of forceps to eEect de-i ery.

?n abso-ute 0'D, the babyJs head is mar)ed-yor abnorma--y en-arged or the motherJs birthcana- is mar)ed-y or abnorma--y contracted,ma)ing agina- de-i ery impossib-e

8/16/2019 CC 12 okt DKP


Increa ed +eta' 7e(-ht& › ;ery -arge baby due to hereditary reasons 8 a baby whose

weight is estimated to be abo e > Ggs or 1 pounds .› 'ostmature baby 8 when the pregnancy goes abo e !2

wee)s.

› 4abies of women with diabetes usua--y tend to be big.› 4abies of mothers who ha e had a number of chi-dren 8

each succeeding baby tends to be -arger and hea ier.

Abnor%a' +eta' Po (t(on& › Occipito8posterior position 8 ?n this position the fetus

faces the mothers abdomen instead of her bac).› 4row presentation›

%ace presentation.

8/16/2019 CC 12 okt DKP


Prob'e% 8(th the Pe' ( & › /ma-- pe- is.› Abnorma- shape of the pe- is due to diseases -i)e

ric)ets, osteoma-acia or tubercu-osis.› Abnorma- shape due to pre ious accidents.› =umors of the bones.› 0hi-dhood po-iomye-itis aEecting the shape of the hips.› 0ongenita- dis-ocation of the hips.› 0ongenita- deformity of the sacrum or coccy#.

Prob'e% 8(th the Gen(ta' tract&

› =umors -i)e broids obstructing the birth passage.› 0ongenita- rigidity of the cer i#.› /carring of the cer i# due to pre ious operations -i)e

conisation.›

0ongenita- agina- septum.

8/16/2019 CC 12 okt DKP


8/16/2019 CC 12 okt DKP


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CC 12 okt DKP