é Fistovoets ANC ]P ‘Penest'saan pik = LEOPOLD 1-4 : UL —> Baoion atas jonin + Bokong (Heraba bulat ,lunale ) OBEYN one USia kehamilan v sGsictes " TRU Cem x Boe a, minggu ° 30 wees comers it v rv weeley * es ee Le... balan “ 7 Rerkiroan 1 Jari = T minggu Lt 7 Atos umbilikus jan = 2 ming L— Punggung (temba bagi asian Yotar ) . Pemensaan DD) + normat 120-160 x /menit mem Fetal distress ) L, dengan doppler p@ usia ' winggu oS Use 7 6b minggu 4 Vaenec = 18 Reinggu sell f L3 > Pagian terbanth janin + kepala (teraba bulat, keras, balotemen, Menghavup kali Ibu welenting ) L4 —> Masuk PAP / belum 2 Per Fans ' : oy | atou Kerala bayi = & San ' 6 Divergen —_Konvergen © jude 6/5 > Blum ma sue j Aa NuTRist]> Ofe Sulgut ferous’ (SF) 325 wm ES: Mal ~> Th/ Tambalkan eanis : S a elewental bo ma 3 Wit-O » Y/mencegah nemié 5 Peforahan & Oieforesis © tanin & Cog Fein Asam Folat Adon, Shari , tka 6/ as folat W = lox > dooney Risiko « Anéncephal , Spina bihGa, OmPhaloce le aA TT 11M 0,5 cc (deltei#) > Pencegahan tetanus neonatorum Wajih 2x Gunik , L $1 + Saat pertuma loli ANC j G2 <4 balan Settle Sf 44 $32 6 bulan setedla, $2. (sunnah)“nmegel” M47 G59 Teh Ddiatas maret 9 siklus bat 28 hari 1 4) > SAan- maret _— H4t5 6-3 T+! 5 silas Pe (een +*G 44 Met 065) tut j fms 31 han Ho t9 IN PART ull> Tunda-tanda, > Bloody Show Jika siktus 2g hae ¥ Hey = +4 O setisih sidias 23 han His adekuat > 2-3x selama 20-30" / 10 menit D Serviles Ketuban Pecah Kala I 6 servis Prin: 85am Fase late PBB Om a hee asa Prima: 65am + Fase alt =A foem& auseleasi 2 3-46 Dilatasi max: 5-9 O Rerlambatan : 9-400 or deselerms, Multi: 35am Sangean 2 Dx : Inersia Uteri His Hdak adeluat Th/ indus; oxytecin Kala Keluarin Pasenta - => Marasemen aust kala tu + OKytocin 40 (U7 IM «Masase Fundus + Peregangan Tali Pasa Terleerial< Selarea 15 menit, no “esp 2 ulang, Selama AS atnit ga esp lagi 2 Ox + Retencio Plasenta TH mannal plasenta. Kala Keluain Bay: CHES + 3-4 x lama 30 -YO"/ 10 menit Ly Pati st - 4-5 jam: mule 230 menit Garyquan 2 Dx: Kala 2 lama“ memanjang, Th/ Feecep + too Z teraga alat ©) the vebabisan eenaga miopi 2-5 Hemoroi? , HT Vakium > ‘/2 fenaga Ibu an Kala wv observasi : - PeGarahan - Tv thu - TTV anak telama 2 jam» PATOLOGIS pans kPep b : ) Ty keriban Recah Sebelum Fase ase / $4cm PROM aterm (736 bh) ¥ Chala Kline: Keluar Cairan , - Hdak baw = dav jalan lahir PPRom => Preterm (S$ 36 bln) ' Pemenksaan 7 GS > ” Feen Test "+ Aampale dawn pubis At wilewstop ) Nitra ain > Tetesi keteban di bertay LAK MUS > “BiRY “” © FSfat laeteban = basa - TW - AS » + Pasatinan Qalam 24 3am — hersyarat (Wat UF nya ) , ) < 2b wing — 28-34 ming 2 34 ming 1 ) Paw © pau - Pau @) 1 matory © mature » Indulesr U + th Labickan | ) Informed Dexa mefacon 2%bm) —— Indalicy Consent. atau ) “enim “Betametason \#I2m9 Oxytocin babaya Wfelama 2 haw < Misoprostel ’ +. Tovolitik * y 2 mai » Tapeh - Indometasin ) Fsiologinga «EG )> Voge TMT 9 muntah 14 TMT: BREE TT pita poe ars - Dehitras: ; v vickness " + maken ailit . . String, Vit. 06 (piriPolsin ) L mal 7 Dates d + ren haine (Hr Agonis ) , we faltdrens“4 Kettalatf (Na Cl247,) ne 0.C_meto cloprand & a Onan Centon \ i: Vert FET = Domperi dowwnayd sha op401 p09 apa Asai dopa sant mnbaprr + (CoQ vel Gms NS RY 292 < wognyayy & TODD: (90817 G4) 1994 RA] / s0;9q og - « 0d2/dAd* SU wa A hq Casuosangmay AF anoh< ag —hqrq 09 @) 705 2q "Gq ¢ - unin Pada eq (0 + aes W awnjayeg 2 be wGngug eae ayssnsn M4304 0 bq] Son pe Yoywabuoy 99) 0 S769 omPH & SOUP paWy TD Hpaw vonpay & pw + ssunago — @) 4.0 9) @® rang gybwonus O80 " wang sud sus 90924 Swaus AL Wobuyne wonton L 20 foray wal “vbr bbw oz > remay d25U0y 6 an = nal (240 oem) ap ao a are soaghasyas) © 950 @ +591 dd @ +523 44 - bbw g 2 Saapn op wetapaq Ovs_jouasaysai row wil winna gapdang (2) uoqeqe passim Cr OQ yung’ An > nd /aa sswadsxa suajordy « tyrushy (ar) sedsmoy “senpy = Jory /a, wel ad jovas ht . Der = s193Lwisoaing © wwe ping jatuoware ft wer 08 nol wong £ a\haqad su aysaod * 1 SuioG abn © ns myx WaMuopqu aimy ewauy VG Dourmy[Hae | [Har [> 720 minggu > masalah Plasenta: PLASENTA PREVIA L Plasenta Salah, 47 in a >t Eacly (< 24 hours ) ? Traama ? Trombin © Tonus > Atonia uteri OTissuc Relensio Plasenta Pa Fisik = Lembek , Konteakesi bo Th/ oxytocin Im 40 14 Th/ "Kale W : Bxyfocin 40 (uM bs. 15! J oe Drytoce UM $0 14 Orytein 10 (IM wutrs Moms ns clothy. (G2 ere oe uteri Manual Plasenta Oxytocin deip 5/4 40 lu J 9a tater Yr? His Hrelcto mi” ( ‘ome Si Bimanuol > PERK RETA ane } : . INKEETA Hisferek tom ', AKRETA gst “Sue cheese” © Trauma jalan lahir UTERUS Manual Planta > Ruptur Pecineum (KosAN) G1 = Kuli Mukosa > Inversio Ute’ Gi; Otot az eks. <50], treminga kebalik G ie Sfingter Ani < > tks. 7501, Semis (9 G.v= ANus > GAB via Vagina Th/ G1,i, im = heckiag VE fx. Fisk + Funday © Gw” ” = heckng of VT § endometrium (6 > “Kaus kaki terbalik ” ( > Ruptuc Uteri Th/ Feposisi, Laparotom:, histereleteas Late (> 24 hours) Post. Partum > nyeri 1] Tegang PF = Bundle ring bec. sisa plasenta, OWE Th/ hecting , Laparotoms histted eto Terbuicg Tertutup Ante Pactum <> Tegans TW tespomsi TY DRE N Sanin Rraba jelas dart tw SCI Komglkas: < endometritis @.€. ingelesi : Kepatil ek © Trombin Ge: Kerutihan ba 4 a: Sepki. © Gy. Pembekuan Farah Demam (rise? t7 hemo fia TW/AB Spele-luas + AS Anaerob Tombsit | > inkenistCestasional TD 2 40/90 mento, “8 + Frunaqy Ft minggy , baleh labie JP & * tminggu 34 blebs labic yar @® TAT © UK < 20 ming ga ak > 20 minggu ' { - rae . Poteinurin —— Profeinuctn Proteinarin Proteinurin : y HT. Superimposed HT 2 ” ~ Freeklampsia Gestusionnl PER » y Th/ anti HT a To < tbo/ 110 moment ba V3 593 oer wee ae H emp Uisis-; LoH 7, Hb} Ey tevated oe tnagme OT/PTA L : : Bp tcelee » Tombosie | Languekun / 24 5am Selama 2 hari ® Syacat Pemberian My SO. / RR > Abe /mat - Regleks Fatella CO eUrin Output 20,5 /ky BB / Sum» ~Sedia Antidotum & Ca blukonas 10 U. Jika: setlah pembenan Mg S04 Pasien mengalan + Parstal Total Salah 1 caja Selunah HELP | “ye Heon “Rerleks pata © Yeo F Heatnr x berrten C 3 tina ye 1 M4504 kan CaGlakonas 107wyoming = 588) Jer { een, og ORS Se nyog wwe] DSHW|I JanPewovun — JD] JeAnewtow naDymaa 3hrowous \ wpeday -£ 1} weguod: PEER : “ ms - wou Gung iscbeibakig ee win Ve) Sey y-4Gneg send t =a! BY Minn) MA sothd FIN) JTapneowww wyeq woe] ayus hq) yuu ry Grog GunGCund 1 Tr 7 urd aad 2a sminsqun Took sean equ = Guo @ vier 4 C a - Overt Obrvonoy —— Gents baie) ' | — 3y2\4u07) “eng Guonag nye g / worwasrly soveysad By . pouarwy E> nbog* aendinga / x9n/ ANN (in ors e044) ynennnad \___} ____1 prea / Guonog Gurlloury Rune ¢ Ys vyeday Copeag 7 Cronog ISWLN3SAYd ; GunsGung Guoquny, oN POWIONL Cra rues dogaysay) \$ 150d » % . 7GYNECOLOGY . Kouteaseps; Sy =: os p- PA pi A. AKDE Menunda + Anak © K © Kondom USI € 20th 1s Implant ‘5: "Guneik . + aS A: AKOR ; a S + Sunfle menjarargtan : anak © m—y P + Pl Jamk 3-5 th 1: Implant K > Kontom ; Ke Kontap ——> Tubeletomi A: aKok Vaselctonss Mmengalihin » anal 2 3 > |: Implant Y sia iba 2 35th 5; sonal Hormonal ey Fil, Suntik, Implant! at KL + dermwat, haid, MT, § troke , 0M Non - Hormonal £9 Arne, Kondom, Kontap, Kalenler, Senagama terputas Non Hocignet PTerbotle Sangha Parjars, Opn > 28 tablet Kombinas estrogen iy YW haiG Herter progeston 21 tab’ Hormon Qs NTS 4 bulan ESTROGEN Sy ith berber Mine pie 2b tablet Pronestror (Progestin) tee Sl s YPonengusai t tab Placebo 2, bulan PROBESTERON “7 mtngusar ANS 3-5 4h non — hortnge T cope? j Spiral Kt. Absolute = Ferpnasan dalam vhiw Pio JMS Penggunaan Fit - sta ce ea oe vex ty Vie x x —— ulony an PP Test KL. velatve -/ FETCOKALEND ER > wana subar /ovular, Siklas 2 hac = HG dart HPT (114 4 2 Sen sebelum + Zhan’ seudch) Silelus 26 hows 2 HA2” dag HeaT Giusy 44 had + Hty dot Hert Pemestsaan 26.5 "Fen Tet": Cele tert vagina ai milersop Lanpale Seger? dlauy pcs " L Rare) Panggul (oan Plan Yorggut ) te Wwpetest Ascending: 2 Selesuol aber ASS GE * Keptthan berbau + Pemam PERIL: VI Nyen Goya id Pr. Lal. Leuwosit ; aoaeny fost a bk. Cotkalspain ge) GE eyed Supmpubis « Ge: myer erat baal NYyee genital © Leanan / ein v Title Mc Burney, vo/" ARP TH/ AB, Spek. luas+ AG Anaerb. —— Pars V. meteor Ba: - Ampiain + Gentaniciry etoniBarole SRR entamiun —_—y = Amoxicitin + Tetr, cilelin ~ Gol S LL orn = ce RteMASTALGIA) TMi / hail Mastitis) GK: merah, nyen, benguale . 7 i feksi/ demam Panas Ai mammae 7 wengusur TH/_Komyces hangad + AB Spek. tans AGSES MAMMAE) Ck + maskiis + Pus Px efstke : Plalchaasi/ Sapacasi: Th/ Wnsisi + Orminage +AG. Fam / Fibro adenoma Mamenae) Tumor Jinak, Genjolan + membesar Batas Tegas, Sebesar kelererg Mobile, Lunak , nyer ©- FIBROKISTIK MAMMAE) Mine FAM Figennanh: siklus hart GALAETOKEL) Benjolan bens ASI, nyes © T menyasui Tumok PiLowes) -Membesar (cepat) | -Fubit pis pnatng ei lat + Keras, immobile - PA < jinak (802). ganas (aA MAMMAE) Cis Bates gtegas \mmobile , Berdunoual -Fonguul Keras Sekeet julkuy. “Reteals’ wipple “Peau de Orange” Screening + SADAR| Px Perunjane, + Mamog ma (> 4oth) US6 Mammae (<40 th )INFERTILE TAS D>UUh, coitusukin, —» Pamer,: anak ©) Anal. (=) + Sekunder: Anak @® Analisis Speema Cy y + Amenocen Primer : had © Oligo- Asteno- Teruto- | ~ loth, Seks slander — Wosgermig | 2I44th, seks SekunderO Sekunder: / hait ©) + Polimenorea + Siklus <21 hart HO judd Gem — Bene ONG ile S32L AL * Oigomenovea : Siklus >35 had *Menorhagiaperhai# 2 Becc ( Dutu* Ct 2x gank ) 203ekee £251, € Bol haid > + hari + Metrorr hard. lar siklus . P: Polip A+ Adenomiosis Ls Letmioma M? Malignancy PUA JS ALB C + Coagulo paty— Co. Pembekwan dara (Perdarhan Users Abnormal ) © + Ovulatory dis fungbion > Hormonal E+ Endometriosis |: Taterog enic — Elistema Factor (A Cervix ec. HEY 16,18 NeNot Glassifer > FR: - Free sex | “Usia Cth . “Ses alt ! LE ndlomet nosis Gk: -Yeputhan . coital bleeding ( YEndometium dj luor ultras Inspekulo > massa berdungise| Nyen hebat Saat haid Ceyah: ®servix rapah . 2.)Ad enomi0sis : -Rintus ee J A test : Seeeening (Puskees ) | Endomelum abnormal ~Vausin Hev| Cas. asetat = pukh@) a dim uterus : PAPs mear; Viagnoshke (RS) TH/ kermo © Biopsi PA — Gold Standort . ey a) UTERUS Thom a Un 20, ' Pye iD. USE: Twhorl Live pebeen®. lL UTERUS @ *Pesarag ade" 2.) Lagin mayoe b-) Vein ©) Seng s miomn Gebure dares Bading Aoterlaltal — *Vertongtas , ity Gmiom + pilp. v y don ; 7 in Kiska Gardner Poue Servius Mabothy —@-) ovagiom Rie bee in y Kuta OVaium Th/marsuplals asi ——_—_ GK. Oigsmenoen + + +