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MENGURANGI KOMPLIKASI ANTENATAL 2. MEMPERTAHANKAN KESEHATAN FISIK DAN MENTAL IBU 3. SUPAYA PERSALINAN BERLANGSUNG AMAN 4. SUPAYA IBU SEHAT POSTPARTUM 5. SUPAYA IBU DAPAT MEMENUHI KEBUTUHAN JANIN . MENGURANGI PREMATURITAS, STILL BIRTH DAN KEMATIAN NEONATAL !. KESEHATAN BAYI OPTIMAL ISTILAH " PRIMIGRA#IDA MULTIGRA#IDA PRIMIPARA MULTIPARA NULLIGRA#IDA NULLIPARA GRA#IDA PARTURIENT PUERPERA
PEMERIKSAAN ORANG HAMIL $ANAMNESA $PEMERIKSAAN FISIK TUJUAN " 1. MENGETAHUI STATUS KESEHATAN IBU
DAN ANAK 2. MENENTUKAN UMUR KEHAMILAN 3. MEMBUAT REN CANA PERA%ATAN OBSTETRIK PEMERIKSAAN OBSTETRIK
KILOCALORIES 22&& PROTEIN (G) 55 #IT A ('G RE) (&& #IT D ('G) 1& #IT E (MG TE) ( #IT K ('G) 55 #IT C (MG) & FOLATE ('G) 1(& NIACIN (MG) 15 RIBOFLA#IN (MG) 1,3 THIAMIN (MG) 1,1 PYRIDO*INE B (MG) 1, COBALAMINE B12 ('G) 2,& CALCIUM (MG) 12&&
25&& & (&& 1& 1& 5 !& 4&& 1! 1, 1,5 2,2 2.2 12&&
PHOSPHORUS (MG) IODINE ('G) IRON (MG OF FERROUS IRON) MAGNESIUM (MG) +INC (MG)
GENERAL HYGIENE " E*ERCISE EMPLOYMENT SE#ERE PHYSICAL STRAIN TRA#EL AIRCRAFT RESTRICTION BATHING $ CARE OF THE BREAST DOUCHE CONTRAINDICATED CLOTHING NO HIGH HEELS BO%EL HABITS COITUS CARE OF THE TEETH IMMUNI+ATION
RECOMMENDATION FOR IMMUNI+ATION DURING PREGNANCY
LI#E #IRUS #ACCINE " MEASLES (RUBEOLA) CONTRAINDICATED MUMPS (PAROTITIS ) CONTRAINDICATED POLIOMYELITIS $ NOT ROUTINE RUBELLA CONTRAINDICATED YELLO% FE#ER TRA#EL TO HIGH$RISK AREA INACTI#E #IRUS #ACCINE " INFLUEN+A SERIOUS UNDERLYING DISEASE
RABIES , NON PREGNANT HEPATITIS B AT HIGH RISK INACTI#ATED BACTERIAL #ACCINE " CHOLERA INTERNATIONAL TRA#EL
RE-UIREMENT
PNEUMOCCOCUS , NON PREGNANT TYPHOID TRA#EL TO ENDEMIC AREAS TO*OIDS " TETANUS .DIPHTHERIA , NON PREGNANT HYPERIMMUNE GLOBULINS " HEPATITIS B " POST E*POSURE PROPHYLA*IS RABIES " POST E*POSURE PROPHYLA*IS TETANUS " POST E*POSURE PROPHYLA*IS #ARICELLA " POST E*POSURE PROPHYLA*IS ()
H)
POOLED IMMUNE SERUM GLOBULINS HEPATITIS A POST E*POSURE PROPHYLA*IS MEASLES POST E*POSURE PROPHYLA*IS ALCOHOL CAFFEINE
ABSTAIN REDUCED
BANNED CAUTIOUS
COMMON COMPLAIN " NAUSEA AND #OMITTING BACKACHE #ARICOSITIES HEMORRHOIDS HEARTBURN PICA PTYALISM FATIGUE HEADACHE LEUKORRHEA PEMERIKSAAN ANTENATAL RUTIN
MENURUT AMERICAN COLLEGE OF OBSTETRICS / GYNECOLOGY
%AKTU
PERMULAAN (SEDINI MUNGKIN)
PEMERIKSAAN
H0 ATAU HEMATOKRIT URINALYSIS GOL DARAH / R1 ANTIBODY SCREEN RUBELLA ANTIBODY TITER SYPHILLIS SCREEN CER#ICAL CYTOLOGY HEPATITIS B SCREEN USG AMNIOCENTESIS
( . 1(
1 . 1( 2 . 2( 2(
32 . 3
CHORIONIC #ILLI SAMPLING MATERNAL SERUM ALPHAFETOPROTEIN DIABETES SCREENING H0 2 HEMATOCRIT ANTIBODY TEST FOR R1 PROPHYLACTIC ADMINIS$ TRATION OF R13 (D) IMMUNOGLOBIN USG TESTING FOR STD H0 2 HEMATOCRIT
NASEHAT "
DIET, RELA*ATION, SLEEP, BO%EL HABIT, E*ERCISE, BATHING, CLOTHING, RECREATION, SE*UAL INTERCOURSE, SMOKING, DRUGS, ALCOHOL, FOLLO% UP #ISIT. RETURN #ISITS " TIAP 4 MINGGU SAMPAI KEHAMILAN 2( MG. TIAP 2 MINGGU SAMPAI KEHAMILAN 3 MG. TIAP 1 MINGGU SAMPAI LAHIR. TANDA BAHAYA " $ PERDARAHAN #AGINAL $ BENGKAK MUKA ATAU JARI $ NYERI KEPALA BERAT ATAU LAMA $ PENGLIHATAN KABUR $ MUNTAH TERUS2 AN $ DEMAM $ NYERI %AKTU KENCING
KELUAR CAIRAN BANYAK DARI #AGINA $ GERAK ANAK BERTAMBAH ATAU HILANG
PROGNOSIS