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ANTENATAL CARE (ANTEPARTUM CARE, PRENATAL CARE) PENTINGNYA ANTENATAL CARE TUJUAN ANTENATAL CARE 1.

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

$PEMERIKSAAN LABORATORIUM DIET ORANG HAMIL RECOMMENDED DAILY ALLO%ANCES


NUTRIENT
NON PREGNANT PREGNANT LACTATING

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&&

25&& 5 13&& 12 12 5 )5 2(& 2& 1,( 1, 2,1 2. 12&&

PHOSPHORUS (MG) IODINE ('G) IRON (MG OF FERROUS IRON) MAGNESIUM (MG) +INC (MG)

12&& 15& 15 2(& 12

12&& 1!5 3& 32& 15

12&& 2&& 15 355 1)

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

ILLICIT DRUGS MEDICATIONS

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