Upload
dwi-prima
View
217
Download
0
Embed Size (px)
Citation preview
8/17/2019 Fetomaternal Outcome in Cases of Premature Rupture Of
http://slidepdf.com/reader/full/fetomaternal-outcome-in-cases-of-premature-rupture-of 1/12
FETOMATERNAL OUTCOME IN CASES OFPREMATURE RUPTURE OF MEMBRANE
(PROM) – A CASE CONTROL STUDY
OLEH :DWI PRIMAYANTI
PEMBIMBING :
Dr. ARVAN SpOg
8/17/2019 Fetomaternal Outcome in Cases of Premature Rupture Of
http://slidepdf.com/reader/full/fetomaternal-outcome-in-cases-of-premature-rupture-of 2/12
PENDAHULUAN
• Me!r"# $"#g r%p&%r 'e"r" 'p#&"# *+ ,%"r +#gg% -e/0 -e1"+,"#&e&"p+ 'e!e,% "2", per'",+#"# *+'e!%&
*e#g"# 3e&%!"# 3e"1 D+#+ (3PD)
• 3PD e#$e!"!-"# -p,+-"'+
-p,+-"'+ "&er#",4 e#+#g-"&#$"pr'e*%r per"&+5 *"# r&",+&"' *"#r!+*+r"' #e#"&",
8/17/2019 Fetomaternal Outcome in Cases of Premature Rupture Of
http://slidepdf.com/reader/full/fetomaternal-outcome-in-cases-of-premature-rupture-of 3/12
METODOLOGI
• Prospective casecontro,
p"'+e# "'%- r%"#gper'",+#"# *+*+"g#'"e+,+-+ 3PD 'e!"g"+
kasus
P"'+e# *e#g"#e!r"# $"#g %#&%1'e!"g"+ kontrol
• Diagnosis KPD
6. -e,%"r7!r#$""+r"# !e#+#g '""&peer+-'""# per'pe-%,%
/. Fer# Te' "p"!+,"*+per,%-"#
8/17/2019 Fetomaternal Outcome in Cases of Premature Rupture Of
http://slidepdf.com/reader/full/fetomaternal-outcome-in-cases-of-premature-rupture-of 4/12
• 3#*+'+ +!% *"#
8"#+# *+#+&r+##g
• A#&+!+&+-pr9,"-'+' p"*"
ep+'+&+ *"# SC(+#8. Ce5&"+e 6gr IV ; +#8.Me&r#+*"<, =>>g IV)
• SCRP p"*" 'e%"-"'%'
'e#'+&+?+&"' *"#-%,&%r *"r"1 p"*"3PD @ 60 8".
• SCRP 4 *"r"1 C;S : +#8 "#&+!+&+- ', 1"r+
• 3%,&%r *"r"1 p'+&+?: +#8 "#&+!+&+- 61"r+
8/17/2019 Fetomaternal Outcome in Cases of Premature Rupture Of
http://slidepdf.com/reader/full/fetomaternal-outcome-in-cases-of-premature-rupture-of 5/12
HASIL DAN ANALISIS DATA
• / *"r+ = -"'%' 3PD (per'",+#"# *,/ 8")4 per'",+#"# per?"g+#"4 SC &+*"- "*" 1%!%#g"# "#&"r"
"r" per'",+#"# *e#g"# 3PD
• I#'+*e# %#&%- per'",+#"# per"&+?e'"" "#&"r" -e,p- -"'%' *"#-#&r,
8/17/2019 Fetomaternal Outcome in Cases of Premature Rupture Of
http://slidepdf.com/reader/full/fetomaternal-outcome-in-cases-of-premature-rupture-of 6/12
Hubungan cara persalinan dengandurasi KPD
I#&er?",
per'",+#"#3PD
V"g+#", LSC' T&",Nr"
,IVD T&",
6/ 8"
66 66 6=
6/6 8"
6 6 6 6=
60/
8"
/ 66 6 6/
@/ / 66
8/17/2019 Fetomaternal Outcome in Cases of Premature Rupture Of
http://slidepdf.com/reader/full/fetomaternal-outcome-in-cases-of-premature-rupture-of 7/12
Cara persalinan padakelompok kasus dan kontrol
V"g+#", LSCS T&",
Nr", IVD T&",
3"'%' / = 0 =
3#&r, > = T&", / / 6/ 6>
8/17/2019 Fetomaternal Outcome in Cases of Premature Rupture Of
http://slidepdf.com/reader/full/fetomaternal-outcome-in-cases-of-premature-rupture-of 8/12
8/17/2019 Fetomaternal Outcome in Cases of Premature Rupture Of
http://slidepdf.com/reader/full/fetomaternal-outcome-in-cases-of-premature-rupture-of 9/12
8/17/2019 Fetomaternal Outcome in Cases of Premature Rupture Of
http://slidepdf.com/reader/full/fetomaternal-outcome-in-cases-of-premature-rupture-of 10/12
DIS3USI
• -e&%!"# pe"1 *+#+ *"p"& e#$e!"!-"#-p,+-"'+ p"*" +!%4 pe#+#g-"&"# pr'e*%rper"'+ *"# r!+*+&"' #e#"&", *"#
r&",+&"'.
• D+ #eg"r" !er-e!"#g -e8"*+"# r!+*+&"'per+#"&", "'+1 ,e!+1 &+#gg+ Pe#gg%#""#
'2"! 'er?+-' %#&%- -%,&%r *"# 'e#'+&+?+&"'*"# "#&+!+&+- $"#g 'e#'+&+5 *"p"& ,e!+1,"#8%& e#%r%#-"# &+#g-"& r!+*+&"'
8/17/2019 Fetomaternal Outcome in Cases of Premature Rupture Of
http://slidepdf.com/reader/full/fetomaternal-outcome-in-cases-of-premature-rupture-of 11/12
• A'ep&+- $"#g &ep"& *"# &+#*"-"#pe#eg"1"# "#&+'ep&+- 'e,"" per'",+#"#*"p"& e!"#&% %#&%- e#g%r"#g+
-e8"*+"# 'ep'+' #e#"&",.
• D+"g#'+' *+#+ *"# "#"8ee# $"#ger"& *e#g"# pe#gg%#""# *"r+ !er!"g"+
"ge# +#*%-'+ per'",+#"# $"#g &ep"& *"p"&e!"#&% *"," e#g%r"#g+ r!+*+&"'per+#"&", p"*" -"'%' 3PD.
8/17/2019 Fetomaternal Outcome in Cases of Premature Rupture Of
http://slidepdf.com/reader/full/fetomaternal-outcome-in-cases-of-premature-rupture-of 12/12
TERIMA KASIH