firatom 2 Fisiolog, Wamta Homi. vs togr 2 Hooge - Besarnya otervs = tua behamlon (mg) GPembesaran uterus Resor uterus # sia Fehamilan - ket b = Hamil bemtor > - Molahidatdate + = Kontratess ~_Trtmesier _pertama —7 _Fontraks:_ # feroter, Fayers , ~Tramester Fedugn — Konimes: terdeteker oon pem bimany, o Temester—han—> — Feromena pertoma bpaxton hicks - ~Tamester 3 — Fontrats: jarong eT (-2 mg bln a persadiaan . Cbranton hicks) = Tewolan abhi = Sms —) 58U (@.- Servite + beper vas folarisar: & T estrogen . ‘4 G Fensistensi_fonak G Hegor sign Clemur yet (Eh ponjang Elorak) . @ Ovocium - = dvvles: _ferhent - - Honya (Rorpus foteum pd overt um ~~ F/ Rerghosi | projesteron cetohp Menmet Slama 6-7 mg = Hormon Relakern 7 awsekres: OF Eorpus (oteum, alccidta, plasenta, Sad. repro mengatomodase behamian 7 ‘proses, feroutinan - eftuddeel. Scanned with CamScannerDat ee ae aa ee 4 Vagina _¢ Volva. = _vathiarisaar 9 Warne, =~ _fande Chadwick . | =a — _SSlerogen & progesteron, — = _Dinding menebaf mokosanya / 7 cecum melanocyte stimula finy _hormon 6. Raaydacn 4 poling =, (Oh bear, hitam -fegak + tera funak FiperPrg Menta areole Mawnae - =k lahir siectustumn 7 Warne funig) 4d i dr Fee. aSinus —_Hamil pr estreger hyertropr ors -aloron L ket melabirboy, 22 acinus I progesteron 7 T seen i J estrogen t proyerter, & Lloret Cprolactin inhibrfor hormone) (oo & \ T prokattin io a Ar sasy 7 & & +. Rervbakan Metaboli - — fepan | ~ bad. %_teroyks t. Ache ee gate glhr- Ga = Zant» Pertumouhon & poreeneborson Jona. ~As.p plot _2 pomb. seb 7 ef + Avera mepaboblarhi le SR & dew. omg [he . = svide ag fhe Gie we os ris onat SPeiab erlest: Scanned with CamScanner8 Scslem Earchovastular ~ Co PEF YL cesstensi vastular asters le. = Vol. caroh t 2 est > heolrenna - = levkostt é tromboste 7 - hod (93—zfrotern serum > trimester ath 7- TErstropoesis D7 anemua Eisiclons ( hemodilvsi 2. 9. Trattus digestuur rHohlitas b> emesis “gravidram . - Perubatan pour fambung be Ssopequi but ~ Lb tenus Gp ringer efofa gus, ~ heart burn. = ba jd melunat = Hemoroid 3 Fen bons s, 2% beb.vona buh bes pene. uterus. ce is a 10. Waku Unnartes a Tamester awa + (ov ferleran chdong = bamestecathw menul lagi. = Glukosuria —> hat 9 Ymem fp pilartan thdp By, TPafenena & hematuria > madbsuch,, Scanned with CamScannersap q D: Kehaanlan hn ~Lama hami | 2 1 tdobr (Yong) “ehamiler ole : 38-41 ag | : te : t peu erm: >4 "9 premator . W-Zems : ~ Uso leehamlan: tewulan 'e2e 3, Pemeriksaan — \eehamilan (. Tentokan HPHT. & falseran portvs - G Roms Waegele Csiblus f2dbr? - ° ( & beaten jonn = Cig Fy buian - 3/49) th diseratcn 2. Rew. homil; petsadiran & Fas - 4. Feny - Sestemif . PF = basil bebom lan Rom. Gnetdoge > vulva euaga’ porto, WEY ((etaty konsistensi, besar elatb), adnetse - PP = Gol dara, rhesér Hb, Jula, Urn. = Perzalinan fanjot — Scanned with CamScanner ( d é e é € € € G&Gece Normal - DATE ~Grovida_* Jmih_kebamion = Pam: Perna mekohirban bay! Vicker. - ~ Peumigrauidg _—: Fehamilan pertang = Moltigrauedar # ke-z dee - Notipora: lm pemah hamil srmpar jonn viaber , : Halts» fer Metekan 27> lanen viabel . = S: Reser p on hel eacepe, ~ In Parts tedangl proses pectarent. aes , \ Power = Hs, bebvatan 4 ; mengedan ? *Aassoge * Wn lair Cag. temas: “tu, vp luna : 5 nSfermer + lefate - Piesenfasr | ONS ¢ may ter SER ioe ey eee Se in uae Say tPereson hg eM Peppa . ervibr. amples seam Scanned with CamScannerNO DATE Lefot = Rama _sumby Jonin beroca this sumby (6 - ~ \ekok. Meronprg + lentang 1 oblie . “Presentosi: Rog. Jann yg Adads wh vierus - ~ Rresentas: Kepate - botong 7 Bal =Rosisr > Apoiar bag anm 9g ada ol buh uterus berada di Sebatah Wari , Eonan, bedatang ,dpn thdp bu . — VO lew - Geo | Attitude. = Hub - bag, Joon thdp sumburyp | Hg blleg jonin —akepala, porggteg , ‘rales piekst = a Mekonsme — Fexsalinan Nerrred. f. Kala 7 = Pemboleoon ( —'0cm - Teks > 068 Ws ¢.057 t q < 4 € —: +f ee Velen: pemt (tem, & pm, he (-2%/10' / 15-30" 6 ¢ NEP Sear Bem, 6 + 3-4*/ t0' 40-60" pecan serie okUh pembutoon erp ie ‘eee erate, : - = EOD Fervbal) _pecalh Colm pene - M. & Kolo IL: prietpora + (8 Jan « & __molhrpora tt Jom & PAR . Cole plond. __ _ qoude bop der Gy BarieX "= Obs. “es £059 | A = 2UAWLAS! kerrajun pecsatiran : Scanned with CamScannerDATE - gualuass VT° aes consistens* para Ponpeg ( febaQ, Pembvicaon . ~~ Yetuton. #17 Recenter : epada / otong : Penuuron beg: wh Jonin > Hodge T - Benue? “UE, Soerum - Bosisr 7 eer Fepans depan cont lap: ~_Porsio lat, akstak, bebae lem, pemookoon Yom, ketubon + 7 Gepda HI =, sutra Sogriady (untorg - = pomo hes, pore.8 «Ketvian ©), Gepada Hodge (=i OR we 2.Cola 0. v Pengeluoron ; Pemb. lengkap - boy: lalur . ~ Ws 5% 10' | 40-60" - freses = tepala Ai ates forggul 7 replete mengecsn — porns Mmenonjo | — anus Membubs — labia membuka « Fea A. wl Kepate lahir dgn Subocciput ok Gwh Simpisis + Gdn & lahie . “ Cocina Bsiarts OF. labor » > a . 7 Fale D+ Prumgravida i Lyam, mulligravida OF )om,_ Reagnen Persodaran: VT: pee. ergtap , Fetvbon C-) + kepada Mooge ut — pimen Mengepn Cook his . 7 Obs prt dt Wor hy. en epseotomi 7 bite bepote ja neers Jann aie afar org vl, ~ Jamin __tampak © ¥ dan) « Midiine episroton: lore (ols emis | Nhe fect © ce Beso AHIR. Se ern et at Scanned with CamScannerDATE = Reeimeum _ataken ayn tanpr Foran, ‘9 fure Merahon tr. blot kepla Supp, defleter * terlaly cpr. - Room sR Gays Cole? ~Bershlan mult ¢ bidung, (thot ada Uletan fol) purr At teher, Nonggorian Fock . = _Fepoda Mengdattan puter pats: War . = Don pegorgan brparretogy fori (@ OWh rbahy Ipn adilahirkan. - Korie ke alas, Gaby blkg drlahirtan . vr lolwtan bedan, ferchanter oxterior £ posterior - Rey: dwersittan , foe Ppurat Aryebie fepae £- loom Ar urbile Potorg ohrys teh = yung tole a desinperse bi fot 3. Cade 1 ~ Boyt (okie = Plesenta Elie 7 wakte = 40 mak - enon Sofiron: = Bianda Elask 2 Tal Prsat onemranp.rg . Foran ebar / Menjensor Ae waging. = peruban Ontk pundus uter! 5 eh globule - ~Mergjenen ating tate TM 4 wn): oFsitorin (ow im regera stih bepada, Gay, (ahie « =< tats Ferberdl : Gorgon pusat__ fer! Jour 7 Massage Fonds vterr stth placenta lahe, ( Thbot plasenta! kotiledon lengtap / # 7 ~wokly Fomnt - ; 4 § § Barllex Scanned with CamScanner4. Kala Iv - Plasenta lar - ‘om: - 06S. perdarahen ‘ Renpinan persabiaan _ 1 Peclsa "contra. uterus. - Perdavahan JIn lodur . = lulea . Rb ist0 toms 298 Vitae a Ure berneum J abet Jb fer a ae ae fe a Scanned with CamScannerwv Oe OS lL ee ae 3( C6vku merah) Hipertenst _clafam Kehamlen CHDK) T 1. Hipertensi kronik G Gt timbyl_< 20mg kehamlan (HT yp pertama hats di de sefefoh umur_bkehomilon zomg & MmenetaP (2 mg (3 64 ca persewinon - Smpar mg in) fasca «nou ot Precrlamcia HT fmol sHh wo mg Eehamilan + proteinuria. 3. Eclamsca Beetlamsia + kejang £( coma UHT bromt ga Syperimmposeck UT Eronik + tanda LY preetlamria 7 Hi kronik + proteinuria S.HT Jestogionay Ht yg fmbol_ pA Fehamrlan rotemvria_ & HT hilang tlh 3 Eh posca persatron / kehamlan gn fondo _preetlamna # protemorio. « mee crwrol £ haste! 2640/90 mmby - - 2gn fonguivan Atlatukan 2x shang 4 Jam. Rotenuria 2 300mg protetn /ucin 24pm /Z+ 1 aepstice Edema] Dolo > edema bgeai — tanda preetlamera Stecg 3 edema Wngko' f — edema generalisata (orasorta) (edema ovasarka > T BB s0rd? tg/mg . Scanned with CamScanneryf sQanyutt ya, boca herd 937. Kor isiology, Felaman vaskular tsase plosenta - ¢ \. Teor - aapraliFce Kormol —» Ter invose tropebls pd lap- of dilatass a: spreads =e jprs matrikes JA gemour dsstens: & dilatas, —® J tek dormh + U resetenst vaskubr , PF alwan Jah ch dem tere plasenta . —> Abron Lo - Spirakis ( dora ee jonin cotop & T_ perfust. —9 “remodeling Arter? 4 cprrasis". i 5 | Apa vend pol _eklamsia /precrlams: 2 € Pat a € fecpinya invasr see _tropobles pd lap: Otok a. cpiralis é “jar marries sekdar | ——® Lop. otot_tetap koleu ¢ a: Leras ——® lumen ¥ dustens 2 vasodilates: ——g vasotons- @: tries; —® Fegagafor remodefing &- Spiranis: 2- Teor, Itkema Plosentay racditae bebas, durpung: erobt- hpoksia 2 Uskemig posenta —» Mengharillean oksdan ( radkikad betas 7. < "Se EE plaienta tskemia qpokndan SP dwar , Gwrdcoess| —> lorie, thdy membran 5e2 endored pems dorah - : “ Toremia "_— despungsr endofer. $ ob perp utero plesenia, hipovolemia, Vosespasma —tecioton cet erotica fem’ dh plazenda ——— sd TUG Cintra veri growth restriction @ olgohiolrom! Zoo tere » efudeL. otedan —» sen necime elektron | atom i ee Scanned with CamScannerne Perobahon ug_terjd 2 Nevechlogi —> Ublume plasma - Hamil —>——?_ hypervol emia - Peetlamsia — b vol. plarma 7 hipo volemy —vato konctrieer HT. wi SE ‘ >@ HT S&S WY O) Guryjal ~protetnuria Cerwtakan oe glomerviur — 7 permeabilitas membrn baselis ~,» kebotoran proteinuria . — As. ure serum T , seeress as.uratd /\ * = Asurat dim Arh? 95mg fcc , aEreatinin | TOliguria € onuvic. | ~Elebrolit > O9n bese tejang + boder 6: enat L netmet > kadar elektrehe | trp Sama . . Hhowleme ~» b aliton och 5b lta, \ L rever peeatuin C2 I my/eo )_ Scere OS. basa ~ AS. laletat . Pat hamile fp eni ° fon). pate ab : t Perpuss ov \uee 2 olkge hidromnton 7 b on ey joni apne gala ek $$ Scanned with CamScanner $ 3 3 ) > > > > zy D a) 2 Int r 2 e 2Preetlamsia _ Non medial « — Tah baring = restriesr geram #-terbuk es mencegah pssetlems -_ Pembertan suplement = a. Mingo ean 4g _Feya gn as.lemae F#yenvh , Omega 3 POFA 6 -anhoksidan = Ub Cr Ee & karaten, COG Wo, N -Asetilserecr, as. (pork. c. Elemen (ogoun berak : Une mg, balsium 2. Medilead G Fact =-Pemberan ctwretik —> # terbucti cegah re Cblamstq = —> lem peneeret Aepo vo tenia eet Brie pectena —3 f terévktr cegah pesctlamsia —Ketstum '500 - 2000 mo/ hr pal risile Sf. Tt Unk wo MP Che ' ~ Magnesium 265m9 (he: = Obat anh tromborik si eagah — Aspirin foomg (he - Scanned with CamScannera a Aspe. Khoa T 1. Preetlamsia. G& Penylit Rehamilan —9 Antec intro E postpartum . G berat fringan > FGemrti —» barat bue yg Bajang. Gamboran bine = (. Edema @ UT > 3B) Crotetauria A = tambahan = - alg 4-Jyora tambahan Gan ner bop: ce Penghihatan - epgattre um Cryer) LA. Preetlamsta Renan CG, HT + Protemuria + edema 2 20mg Fehamiloy -tit— (Yo(9o som Hig : - Rolemnurie 4 >, 200 mg / 24 am Lia ps br & = Edema ~y edema lengan) muta & perets anasarka - 3 Edm loko F lags . COR) =e Tyan = cegah Feyong, perdaetan trabroned, cegah gan ¢/ Organ Ulead £ Welahibar boy) ° i ethat . v Rawat jaan = LiTirale baring, pests: nar 2. F_ aAberlean obat HT, eke, sedahp Pe = He. te, F/ hate orin (engkap, FC9meu Scanned with CamScannerRawat tn [ Yaterta Fenep ® #000 Perbatan = Tp, Kador protemuria, feloma 2G, ©) haonye 177 fonda pa _peeeblorisie bert Rerawelan Obstet: TKehamlan preterm = 22- 347g. —P bth TD compar mormoak —> Persalinan tunggu aterm . Om. ~ Alerm > 27mg) —F (.Tonggu cop OMtet Perialman. 2. (ndutrr resuon HHT. 3-Rertabinen 6eleh spontan, pepocke “kewa D. LB Peetlamna Bere GUT * (60/110 mmtg . UY Roternuria + 25 9/ tH Jam / U7 _olprtee. G Kelamean organ - & oligria erin < ocelrajam. 7 OT keatnn Gon visw_& reretran, ; — Nyert @pgastriem . ° 4 ~ 682M Naru . { =Siedrom HELP. T Gan £ (hepor Hosp easy fi. ~Rectiooia beret tonpa impending eclampsia HT eprotanr™ est —— 290 = ET bprotecerT = Sypto weyett : eptudens. uv au v4 Scanned with CamScannerWN tn x Preetlomna berat - (. Pengelolean _carran . G Renteo haggis 4 edema port oliguries Edema pord —» 5% Runger dekstrose (256 MJOm. a inp LAK Ge [liter seling EL 60-125 xh} Soocc. Kheter . ob: Fatang foley cathe x : ~ Ogura = _urin <¢ 3oce (Jam Im 2-3 yam & SCoce Cem : 3. Beri antasida + Netralisir AS laméung ~? kgyeng —? hindort riko aspires! as. Loum 6ung oj esem - 4. Pembercan obat ank bejang cbeading dete = ‘Lar MgSOu 'v, (40° dim 10 ©) SeQama IF mak . “Matntanance = 6 ge“ dln RL /bjam / 4-59 tom clout > Yar im fap Y-€ pam» Syacot _bemberan Mg SOx = “Sig onndoiwm MaSoy —> Kalnom gickonas lo% = for Cto% dim-toce ) WC? - Refleks Pafelia t kuae Coemnt = RR > lexlmat, ¢ dutess Pera rasa a Kopan diRenhtan ? = _Intotstrac, —_ se, uM Jorn BSCe persal « berang are t nen / 24 Jans sth, efluded ken MEéSO4 > Homtak Lert Sore) Scanned with CamScanner~Repracter thop MgSOy —> tropental Sool wm , Sodwum amobarbital, Ararepem f_fenttoun 5 Pemberian dwretik. G Pem bila ada edema parus poyah pantuny kon Z Pare Perla pect Ana sarles LL Furosemick. ° 6. Rem . Aniihper ers nt T > Nipedipin (0-20mq /orad Cutang SHA 30 ma > dors man omg (he + F boleh Sublingual ken eae Ope VASO ATA tas) Linc E> Sodwum nitroprusnde Or2Sw9 Lv Lg Sond Cingur) . Artingkatten Oirsag Cul fomne 7 Or arotside ~ 20-6O tv Comp? . fy tomg mat f bbtras, Men W 7 ~labetalol iny CA blogher ) -Non selettp 6 blocker ! ~Bentve WV => Elomdine CCotapres ) Lamp dim (0 ce lar pans ©), Vamp = O+rtsme/ce . F - GlokokorFr otel. “I pemetangan pary_fanin mg 28-32m9 (de Selly ). buku Merah s sz 2 mos 2 2X24 Bn —Eiterton io ml nindrom —HELLP I 2@a@ac — Scanned with CamScannerDate §.Sikap pd Cehamilan 2 2 sikap 4 abt, 2 tecminasy — konservabsp = Pertabanber — 1 Akh \uu Coe > sng = presto beret le 7 33m Pingo ° ® Ade. gejada tmpenoaling @clampsia __ @ Solutio ptasanta (EPD/ peroalara bay ————— donnm =O peter ois tress @) (vor 3. OligohAcrmncon. Lab =“ Sinclrom HEUP * — Rhesus db Hrombosit cpg > > 9 2 2 3 2 -2 = 2 ontervahF & Wdieast > freterm 34mg ; tana tarde Lmpercting ethmsia - Jonin fail °. Tk stooding close MaSOy (1m) — dthenhtan 6tle = = obs HV [- menuykan tonda preetamsic rragen (dim wetu 24 jam L Cotw preettamsig ) Bric 224 Jam Fperboske 7 evlean . Tringan + p. BP Terme 7 ~ \mperdiag cblamsia = Geyser © NN, beyata, an USL; mata, rer epgatinwen Scanned with CamScannerDato 2 Eulamsiq. —7Selalu didahulur °/ fre etclanasis / & Reeklamsta + kejang Menvefuruh + koma . —er_* ante «intra / postportu (24 Jam stth_persetinan | DP bgepta Fejang pdetlamsiq ~ prbirken dd > Strobe HT. (er otak, Fel-metabolit mening ts ° \-bejang torik —o bust Fehung dr otot mute Cult ) 2 kontratn tub —7 fuboh ja Kak - weak: distortt, Gola mata menpnyo |, lengan plex, . Wheat tontratsi tonk Cis -joaet- } Feng tlonike 9 Tertuba rehong sec. Aba , tertutup bembaty 5 kertutop Felopate mata: [ J bonrrees: tubuh Cope terpentao) ~+ Elojoten - lame mae f ( To ‘t cSh Py PRP SOR mng —7 hiperkardea Chipoksia 3 Sanosis . emaas Scanned with CamScannerKO. Date Neen ee ee UE AE EAA EAaE AERA Reel Tce Eklamocaia- L. Arrway L. Rreating 3. Crrevlation 4. Mengotoss kejong a MgSdu Umg tu C4O%%, aim (occ), oe Mengatat: hypoF ceme £ asidem: 6. Kendatitan To. ot Not (jk koma) 7 ITY 6cs §. Thdp obstetri & PA _eklamsia —hrs Atathirn + fanpa Pandong ve & kedoan Jann Fact = -eklomna # berpengorh pel Eehamilan beriloutugy bec Jorrr iGv y9 sdh HT kronk . Prognosis ~ Janwn + Malam .- > Scanned with CamScannerindromy HELLP & Preetlamna - Eklamstq — Timbul H+ Hemolsts . El ~ Elevated Cuer Smyme_Caspungss hepor ) Le - (ow plateters Count _C trombontopence ) ax = 6ejala # khat = Molage clemah, yer kepola , Mmvel, , Montah . = Adal t geyale preeklamsra T Tanda hemolisrs introvesty lor _¢ ACOH AST, 67'l moliret - Trombositopenia © € (50-000 Ime). t = Nyon keootron tng ate. Né (FO - 450.00 Elasiertasy Elos 7 ae wm t Kodor Trombost £.B0:000 fmm S0-COO 100.000 100,.=SOCO/mL Cpy 2600 lu/ | > 6001U/1 ZOOOlU, 6 Ast £f ALT % Holul( >AHOU// 240K. , Gs L. Terap: spr _preelclamsig ~et famria 2. Monitoring trombonrt (2 Jom Sebate 3@Trombosié — C S0.co0/me + Koagulo pati tonrum tif —_cek PT Cprotombne Ame ) trom boptastne time a a hme, Eebrinogen > transpusy tr ombotit antioktidan O)=> Trombo cit € 00000 Ime 100.000 -Ito.000. 7 | tanda etlamsia, HT berat, nyer ; &pigashrium ~—7 <4 Derome toson Lo mo (Wy) frop 2 Jom Bt pec tum > Nerameraion, (omg (uJ fap ty Jam 28 / we 7 Ig te hoe lp Jam 2x Scanned with CamScanneres Terag dera dihenhbanr * \. Terdpt perbalcan {ab _trombo ? (00. ef 2. & Oa: Skap Hhdp obstetry by erminas trpa tthat vk. 2 SC ( penaginam + s/nailesi regioras Gypuret) - > fenlecan Tx = a od (. Pembertan Catron hati! > Ferecanan sef endoret ) = Catron ROS ¢ bergonhon RL Ee Kec. (00m (1) ann > ven output © vom! Qam . 2. SC ~> trombone < Soo00/mL franFus: Fromegy < o> 40-000 (mL 5 fronspusr darah, 229 r is} 3. dovblestrength dese 4 rance ‘ fe ta ; Dexametason toma Cu) hap ia Jom disesul, Sm Ux selang tiie aye 5 z tr’ that” perbarban blents = 4 prodvks: erin, £ TO) frombosig T, d cOueg A. Bila tery, per hepar —(o6ebtom, « = Scanned with CamScanner%.Hipertens: Kronik - & HT soln hamil . (4o/9o mmHg, solm zomg | Goat HT = i. &. metildope = Suatu da -reseptor_agonis Oosis awed . 3x goomg/hr mar gr fhe: rv. cee = Anpedipin Bo-90 ng Cee %. Deyretifb Tara = F diberbon. a eee ee Scanned with CamScannerNO Senin pate 27/4 /*° Rrdarahon Pada Cohamilan fanyot b Pecsabinen KAP CHoelmarreg: ante Partin ) Penilaran feline Ge)ala tome. 7) Precksposisy & De fereee dx \. Recdorchon ~ Darah segue = Nokipara > Rog. terendoh lm Phtento > = Sesudoh Fod/ - Multnoca rmoguk (4gn atomocks ) Previa T aS Abtertas pisie ~ Got pawn 1 2. Redarolron ) — Barak betom, - HT 7 UT. Tegarg Salusvo plasento - Nyect @) ~Hidromnion —_~ Gwt pain > - Hey ~ Gemel\s mata —Peryt Fegang “ foreald ~ shock F Sy ~ Dyers hebat ~CPOrKeR-LTE —- Shock Poptur Ulen — Shlenoyy CRUE) —-R. lama [ER - - anak wal, a Nyert b sot. 7 Rersadinon op. - BT ut abd ) ) p 3. Rerdorolon » > = Rucotithton Rena SC | — Myers 1ehen) bd UT aocat Miometom: fake, dyn abel . = hnale mudoh Awaba. > > Line : Lelaa vama = Rerdacohets cntensitas, warnar "yer (4, bog whinge 5 _ - si mn ne — ———T Scanned with CamScannerEN TT Byte Mem, 49S | No f pieson . DATE tL. Plaseata Revie . Derma % Plesenta 4B" Plementan CPrormnag —? Menvtupr Jlh lahir ( Hlacigrkos ¢ i. Platenta P totals S Placenta Men oye seloruh oskum uteri 4 \ntesnum : 2.PC Porsial — Plasenta menvtepi sefagian OUZ _ 6 3.PP maranag —~ Ter plasenta berada ci Pinggir OU & UPP lef rendah Plasen to an tepi bwh rahimi_& 2 om. ' Lnormalaya = fepe bwh £ plagenta _? 20m) & bamboran (lat § Sb. Khas = Perdorahan uterus mel. vagina fanpa rasa nyer’: 2. Teryd Ay trimester 3, Eontratces pertama meng elvar ban, dah — akon bertamtah banyak - Cbervlang )_. 3. Teryal stth__kortus [ abhuctas pibile. PF Rabpacs —» bag. terbawah Janen Masih fengg) = datas Cem piss : dan _letak jann # dim lefak memanjang Daduene am keatretess t. SF Vaginal toucher__—?_Inspetevlo f = 2. Yoo, 2 “3 - Pemeciesaan _dim_mgje_ operas: emo) - a oe Scanned with CamScannerNO ) DATE a) Alor ax: f Plasenta _ Previa => - am | -_H6 tx =Nyer: ©) > _Vsta_fehamilon . 077 Rouge. vA Ridoraleon dlr ___Inspokulo —————> bre kau vtery Vegna frerurce 'Y lrhat asod perdorchan ' l : 1 fetamlar Racborolon cechbit/ —— © 32mg 272mg (nterm teva» ale Le J Rerdorathan tanya Rekeahan sd bt Teal baring oly - ~ eZ S L qicanpesr Ose b! f <= FOMO (mp ementosi / / nue Platenta f PP tobt [pars PP Morgmag [It tndab d eter ety f Se (rvks, percal nan. Ingorm _¢. neent > etiap mergejar Peblecdlnna —! akan betvor darah pay Sgorot etsportahy = (bv tyonn kondis: bark. —— - 4 2.Pardacaron berhent! 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Cringan) . “Solar plosento” porsiats rebogtap plosente ferlepar . “Sse ploserte toleais S setuur Pertuison Matera? plsen ta ders ) > losiptkasi . > > 4 Berdosarkan Percovahan. Klints- Peccorahan . [Hertuta Gevated ) [Recenning (Concealed) \. KU Pendenta celahy Baile Pelee 2 Plasenta terlepas Sebagian loas 2. Hub. tT +/- * ~ Hub gn ET 1 Rerdoraben t4+ ++ apa y emometewm — menyslina, ke konals cerus vicalis —> Fe luar \_hemorrhoge) . — —t_beluar mee . wa > Sie Merember ie irhegt). Rane Scanned with CamScannerCratornyen teryd pa kero L a. Femutan sel NO ts rence poles Re desidvon ATE = npetess CKorioamnionitis) . Ly Sesvat dyn etiologs Trauma abd — fobekan pemb.orh desidua LoHT. J = vill Fortagis plocenta terlepos dr tmptnya, — Perdarahar prays fe membuat _derlepasnya peleeaton pel plosente ( felepasan 4g, las, Eompres’ 9 Ferusatan pol plocenta cetelii'ng) . “Poregays Orient’ operate Aim sda « LF ——— TTerenya beroterna velroplasento_—> mempengareh:_peryampaion Gores 20. ac cirtvias: moternal / plosenta be cirhy (as1_jonin. b Hemotoma terbentvk dgn eepet 9 revealed! hemorrhege / concealed hemmor hage) PHD LD Hlacigvecs) 2 Mongectasy Clic : 4 Shure plasenta congon Klasiptleass 7 \vas plarenta 49 lepas: 425% [ < ‘fe bagian -_ = Jmlh_ darah celvar < 2W0Mme = Lip 9 Mee “= Hematoma 99 becuburen em - -N: ecue Fingon [| #00. ce ee Sign 2 balk 7 CU lOve Jann = bib. emule cme iniieoe i ear Grerdarohan dee) > F Felvar “Ar vogra a: = Se ant (one pal_tmpt terontk hematoma 2 Nyert_loval -eletert = lah feciet Fezorg bag Jann th dpr dukente Scanned with CamScannerNO DATE a. Satan plosenta Sedorg Hlasie eos — loar yg_terlepas Us -S0% — Jmlh dacah ‘kelwe 250 ml - (Coom|. ME = ) ) ~_Perdorokon pervagirom Jebas eWarna kehrfaman D = Nyer pene terus -menerus (menefop ), # hilang fmbv{ PF =-Uidad sign = Bayt 9 DIT 7 Gawat janin 3 lou — talitardia , hipotensi, 2 = Keli dugin 2 Feringatan - = Olrauria mul ada. 2 Abt = 1 = Tegong perut terhhot Jie. As DIS Jann ~> Cowet grin Pr Perot fegang > Potpasr a9. janinsult Y dimlar Remeritsoon loor = Rerdorahan jelar merch bolifaman | ? = —Kodor Fiorimogean to ~ zoom / (come . = cee pembetvan doroh = 8T, Tx horu cepat) hee 2 dp Bjom > > Asoo sh pop tbrinogen 2. SP RBerak lang vteacs => woe Y9 +erlepas 250% _ x = J3mlh dorah belay > (©c9 me 7 Reorohon warns hilam > ~_Mren_£ te9eng pd perue spr papan Coe, eS = Sfor Cibo) john weit Geforce muscotare) EIS Ff tercen, 2 i are Mitts Setence mescuter = pont wtert SPA usta Fehamilan Fen nara ealect Fag: Kencong 2 bererlot SUSE = 93 nonatsiw Re Bariex Scanned with CamScanner =E_ = Perot bvloe, betta a -A> O53 + ford FC PlasenteNO ‘ DATE Poriorinegenema . ( < (romg %/,) = Tromber, topenca . = Tarde Olguria Yv _ Mak! O' 4 ben hepofrbrinogen > gon ferdnyo pembetven dora, _intravattey tar Yg_loas- - { Ong Tx. (Al) ‘ Solosio_Placente. € Kens = : i Obs € ~Flolesus CRerdomton | — Kodbr Hb =basanyaanemia - Nyert = Os pembervan devo, & =Vierus fegang (hpectoni) vleor erin ovtput é -VSG VY Cart dd= _<———_ Keadaon Jann S Hplesenta previa : e ~ Abd aiert y9 loin Hidop Matt = y ' * GeanakJonin abs Wormedl oe = : rad, Servite . - Pembvieaon lengkap Nilat — Se] tendah * . " 7 CL \eateu. Uynak = fetes gan | > ren = = Rag: secrendah porggyt L = Ammotom' foesctosin + = TS ne aw = ape Hodge = #7 ie a koa Ww AypereP J a

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Catetan = Hemostasis pa_tmet implantas: plasenta tergonting fof — televatan Kontralesi =miometrium- v f Rersadinan norm’ ferle_Gontian otsitorin £ amniotom: /masase > YY mempecbvan ontrates: miometrivm £ Mencegah gerdarahan 49 hebat Pasco persabinan Enp leok msh aca perdomhan pasca perfatinan 7 kera bisa padi ada concealed hemorrhage auteur £ ontiaen mar - ern Strobe anatomi Seqmen baush rabim F mreampo berkontroks; sekvat segmen atas roahim- = Grn EX Fed hiporbrinogenenia 2 Plean tery ggn pemberuan dorah) —7 99n coagulasi —> koaguian berok Fattor reito beeps Y SC Pesorahan okan bers Menervs kelvar pa impr tnsisr gait at ol & uberus - Prognosis = Ringan_~? Borom: ~~ sedang 4 duera od molar ( Germt 7 make. _ = | \ Je Scanned with CamScanner | AA aa 0aD eaac...3d) M1 ay 22 wes AF ence : manny E 29 wpsry Sn UW xa re OST: = SOS LSP SIC pormyy EBAY ST peu, + 9 Te i ee “aire RE Ss cg A braa; po SS — Comey Suevchsay ope ee > See = Te SUS cag zee? PTs era Ml 38817 Pre aay ea 7 + ova NO Guia ewes erie ye < VNd woy = e PO1GIAS 40518) ELFeF > G smisaqe m3 IHD3 vy — € SIU pha fajnm rman SubidiW — Obs Jo VoAvoiop afe SPOS Pew — Mio beriac Vimy — SE SHEN sn}sdgy wepuads sapogy- € sera € vaboos> wind yoeg) Guor> vonas € soy oranyal ‘gobunpwey son) »p dopy adye vel 98 ssdeswey 04 ae ‘ ~ ck 3a429944 ( “o202/meJ2z vd 3 ON TT Scanned with CamScannerThe bing = pemevit saan cblem, GelUM No Odea pembvtoan DATE € \. Gorter imminens. —— a é Ramnes 1 __\. Feluhan perdarekon trom, < 20 mg € 2. Moos Sedikie/ ¥ ade kelutan, PE: & - inspeksi e = perdarahon Pervaginom Csdkt) & 7 _Ostwm oteri teetotop (meh) .C Elm ada pembukcan) = hst__feonseps1_ moh bait aim fordungan Cosg) 6 7 Besar uterus = usta Fehamilan . ee = Tes Fehamilon rin ~ USG — YU - mergetahvi Pertumbvhan Jonin £ e& : - Eeadoan fistente, sedkh, tery pelepasan fem: Cperhahtean (oberon “Ponlehs gestosr = Umer posmilen TOU Bgermkor jonin £ doa (Ff hemotomo, cetrop fasen Afou peme. Fanaks servitade . = LSG—4 © P tronrabdom ak — tabon pprs > acoustre widow grensvaginad =i Xk: = (= Tc Ehosus F, honya smpol_ perdarahan berhenty . t.- toes ©) setama 2mg . ferderahon Stop — ANC - Perdarahon tt +o porktat KET/Abh. ~ a = OSG that Feodoan janin» 9) — 7 Tt tehamilen. | Be Sposmotieie 7 VERS ¥ Fontranet - Teper Pembcriannyn =7. « mal” aa 2) _ Mormon progerteron ~ esgeh fiteroly bergre nome fer pengaruh pa psikolegit « Scanned with CamScanner0 aaa (eens DATE i: = __——— Case = : G, 3th, perdoratan pd yin lehir thr smas, Flek meran @- t C Gumpatan Wtam@, Nyer: ferut bag bur © . Jaringon_yg reluar € L SMOG otrtas Gert (3) . Ruw.hub infim 2 hr CHRO. RPO = tw. Feguguan (thyd. RF Enetologi—> - tS Sundur wert # feraba TEU OS ~~ Nyert tekon — te ada Pembukoan OVE = Joringan yg tompak - Uh- # massa PA cdnelefa —g da: KET 4 massa pal odne ke Onyer ae Nyen SJeyeng porsio © mole + © ayers Syerg porte - 56 J =Fetomian 9 mg She, Jem janin © , 0570 dx= C1POAy, Bi th, gectan 5 mg > 2 = Edutes: paren £ FER mty Fonolin yamne cov. F - Ronee. 2 froh baring - clnpuc #20 tpm. - Isoxsuprire 2 *tOms fPo T pales Ferene | aGortus imminens- © spasmotiwey = 3 tooms (pL LAs. megenamat 3*500 my fpo LAs fo a aes Ee tS thn Chormon progsteren) Scanned with CamScannerThe Etag = Sudah ado pembubaan, prayer 9 hetat, ade bag. 79 fecbreaal ba ss fol _mulut rahim -| eure tai DATE 1. Abortus _tnnprenr . Mromnecis= \. Molac 4 Fontrors yg kuat - 2. Perdorahan t+ Sesvar Pembukoon ServikS uterus 6 omur Fehon tan. PEs Feadoon Mengoncam = - servits telah tmencla tor. Crem. datam) UT = OStwm vten th memguba , — sl Konreps¢ msh dt kaum uterr 2 Peores pergetuaran . Pen war = TEU (besor uterus = Umer kehamilan . Pes VSG = -pemb. Uterus = umur Fehamian , - Cerak dancn sz Ay sls 9 tp bie vprocmad - ~ pensPison servis uterus ( pembukaan . —_{ ada peleparan plasent® ar otincking Uterur. Pbocts Lerceprenc+ TVIRD Dn aod. _ CUTER ae [Ta_eagere a VE ¢ \6 mg Uk. 26mg 7 Lb L vamon pd case = OF eS in ~AUM ( Acterr venosus _ (ndoksy Mokformation) -Ergomet Or2 mg tM (oterotonta? - -vtc Cadatas & - Mwsoprestel Yooma PO > cgh rockry ture tose ) (ombung , Obati persmratan ber lebih c b [ —_ : bara _tabir — - aa —— 7 Ab propilenes u SAU OES 7 L Ae. prophets Bari aml Scanned with CamScannerDATE Case < / ore GiPO AO , Vamil 3 bln, Feluor coroh ar jalan later, Meron ecoleloton ; Stak Phe mec. awa Elet - merah, ¢ ferelps Jotirgpn + px Sida UF gantr pembekum mu las (A) ayer @ pa_perot buh. PE. St. cOstetri . Rem. (vor = TEU sb jort hata Sumersis pees. \nsperst > vulva: fampot betas ckrah go mengering Vagina: dorah yg bwer@ flour . & blveeys = © Moss (humor: Penneum & onus teak, ) Anspeevio = vagina: plukcus @, ElOu® , marr ne —____fassto : pembutaon ©, Flutus@), — ; ae a —___fehian menonjot, EO Semereeeon Men = vagina. + ptotsr ©, toa Fee “Orso + parbvtoan Ove tem, Reap po Sheng —o. arp ter = Ontero celery 2 BAner (Rorametnun, + nee [Ere “Masta -¢-, nn = 1 Casun do MS". Rtg ee le ae ee — EB vig tn, U5G_=_Terapt jor. tovveps, 9556 wee Get Ox | G.Pohe smuida tm Jpn dag Kee WED Lorem SR Aortor tasypreng -o8. EU, TTu, £ pescorate, — soe 2 doteh (erg bat —— : —__ Tee oksfonn 5 Sty Alen SOD cog Foretace ony eg ee Scanned with CamScannerSG DATE Laroron Kuretaye = ~Eardung Fencing i koxongtan - > Posiss (efotomt - _r_lak. Asepscs Lontiseps, Ooerah vovlva, Vegina, seertar - Axposang Spetvlum owh ogn bantuan assten As pegang di gasorg —rpetulum tar . ~_Porsio “Audenhprtas, , Avepit yn tenateulum jam a. - Anes tess poraseruite? 6ok Fanon 2Eirs ( ~ SonPe mse 4 (OCm Ar vterur . ~Adatutean Pengetueren jar. or cunam aborts TAlekvean Eoretore tdyam ree, istemuc € batt bay ( Agr Yondbk [curet noe feorah Yorum som . = RBerhasil Aa Celuortean JSortagean perdorohan +t roce, Ketan: G@ecsth - Dee Cost oper + @Gorfus complete . Tt 6ae. S@anyak * 2ogr, Medibamebtosa s . ~Cepadcors| tab 2500 ma - As. mepenamoat fab $* Teo mg ~Urliron tae xls Scanned with CamScanner. T er The Firg = Pe. Fada, Gersrh; NO ) Perdorahan DATE ) 3. Abortus Kompy' - Li setocuin hst__korseps: telah celuar dr favum uterl < 20 ms Berat janin << S00 gr. Pe = > Eonepn Hh Felvar * osteum vteri feloh wenctyy - TVkerus mengeci( > perdaraton ceckiue . Arom= awalnya cerah felvor Gonyale, © 9 Byorh ak oyam (Jor. tonsepe; JA seer . PP = -05G ¥# dilakutcan fe3 orin Unpaton lato peroorahay JE sudah Yorn msh © tmp. >-10he boring - Tes —tirah 6aring - 2 “reboransia fhemafennk © Eh) J = Vrerotontba C E/p ) Cergomet ms aT ‘Prestol ) > TAC propetstests ——____ Cose = : as 9, Bth, Patong ayn telvhan Feluar Jarak We fom ———__ Kel Gatch worna merah Stiemep Ah fA jotan talkie Fhe seins Bemp ates —Seperts ats ayam 7 dratatean eR et ramen “Jumiiah sectiee . ren eta bawolh , Certs PLEINg iden mul So ee mengetuh a, gel woth, Certo F ém — : CF. Pementsoon (oor onfah tbr ye prectieen! ons a “xe + 4 Feraba. i... _# erat — ae a A \nspeker_» Velve + fidate tamper darqhs—————___ Vegna Scanned with CamScannerNO ____ + = DATE Ste. Gmerotog: . _ Remerikseenr vagina : Floeas ©, Flour ©, mam@. laserar© - “dase « Porsro = PEETET tonak 7 SLoput Fetyoan® ; Corpes ter santero Flex Adnetsa / para metrium ; masra © rnyerO Cavom douglas = UG = # dtimkn fantung gertas: maven hs! Koncepsi fs De~ 630 Ar gravida (emg con abortus (Complet . Te: (VFO RL _20tpm - edu: * Obs. [Oe TTU, Perdorahan _: (yy. cepriarone ze lor Civ) - ny. ondancetrone 3% © Ctv) Rem: (a6 = darah (engkop BtecTt. ~ edutas: Rd posten 4 Keluarg frig hel pemerikracn Gahwo Jonir ff pt Ar relomatloan _ Scanned with CamScannerMP o*~“‘CS*~*# ) » 2 > ee i Peerahan = Zz poReor me St The Frag 7 9 inch ReWvor, FOUT mish re 4. Abortvs Inkomplvt: U.= Setagian bs! Eonsepe mch fertinggag . pd uterus ¢ pem.vog = Fanatss servitoas msh terbuka , 5 feraba yaringan di cavum uteri ( ostium utev: ebsSterum monn) o( . = perdarotan sa terjd Olen small banyak Sead ful fergantong pet oregan - Gowat 7 px bis. Alm teadoan oremia ¢ Syok hemora gib Blan £60 Joeingon Atel = 2 JF ego eter Rechahtan! ~ Eomplitas: , Penorycrlin FrSCO_mg _ Cpe) « BY Misoprosttol Ucopr. sum. Bariex s Scanned with CamScannerNO DATE EO 5. used Abortion Gembrio ¢ fetes Sudoh meninggal aim Fordungan com, ¥s( keonsepst SeQuculartp, ash tertohon . Bromnesis <-f ade Fellan ,nomun Merosa £ fumbuh Gehom «loan metats cohim mengeci | - > _Poywora mubi merging} . = Reena otortus tminens namun Sembuh —7 pertumbuhan 7 Jenin terhent: « » RE = TEU 7 rey behonulon . PP USG = —vtervs mengeci! oe Fantung geste mengeci| 7 _Fers 4 ada fonda teh sdupan . = Bila 24mg = perhatiban, Jon Penjendadin darah — ) y > . hip pler’ aagenemian > Eoagular, sélan Furetore . [ix a6itg) > 7 _Hees_rat A ES yukon , . eee ee Se WED A, te lLor box wn = Cx tertutup - =o _ = Pipe Fiber nogenemia <5 HY fret eoron, < tz ma - Peabo 2 —Htatasy serviks uv ~ eyatuas: 2 kuretase oes a induen meseprerte) fete tec Gag ———_ dues! _— tn) oksitosn done jae Apt vleng smpai 50 ung elm Seg = 2204p Scanned with CamScannerTS _. . eee DATE nOVEL mesoprostel . a a G Yoomg Caslingues) drolang 2x Jorok 6pm - G 8/ > pemoutaan oshum servites — euskyar: & kuretase dpt dicerpkan {couum ofer! Eosong * RBgmn tesa — bcpopérinogemia Transpus: dbrah Segor / prbrinoyen - L Bre trdatan > Inj O&sifesin CIV) * ab. Scanned with CamScannerir 9 pate 6/9 / 20 3 Vehanilan Eeopit Terganggu: T P 4 Keto pertombuhan sed telor —> 99 chovaly £ » Menempet ‘pa dinciing endometrium _Favem vters: DD BL bE di Satura, telur C foba palop) . 3 Pakopssrotog: SR tedst endometrium . Tersendat —> embrin 6ereemtang solm fampox Com vier’ > Tombuh Feluar Long go. rahim Tempat nidass £ pt menyesvoarkan dics trp besarnya buah kehomlan 5 wpture > KET Dana lokosmya 9 ot a Se ee a “1, Fattor Sie SS cremate 7 TG taeduagan Sige wets eRe teyenpet aay Toba torn tepop tasca £ ao ts os Troan Gg SE hte tegengg a 22 Serkeee ——memmonn fet tetlor go ~~ F beg Seto metein, © uron Saeed Tomeuh fer ¢ Scanned with CamScannerQa pp pp 3 \nplomas \ Kepuhhan yq_7 dobar Stha ¢ berpunge gn bark — 20 felor £ dpe Ke _erdometrium — Implementas, dr trbo, . t GK. Awalnys 3 GE lkehamilan tuba 4g lm terganqgu # thas —> Fada fonds teCaman dim Fehamlan —» Aortus tub, (euptor tube ft . Broemesis: = Scanned with CamScanneree oma Qua Merk sf Parca Preterm - DATE U/y[to tna Degmisr _Persadman freferm: G FRersedinon ucio kehamiln 20-37 m9 ole HPHT Gos teberhasilen preterm F hanya tergantung mur kehamilon ; 9 Gerat boyt labre f y —_Ehologs \. Akhuites _hhormon w 2: bag lees! > 2.Rerdarahan desiua. A U. Peregangan uterus pertolog t > 8. Kelosnan pel oterus 7 serviks Bhpisrolop f \ngeless kerroamnion SL Athwier papelyere Az —> OS aratrobrat Gelapuramncen jan) ee i 44 Endoters 1 oar i ee Sitokin + Siantescs Prostaglarcdti L I nisin proses fehamidan . Ja Wnpetst + pengetiaron hel athuctes One 2- PA aw ketvban ditmen— SS PARC eT Pieter peremtinan term Platelet Actuating Factor). aes poleaien ee et better an “sfeseleon membran, = Gordnella. ay, i — nis > memewat pH fara — se ae 4. Ke etemsn (HT cee, ee wt Eehow lam = Scanned with CamScannerNO Oe S- Kontratse 49 berutang -@ mnt Seleal) / 2-3% dln (0 and. 2 low Cacle pain 3. Rerdorahan Gereat . WY. Perasan meneton doerah Servite . S. Pembuieaay, __& Resentas: forin rendah, hode 3 Csmpor spine ihacg) . 2: Selaput Fetuban pecal. © 522-33 mg behamilan. USG ~ Pemendetan servits . Lab —> - (evecei€ dim ar fetvban (> r0/md. ) - CRP ( > OF mgm ) € G PF= é eS & — (eutosté Serum ( > (2.000 (me) _ [ievkctit Scat hami( S000 - 000 774. ) Cimpas $2 (4.000 ~ (6-000 /4 ) m — % |. Pastkan int petsadnan preterm { sole 2cm 4 PaPisan $0 ~60 °C ¢ f a. Carr geayerrb 2. Mendac Fesejaktersan janie _ . G Kia, 49 pertumtuhan 7 beret Jaren | 3 > Gawan AMNION, Tas —? EVeackan & JImih WEG _fresentasy & Kendaon Jonin 7 retnrer G7 Presents Scanned with CamScannerNO DATE Maraemen percodinon £°rgantung pa: J. readaan selaput Fetuban . 4 4 menghambat 6a sdh pecah- 2. Rembuleaan serviks . > Seti ck cegah Jp suolah Yom) 3.0mur Feham: fon ~> >37Um ) 4. Penyebae / complitos: pertelinan preterm > 5. Cemamprar AMCU . yp farmake Ferap: 1. Tokolihk > , Hambat persagenan - ? = Inditas pel_peczatiran ceferm © ff. Mencegah £ ™orbiditas pet bay, . 2. Sdg diberi ¢, t Eorktostero: f > pemetang an Pore. 3.9 4 . ' Y_ transper pr_Fe Fasiltas (66 Leng tap . ace Ot Kalsium antagons = Mipedypm omg / orae . G 2-3% [Jara — tea 8 pm —_ bkontrares, Ailang . Giwlal Jk fontrats: “tng pen, Salbutame| . —____Salbot ees 2. Obat 8 -~ mmetit = J Eietetns vitreda, (eke . Scanned with CamScanner= _ : _ DATE 2. Corikosteroidl - u Rematangon Serfatton pory fin yb lasiden ROS , mencegoh pecdorokan intraventerFuler 7b kematan Beonatus - dibertican 7 vsia ehamilan < 25mg ( 26- 34 mg) - Gre mg > Surfattan beru bereembang 16- 34mg 7 _Serfaefan matang . le £ ada compli Fas 1 - Doss 2 emo. drolang —2 tend ferhambat Potfunbuban Jenin « Retametoson = 2% 12mg tm . Jormak pemberian 24 Jan Ua6 mg im - 12 Detsametason = 2. bnkbrokie - U rade cesito npebs: Ecitromist in Ampes(in 345009, phd tosus 3 R500 mg , SeLoma rep | \nopte | , Rado pr _FPO7 peRol Rreferm frematre Kiphrt of He Anke! | T foghton alat ster’ Of perits vagina . wagine F Araryorkan CUT) « fp bes f ~Pemertsoan llr cpetvlom - , Mmenggunakon if oD é = gers (CAC indies caren omnion ) — FI : USG —@ bo 2 3 Bshean px fF kee. geyse & f wae. a Meee a Scanned with CamScannerNO DATE Cara Pertabinon . J. Janin presenta fepala 7 portus pervaginam - ; SC # prognceis baik . merugitan 16 \ndieasi $C = lefak csungcang 70 -2Umg . G 4 Prematourites 569 (ntheas, scf Porawa tan bay \. Termoregulac: . (Cegath he poratrem pol noomatus € 3beS"C) \ Metode bongury : 2A T Ccorde) 3-\npus , Scanned with CamScannerSS ee NO DATE a = PRM -& — Incuksr Persabinan. | Der - pew 7 Peco betuinn sblm omet pertelinon ait pcl aterm, preterm, ( Ritogenesis : (Paper obi hates Cohn yy Sok He lara 2. Seloput Fetunn ferlolu _Kpt. 3- (ngetsr U. Gattor lam. Dragnesis - bremnesis—7 Adbkah felwar aur tetubor Eexran yernih) spk tanda sPesgaly PFA. Memeritsa Fambut lan, berbow ye th feringetst - L nspetolo: Apseale oda ur tetuban yg Fel alr boralis cervilatic caver bere, Mmetonum , vernits asec , solm PRA. 2D ® Secta_ofateh ada bagen Y9 Soh, poh. ‘a penogenoan antseptit cen g. kerkas lakes , ment — birv - Y Rem. PH Eorni® ¢ potter: or. ft pit u (— PP = USG— Konpimass Y/ FD dligohideomnion - : Te? » Anok i ley a) een eee ee = Ingots cotter (net peer parals Cripac ) viabel — — widuts Petatinan ¢ perstomeisy (7 %mq) _ Pemb 06 . profilatsis . sep h tema ~ Jk # 68a normak Kf etry labour . Furobel & 7-(Sheabat - CA 26mg) - a pop obs IRE TC > F800 /am ak - Spasmoltit - ct = roboronsia - aw bettan ter / ga. oe Tieme Of meee toe kd fine Bantex Scanned with CamScannerNO ry lanl \. Postieon ax. 7 Pt. Tentutan mor gekamian « 2. Gvaluas, ada Fnys inpeks: 4. Apakah dim eodoon tnpacty teropt Fe gawaton Jamin 7 moternak / Jann. > Te pods PO! Intinya = T Gerpengacuh pd una behamlan - \- Oprome — o6f air Fetuban ~,berhent: —» rawat jolen. (< 32-34 2-Percasinon Alm fala attp, ~koticammonits, — P&Calinan ~ Gowat Janin 3. FPP Aim befomlon prematur > [romperkensif/- L — fee tonda perraliran Lckoring pelurt . e ~ontrats: 9 ferotur ade ($2 © Tif delatevtean_pemerit raan dim {[ oktatworan KAKO fermmast d fA a A Aanbiobike = Ampuclin FFoomg Certtromisin 2x S0omg © Mefrondste) Uxs00 mg -celama 7he [ B. fihrak UNA tehamilan “1. €32-3Umg = rawad selama arc Retuban A 633° = msh Feluar — €kelvar. 37) bln importy —> ¥ fonda inpets, ctes buss @) 7 fer da inpett: , tes buss ¢ Gerri aoe nO Were tener Jee Scanned with CamScannerae DATE 232-3409, Soa petere Psa Le __ Tokolitile + galoufome| ee be De Kam etason bu Induks: sesudah 24 Jom 4. 32mg - 33mg, tapers: . 46 L Indolesr Goku merah or. selty . 5. 32-339 7 26-34 mg & ~ Desametason . Retason = 28lemg C Selama 2 hr Jorak 24 Pr) besa = Unsmg ( 6 Jom) 6. Ate | Fehomilan _>37m9 . (KPO -pedM) Jat frduts: _ o€sttosin ee sc gr Mcsoprosto [ Us ng - 50% lntravaginal flop bpm mar ax © t en os Ab 7D Rercotinan normal Persatinan Aachen A Baritlex a Ab ak Scanned with CamScanner ania, aSN DATE OE Dopenssi Indots Perseutror LG. sutu_fndoton thd tov kamil 99 bln importy bail sec, Operatip mraupon mediinag 9 merangsang timbulny, ontrales: robin —3 porcalinan 1% Meds 4 impos oktitocin Monpulatie = Amato tary > 4 Prortaglandin + Fongsong (Sd & = Cowan hupectonite inte oters A Yongiong Peg su {irelteos dann \eu 7 Fehamion (wt watio =~ Feramilan (wt waktu PRM. a ee om HT. TD — —Pareers_efstopetae, Ansa wensr piogents e = Molpese: 6 poses ot tog) a eee pee “Gene castent fahim yg peng ea SI Fook there Beri Scanned with CamScannerDATE Teknik ems . Ok sttoren: 7 Tove _pubs ~ Rog, 1 char _Rercalar - - \ngus ositosin 399 be obs. - PL Smee + sintosinon GIU- 7 Wz Jarnm 0 (8G, ni -telecan 8 MU [mat 7 Ainarkan Y MU Setiap ZOmot . ~keteson mar 30 -4o mv. L Bia fF murcul Fontes — STOP — SC.) ease 9 — Teton. vfers ~ Ruptur_utert imine — Gata gore: = a bapon pexbertan Aexomethason 2? 26 -24 op . GY _pewotaqgans perrembongon 16 mg 2 Surpattan Gare brince( /6ereem bang : 28 mg 7 Serfobton matang . Je ¥ ada _tompts(cosi Ceange = Dexa + emonosupresan 14 jgn diberikon sre J. Gbons >-Getametason | ¥i2mg C2 H). 7 peksametason (mM Uk S mg Cjarat Jom? - Scanned with CamScannerNO DATE Komphteas: po \apeesi G tv 4 Koroamntontil- > orion amnion £Catran ketuien ferbera inpets: babter’ . >» Sepsis . > = Biasanyo ten Troktus vrogentalis (bu . > ~ Bsa ¥ ada IxYela / 29n gejala (npets | > Demam, noolt Cepet, 6erkermgoy, Utercs te? pewbaen temek, eorron Geréau kelvar ar vege bs Segera lahictan. 3 + Rremature = prognosis ad malam Ge (vFD > fidvtsr akselerms, Sc akan fo embuat Sepris . pel Jann ersali noun. Z-Heporsa € aspitsig. a eA annton Gs b Perak etuban — [Oligsnidromnon| yg MeNeian fale pus — Asprtsio / hpot cw Tecpel heb ontora 9 Put pond dreat Obg0h, dromagn => makin Cede aur ketutan , Jenin SOmabtin cae 3. Sindrom depormitas joni. Po 99 terlale clint» Rernmbuion jonin ferhams Mees! moka & ormgeta Godan ynm hee pulmonar ee Et pop le tig Se Scanned with CamScanneroS ose~ DATE 8, U4 4hs 62 RAw, hamil mg ke 33, cotang 99n celuten cairan Uti Jermihe encer ervagnam 2 jam gmes . Rew. doto Sepert inc ® + mules ©, F ayer, Kepuhhan(®) - ov amis > Kedomin « (bia disthean °f OT) PE_ St. obstetrit - Te = 3tcm. = 3 Bav® , darah SRr S. tp # terus Yan, intensi tas Jaron g 2 fore Feabvan + Jotek pd alot > leopota I= feraba lunak, butat, beteong Jonin Te iri 4 fermba Gag. Ferkeci( Janin Kanan + Terabe teres ememang 3 Peng Kanan ent &, presentas: fepate. (08 Belum msic PAP, Hodge r -PIT = (30%(mat - ~ Bergeratcon jane = alee -Hrg = © > Bulats ceras, Galotem Rembeitscan Palam + UT 7 .Rembokoon I jar somet OUG, portio Febe®, lenat, cawon ketvoen © > Gere Gta _fetaho) UT # bole, ctateutcan , bes rfp Ge Spercvlenr posh leon $teri . a oS On = 6 cP; Bor hami( 37 mg _dgn EPb Preterm 4 Olaohcolromaror - s Ox fost portom : Prfor Post SC af KPO & dligohdroamnion » fedanyaarnya ? tretiore SC Gpa ? Leno. gat pk foksto tin duly i Indulge oly bear _ngrinak 1 Aeort > kehomlan > 37mg ~ indobs: dyn ots rtorin — gagat SC- - ~cek stor peur 4 " 65 Rematongan Servilsr+induesi —> Fberhasil se! | DED tndvesc pecsatinan : Scanned with CamScannerDATE NO ;? = Poasa 6 Jom S6lm operas . -WFo ec (6 pm - Te - 'E 7 Rovep ¢ bedrest - , - Duvadilen 2 aap el Pe 20 tem = Deromethason ZEW mg cw) x yy bexa r 3 amp le RB semy w T ~Aevoxlen 3xs0mg TAS. meponamet 3x5 tI Scanned with CamScanner