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  • Tatalaksana Perdarahan Post Partum Ec. Atonia Uteri

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    Nida Nurhuda
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    This document discusses the management of postpartum hemorrhage due to uterine atony and severe preeclampsia. For uterine atony, it recommends IV fluids, uterotonic drugs like methylergometrin and oxytocin, and misoprostol. If those measures do not work, surgical procedures may be needed. For severe preeclampsia, it recommends IV fluids and magnesium sulfate to prevent seizures, blood pressure medications, monitoring for signs of HELLP syndrome, and delivery if gestational age allows.

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    This document discusses the management of postpartum hemorrhage due to uterine atony and severe preeclampsia. For uterine atony, it recommends IV fluids, uterotonic drugs like methylergometrin and oxytocin, and misoprostol. If those measures do not work, surgical procedures may be needed. For severe preeclampsia, it recommends IV fluids and magnesium sulfate to prevent seizures, blood pressure medications, monitoring for signs of HELLP syndrome, and delivery if gestational age allows.

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    17 views2 pages

    Tatalaksana Perdarahan Post Partum Ec. Atonia Uteri

    Uploaded by

    Nida Nurhuda
    This document discusses the management of postpartum hemorrhage due to uterine atony and severe preeclampsia. For uterine atony, it recommends IV fluids, uterotonic drugs like methylergometrin and oxytocin, and misoprostol. If those measures do not work, surgical procedures may be needed. For severe preeclampsia, it recommends IV fluids and magnesium sulfate to prevent seizures, blood pressure medications, monitoring for signs of HELLP syndrome, and delivery if gestational age allows.

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    © All Rights Reserved
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    TATALAKSANA PERDARAHAN POST PARTUM

    ec. ATONIA UTERI

     Pertahankan Jalan Nafas


     O2 4-6 LPM  SpO2 >95%
     Pasang akses IV berukuran besar
     IVFD RL guyur 1-2 Labu (Jika perlu pasang 2 jalur)
     Ambil sample darah (Persiapan cek lab)

     Massase fundus uteri


     Evakuasi/ bersihkan
    bekuan darah/ selaput ketuban
     Inj Metilergometrin IM
     IVFD RL +Oksitosin 20 IU

    Uterus EVALUASI
    Kontraksi
    RUTIN!!!

     Inj. Metylergometrin IM/15


    menit (bila perlu sebanyak 3x)
     IVFD RL + Oksitosin 20 IU
    guyur (lanjut)
     Misoprostol supositoria

    Uterus EVALUASI
    Kontraksi
    RUTIN!!!
    TATALAKSANA
    PREEKLAMSIA BERAT (PEB)

    TD >160/110 mmHg

     Cek Proteinuria  (+) : PEB


     Cari tanda/gejala:
     Nyeri kepala/
     Gang. Penglihatan/
     Mual/Muntah
     Sesak nafas

     O2 4-6 LPM
     IVFD RL
     Inj. MGSO4 40% im
    10 cc boka/boki atau drip Mgso4 20 % 20 cc dalam RL 100 cc selama 15-20 menit
     Obat u/ menurunkan TD (Metildopa/ Nifedipin)
     Cek DR
     CTG

    HELLP Syndrom UK < 35mgg UK > 35mgg

    Inj. Steroid IV

    TERMINASI

    (SC CITO)

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