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leveltext \'02\'00.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \ulc0 \li1080 \lin1080 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'01.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li1800 \lin1800 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'02.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li2520 \
lin2520 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'03.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li3240 \lin3240 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'04.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3960 \
lin3960 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'05.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li4680 \lin4680 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'06.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li5400 \
lin5400 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'07.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li6120 \lin6120 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'08.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li6840 \
lin6840 \fi-180 }{\listname ;}\listid237568007 }{\list \listtemplateid305205879 \
listhybrid {\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1
\levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'01{\uc1 \u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \
af4 \loch \f4 \ulc0 \li720 \lin720 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \
leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \
levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u111 ?};}{\levelnumbers ;}\
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f5 \ulc0 \li1440 \lin1440 \fi-360 }{\
listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'01{\uc1 \u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \
af3 \loch \f3 \ulc0 \li2160 \lin2160 \fi-360 }{\listlevel \levelnfc23 \
levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u61623 ?};}{\
levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af4 \loch \f4 \ulc0 \li2880 \lin2880
\fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'01{\uc1 \u111 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f5 \ulc0 \li3600 \lin3600 \fi-360 }{\listlevel \levelnfc23 \
levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u61607 ?};}{\
levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af3 \loch \f3 \ulc0 \li4320 \lin4320
\fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'01{\uc1 \u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \
af4 \loch \f4 \ulc0 \li5040 \lin5040 \fi-360 }{\listlevel \levelnfc23 \
levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u111 ?};}{\
levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f5 \ulc0 \li5760 \lin5760
\fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'01{\uc1 \u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \
af3 \loch \f3 \ulc0 \li6480 \lin6480 \fi-360 }{\listname ;}\listid305205879 }{\list
\listtemplateid359283460 \listhybrid {\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'00.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li1080 \lin1080 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'01.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li1800 \
lin1800 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'02.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li2520 \lin2520 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'03.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3240 \
lin3240 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'04.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li3960 \lin3960 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'05.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li4680 \
lin4680 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'06.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li5400 \lin5400 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'07.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li6120 \
lin6120 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'08.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li6840 \lin6840 \fi-180 }{\listname ;}\
listid359283460 }{\list \listtemplateid616371047 \listhybrid {\listlevel \levelnfc4
\levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'00.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li1080 \
lin1080 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'01.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li1800 \lin1800 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'02.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li2520 \
lin2520 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'03.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li3240 \lin3240 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'04.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3960 \
lin3960 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'05.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li4680 \lin4680 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'06.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li5400 \
lin5400 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'07.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li6120 \lin6120 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'08.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li6840 \
lin6840 \fi-180 }{\listname ;}\listid616371047 }{\list \listtemplateid676227617 \
listhybrid {\listlevel
\levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'00.;}{\
levelnumbers \'01;}\b1 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \
li1713 \lin1713 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'01.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li2433 \lin2433 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'02.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3153 \
lin3153 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'03.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li3873 \lin3873 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'04.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li4593 \
lin4593 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'05.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li5313 \lin5313 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'06.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li6033 \
lin6033 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'07.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li6753 \lin6753 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'08.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li7473 \
lin7473 \fi-180 }{\listname ;}\listid676227617 }{\list \listtemplateid701637766 \
listhybrid {\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'02\'00.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \ulc0 \li1467 \lin1467 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'01.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li2187 \lin2187 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'02.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li2907 \
lin2907 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'03.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li3627 \lin3627 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'04.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li4347 \
lin4347 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'05.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li5067 \lin5067 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'06.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li5787 \
lin5787 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'07.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li6507 \lin6507 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'08.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li7227 \
lin7227 \fi-180 }{\listname ;}\listid701637766 }{\list \listtemplateid865480196 \
listhybrid {\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'02\'00.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \ulc0 \li1080 \lin1080 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'01.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li1800 \lin1800 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'02.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li2520 \
lin2520 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'03.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li3240 \lin3240 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'04.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3960 \
lin3960 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'05.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li4680 \lin4680 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'06.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li5400 \
lin5400 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'07.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li6120 \lin6120 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'08.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li6840 \
lin6840 \fi-180 }{\listname ;}\listid865480196 }{\list \listtemplateid870692701 \
listsimple {\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'02\'00.;}{\levelnumbers \'01;}\li2040 \lin2040 \fi-360 \jclisttab \
tx2040 }{\listname ;}\listid870692701 }{\list \listtemplateid980872438 \listsimple
{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'01{\uc1 \u61548 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \
af3 \loch \f3 \li2040 \lin2040 \fi-360 \jclisttab \tx2040 }{\listname ;}\
listid980872438 }{\list \listtemplateid990669917 \listhybrid {\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \
u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af4 \loch \f4 \ulc0 \
li720 \lin720 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u111 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f5 \ulc0 \li1440 \lin1440 \fi-360 }{\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \
u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af3 \loch \f3 \ulc0 \
li2160 \lin2160 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af4 \loch \f4 \ulc0 \li2880 \lin2880 \fi-360 }{\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u111
?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f5 \ulc0 \li3600 \
lin3600 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af3 \loch \f3 \ulc0 \li4320 \lin4320 \fi-360 }{\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \
u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af4 \loch \f4 \ulc0 \
li5040 \lin5040
\fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u111 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f5 \ulc0 \li5760 \lin5760 \fi-360 }{\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \
u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af3 \loch \f3 \ulc0 \
li6480 \lin6480 \fi-360 }{\listname ;}\listid990669917 }{\list \
listtemplateid1007749912 \listsimple {\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'00.;}{\levelnumbers \'01;}\li1620 \lin1620 \fi-
360 \jclisttab \tx1620 }{\listname ;}\listid1007749912 }{\list \
listtemplateid1034618357 \listhybrid {\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'00.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li1080 \lin1080 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'01.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li1800 \
lin1800 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'02.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li2520 \lin2520 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'03.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3240 \
lin3240 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'04.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li3960 \lin3960 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'05.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li4680 \
lin4680 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'06.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li5400 \lin5400 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'07.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li6120 \
lin6120 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'08.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li6840 \lin6840 \fi-180 }{\listname ;}\
listid1034618357 }{\list \listtemplateid1088767017 \listhybrid {\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \
u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af4 \loch \f4 \ulc0 \
li720 \lin720 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u111 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f5 \ulc0 \li1440 \lin1440 \fi-360 }{\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \
u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af3 \loch \f3 \ulc0 \
li2160 \lin2160 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af4 \loch \f4 \ulc0 \li2880 \lin2880 \fi-360 }{\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u111
?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f5 \ulc0 \li3600 \
lin3600 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af3 \loch \f3 \ulc0 \li4320 \lin4320 \fi-360 }{\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \
u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af4 \loch \f4 \ulc0 \
li5040 \lin5040 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u111 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f5 \ulc0 \li5760 \lin5760 \fi-360 }{\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \
u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af3 \loch \f3 \ulc0 \
li6480 \lin6480 \fi-360 }{\listname ;}\listid1088767017 }{\list \
listtemplateid1109469599 \listhybrid {\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'00.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li1211 \lin1211 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'01.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li1931 \
lin1931 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'02.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li2651 \lin2651 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'03.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3371 \
lin3371 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'04.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li4091 \lin4091 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'05.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li4811 \
lin4811 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'06.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li5531 \lin5531 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'07.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li6251 \
lin6251 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'08.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li6971 \lin6971 \fi-180 }{\listname ;}\
listid1109469599 }{\list \listtemplateid1225599635 \listhybrid {\listlevel \
levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'00.;}{\
levelnumbers \'01;}\b1 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \
li1713 \lin1713 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'01.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li2433 \lin2433 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'02.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3153 \
lin3153 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'03.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li3873 \lin3873 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'04.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li4593 \
lin4593 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'05.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3
\hich \af2 \loch \f0 \ulc0 \li5313 \lin5313 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'06.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li6033 \
lin6033 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'07.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li6753 \lin6753 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'08.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li7473 \
lin7473 \fi-180 }{\listname ;}\listid1225599635 }{\list \listtemplateid1238243651 \
listhybrid {\listlevel \levelnfc3 \levelnfcn3 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'02\'00.;}{\levelnumbers \'01;}\b1 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \ulc0 \li927 \lin927 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0
\leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'01.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li1647 \lin1647 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'02.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li2367 \
lin2367 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'03.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li3087 \lin3087 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'04.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3807 \
lin3807 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'05.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li4527 \lin4527 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'06.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li5247 \
lin5247 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'07.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li5967 \lin5967 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'08.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li6687 \
lin6687 \fi-180 }{\listname ;}\listid1238243651 }{\list \listtemplateid1345326608 \
listhybrid {\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'02\'00.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \ulc0 \li1571 \lin1571 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'01.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li2291 \lin2291 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'02.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3011 \
lin3011 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'03.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li3731 \lin3731 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'04.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li4451 \
lin4451 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'05.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li5171 \lin5171 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'06.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li5891 \
lin5891 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'07.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li6611 \lin6611 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'08.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li7331 \
lin7331 \fi-180 }{\listname ;}\listid1345326608 }{\list \listtemplateid1357344277 \
listhybrid {\listlevel \levelnfc3 \levelnfcn3 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'02\'00.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \ulc0 \li785 \lin785 \fi-360 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'01.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li1014 \lin1014 \fi-360 \jclisttab \tx1014 }{\
listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'02\'02.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \ulc0 \li1734 \lin1734 \fi-360 \jclisttab \tx1734 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'03.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li2454 \
lin2454 \fi-360 \jclisttab \tx2454 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'04.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li3174 \lin3174 \fi-360 \jclisttab \tx3174 }{\
listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'02\'05.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \ulc0 \li3894 \lin3894 \fi-360 \jclisttab \tx3894 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'06.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li4614 \
lin4614 \fi-360 \jclisttab \tx4614 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'07.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li5334 \lin5334 \fi-360 \jclisttab \tx5334 }{\
listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'02\'08.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \ulc0 \li6054 \lin6054 \fi-360 \jclisttab \tx6054 }{\listname ;}\
listid1357344277 }{\list \listtemplateid1360815484 \listhybrid {\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \
u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af4 \loch \f4 \ulc0 \
li720 \lin720 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u111 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f5 \ulc0 \li1440 \lin1440 \fi-360 }{\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \
u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af3 \loch \f3 \ulc0 \
li2160 \lin2160 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af4 \loch \f4 \ulc0 \li2880 \lin2880 \fi-360 }{\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u111
?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f5 \ulc0 \li3600 \
lin3600 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0
\levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u61607 ?};}{\levelnumbers ;}\
rtlch \ltrch \dbch \af3 \hich \af3 \loch \f3 \ulc0 \li4320 \lin4320 \fi-360 }{\
listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'01{\uc1 \u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \
af4 \loch \f4 \ulc0 \li5040 \lin5040 \fi-360 }{\listlevel \levelnfc23 \
levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u111 ?};}{\
levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f5 \ulc0 \li5760 \lin5760
\fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'01{\uc1 \u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \
af3 \loch \f3 \ulc0 \li6480 \lin6480 \fi-360 }{\listname ;}\listid1360815484 }{\
list \listtemplateid1418362759 \listhybrid {\listlevel \levelnfc4 \levelnfcn4 \
leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \
levellegal0 \levelnorestart0 {\leveltext \'02\'00.;}{\levelnumbers \'01;}\rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li1440 \lin1440 \fi-360 }{\listlevel \
levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'01.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li2160 \
lin2160 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'02.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li2880 \lin2880 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'03.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3600 \
lin3600 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'04.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li4320 \lin4320 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'05.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li5040 \
lin5040 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'06.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li5760 \lin5760 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'07.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li6480 \
lin6480 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'08.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li7200 \lin7200 \fi-180 }{\listname ;}\
listid1418362759 }{\list \listtemplateid1423216411 \listsimple {\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \
u61548 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af3 \loch \f3 \li1620 \
lin1620 \fi-360 \jclisttab \tx1620 }{\listname ;}\listid1423216411 }{\list \
listtemplateid1424455151 \listhybrid {\listlevel \levelnfc23 \levelnfcn23 \leveljc0
\leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af4 \loch \f4 \ulc0 \li720 \lin720 \fi-360 }{\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u111
?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f5 \ulc0 \li1440 \
lin1440 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af3 \loch \f3 \ulc0 \li2160 \lin2160 \fi-360 }{\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \
u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af4 \loch \f4 \ulc0 \
li2880 \lin2880 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u111 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f5 \ulc0 \li3600 \lin3600 \fi-360 }{\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \
u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af3 \loch \f3 \ulc0 \
li4320 \lin4320 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af4 \loch \f4 \ulc0 \li5040 \lin5040 \fi-360 }{\listlevel \
levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u111
?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f5 \ulc0 \li5760 \
lin5760 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'01{\uc1 \u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \
dbch \af3 \hich \af3 \loch \f3 \ulc0 \li6480 \lin6480 \fi-360 }{\listname ;}\
listid1424455151 }{\list \listtemplateid1659847647 \listhybrid {\listlevel \
levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'00.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li720 \
lin720 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'01.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li1440 \lin1440 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'02.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li2160 \
lin2160 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'03.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li2880 \lin2880 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'04.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3600 \
lin3600 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'05.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li4320 \lin4320 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'06.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li5040 \
lin5040 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'07.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li5760 \lin5760 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'08.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li6480 \
lin6480 \fi-180 }{\listname ;}\listid1659847647 }{\list \listtemplateid1764959404 \
listhybrid {\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'02\'00.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \ulc0 \li720 \lin720 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'01.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li1440 \lin1440 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'02.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li2160 \
lin2160 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'03.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li2880 \lin2880 \fi-360 }{\listlevel
\levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \
levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'04.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3600 \
lin3600 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'05.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li4320 \lin4320 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'06.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li5040 \
lin5040 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'07.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li5760 \lin5760 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'08.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li6480 \
lin6480 \fi-180 }{\listname ;}\listid1764959404 }{\list \listtemplateid1815876230 \
listhybrid {\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'02\'00);}{\levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \ulc0 \li360 \lin360 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'01);}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li720 \lin720 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'02);}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li1080 \
lin1080 \fi-360 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'03(\'03);}{\levelnumbers \'02;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li1440 \lin1440 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'03(\'04);}{\
levelnumbers \'02;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li1800 \
lin1800 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'03(\'05);}{\levelnumbers \'02;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li2160 \lin2160 \fi-360 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'06.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li2520 \
lin2520 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'07.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li2880 \lin2880 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'08.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3240 \
lin3240 \fi-360 }{\listname ;}\listid1815876230 }{\list \listtemplateid1818451230 \
listhybrid {\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat7
\levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'01{\uc1 \u45 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af0 \hich \af0 \
loch \f0 \ulc0 \li720 \lin720 \fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \
leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \
levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u111 ?};}{\levelnumbers ;}\
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f5 \ulc0 \li1440 \lin1440 \fi-360 }{\
listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'01{\uc1 \u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \
af3 \loch \f3 \ulc0 \li2160 \lin2160 \fi-360 }{\listlevel \levelnfc23 \
levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u61623 ?};}{\
levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af4 \loch \f4 \ulc0 \li2880 \lin2880
\fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'01{\uc1 \u111 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f5 \ulc0 \li3600 \lin3600 \fi-360 }{\listlevel \levelnfc23 \
levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u61607 ?};}{\
levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af3 \loch \f3 \ulc0 \li4320 \lin4320
\fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'01{\uc1 \u61623 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \
af4 \loch \f4 \ulc0 \li5040 \lin5040 \fi-360 }{\listlevel \levelnfc23 \
levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u111 ?};}{\
levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f5 \ulc0 \li5760 \lin5760
\fi-360 }{\listlevel \levelnfc23 \levelnfcn23 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'01{\uc1 \u61607 ?};}{\levelnumbers ;}\rtlch \ltrch \dbch \af3 \hich \
af3 \loch \f3 \ulc0 \li6480 \lin6480 \fi-360 }{\listname ;}\listid1818451230 }{\
list \listtemplateid2029341713 \listsimple {\listlevel \levelnfc23 \levelnfcn23 \
leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \
levellegal0 \levelnorestart0 {\leveltext \'01{\uc1 \u61548 ?};}{\levelnumbers ;}\
rtlch \ltrch \dbch \af3 \hich \af3 \loch \f3 \li780 \lin780 \fi-360 \jclisttab \
tx780 }{\listname ;}\listid2029341713 }{\list \listtemplateid2060823051 \listsimple
{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'02\'00.;}{\levelnumbers \'01;}\li780 \lin780 \fi-360 \jclisttab \
tx780 }{\listname ;}\listid2060823051 }{\list \listtemplateid2124961631 \listhybrid
{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \
levelfollow0 \levelspace0 \levelindent0 \levellegal0 \levelnorestart0 {\
leveltext \'02\'00.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \ulc0 \li1080 \lin1080 \fi-360 }{\listlevel \levelnfc4 \levelnfcn4 \leveljc0 \
leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'01.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li1800 \lin1800 \fi-360 }{\listlevel \levelnfc2 \
levelnfcn2 \leveljc2 \leveljcn2 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'02.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li2520 \
lin2520 \fi-180 }{\listlevel \levelnfc0 \levelnfcn0 \leveljc0 \leveljcn0 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'03.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li3240 \lin3240 \fi-360 }{\listlevel \levelnfc4 \
levelnfcn4 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'04.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li3960 \
lin3960 \fi-360 }{\listlevel \levelnfc2 \levelnfcn2 \leveljc2 \leveljcn2 \
levelstartat1 \levelfollow0 \levelspace0 \levelindent0 \levellegal0 \
levelnorestart0 {\leveltext \'02\'05.;}{\levelnumbers \'01;}\rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \ulc0 \li4680 \lin4680 \fi-180 }{\listlevel \levelnfc0 \
levelnfcn0 \leveljc0 \leveljcn0 \levelstartat1 \levelfollow0 \levelspace0 \
levelindent0 \levellegal0 \levelnorestart0 {\leveltext \'02\'06.;}{\
levelnumbers \'01;}\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \ulc0 \li5400 \
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0000000001000000014000000}}}}}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \af0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 }{\b1 \fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 BAB
III}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \
tx1260 \tqc \tx3968 \tqr \tx7937 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\b1 \fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 \tab }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 \tab }{\b1 \fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 TINJAUAN
KASUS}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \
tx1260 \tqc \tx3968 \tqr \tx7937 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\b1 \fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 \tab }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi851 \li0 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin0 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pasien Ny. R umur 41
tahun, agama islam, suku Jawa, Pendidikan terakhir Sekolah Menengah Atas (SMA}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 /SLTA}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 ), seorang ibu rumah tangga, telah
menikah selama 22 tahun dengan Tn. N umur 43 tahun, agama islam, suku Jawa,
pendidikan terakhir Sekolah Menengah Atas (SMA}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 /SLTA}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 ), pekerjaan wiraswasta, bertempat tinggal Dermaga Malang \uc1 \
u8211 ? Mera}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 k.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \
s33 \qj \fi-426 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin426 \rin0 \itap0 \ls2 \fs22 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
listtext \pard \plain \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \f3 A.\tab }{\b1 \fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
Masa Kehamilan (Antenatal)}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi-360
\li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin720 \rin0 \itap0 \ls3 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \
fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \f3 1.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Trimester Pertama (0-14
Minggu)}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi720 \li720 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pada trimester
I ibu memeriksaan kehamilannya yang pertama di BPM Eni Suhaeni Merak. Pada waktu
trimester pertama, ibu mengalami keluhan }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 mual muntah }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 dan ibu mendapatkan penyuluhan mengenai perubahan fisiologis pada ibu
hamil trimester I. Selama trimester pertama ini, ibu sudah 1 kali melakukan
pemeriksaan.}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi-360 \li720 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin720 \rin0 \itap0 \ls3 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \f3 2.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Trimester Kedua (15-28 Minggu}{\b1 \
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi720 \li720 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Pada trimester II ibu memeriksaan
kehamilannya di BPM Eni Suhaeni Merak. ibu tidak mengalami keluhan dan ibu
mendapatkan penyuluhan mengenai perubahan fisiologis pada ibu hamil trimester II.
Selama trimester kedua ini, ibu melakukan 2 kali pemeriksaan. Pergerakan janin
sudah mulai terasa pada usia kehamilan \uc1 \u177 ? 20 minggu}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 . }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 Ibu diberikan therapy Fe 1x1 sehari diminum
pada malam hari menggunakan air putih, tidak boleh air teh, kopi atau susu karena
dapat menghambat penyerapan obat. Dan kalsium 1x1 sehari diminum pada pagi hari
menggunakan air putih, tidak boleh air the, kopi atau susu karena dapat menghambat
penyerapan obat.}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi294 \li720 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720
\rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \
fi294 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \
plain \qj \fi294 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi-425 \li851 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin851 \rin0 \itap0 \ls3 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \f3 3.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Trimester Ketiga (28-40 Minggu)}{\b1
\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi-360 \li1211 \ri0 \lisb0 \
sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1211 \rin0
\itap0 \ls4 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f3
a.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 Kunjungan Pertama Tanggal }{\b1 \fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 19 Desember }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 201}{\b1 \fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 6}{\
b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 Pukul 1}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 1}{\b1 \fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 .00
WIB}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi490 \li1211 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057
\langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Ny.\uc1 \u160 ?R\uc1 \u160
?mengatakan\uc1 \u160 ?ingin\uc1 \u160 ?memeriksakan\uc1 \u160 ?kehamilannya,\uc1 \
u160 ?pada\uc1 \u160 ?kunjungan ini ibu mengatakan mengalami keluhan}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 sering BAK}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 . Riwayat menstruasi : haid pertama
umur 12 tahun, lamanya 7 hari, siklus teratur, sifat darah encer, banyaknya 3 kali
ganti pembalut per hari, ada dysmenorhea. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \
s33 \qj \fi490 \li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
Riwayat kehamilan dan persalinan masa lalu, ibu mengatakan ini kehamilan yang
ketiga, pernah dua kali melahirkan dan belum pernah keguguran. Riwayat laktasi
pernah anak pertama lamanya 2 tahun dan anak kedua lamanya 2 tahun.}{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 Riwayat kehamilan yang sekarang adalah Hari Pertama Haid
Terakhir tanggal 08 april }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang2057 \langnp2057 \langfe1033 \langfenp1033 201}{\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 6,
tafsiran persalinan 15 jannuari 2017, umur kehamilan saat ini }{\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 3}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 6 minggu }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 hari.}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \fi490 \li1211 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1211 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Pada trimester ketiga ini ibu
melakukan ANC sebanyak }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang2057 \langnp2057 \langfe1033 \langfenp1033 1}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 kali
pemeriksaan dan ibu mengalami keluhan sering BAK. Pergerakan anak pertama kali umur
20 minggu, ada pergerakan janin lebih dari 10 kali dalam 24 jam. Ibu belum pernah
melakukan Imunisasi TT (Tetanus Toxoid) Ibu mengatakan pernah menggunakan KB pil
selama 1 tahun 5 bulan. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi490 \
li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Ibu tidak
pernah mempunyai riwayat penyakit sistemik seperti penyakit Jantung, Ginjal,
Asthma, Hepatitis, Diabetes Mellitus, dan Epilepsi. Riwayat operasi tidak ada.
Riwayat penyakit keturunan tidak ada seperti Diabetes Melitus, Epilepsi, Asthma,
Hemofilia, dan Kelainan Jiwa.Keturunan kembar tidak ada.}{\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\
pard \plain \qj \fi490 \li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Kebiasaan sehari-hari yaitu diet/makan sehari 3 kali dengan menu nasi,
lauk pauk, sayur, buah dan susu, }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 perubahan makan yang
dialami selama hamil yaitu tidak ada perubahan nafsu makan, istirahat selama }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 8}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 jam dalam 24 jam, mandi }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 2}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 kali dalam sehari, pekerjaan ibu memasak,
mencuci dan menyapu, merokok tidak pernah, kebiasaan eliminasi BAB }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 2}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 kali dalam sehari, BAK }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 6}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 kali dalam sehari.}{\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\
pard \plain \qj \fi490 \li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 Dari pemeriksaan umum didapatkan keadaan umum ibu baik,keadaan
emosional stabil, kesadaran composmentis. Tinggi badan 1}{\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 6}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 0 cm, berat badan 62 kg, berat badan sebelum hamil }{\fs24
\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 50}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 kg. Tanda-tanda vital yaitu tekanan darah 1}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 1}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 0/}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 8}{\fs24 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 0 mmHg, pernafasan 2}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 0}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033
x/menit, suhu 36,}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 5}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \super1 0}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 C, Nadi 8}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 0}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 x/menit
Lingkar lengan atas 34 cm.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi490 \
li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Dari hasil
pemeriksaan khusus didapatkan inspeksi pada kepala rambut distribusi merata, warna
hitam, hygiene bersih. Muka tidak ada chloasma, odema tidak ada. Kelopak mata tidak
odema, konjungtiva tidak}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 anemis}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 , sklera
tidak }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 ikterik}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 . Hidung bersih, septum
ditengah, tidak ada polip. Telinga simetris, bersih, tidak ada serumen. Bibir }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 tidak sianosis}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 , lidah bersih. Gigi
caries tidak ada, hygiene bersih. Kelenjar tyroid pada leher tidak ada
pembengkakan, tumor tidak ada, kelenjar getah bening tidak ada pembengkakan. }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \fi490 \li1211 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1211 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Pada\uc1 \u160 ?dada\uc1 \u160 ?dan\
uc1 \u160 ?axila\uc1 \u160 ?pembesaran\uc1 \u160 ?mamae\uc1 \u160 ?ada,\uc1 \u160 ?
simetris,\uc1 \u160 ?benjolan/tumor tidak ada, putting susu menonjol, areola susu
hiperpigmentasi, kolostrum ada. Pembengkakan kelenjar getah bening pada axila tidak
ada, nyeri tidak ada, posisi tulang belakang lordosis fisiologis, nyeri pinggang\
uc1 \u160 ?tidak\uc1 \u160 ?ada.\uc1 \u160 ?Pada\uc1 \u160 ?abdomen\uc1 \u160 ?
pembesaran\uc1 \u160 ?sesuai\uc1 \u160 ?usia\uc1 \u160 ?kehamilan,arah memanjang,
linea nigra, striae tidak ada, jaringan parut/post operasi tidak ada. }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi490 \li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1211 \rin0 \itap0 \fs22 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 Pada anogenital tampak bersih, tidak ada odema
dan tidak ada varises, pengeluaran pervaginam tidak ada, pembengkakan kelenjar
bartolini tidak ada, rasa nyeri tidak ada, haemoroid tidak ada, luka parut pada
perineum tidak ada. Pada ekstremitas varises tidak ada, kemerahan tidak ada,
kekuatan sendi normal, odema pada tangan dan jari tidak ada, odema pada 2 tungkai
tidak ada, bentuk bagian atas / lengan simetris, bentuk bagian bawah / kaki
simetris. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi490 \
li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Palpasi }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 TFU 30 cm. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Leopold I Pada bagian
fundus ibu teraba bulat, lunak, dan tidak melenting. Leopold II Pada bagian kiri
perut ibu teraba}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 bagian terkecil janin}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 ,
pada bagian kanan perut ibu teraba}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 tahanan memanjang}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 . Leopold III Pada perut bagian bawah ibu teraba bagian bulat,
keras,melenting. Leopold IV }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 D}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 i}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 \cf1 vergen}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 2/5}{\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 , TFU 30
cm, TBBJ (30-}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 11}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 ) x 155 = }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 2950}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 gram. Auskultasi DJJ positif, tempat
terdengar jelas pada satu tempat dua jari dibawah pusat sebelah k}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 anan}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 perut ibu, frekuensi 1}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 35}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 x/menit, teratur. Perkusi reflex patela kanan dan kiri
positif.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi490 \li1211 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1211 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Dari hasil pemeriksaan laboratorium
Haemoglobin 1}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 2}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 gr % protein urine
negatif, reduksi urine negatif, pemeriksaan lainnya tidak dilakukan.}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi490 \li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1211 \rin0 \itap0 \fs22 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 Dari hasil pemeriksaan diatas didapatkan
diagnosa G}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \sub2 3}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 P}{\fs24 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \sub2 2}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082
\langnp3082 \langfe1033 \langfenp1033 A}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \sub2 0 }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 hamil 36 minggu }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 hari.
Janin tunggal hidup intra uterin presentasi kepala.}{\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \
plain \qj \fi490 \li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 Asuhan yang diberikan yaitu }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1030 \langnp1030 \langfe1033 \langfenp1033 Melakukan informed
consent atas tindakan yang akan dilakukan. M}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 enginformasikan
hasil pemeriksaan bahwa keadaan ibu dan janin baik yaitu TD : 110/80 mmHg. Janin
tunggal hidup intra uterine presentasi kepala, DJJ 135 x/m(teratur), Hb: 12 gr%,
Protein urine (-), Reduksi (-), }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 memberitahukan penkes tentang
sering BAK}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 Menjelaskan penkes fisiologis pada Trimester
III tentang sering BAK, pada kehamilan trimester III yaitu seringnya buang air
kecil (BAK ) janin yang suda sedemikian membesar dan menekan kandung kemih,jadi
terbatas sehingga mengakibatkan ibu sebentar- sebentar ingin BAK dorongan untuk
bulak balik ke kamar mandi inilah yang mau tidak mau aan mengganggu kenyenyakan
tiduer ibu, disarankan ibu 2-3 jam sebelum tidur tidak boleh minum,namun agar
kebutuhan air pada ibu hamil}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 tetap
terpenuhi, sebaiknya}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 minumlah lebih banyak
disiang hari,}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1030 \
langnp1030 \langfe1033 \langfenp1033 Mengajarkan Ibu cara menghitung usia kehamilan
bersama dan tafsiran persalianan}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi-
360 \li1571 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1571 \rin0 \itap0 \ls5 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \
fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \f3 1.\tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 HPHT 08-04-2016}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \s33 \qj \fi-360 \li1571 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1571 \rin0 \itap0 \ls5
\fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f3 2.\tab }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 Tentukan TP}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \
qj \fi-360 \li1571 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin1571 \rin0 \itap0 \ls5 \fs22 \rtlch \ltrch \dbch \af3 \hich
\af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \
plain \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \f3 3.\tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Rumus TP}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \s33 \qj \li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1211 \rin0 \itap0 \fs22 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 Jika hamil pada bulan januari \uc1 \u8211 ?
maret maka rumusnya : (+7+9), sedangkan dari bulan april \uc1 \u8211 ? desember
rumusnya (+7-3+1), contoh :}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi720 \li491 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin491 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 HPHT }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 08 \uc1 \u8211 ? 04 \uc1 \u8211 ? 2016}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin993 \rin0 \itap0 \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af0 \lang1033 \
langnp1033 \langfe1024 \langfenp1024 {\shp {\*\shpinst \shpleft1995 \shptop324 \
shpright3852 \shpbottom324 \shpfhdr0 \shpbxcolumn \shpbxignore \shpbypara \
shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \shpz0 \shplid1026 {\sp {\sn shapeType}{\
sv 20}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\sp {\sn WrapText}{\sv
0}}{\sp {\sn fFillOK}{\sv 0}}{\sp {\sn fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}
{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn fArrowheadsOK}{\sv 1}}{\sp {\sn shadowColor}
{\sv 0}}{\sp {\sn shadowOpacity}{\sv 24903}}{\sp {\sn shadowOffsetX}{\sv 0}}{\sp {\
sn shadowOffsetY}{\sv 20000}}{\sp {\sn shadowOriginY}{\sv 32768}}{\sp {\sn fShadow}
{\sv 1}}{\sp {\sn f3D}{\sv 0}}{\sp {\sn wzName}{\sv Straight Connector 8}}{\sp {\sn
fLayoutInCell}{\sv 1}}}{\shprslt {\pict }}}}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 +7 -3 + 1}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\
pard \plain \s33 \qj \li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin993 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 15 - 01 - 2017}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi447 \li993 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin993 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Untuk menghitung usia kehamilan (UK)
bisa dilihat dari HPHT yaitu :}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \
fi447 \li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin993 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 08 \uc1 \u8211
? 04 \uc1 \u8211 ? 2016}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Minggu }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Hari }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\
pard \plain \s33 \qj \fi447 \li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin993 \rin0 \itap0 \fs22 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 (30-08) = 22}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \
tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 1}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi447 \
li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin993 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Mei}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 = 31 }{\fs24 \rtlch \ltrch \dbch \af3 \hich
\af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 4}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \
tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi447 \
li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin993 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Juni}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 = 30}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 4}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \
tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 2}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \
li1440 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1440 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Juli}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 = 31}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 4}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \
tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi447 \
li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin993 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Agst }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 =
31}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 4}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 3}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \s33 \qj \fi447 \li993 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin993 \rin0 \itap0 \fs22
\rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 Sep}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 = 30}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 4}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 2}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \li1440 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin1440 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057
\langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Okt}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab
}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 = 31}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 4}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi447 \
li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin993 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Nov}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 = 30}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 4}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \
tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 2}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi447 \
li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin993 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs22 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \af0 \lang1033 \langnp1033 \langfe1024 \langfenp1024 {\shp {\*\
shpinst \shpleft1338 \shptop336 \shpright6234 \shpbottom336 \shpfhdr0 \
shpbxcolumn \shpbxignore \shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \
shpz4 \shplid1027 {\sp {\sn shapeType}{\sv 32}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn
fFlipV}{\sv 1}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn fFillOK}{\sv 0}}{\sp {\sn
fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn fFilled}{\sv 0}}{\sp {\sn
lineWidth}{\sv 12700}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn fArrowheadsOK}{\sv 1}}
{\sp {\sn cxstyle}{\sv 0}}{\sp {\sn wzName}{\sv AutoShape 3}}{\sp {\sn
fLayoutInCell}{\sv 1}}}{\shprslt {\pict }}}}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Des}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 = 19}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 2}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \
tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 5}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \li993 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin993 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 33 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 +}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 2}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 4}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 = 3
M }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 hari}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\
pard \plain \qj \li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Jadi UK ibu 33 minggu + 3 minggu 6 hari adalah 36 minggu }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 hari }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 .}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi425 \li1276 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1276 \rin0 \itap0 \fs22 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1030 \
langnp1030 \langfe1033 \langfenp1033 Memberikan}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 Memberikan}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch
\ltrch \dbch \af3 \hich
\af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 KIE}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 tenta}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 ng}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 :}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
Nutrisi}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?yaitu\uc1 \u160 ?}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Menganjurkan ibu untuk memenuhi kebutuhan nutrisi dengan mengkonsumsi
makanan yang bergizi dan bernutrisi seperti : nasi, ikan, telur, daging,sayuran
hijau, buah dan susu }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 ,}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Istrirahat :
menganjurkan ibu untuk beristirahat yang cukup yaitu maksimal 10 jam / 24 jam, 8
jam pada malam hari dan siang 2 jam. Mobilisasi : menganjurkan ibu untuk melakukan
aktivitas seperti jalan-jalan di pagi hari dan sore hari bertujuan agar kepala bayi
segera masuk ke pintu atas panggul sehingga mepercepat persalinan. Personal
hygine : memberitahu ibu menjaga personal hygiene dengan menjaga kebersihan dirinya
terutama pada alat kemaluan ibu seperti mengganti pakaian dalam minimal 3x sehari
dan menggunakan celana bahan katun dan membersihkan daerah kewanitaan terlebih
dahulu dari daerah depan ke belakang,seksualitas pada kehamilan merupakan
kebutuhan biologis pada ibu hamil untuk mengurangi kesetresan detik-detik
menghadapi peersalianan namun seksualitas pada kehamilan juga mempunyai manfaat
tersendiri untuk mempercepat otot panggung disebut senam kegel, senam ini membantu
untuk meningkatkan gairah seksualitas dan mampu menurunkan resiko terjadinya
prolapse uteri (turun bero) diusia senja selama menjaga seksualitas karena bisa
mempercepat kontraksi dan mempertipis selapuut ketuban, Tanda bahaya kehamilan
yaitu : Perdarahan pervaginam yaitu keluarnya darah dari alat kemaluan ibu yang
berjumlah cukup banyak terutama merah segar dikhawatirkan ibu mengalami placenta
previa, placenta previa yaitu melekatnya placenta pada jalan lahir, bisa menybabkan
lahir prematur, kematian janin dalam kandungan atau solusio placenta,Sakit kepala
yang hebat sehingga ibu tidak bisa beraktifitas dan tetap tidak akan hilang saat
ibu istirahat biasanya ini terjadi karena tekanan darah ibu yang tidak normal, di
ikuti dengan protein urin (+), bengkak pada kaki / wajah, dengan keadaan seperti
ini dikhawatirkan ibu mengalami eklamsi yaitu kejang kejang pada saat
persalinan,Penglihatan kabut yaitu dimana, apa yang kita lihat tidak jelas dan
tidak terlihat kunang-kunang, hal ini bisa disebabkan karena sakit kepala yang
hebat,sehingga meningkatkan, menimbulkan gangguan penglihatan yang kabur disebabkan
karena tekanan darah yang tinggi, Geraka janin bekurng, atau gerakan yang tidak
aktif seperti biasanya, gerakan janin yang normal biasanya dalam 24 jam yaitu lebih
dari 10 kali jika tidak bergerak normal dikhaatirkan janin mengalami fetal distres
atau meninggal dalam kandungan, Bengkak kaki, tangan dan wajah yang berlebihan
terjadi akibat adanya cairan yang berlebihan didalam jaringan tubuh, jika tidak
diikuti dengan gejala lainnya, itu}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 a}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 dalah hal
yang normal, tetapi jika bengkak kaki,tangan dan wajah disertai dengan gejala lain
yaitu tekanan darah tinggi, protein urin (+) maka hal tersebut dikatakan tidak
normal, dan harus periksa ketenaga kesehatan,Nyeri perut yang hebat yaitu termasuk
kedalam tanda bahaya kehamilan, apalagi perut ibu terasa sangat nyeri,secara tiba-
tiba bahkan jika disentu sedikit, saja akan terasa sangat nyeri, keras seperti
papan, disertai dengan perdarahan pervagianam, ini memudahka terjadinya solusio
placenta, nyeri perut yang terjadi pada akhir kehamilan, akibat kontraksi dari
rahim ibu yang akan mengeluarkan bunyi dalam kandungan yang harus dapat dibedakan
apakah nyeri tersebut tanda perslianan atau aborsi,memeritahukan Persiapan
persalianan, Penolong persalianan yaitu siapa penolong saat proses persalianan ke
tenaga kesehatan seperti}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
bidan}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 dll,}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Pendamping}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1
\u160 ?}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 persalinan}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 :}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
siapa}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 pendamping}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 persalinan saat peroses persalianan
berlangsung seperti keluarga, suami , dan orangtua,}{\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 Tempat}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 persalianan}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 :}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 pastikan}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 ibu}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \u160
?}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 sudah}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
mempunyai}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 rencana
persalianan berlangsung,Uang yaitu biaya untuk persalinan dan untuk obat oabatan
yang diperlukan,Pendonor darah yaitu untuk ibu jika dibutuhkan akan tatapi harus
golongan darah yang sesuai dengan gologan darah ibu,Kebutuhan ibu dan bayi :
seperti baju minimal 5, kain panjang, dan celana dalam, memeberitahukan Tanda-
tanda persalinan yaitu :}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Adanya mules
yang semakin kuat dan sering,Keluar lendir bercampur darah dari vagia ibu,Keluar
air-air atua air ketuban yang tdak bisa ditahan,Adanya keingianan untuk meneran
seperti ingin BAB, memberitahukan ibu therapy obat oral yaitu : Tablet FE yaitu
untuk obat penambah darah yang didapatkan untuk mncegah anemia, diberikan 90 tablet
selama kehamilan dengna dosis rata-rata 60 mg, diminum pada malam hari, menjelang
tidur menggunakan air putih dan tidak diperbolehka mengguakan air teh, kopi dan
susu dikarnaka akan menghambat cara kerja obat dan efek samping tablet fe ini akan
terasa mual, }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \cf1 Kalk yaitu tablet kalsium dibutuhkan
untuk ibu dan janin untuk pertumban gigi dan tulang pada janin, diminum pada pagi
hari 1x1 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 dosis 500 mg, diminum }{\fs24
\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \cf1 menggunakan air putih tidak diperbolehkan menggunakan air teh,
kopi, dan susu karena akan menghambat craa kerja obat, karena tablet kalsium ini
memiliki peranan penting utnuk membantu otot tubuh, karena untuk mengurangi hal hal
yang tidak dinginkan apabila kekurangan kalsium dapat menyebabkan terjadinya
ganguan mental/ memori pikiran, dan tubuh mengalami rasa kesemutan}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \cf8 ,}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Menganjurkan ibu kunjungan ulang 1
minggu kemudian pada tanggal 25 desember 2016,Melakukan pendokumentasian, }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1030 \langnp1030 \langfe1033 \
langfenp1033 Evaluasi}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1030 \langnp1030 \langfe1033 \langfenp1033 :}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Ibu mengerti
atas apa yang dikatakan dan dijelaskan oleh bidan,Ibu mau melakukan apa yang di
anjurkan oleh bidan,Ibu mau melakukan kunjungan ulang 25/12/16 atau jika ada
indikasi.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi-360 \li1211 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin1211 \rin0 \itap0 \ls4 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \f3 b.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Pada}{\b1 \fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1030 \langnp1030 \langfe1033 \langfenp1033
Kunjungan Kedua Tanggal }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 25 Desember}{\b1 \fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1030 \langnp1030 \langfe1033 \langfenp1033
201}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 6}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1030 \langnp1030 \langfe1033 \langfenp1033 Pukul 11.00 WIB}{\b1
\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1030 \langnp1030 \
langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi632 \li1211 \ri0 \lisb0 \
sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1211 \rin0
\itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1030 \langnp1030 \langfe1033 \langfenp1033 Pada Ny. R dilakukan pemeriksaan
kehamilan yang kedua dengan pemeriksaan didapatkan data subjektif yaitu ibu
mengatakan keluhan mudah lelah, ibu mengatakan ini kehamilan yang ketiga, pernah
melahirkan dua kali dan belum pernah keguguran, hari pertama haid terakhir tanggal
08 april 2016.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1030 \
langnp1030 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi632 \li1211 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057
\langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1030 \langnp1030 \langfe1033 \langfenp1033 Dari pemeriksaan umum
didapatkan keadaan umum ibu baik, keadaan emosional stabil, kesadaran composmentis.
Tinggi badan 160 cm, berat badan 63 kg, berat badan sebelum hamil 50 kg. Tanda-
tanda vital yaitu tekanan darah 100/70 mmHg, pernafasan 21 x/menit, suhu 36,5 0C,
Nadi 80 x/menit Lingkar lengan atas 34 cm dan hasil pemeriksaan head to to dengan
normal.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1030 \
langnp1030 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi632 \li1211 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057
\langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1030 \langnp1030 \langfe1033 \langfenp1033 Dari hasil pemeriksaan
Palpasi Leopold I Pada bagian fundus ibu teraba bulat, lunak, dan tidak melenting.
Leopold II Pada bagian kiri perut ibu teraba bagian terkecil janin, pada bagian
kanan perut ibu teraba tahanan memanjang. Leopold III Pada perut bagian bawah ibu
teraba bagian bulat, keras, melenting. Leopold IV }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1030 \langnp1030 \langfe1033 \langfenp1033 \cf1
Divergen 2/5}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1030 \
langnp1030 \langfe1033 \langfenp1033 , TFU 31 cm, TBBJ (31-11) x 155 = 3100 gram.
Auskultasi DJJ positif, tempat terdengar jelas pada satu tempat dua jari dibawah
pusat sebelah kanan perut ibu, frekuensi 135 x/menit, teratur. Perkusi reflex
patela kanan dan kiri positif.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1030 \langnp1030 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \
fi632 \li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2
\loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1030 \langnp1030 \langfe1033 \langfenp1033 Dari
pengkajian data diatas didapatkan diagnosa G3P2A0 37 minggu 2 hari. Janin tunggal
hidup intra uterin presentasi kepala.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1030 \langnp1030 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \
qj \fi632 \li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2
\loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1030 \langnp1030 \langfe1033 \langfenp1033
Asuhan yang diberikan yaitu Melakukan informed consent atas tindakan yang akan
dilakukan,Menginformasikan hasil pemeriksaan bahwa keadaan ibu dan janin baik yaitu
TD : 110/80 mmHg. Janin tunggal hidup intra uterine presentasi kepala, DJJ 135
x/m(teratur), Hb: 12 gr%, Protein urine (-), Reduksi (-), Menjelaskan penkes
fisiologis pada Trimester III tentang }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 tentang sering BAK,
pada kehamilan trimester III yaitu seringnya buang air kecil (BAK ) janin yang suda
sedemikian membesar dan menekan kandung kemih,jadi terbatas sehingga mengakibatkan
ibu sebentar- sebentar ingin BAK dorongan untuk bulak balik ke kamar mandi inilah
yang mau tidak mau aan mengganggu kenyenyakan tiduer ibu, disarankan ibu 2-3 jam
sebelum tidur tidak boleh minum,namun agar kebutuhan air pada ibu hamil}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 tetap terpenuhi, sebaiknya}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 minumlah lebih banyak disiang hari}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \s33 \qj \fi632 \li1211 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1211 \rin0 \itap0 \
fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1030 \langnp1030 \langfe1033 \langfenp1033 Mengajarkan Ibu cara menghitung usia
kehamilan bersama dan tafsiran persalianan}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 .}{\b1 \fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1030 \langnp1030 \langfe1033 \
langfenp1033 \par }\pard \plain \s33 \qj \fi-360 \li1571 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1571 \rin0 \itap0 \ls6
\fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f3 a.\tab }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 Rumus TP }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \
fi-360 \li1571 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1571 \rin0 \itap0 \ls6 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \
fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \f3 b.\tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tentukan HPHT
( haripertama haid terakhir )}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi-
360 \li1571 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1571 \rin0 \itap0 \ls6 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \af7 \lang1057
\langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \f3 c.\tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Tentukan TP (tafsiran persalianan)}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \li1484 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1484 \rin0 \itap0 \
fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Jika hamil pada bulan januari \uc1 \
u8211 ? maret maka rumus TP nya adalah }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \
qj \li1484 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1484 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 ( +7 + 9)
sedangkan dari bulan april \uc1 \u8211 ? desember rumus TP nya adalah }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \li1484 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1484 \rin0 \itap0 \fs22 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 (+7 \uc1 \u8211 ? 3 + 1) contoh :}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par
}\pard \plain \qj \li1418 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin1418 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 HPHT }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 08 \uc1 \
u8211 ? 04 \uc1 \u8211 ? 2016}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li993 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin993 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af0 \lang1033 \langnp1033 \langfe1024 \langfenp1024 {\shp {\*\
shpinst \shpleft1995 \shptop329 \shpright3852 \shpbottom329 \shpfhdr0 \
shpbxcolumn \shpbxignore \shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \
shpz1 \shplid1028 {\sp {\sn shapeType}{\sv 20}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn
fFlipV}{\sv 0}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn fFillOK}{\sv 0}}{\sp {\sn
fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn lineWidth}{\sv 25400}}{\sp {\
sn lineStyle}{\sv 0}}{\sp {\sn fArrowheadsOK}{\sv 1}}{\sp {\sn shadowColor}{\sv 0}}
{\sp {\sn shadowOpacity}{\sv 24903}}{\sp {\sn shadowOffsetX}{\sv 0}}{\sp {\sn
shadowOffsetY}{\sv 20000}}{\sp {\sn shadowOriginY}{\sv 32768}}{\sp {\sn fShadow}{\
sv 1}}{\sp {\sn f3D}{\sv 0}}{\sp {\sn wzName}{\sv Line 4}}{\sp {\sn fLayoutInCell}
{\sv 1}}}{\shprslt {\pict }}}}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 +7 -3 + 1}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \
qj \li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin993 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 15 - 01 - 2017}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\
pard \plain \s33 \qj \li1560 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin1560 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Untuk menghitung usia kehamilan (UK) bisa dilihat dari HPHT yaitu}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \li1701 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 08 \uc1 \u8211 ? 04 \uc1 \u8211 ?
2016}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 Minggu }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 Hari }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \li1701
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin1701 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057
\langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 (30-08) = 22}{\fs24 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 1}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \
qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1701 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Mei }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 = 31 }{\fs24 \rtlch \ltrch \dbch \af3 \hich
\af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 4}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \
qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1701 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Juni}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033
 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 = 30}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 4}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 2}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \
qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1701 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Juli}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 = 31}{\fs24 \rtlch \ltrch \dbch \af3 \hich
\af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 4}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \
qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1701 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Agst = 31}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 4}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 3}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \s33 \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 Sep}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 = 30}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 4}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 2}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \li1701 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin1701 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057
\langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Okt}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab
}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 = 31}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \
tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 4}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \li1701 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin1701 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057
\langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Nov = 30}{\fs24 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 4}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \
tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 2}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \
plain \s33 \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs22 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \af0 \lang1033 \langnp1033 \langfe1024 \langfenp1024 {\
shp {\*\shpinst \shpleft6865 \shptop361 \shpright7869 \shpbottom361 \shpfhdr0 \
shpbxcolumn \shpbxignore \shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \
shpz3 \shplid1029 {\sp {\sn shapeType}{\sv 20}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn
fFlipV}{\sv 0}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn fFillOK}{\sv 0}}{\sp {\sn
fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn lineWidth}{\sv 25400}}{\sp {\
sn lineStyle}{\sv 0}}{\sp {\sn fArrowheadsOK}{\sv 1}}{\sp {\sn shadowColor}{\sv 0}}
{\sp {\sn shadowOpacity}{\sv 24903}}{\sp {\sn shadowOffsetX}{\sv 0}}{\sp {\sn
shadowOffsetY}{\sv 20000}}{\sp {\sn shadowOriginY}{\sv 32768}}{\sp {\sn fShadow}{\
sv 1}}{\sp {\sn f3D}{\sv 0}}{\sp {\sn wzName}{\sv
Line 5}}{\sp {\sn fLayoutInCell}{\sv 1}}}{\shprslt {\pict }}}}{\fs22 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \af0 \lang1033 \langnp1033 \langfe1024 \langfenp1024 {\
shp {\*\shpinst \shpleft4599 \shptop333 \shpright5698 \shpbottom333 \shpfhdr0 \
shpbxcolumn \shpbxignore \shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \
shpz2 \shplid1030 {\sp {\sn shapeType}{\sv 20}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn
fFlipV}{\sv 0}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn fFillOK}{\sv 0}}{\sp {\sn
fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn lineWidth}{\sv 25400}}{\sp {\
sn lineStyle}{\sv 0}}{\sp {\sn fArrowheadsOK}{\sv 1}}{\sp {\sn shadowColor}{\sv 0}}
{\sp {\sn shadowOpacity}{\sv 24903}}{\sp {\sn shadowOffsetX}{\sv 0}}{\sp {\sn
shadowOffsetY}{\sv 20000}}{\sp {\sn shadowOriginY}{\sv 32768}}{\sp {\sn fShadow}{\
sv 1}}{\sp {\sn f3D}{\sv 0}}{\sp {\sn wzName}{\sv Line 6}}{\sp {\sn fLayoutInCell}
{\sv 1}}{\sp {\sn sizerelv}{\sv 0}}}{\shprslt {\pict }}}}{\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Des}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 = 25}{\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 4}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \
plain \s33 \qj \li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin993 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 34 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 +}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \tab }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 23}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 = }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 M 2 hari}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi153 \li1058 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1058 \rin0 \itap0 \fs22 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 Jadi UK ibu 3}{\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 4}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 minggu + 3 minggu }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 2}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 hari
adalah 37 minggu 2 hari}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \
li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1030 \langnp1030 \langfe1033 \langfenp1033 Memberikan
Memberikan KIE tentang : Kebutuhan Nutrisi yaitu Menganjurkan ibu untuk memenuhi
kebutuhan nutrisi dengan mengkonsumsi makanan yang bergizi dan bernutrisi seperti :
nasi, ikan, telur, daging,sayuran hijau, buah dan susu ,Istrirahat : menganjurkan
ibu untuk beristirahat yang cukup yaitu maksimal 10 jam / 24 jam, 8 jam pada malam
hari dan siang 2 jam,}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1030 \langnp1030 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \
li1211 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1211 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1030 \langnp1030 \langfe1033 \langfenp1033 Memberikan KIE
tentang kebutuhan trimester III yang lainnya seperti mobilisasi,istirahat,personal
hygine,seksualitas dan tanda tanda bahaya kehamilan trimester III,persiapan
persalinan,dan tanda tandapersalinan sama seperti pada saat kunjungan ANC pertama.}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1030 \langnp1030 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \li1211 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1211 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1030 \langnp1030 \langfe1033 \langfenp1033 memberikan ibu therapy obat oral
yaitu : Tablet FE yaitu untuk obat penambah darah yang didapatkan untuk mncegah
anemia, diberikan 90 tablet selama kehamilan dengna dosis rata-rata 60 mg, diminum
pada malam hari 1x1 menjelang tidur menggunakan air putih dan tidak diperbolehka
mengguakan air teh, kopi dan susu dikarnaka akan menghambat cara kerja obat dan
efek samping akan terasa mual, Kalk yaitu tablet kalsium dibutuhkan untuk ibu dan
janin untuk pertumban gigi dan tulang pada janin, diminum pada pagi hari 1 x1 dosis
500 mg, diminum menggunakan air putih tidak diperbolehkan menggunakan air teh,
kopi, dan susu karena akan menghambat craa kerja obat, karena tablet kalsium ini
memiliki peranan penting utnuk membantu otot tubuh, karena untuk mengurangi hal hal
yang tidak dinginkan apabila kekurangan kalsium dapat menyebabkan terjadinya
ganguan mental/ memori pikiran, dan tubuh mengalami rasa kesemutan, Menganjurkan
ibu kunjungan ulang jika ada indikasi,Melakukan pendokumentasian, Evaluasi : Ibu
mengerti atas apa yang dikatakan dan dijelaskan oleh bidan,Ibu mau melakukan apa
yang di anjurkan oleh bidan,Ibu mau melakukan kunjungan ulang jika ada indikasi.}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1030 \langnp1030 \
langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi-426 \li426 \ri0 \lisb0 \
sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin426 \
rin0 \itap0 \ls2 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f3
B.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 Persalinan}{\b1 \fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \
plain \s33 \qj \fi-425 \li851 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \ls7 \fs22 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
listtext \pard \plain \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \f3 1.\tab }{\b1 \fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
Kala 1}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang2057 \
langnp2057 \langfe1033 \langfenp1033 Fase Aktif}{\b1 \fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pada
Tanggal 11}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 Januari}{\b1 \fs24 \
rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 20}{\b1
\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang2057 \langnp2057 \
langfe1033 \langfenp1033 1}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 7 Pukul 22.30 WI}{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 B}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi502 \li851 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin851 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Ny. }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 R}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 usia }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 41tahun, agama islam,
suku jawa, pendidikan terakhir Sekolah Menengah Atas (SMA/SLTA), seorang ibu rumah
tangga telah menikah dengan Tn. N umur 43 tahun, suku jawa, agama islam,
pedidikan terakhir Sekolah Menengah Atas (SMA/SLTA), bertempat tinggal di Dermaga
Malang Merak, Cilegon. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi502 \
li851 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin851 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tanggal 11
januari 2017}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 dengan keluhan mulas-mulas }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 sejak pukul 14.00 WIB }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 keluar lendir campur darah
sejak pukul }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 1}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 8}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 .00
wib, belum keluar air-air}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 . P}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 engeluaran
pervaginam seperti darah lendir ada, ketuban tidak ada}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 . Riwayat
kehamilan sekarang yaitu hari pertama haid terakhir tanggal08}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \
langfenp1033 -0}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 4}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 -201}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 6}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 , }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 tafsiran persalinan
tanggal}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 15-01-}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \
langfenp1033 201}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 7 dengan }{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Usia
kehamilan }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 39 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2
\loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 minggu }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 5}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 hari}{\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 ,
tidak mengalami keluhan selama kehamilan, pergerakan anak pertama kali umur 20
minggu, dan pergerakan janin lebih dari 10 kai dalam 24 jam. Ibu pernah melakukan
imunisasi TT (Tetanus Toxoid), riwayat kehamilan, persalinan, dan nifas yang lalu
ibu melahirkan anak pertama pada tahun 1995 , bertempat di BPM Eni Suhaeni, umur
kehamilan cukup bulan, jenis persalinan spontan, penolong bidan, tidak ada
penyulit, jenis kelamin laki-laki, berat badan 3300 gram, panjang badan 49 cm,
keadaan sekarang hidup, nifas normal, melahirkan anak kedua pada tahun 2005,
bertempat di BPM Eni Suhaeni, umur kehamilan cukup bulan, jenis persalinan spontan,
penolong bidan, tidak ada penyulit, jenis kelamin laki-laki, berat badan 4000 gram,
panjang badan 50 cm, keadaan sekarang hidup, nifas normal, ibu tidak mempunyai
riwayat penyakit sistemik yang pernah di derita atau sedang di derita, tidak
mempunyai riwayat operasi, tidak mempunyai riwayat penyakit keturunan, tidak
mempunyai riwayat keturunan kembar, kebiasaan sehari-hari makan 3 kali sehari,
istirahat 10 jam dalam 24 jam, mandi 2 kali sehari, buang air besar 1 kali sehari,
buang air kecil 5 kali sehari, dan tidak pernah merokok.}{\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\
pard \plain \s33 \qj \fi502 \li851 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \fs22 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \
langfe1033 \langfenp1033 Dari pemeriksaan umum didapatkan keadaan umum ibu baik,
keadaan emosional stabil, kesadaran composmentis. }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Tinggi
badan 160 cm, berat sekarang badan }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 6}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 8}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 kg, berat badan sebelum hamil }{\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 50}{\fs24
\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 kg. Tanda-tanda vital yaitu tekanan darah 1}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 2}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 0/80 mmHg, Pernafasan 2}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 0}{\fs24 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 x/menit, Suhu 36,}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 5}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \super1 0}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 C, Nadi 8}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 0}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033
x/menit. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi502 \li851 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin851 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Dari hasil
pemeriksaan khusus didapatkan inspeksi pada kepala rambut distribusi merata, warna
hitam, hygiene bersih. Muka tidak ada chloasma, odema tidak ada. Kelopak mata tidak
odema, konjungtiva merah muda, sklera putih. Hidung bersih, septum ditengah, tidak
ada polip. Telinga simetris, bersih, tidak ada serumen. Bibir merah muda, lidah
bersih. Gigi caries tidak ada, hygiene bersih. }{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 \par }\pard \
plain \s33 \qj \fi502 \li851 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \
langfenp1033 Kelenjar tyroid pada leher tidak ada pembengkakan, tumor tidak ada,
kelenjar getah bening tidak ada pembengkakan. Pada dada dan axila pembesaran mamae
ada, simetris, benjolan/tumor tidak ada, putting susu menonjol, areola
susu hiperpigmentasi, kolostrum ada. Pembengkakan kelenjar getah bening pada axila
tidak ada, nyeri tidak ada, posisi tulang belakang normal, nyeri pinggang tidak
ada. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi502 \li851 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin851 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Pada abdomen
pembesaran sesuai umur kehamilan, arah memanjang, linea nigra, striae tidak ada,
jaringan parut/post operasi tidak ada. Pada anogenital tampak bersih, odema tidak
ada, varises tidak ada, pengeluaran pervaginam ada, warna merah, konsistensi
kental, jumlah \uc1 \u177 ? 5 cc. Pembengkakan kelenjar bartolini tidak ada, rasa
nyeri tidak ada, haemoroid ada, luka parut pada perineum tidak ada.}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \
langfenp1033 \par }\pard \plain \s33 \qj \fi502 \li851 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \fs22
\rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 Pada ekstremitas varises tidak ada, kemerahan
tidak ada, kekuatan sendi normal, odema pada tangan dan jari tidak ada, odema pada
2 tungkai tidak ada, bentuk bagian atas / lengan simetris, bentuk bagian bawah /
kaki simetris. His 4 kali dalam 10 menit lamanya 40 detik. Palpasi Leopold I pada
bagian fundus ibu teraba bulat, lunak, dan tidak melenting. Leopold II pada bagian
kiri perut ibu teraba bagian terkecil janin, pada bagian kanan perut ibu teraba
tahanan memanjang seperti papan. Leopold III pada bagian bawah perut ibu teraba
bagian bulat, keras, melenting dan tidak dapat digoyangkan. Leopold IV Divergen
2/5. TFU 32 cm, TBBJ (32-11) x 155 = 3255 gram. Auskultasi DJJ positif, frekuensi
140x/menit, teratur. Pemeriksaan dalam dilakukan atas indikasi inpartu, pukul 22.30
WIB oleh bidan. Dinding vagina tidak ada kelainan, portio lunak tipis, konsistensi
lunak, pembukaan serviks 4 cm, ketuban positif, presentasi fetus kepala, penurunan
bagian terendah di Hoodge III, posisi ubun-ubun kecil kanan depan,Perkusi reflex
patela kanan dan kiri positif. pemeriksaan laboratorium tidak dilakukan.}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \
langfenp1033 \par }\pard \plain \s33 \qj \fi502 \li851 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \fs22
\rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 Dari hasil pemeriksaan diatas didapatkan
diagnose G3P2A0 hamil 39minggu 5 hari inpartu kala I fase aktif. Janin tunggal
hidup intra uterin presentasi kepala.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \
qj \fi502 \li851 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin851 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033
Melakukan informed consent atas tindakan yang dilakukan yakni pertolongan
persalinan,Memberitahukan hasil pemeriksaan bahwa ibu dan janin dalam kedaan
baik,yaitu TD : 120/80 Mmhg, janin tunggal hidup intra uterin, presentasi : kepala
Djj : 140 x/menit pembukaan : 4 cm, His : 4x/10\uc1 \u8217 ?/40\uc1 \u8221 ?
Memberikan ibu nutrisi seperti minum jika ibu memungkinkan karena memberika makan
dan minum akan memberikan energi dan mencegah dehidrasi, karena dehidrasi bisa
memperlambat atau membuat kontraksi tidak tidak teratur dan kurang
efektif,Memberikan ibu suport mental dan menganjurkna suami dan keluarga untuk
berperan aktif dalam mendukung dan mengenali berbagai upaya dalam membentuk
kenyamanan ibu seperti : Menyakinkan pada ibu bahwa ibu dapat melahirkan dengan
selamat,Mengucapkan kata- kata pujian kepada ibu,sentuh\uc1 \u160 ?punggung,kaki\
uc1 \u160 ?atau\uc1 \u160 ?kepala,Menciptakan\uc1 \u160 ?suasana\uc1 \u160 ?
kekeluargaan dan rasa aman,Memberitahukan ibu untuk tidak menahan BAK dengan cara\
uc1 \u160 ?mengososngkan kandung kemih secara rutin selama proses persalianan, ibu
harus berkemih setidaknya 2 jam sekali atau lebih atau jika ibu merasa kadung
kemihnya penuh, anjurkan ibu tidak dapat berjalan kekamar mandi, jika ibu tidak
dapat berjalan ke kamar mandi berikan ibu wadah urine, tujuan untuk menghindari
kandung kemih penuh karena akan menyebabkan : Memperlambat turunnya janin dan
mengganggu kemjuan persalinan,Ibu merasa tidak nyaman,Menyebabkan infeksi saluran
kemih,Memberitahukan posisi ibu senyaman mungkin selama persalinan dan melahirkan
bayi,serta ajarkan suami atau keluarga untuk\uc1 \u160 ?mengganti\uc1 \u160 ?
posisi\uc1 \u160 ?seperti\uc1 \u160 ?berjalan,berdiri,jongkok,berbaring,miringatau
merangkak untuk membantu turunnya kepala bayi.memberitahu ibu untuk tidak berbaring
terlentang terlalu lama lebih dari 10 menit,karena jika berbaring terlalu lama maka
berat uterus beserta isinya (janin,placenta,cairan ketuban) aka menekan vena cava
interior hal ini akan myebebkan hipoksia atau kekurangan oksigen pada janin dan
juga posisi terlentang akan menghambat posisi persalinan, Menganjurkan ibu teknik
relaksasi seperti tarik nafas dari hidung dan keluarkan secara perlahan lewat
mulut, dengan diajarkannya ibu relaksasi akan membuat ibu merasa lebih tenang, dan
nyaman, sehingga ibu merasa tidak sakit dan cemas, pada saat menjelang proses
persalianan, selain itu merasa lebi tenang juga dan memebuat lebih baik karena
mendapatkan suplai oksigen dari ibu, Menyiapkan pakaian ibu dan bayi yaitu
pembalut/pampres kain 3 potong,pakaian ibu dan celana dalam serta pakaian bayi
panel 3, popok 3,baju 3, gurita 3, dan topi, Menyiapkan lingkungan yang aman dan
nyaman bagi pasien kipas angin dan penerangan, Menyipakan alat pertus set,hacting
set, resusitasi set, dan obat-obatan,memantau kemajuan persalianan dengan partograf
seperti Djj,his,setiap 30 menit dan suhu setiap\uc1 \u160 ?2\uc1 \u160 ?jam\uc1 \
u160 ?dan\uc1 \u160 ?TD,PD\uc1 \u160 ?setiap\uc1 \u160 ?4\uc1 \u160 ?jam\uc1 \
u160 ?sekali,Melakukan\uc1 \u160 ?pendokumentasian, Evaluasi yang didapatkan yaitu
pukul 22.30 ibu sudah menyetujui dan paham penjelasan bidan,Peralatan dan
perlengkapan bayi sudah siap,Pendamping persalianan sudah dan yaitu suami ,Ibu
tidak merasa cemas menghadap persaliana ,Tanda tanda vital masih dala keadaan baik
yaitu TD : 120/80 Mmhg, S :36,5 c, R; 21 x/m, N : 80 x/m dan janin dalam keadaan
baik yaitu Djj :140 x/m teratur, pembukaan :4 cm,Pantau kemajuan persalianan dan
kesejahteraan ibu dan janin dengan menggunakan pertograf.}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 \par
}\trowd \trql \trgaph0 \trrh2836 \trleft-108 \tdfrmtxtLeft180 \tdfrmtxtRight180 \
tpvpara \tphmrg \tposxl \tposy145 \trautofit \trftsWidth1 \trftsWidthB3 \
trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \
clvertalt \cltxlrtb \cellx8364 \pard \plain \qj \li851 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \phpg \
pvpg \posy145 \intbl \itap1 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \trowd \trql \trgaph0 \trleft0 \
tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit \trftsWidth1 \trftsWidthB3 \
trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 {\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Pada
tanggal 12 Januari 2017 pukul 02.30 indikasi dilakukan pemeriksaan dalam yaitu
pemeriksaan anogenetal, tidak odema, tidak ada varises, terdapat pengeluaran
pervaginam tidak ada pembengkakan kelenjar bartolini, tidak ada luka parut
perineum, tidak ada nyeri tekan. Pemeriksaan dalam : v/v tidak ada kelainan, portio
tipis lunak, pembukaan 6 cm, ketuban (+), presentasi kepala, penurunan hodge III,
posisi UUK kanan depan, molase tidak ada}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cell }\pard \plain \
li0 \ri0 \lisb0 \sa200 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin0 \rin0 \intbl \itap1 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \
trrh2836 \trleft-108 \tdfrmtxtLeft180 \tdfrmtxtRight180 \tpvpara \tphmrg \tposxl \
tposy145 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \
trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \cltxlrtb \
cellx8364 \row }\trowd \trql \trgaph0 \trrh70 \trleft-108 \tdfrmtxtLeft180 \
tdfrmtxtRight180 \tpvpara \tphmrg \tposxl \tposy145 \trautofit \trftsWidth1 \
trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalt \cltxlrtb \cellx8364 \pard \plain \qj \li851 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \
phpg \pvpg \posy145 \intbl \itap1 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \trowd \trql \trgaph0 \
trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit \trftsWidth1 \trftsWidthB3 \
trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 {\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Ny. R umur 41 tahun G3P2A0 hamil 39 minggu 5 hari inpartu
kala I fase aktif. Janin tunggal hidup intra uterine presentasi kepala.}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1057 \
langfenp1057 \cell }\pard \plain \li0 \ri0 \lisb0 \sa200 \lisa0 \sl276 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\trowd \trql \trgaph0 \trrh70 \trleft-108 \tdfrmtxtLeft180 \
tdfrmtxtRight180 \tpvpara \tphmrg \tposxl \tposy145 \trautofit \trftsWidth1 \
trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalt \cltxlrtb \cellx8364 \row }\trowd \trql \trgaph0 \trrh4318 \
trleft-108 \tdfrmtxtLeft180 \tdfrmtxtRight180 \tpvpara \tphmrg \tposxl \tposy145 \
trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \
trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \cltxlrtb \cellx8364 \pard \
plain \qj \li810 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin810 \rin0 \phpg \pvpg \posy145 \intbl \itap1 \fs22 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \trowd \trql \trgaph0 \trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180 \
trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1057 \langfenp1057 Memberitahukan hasil pemeriksaan bahwa ibu dan
janin dalam keadaan baik, TD: 120/80MmHg, N: 80x/menit, R: 20x/menit, S: 36,5}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \
langfe1057 \langfenp1057 \super1 0}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 C DJJ (+) 140x/menit teratur,
pembukaan 6 cm. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1057 \langfenp1057 \cf1 Memberikan ibu nutrisi seperti minum jika
ibu memungkinkan karena memberika makan dan minum akan memberikan energi dan
mencegah dehidrasi, karena dehidrasi bisa memperlambat atau membuat kontraksi tidak
tidak teratur dan kurang efektif.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 }{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1
Memberikan ibu suport mental}{\fs20 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 dan }{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1
menganjurkna suami dan keluarga untuk mendampingi ibu saat proses persalinan untuk
berperan aktif dalam mendukung dan mengenali berbagai upaya dalam membentuk
kenyamanan ibu seperti ;Menyakinkan pada ibu bahwa ibu dapa melahirkan dengan
selamat.Mengucapkan kata- kata pujian kepada ibu menyentuh punggung,kaki atau
kepala}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \
langfe1057 \langfenp1057 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 Menciptakan suasana
kekeluargaan dan rasa aman,}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1057 \langfenp1057 }{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1
Memberitahukan ibu untuk tidak menahan BAK dengan cara mengososngkan kandung kemih
secara rutin selama proses persalianan, ibu harus berkemih setidaknya 2 jam sekali
atau lebih atau jika ibu merasa kadung kemihnya penuh, anjurkan ibu tidak dapat
berjalan kekamar mandi, jika ibu tidak dapat berjalan ke kamar mandi berikan ibu
wadah urine, tujuan untuk menghindari kandung kemih penuh karena akan
menyebabkan :Memperlambat turunnya janin dan mengganggu kemjuan persalinan}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1057 \
langfenp1057 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1057 \langfenp1057 \cf1 Ibu merasa tidak nyaman Menyebabkan
infeksi saluran kemih.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1057 \langfenp1057 }{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1
Mengajurkan ibu untuk memilih posisi senyaman mungkin selama persalinan dan
melahirkan bayi,serta ajarkan suami atau keluarga untuk mengganti posisi seperti
berjalan,berdiri,jongkok,berbaring,miring,atau merangkak untuk membantu turunnya
kepala bayi.memberitahu ibu untuk tidak berbaring terlentang terlalu lama lebih
dari 10 menit,karena jika berbaring terlalu lama maka berat uterus beserta isinya
(janin,placenta,cairan ketuban) aka menekan vena cava interior hal ini akan
myebebkan hipoksia atau kekurangan oksigen pada janin dan juga posisi terlentang
akan menghambat posisi persalinan, Menganjurkan ibu teknik relaksasi seperti tarik
nafas dari hidung dan keluarkan secara perlahan lewat mulut, dengan diajarkannya
ibu relaksasi akan membuat ibu merasa lebih tenang, dan nyaman, sehingga ibu merasa
tidak sakit dan cemas, pada saat menjelang proses persalianan, selain itu merasa
lebi tenang juga dan memebuat lebi baik karena mendapatkan suplai oksigen dari
ibu.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \
langfe1057 \langfenp1057 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 Memantau persalinan dengan
menggunakan partograf seperti Djj, his,setiap 30 menit dan suhu setiap 2 jam dan
TD,PD setiap 4 jam sekali,Melakukan pendokumentasian}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cell }\
pard \plain \li0 \ri0 \lisb0 \sa200 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\trowd \
trql \trgaph0 \trrh4318 \trleft-108 \tdfrmtxtLeft180 \tdfrmtxtRight180 \tpvpara \
tphmrg \tposxl \tposy145 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \
trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \
cltxlrtb \cellx8364 \row }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi-425 \li851 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin851 \rin0 \itap0 \ls7 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \f3 2.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Kala II (Tanggal }{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 12 januari 217}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 ) Pukul }{\b1 \fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 0}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 3}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 .}{\b1 \fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 3}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 0 WIB}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \
plain \s33 \qj \fi425 \li851 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Ibu mengatakan ini kehamilan ketiga, pernah melahirkan dua kali, belum
pernah keguguran.Ibu mengatakan HPHT tanggal 08-04-2016}{\b1 \fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 . }
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 Ibu mengatakan mules-mules semakin sering.Ibu mengatakan
ingin meneranseperti ingin BAB. Ibu mengatakan keluar air-air.}{\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
par }\pard \plain \s33 \qj \fi425 \li851 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \fs22 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \
langfe1033 \langfenp1033 Dari pemeriksaan umum didapatkan keadaan umum ibu baik,
keadaan}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 e}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 mosional stabil,
kesadaran composmentis. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Tanda-tanda vital yaitu tekanandarah
1}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 2}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2
\loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 0/80 mmHg, pernafasan 2}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 0}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 x/menit, suhu 3}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 6,5}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \super1 0}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 C, Nadi 8}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 0}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 x/menit}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 .}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Pemeriksaan dalam dilakukan atas
indikasi kemajuan persalinan, pukul }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 03}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 :}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 3}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 0 WIB }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 oleh
bidan. Dinding vagina tidak ada kelainan, portio sudah tidakteraba, konsistensi
lunak, pembukaan serviks 10 cm, ketuban negatif pukul 03.30 WIB warna jernih tidak
bercampur meconium, presentasi fetus belakang kepala, posisi ubun-ubun kecil kanan
depan, Hodge IV , molage tidak ada.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \
qj \fi425 \li851 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin851 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033
Dari hasil pemeriksaan diatas didapatkan diagnosa G3P2A0 hamil 39 minggu 5 hari
inpartu}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 kala II. pada janin didapatkan diagnosa janin
tunggal hidup intrauterin presentasi kepala.}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \
plain \s33 \qj \fi425 \li851 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \
langfenp1033 Penatalaksanaan}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 yang diberikan yaitu }{\fs24 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Melakukan informed consent atas tindakan yang akan
dilakukan,Memberitahukanhasil pemeriksaan kepada ibu dan keluarga bahwa ibu dan
janin dalam keadaan baik dan ibu memasuki proses persalinan,Menganjurkan ibu untuk
memilih posisi senyaman mungkin, seperti miring, duduk atau jongkok,Menganjurkan
ibu untuk relaksasi di sela-sela his yaitu tarik nafas panjang dari hidung
keluarkan melalui mulut,Menganjurkan ibu untuk meneran jika ada his yaitu mata atau
pandangan lurus kedepan melihat perut, tangan berada dilipatan paha, gigi bertemu
gigi, tidak bersuara, tidak boleh mengangkat bokong, meneran jika ada
his,Menyiapkan perlengkapan ibu dan bayi seperti pernel, baju bayi, popok bayi,
baju ibu dan celana dalam ibu dan pembalut,Memantau DJJ setiap 5-10 menit sekali
atau pada saat tidak ada kontraksi, memeriksa djj 1 menit penuh, Djj:140 x/m dan
duk sudah terpasang dibawah bokong.,Mendekatkan partus set, heckting set dan obat-
obatan (oxytosin, lidocain, vik dan salep mata),Memimpin persaliann normal setelah
kepala bayi berdiameter 5-6 didepan vulva, maka bidan memakai handscoon steril,
kemudian lakukan manuver yaitu letakan 4 ja}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 ri}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 diatas perteks agar kepala bayi tetap melakukan fleksi, tangan kanan
menekan perineum, pada saat ada his,mengajarkan ibu untuk tarik nafas panjang dari}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 hidung keluarkan dari mulut secara
perlahan lahan, j}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 i}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 ka ada his lagi
menganjurkan ibu untuk meneran yaitu tarik nafs panjang, gigi ketemu gigi,mata
melihat keperut,tangn diklipatan paha,tidak bersuara, sampai kepala bayi lahir,
jika kepla bayi lahir pindahkan tangan kiri keleher periksa apakah ada lilitan tali
pusat atau tidak,jika terdapat lilitan tali pusat kendur maka keluarkan melalui
kepala, dan jika lilitan tali pusat kenceng maka lakukan jepit jepit potong pada
tali pusat, kemudian biarka}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 n}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 bayi melakukan
putaran faksi luar, meletakan kedua tanagn duvarietal, kemudian curam kebawah untuk
melahirkan bahu belakang, dan curam keatas untuk melahirkan bahu depan,setelah bayi
lahir sanggah bahu sampai kepergelanagan kaki pukul }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 04.20}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 WIB bayi lahir bugar}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 ,spontan,}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 setelah bayi lahir letakan kepala lebi}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 h}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 rendah dari kaki}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 kemudin nilai 3 aspek yaitu: apakah bayi menangis kuat,tonus otot
aktif,warna kulit kemerahan,kemudian}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
letakan bayi melintang diatas perut ibu,hangatkan dan keringkan menggunakan
kain,Memastikan janin tunggal dengan cara meraba perut ibu namun tidak masase.
Karena akan membuat rahim ibu berkontraksidan didapatkan janin tunggal. }{\b1 \fs24
\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \s33 \qj \fi-360 \li810 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin810 \rin0 \itap0 \
ls7 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f3 3.\tab }{\
b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 K}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1053 \langnp1053 \langfe1033 \langfenp1033 ala III ( Tanggal }{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 1}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 2 }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Januari}{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \
langfenp1033 201}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 7}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Pukul }{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 0}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 4}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 .}{\b1 \fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 2}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 0}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 WIB)}{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1053 \langnp1053 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi466
\li810 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin810 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Ibu mengatakan
ini kelahiran ketiga belum pernah keguguran dan masih}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 merasakan mulas, ibu senang atas kelahiran bayinya.}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \par }\pard \plain \s33 \qj \fi466 \li810 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin810 \rin0 \itap0 \fs22
\rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 Hasil pemeriksaan didapat keadaan umum baik,
keadaan emosi stabil,kesadaran composmentis, TD }{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 110}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \
langfenp1033 /}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 8}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 0 mmHg, Nadi 8}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 0}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 x/menit, Suhu 36,5 }{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 \
super1 0}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053
\langfe1033 \langfenp1033 C,}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 r}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 espirasi 2}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 0}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1053 \langnp1053 \langfe1033 \langfenp1033 x/menit. TFU se}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 pusat}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 , kontraksi baik, kandung kemih kosong, tampak
tali pusat didepan vulva, perdarahan : \uc1 \u177 ?}{\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 10}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \
langfenp1033 0 cc, adanya tanda-tanda pelepasan plasenta yaitu }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 uterus}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1053 \langnp1053 \langfe1033 \langfenp1033 globuler, tali pusat memanjang,
adanya semburan darah.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1053 \langnp1053 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi466 \
li810 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin810 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 B}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \
langfenp1033 erdasarkan hasil pemeriksaan yang dilakukan didapatkan diagnosa P}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \sub2 3}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 A}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \sub2 0 }
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \
langfe1033 \langfenp1033 partus kala III.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \
s33 \qj \fi466 \li810 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin810 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \
langfenp1033 Penatalaksanaan yang diberikan adalah }{\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Memberitahukan
ibu inform consent atas tindakan yag diinginkan,Memberitahukan hasil pemeriksaan
bahwa keadaan ibu dan bayi dalam keadaan baik, tetapi plasenta belum
lahir,Memberitahu ibu bahwa akan di suntik yaitu menyuntikan oksitosin 10 IU di 1/3
paha kiri bagian luar seacara IM,Melakukan penjepitan tali pusat yaitu Pegang tali
pusat dengan satu tangan sekitar 5 cm dari pusat bayi urutkan yali pusat dengan
tangan lalu klem tali pusat sekitar 3 cm dari klem pertama menggunakan umbilical
klem,Pegang tali pusat yang sudah dijepit lindungi perut bayi }{\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 d}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 an lakukan pengguntingan tali pusat diantara klem\uc1 \
u160 ?dan umbilical klem,}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Melakukan
IMD,Meletakan bayi ditelungkupkan didad}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 a}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 ibu untuk kontak kulit dengan ibu diharuskan dengan ibu sehingga dada
bayi m}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 e}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 nempel pada dad}{\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 a}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 ibu, letakan bayi di antara payudara ibu dengan posisi
lebih rendah dari pada puting dan aerola susu,Selimuti ibu dan bayi dengan kain
kering dan hangat kemudian pasangkan topi pada kepala bayi,Membiarkan bayi
melaakukan kontak kulit selama 1 jam,Biarkan bayi selama 1 jam walaupun bayi tidak
berhasil,Melakukan peregangan tali pusat terkendali yaitu Pindahkan klem 5-10 cm
didepan vulva,Letakan tangan kiri di simpisis untuk mengecek kontraksi uterus dan }
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 t}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 angan kanan untuk melakukan
peregangan tal pusat,Setelah uterus berkontraksi tegangkan tali pusat kearah bawah
sejajar dengan lantai, set}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 e}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 lah itu tangan
kiri mendorong uterus ke arah belak}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 a}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 ng
(dorsal kranial) secara hati-hati untuk mencegah involusi uterus,Ibu tidak boleh
meneran tali pusat hanya diregangkan,Jiksa tali pusat bertambah panjang pindahkan
klem 5-10 cm didepan vulva dan lahirkan placenta,Melahirkan placenta dengan teknik
brand and drew yaitu lahirkan placenta dengan kedua tangan d}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 an}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 menekan uterus }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 putar}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 searah jarum jam hingga placenta terlepas simpan pada tempatnya yang
sudah disediakan, setelah placenta dan selaput ketuban lahir lengkap pukul 04.30
WIB,Melakukan masase fundus uteri dengan gerakan melingkar searah jarum jam dengna
lembut hingga\uc1 \u160 ?uterus\uc1 \u160 ?berkontraksi\uc1 \u160 ?(fundus\uc1 \
u160 ?teraba\uc1 \u160 ?keras)\uc1 \u160 ?selam\uc1 \u160 ?15\uc1 \u160 ?detik,}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 kemudian,Periksa ke 2 sisi
placenta, pastik}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 a}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 n placenta lahir lengkap
kemudian masukan kedalam plastik,Periksa kelengkapan placenta, panjang tali pusat
52 cm,tebal : 2 cm tidak ada kelainan placenta.}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \
fi466 \li810 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin810 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\b1 \fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 \par
}\pard \plain \s33 \qj \fi-360 \li810 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin810 \rin0 \itap0 \ls5 \fs22 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\listtext \pard \plain \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f3 4.\tab }{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 Kala}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1053 \langnp1053 \langfe1033 \langfenp1033 IV ( Tanggal }{\b1 \fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 12 Januari}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1053 \langnp1053 \langfe1033 \langfenp1033 201}{\b1 \fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 6}{\
b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \
langfe1033 \langfenp1033 }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1053 \langnp1053 \langfe1033 \langfenp1033 \cf1 Pukul 04.45 WIB)}{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \
langfenp1033 }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi466 \li810 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin810 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Ibu mengatakan
senang atas kelahiran bayinya dan ibu masih sedikit mulas dan lemas.}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \par }\pard \plain \s33 \qj \fi466 \li810 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin810 \rin0 \itap0 \fs22
\rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 Hasil}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 pemeriksaan keadaan
umum ibu baik, keadaan emosi stabil, kesadaran composmentis. TD 1}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 1}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 0/80 mmHg, nadi 8}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 0}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \
langfenp1033 x/menit, respirasi 2}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 0}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 x/menit,
suhu 36,5}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 \super1 o}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 C, TFU 2 jari
dibawah pusat, kontraksi uterus baik, kandung kemih kosong, }{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
ada }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \langnp1053 \
langfe1033 \langfenp1033 laserasi grade I , perdarahan \uc1 \u177 ? 5}{\fs24 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 0}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 cc. }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 \par }\pard \
plain \qj \fi567 \li709 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin709 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Berdasarkan}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1035 \langnp1035 \langfe1033 \langfenp1033 hasil pemeriksaan didapatkan
diagnosa P}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \sub2 3}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 A}{\fs24 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \
langfenp1033 \sub2 0}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035
\langnp1035 \langfe1033 \langfenp1033 partus kala IV}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 .
Penatalaksanaan yang diberikan yaitu Melakukan informed consent atas tindakan yang
akan dilakukan, Memberitahukan ibu dan keluarga hasil pemeriksaan bahwa ibu dalam
keadaan baik akan tetapi terdapat robekan jalan lahir yang disebabkan adanya
jaringan perut pada perineum,Mengajarkan ibu untuk masase yaitu dengan cara
melingkar pada perut ibu lakukan searah jarum jam,Memastikan estimasi jumlah
perdarahan yang keluar dengan cara memasukan darah kedalam bengkok,Mengecek adanya
laserasi dengan cara memasukan ambil kasa steril dan bersihkan vagina ibu lalu cek
apakah ada laserasi atau tidak, jika ada yaitu Beritahu ibu bah}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 w}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 a ada robekan jalan lahir dan akan dilakukan
penjahitan,Mempersiapkan alat-alat hacting,Memberitahukan ibu akan diberikan
anastesi untuk menetralisir rasa sakit pada proses penjahitan, Melakukan penjahitan
perineum,}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Melakukan pemantaun kal IV
yaitu : 2 jam, 1 jam pertama setiap 15 menit yang diperiksa yaitu ttv, tfu,
kontraksi, kandung kemih,dan perdarahan,1 jam setelah dilakukan IMD ambil bayi
untuk dinilai apakah IMD berhasil atau tidak, kemudian berikan vit k}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 1 mg diberikan 0,5 cc di paha kiri bayi}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 , dan
salep mata}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 yaitu tetrasiklin}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
jelang 1 jam yaitu HB.0,Pemantaun yang selanjutnya yaitu setiap 30 menit sekali
yang dipantau yaitu ttv,tfu,kontraksi,kandung k,dan perdarahan, Memberis}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 i}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 hkan ibu menggunakan air DTT, agar ibu merasa
nyaman dimulai d}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 ari}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 fundus ibu,kemudian
bersihkan vagina ibu lalu bersihkan bokong ibu sampai kaki ibu setelah itu pakaikan
pampers atu pembalut, lalu pakaikan ibu baju yang bersih dan kering rapihkan ibu
dan pakaikan ibu selimut atau samping,Mendekontaminasi alat alat yang sudah dipakai
ke dalam larutan korin 0,5 % selama 10 menit, Membersihkan skrol menggunakan air
klorin dengan cara ambil lap kemudian celupkan kedalam air klorin,Mencuci alat
setelah didekontaminasikan gunakan dengn sabun dan bilas menggunakan air mengalir
dan keringkan,Celupkan sarung tangan yang kotor kedalam klorin 0,5 % ecra
terbalik,Mencuci tangan menggukan sabun bilas dengna air mengalir dan keringkan,
Memberikan therapy obat amox 500 mg 3x1,paracetamol 3x1 vit A 1x1,}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 tablet Fe 1x1 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Melakukan pendokumentasian.}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi-426 \li426 \ri0 \lisb0 \
sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin426 \
rin0 \itap0 \ls2 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f3
C.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 Neonatus}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \
plain \s33 \qj \fi-360 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin786 \rin0 \tql \tx786 \tql \tx1014
\itap0 \ls2 \ilvl1 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \f3 1.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1035 \langnp1035 \langfe1033 \langfenp1033 Neonatus Usia 6 Jam ( Tanggal }{\
b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 12 Januari}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 201}{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 7}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \
langnp1035 \langfe1033 \langfenp1033 Pukul }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 10}{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 .}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 20}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 WIB )}{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \
langnp1035 \langfe1033 \langfenp1033 By. Ny. }{\fs24 \rtlch \ltrch \dbch \af3 \hich
\af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 R}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \
langfenp1033 lahir pada tanggal }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 12}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 Januari2017 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 pukul }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 0}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 4}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 .}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 2}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 0}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1035 \langnp1035 \langfe1033 \langfenp1033 WIB, jenis kelamin }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 perempuan}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1035 \langnp1035 \langfe1033 \langfenp1033 , berat badan }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 34}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \
langnp1035 \langfe1033 \langfenp1033 00 gram, panjang badan }{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 52}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \
langfe1033 \langfenp1033 cm. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0
\lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \
li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 Nama ibu Ny. R
usia 41 tahun, suku/kebangsaan jawa, agama islam, pendidikan SMA/SLTA, pekerjaan
IRT, alamat Dermaga Malang. Nama ayah Tn. N usia 43 tahun, suku/kebangsaan jawa,
agama islam, pendidikan SMA/SLTA, pekerjaan wiraswasta, alamat Dermaga
Malang.Dilakukan pemeriksaan pada tanggal 12 Januari 2017 Pukul. 10.10 WIB. Riwayat
penyakit kehamilan tidak ada perdarahan, tidak ada pre-eklamsia, tidak ada
eklamsia, kebiasaan waktu hamil yaitu makan 3 x sehari dengan menu (nasi, lauk
pauk, sayur-sayuran, buah-buahan, air putih), tidak minum obat-obatan/jamu, tidak
merokok. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \
langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \li786 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786
\rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 Riwayat persalinan
sekarang jenis persalinan spontan, ditolong oleh bidan, lama persalinan kala I 5
jam , kala II 50 menit, kala III lamanya 10 menit, kala IV 2 jam jumlah perdarahan
total \uc1 \u177 ?260 cc. ketuban pecah spontan, warna jernih, tidak bau, jumlah \
uc1 \u177 ?500 cc, komplikasi persalinan ibu dan bayi tidak ada, keadaan bayi baru
bugar Melakukan pemeriksaan secara sistemik, kepala tidak ada caput succedaneum,
tidak ada chepal hematom, tidak ada kelainan bawaan, ubun-ubun datar. Muka tidak
ada cyanosis, tidak ada pucat, ada kemerahan. Konjungtiva merah muda, sklera tidak
kuning. Mulut tidak ada hipersalivasi, tidak ada labio palato schiziz. Hidung
septum ditengah, tidak ada polip, telinga simetris kanan dan kiri, tidak ada
serumen.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \li786 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1035 \langnp1035 \langfe1033 \langfenp1033 Leher tidak ada pembengkakan
kelenjar tyroid. Dada simetris kanan dan kiri, tidak ada retraksi iga. Tali pusat
tidak ada perdarahan, tidak ada pembengkakan. Abdomen tidak ada cekung, tidak ada
kembung, tidak ada kelainan bawaan. Punggung tidak ada pembengkakan pada spina
bifida. Ekstremitas simetris kanan dan kiri, tidak ada kelainan bawaan. Genetalia
Testis berada di tengah skrotum berjumlah 2, tidak ada kelainan bawaan. Anus ada.
Reflek moro ada, reflek rooting ada, reflek graphing/plantar ada, reflek suching
ada, reflek tonic neck ada. Melakukan pemeriksaan antropometri lingkar kepala 32
cm, lingkar dada 33 cm, Miksi sudah warna jernih Tgl 12/01/2017 Pkl 08:00 WIB.
Meconeum : sudah warna hijau kehitaman Tgl 12/01/2017 Pkl 08:00 WIB. Pemeriksaan
laboratorium dan pemeriksaan lain-lain tidak dilakukan.}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par
}\pard \plain \qj \fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \
langfe1033 \langfenp1033 Maka didapat diagnosa yaitu Neonatus Cukup Bulan Sesuai
Masa Kehamilan Usia 6 Jam. Ibu mengatakan bayinya lahir jam 04.20 WIB Tanggal 12-
01-2017, BB : 3400 PB :52 cm JK :perempuan}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \
qj \fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033
Asuhan yang diberikan yaitu Melakukan Melakukan informed consent atas tindakan yang
akan dilakukan yaitu Memberitahukan hasil pemeriksaan bahwa keadaan bayi saat ini
baik yaitu R: 40x/menit, HR: 130x/menit, S: 36,50C, BB: 3400 gram, PB: 52 cm. Dan
tidak ada kelainan bawaan,Melakukan pemeriksaan fisik mulai dari ujung rambut
sampai ujung kaki termasuk Lk :30 cm,BB :3400, PB : 52 cm, dan reflek
bayi,Memandikan bayi 6 jam dengan menggunakan air hangat,}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \
langfe1033 \langfenp1033 sampo,}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 }{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 sabun, dan
dimandikan mulai d}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 ari }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 kepala,wajah,bawah
lipatan paha,}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 l}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 ipatan tengah,}{\fs24
\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \
langnp1035 \langfe1033 \langfenp1033 dan leher lalu bilas, bayi dimulai drai kepala
sampai kaki, jangan terlalu lama karena akan meyebabkan
terjadinya hipotermi pada bayi atau bayi kan kedinginan,Melakukan perawatan tali
pusat yaitu di bersihkan menggunakan air matang yang bersih di mulai dari bagian
pangkal tali pusat sampai kebagian ujung kemudian keringkan tali pusat dan di balut
menggunakan kassa steril jangan membersihkan tali pusat menggunakan bethadine,
alkohol, dan ramuan, ramuan tradisional seperti kopi. Usahakan popok atau celana
bayi tidak mengenai tali pusat agar tidak iritasi,Menganjurkan ibu untuk menjaga
kehangatan bayi mekanisme pengaturan temperatur tubuh pada bayi baru lahir belum
berfungsi sempurna. Oleh karena itu jika tidak segera di lakukan pencegahan maka
bayi akan kehilangan panas tubuh bayi dan terjadi hipotermi. Cara menjaga agar bayi
tetap hangat : selimuti bayi dengan selimut atau kain bersih dan kering, pakaikan
bayi baju, popok dan bungkus dengan kain lalu pakaikan topi. Menganjurkan ibu untuk
memeluk bayinya karena pelukan ibu pada tubuh bayi dapat menjaga kehangatan tubuh
jangan memandikan bayi setidaknya 6 jam setelah bayi lahir,Memberitahukan ibu
tentang pentingnya ASI eksklusif yaitu memberikan ASI pada bayi selama 6 bulan
tanpa memberikan makanan tambahan apapun karena ASI mempunyai banyak manfaat di
bandingkan dengan yang lainnya ASI memiliki beberapa keunggulan yaitu :mengandung
semua gizi dalam jumlah yang cukup untuk memenuhi gizi selama 3-6 bulan pertama,
tidak memberatkan fungsi saluran pencernaan dan ginjal, mengandung beberapa zat
antibodi sehingga mencegah terjadinya infeksi, tersedia setiap waktu pada suhu yang
ideal, dan dalam keadaan segar, serta bebas dari kuman. ASI juga meningkatkan
kecerdasan dan menyusui adalah jalinan kasih sayang antara ibu dengan bayi dan
menganjurkan ibu untuk menyusui bayi nya sesering mungkin 2-3 jam sekali adapun
Manfaat bagi bayi yaitu Membantu memulai kehidupannya dengan baik, kolostrum susu
pertama yang berwarna kekuningan yang mengandung antibodi yang kuat untuk mencegah
infeksi dan membuat bayi menjadi kuat, Manfaat untuk ibu : ASI membantu memulihkan
diri dari proses persalinannya pemberian ASI selama beberapa hari pertama membuat
rahim berkontraksi dengan cepat dan mencegah terjadinya perdarahan (hisapan pada
puting susu merangsang di keluarkannya hormon oksitosin yang alami) ibu yang
menyusui yang haidnya belum muncul kembali akan kecil kemungkinan untuk hamil
(kadar prolaktin yang tinggi akan menekan hormon FSH dan ovulasi),Memberitahu ibu
posisi menyusui yang benar yaitu :mengatur posisi bayi menghadap ke payudara ibu:
Keluarkan sedikit ASI dari puting susu kemudian oleskan pada puting \uc1 \u160 ?\
uc1 \u160 ?\uc1 \u160 ?susu dan aerola,Ibu berada di posisi yang rileks dan
nyaman,Memberitahu ibu cara memegang bayinya : Kepala dan badan bayi berada pada
satu garis maka bayi menghadap\uc1 \u160 ?payudara, sedangkan hidung ke arah
puting, ibu harus memegang bayinya berdekatan dengan ibu,Perut bayi ketemu perut
ibu,Letakan kepala bayi dilipatan lengan kemudian telapak tangan menopang bokong
bayi,Berikan rangsangan pada bayi agar membuka mulut bayi dengan menyentuh bibir
bayi kepuitng susu atau dengan menyentuh sisi mulut bayi,Tunggu sampai mulut bayi
terbuka cukup lebar,Setelah mulut bayi terbuka cukup lebar gerakan mulut bayi
segera ke payudara ibu dan bukan sebaliknya, ibu atau payudara ibu yang digerakan
ke mulut bayi,Arahkan bibir bawah bayi di bawah puting susu sehingga dagu bayi
menyentuh payudara ,Perhatikan bayi dengan penuh kasih sayang,Ciri-ciri bayi
menyusui dengan benar ,Bayi nampak tenang,badan bayi menempel pada perut ibu, dagu
bayi menempel pada payudara,mulut bayi terbuka lebar, bibir bawah bayi juga terbuka
lebar, aerola yang kelihatan bagian atas dari pada di bagian bawah mulut bayi, bayi
ketika menghisap ASI cukup dalam, menghisap dengan lembut, dan tidak ada bunyi
puting susu ,tidak terasa nyeri kepala dan badan bayi berada pada garis lurus dan
kepala bayi tidak dalam posisi tengadah,Sendawakan bayi setelah menyusu yaitu
dengan meletakan bayi pada bahu ibu atau ditelungkupkan sampai
bersendawa,Memberitahukan ibu tentang tanda bahaya BBL yaitu:Bayi tidak mau
menyusu, ibu harus curiga jika bayi tidak mau menyusu karena ASI adalah maknan
pokok bagi bayi, jika bayi tidak mau menyusu maka asupan nutrisinya akan berkurang
dan ini akan berefek pada kondisi tubuhnya, biasanya bayi tidak mau menyusu ketika
sudah dalam kondisi lemah dan mungkin dalam kondisi dehidrasi berat seperti Kejang
Yaitu kondisi bayi pada suhu nornal tetapi bayi kejang di khawatirkan bayi terkena
infeksi atau penyebab yang lain segera periksa ke tenaga kesehatan,Lemah yaitu jika
bayi terlihat tidak seaktif biasanya, maka perlu di waspadai kondisi lemah bisa di
picu dari diare, muntah berlebihan atau infeksi berat, Sesak nafas: bayi mengalami
kesulitan nafas, frekuensi nafas bayi pada umumnya lebih cepat dari manusia dewasa,
frekuensinya yaitu 40-60 kali per menit jika kurang dari 40 kali per menit atau
lebih dari 60 kali per menit maka ibu harus waspada, lihat dinding dada bayi
terdapat tarikan atau tidak, jika hal ini terjadi segera bawa bayi ke tenaga
kesehatan.Warna kulit bayi terlihat kuning, kunin pada bayi biasanya terjadi karena
bayi kurang diberi ASI, namun jika kuning pada bayi terjadi pada waktu \uc1 \
u8804 ? 24 jam setelah lahir atau \uc1 \u8805 ? 14 hari setelah lahir, kuning
menjalar hingga telapak tangan dan kaki bahkan tinja bayi berwarna kuning maka ibu
harus konsultasikan ke petugas kesehatan,Dingin, suhu normal bayi berkisar antara
36,50C-37,50C jika kurang atau lebih maka ibu harus perhatikan sekitar bayi, apakah
kondisi sekitar bayi membuat bayi kehilangan panas tubuh seperti ruangan yang
dingin atau pakaian yang basah,pusat kemerahan atau bernanah pada pangkal tali
pusat, berbau dan mengeluarkan cairan, keluar darah terus menerus, bayi akan lebih
rewel atau menangis jika tali pusat tersentuh tangan atau benda, demam menunjukan
adanya infeksi, jaga tali pusat agar tetap kering dan bersih, dan segera datang ke
tenaga kesehatan,Mata bengkak dan bernanah banyak, nanah yang berlebihan pada mata
bayi menunjukan adanya infeksi, bersihkan mata bayi dengan kapas dan air hangat
dari arah luar kedalam kemudian segera konsultasikan ke petugas kesehatan,Jelaskan
secara singkat imunisasi BCG (Basil Calomelte Gverin) yaitu untuk mencegah bayi
atau anak terserang dari penyakit TBC yang berat. Seperti menginitis, ini di
karenakan bayi rentan terinfeksi mycobacterium tubercolosis penyebab penyakit TBC,
akibat adanya kontak dengan penderita TBC yang ada di sekitarnya seperti orang tua
dan keluarga, lokasi penyuntikan imunisasi BCG di lakukan di lengan kanan atas
secara Intra Cutan, efek samping : tidak menimbulkan panas atau demam. Tanda-tanda
keberhasilan BCG : timbulnya benjolan kecil dan bernanah seperti bisul pada bagian
yang di suntik seiring berjalannya waktu benjolan akan mengempis dengan sendirinya
dengan membentuk luka parut,Memberitahukan ibu akan dilakukan kunjungan rumah 6
hari kemudian yaitu pada tanggal 17-01-2017,Melakukan pendokumentasian.}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi-360 \li786 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin786 \rin0 \tql \tx786 \tql \tx1014 \itap0 \ls2 \ilvl1 \fs22 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
listtext \pard \plain \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \f3 2.\tab }{\b1 \fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
Neonatus Usia 6 Hari ( Tanggal 17Januari}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 201}{\b1 \fs24
\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 7 Pukul 10.30 WIB )}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \
li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 By. Ny. R
lahir pada tanggal 12 januari 2017 pukul 04.20 WIB, jenis kelamin perempuan, berat
badan 3400 gram, panjang badan 52 cm. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \qj \
fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 Asuhan
kebidanan pada bayi baru lahir terhadap bayi Ny. R usia 6 hari didapatkan data
objektif keadaan umum baik,menangis kuat,pergerakan aktif,warna kulit
kemerahan ,tanda-tanda vital : Suhu 37,5 0C melalui axial , Pernapasan 40 x/menit
teratur , HR 130 x/menit teratur, BB saat lahir 3400 gram, BB sekarang 3400 gram,
PB saat lahir 52 cm, PB sekarang 52 cm, }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2
\loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \qj \
fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \
langfe1033 \langfenp1033 Melakukan pemeriksaan secara sistemik,atau secara head to
to dengan hasil normal.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \li786
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 melakukan
pemeriksaan antropologi lingkar kepala 33,linkar dada 33 reflek moro positif,reflek
sucking positif,reflex grapshing positif,reflek tonic neck positif.}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \
langnp1035 \langfe1033 \langfenp1033 Miksi sudah warna kekuning Tgl 12/01/2017 Pkl
08:00 WIB. Meconeum :sudah warna khas Tgl 12/01/2017 Pkl 08:00 WIB. Pemeriksaan
laboratorium dan pemeriksaan lain-lain tidak dilakukan.}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par
}\pard \plain \qj \fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \
langfe1033 \langfenp1033 Berdasarkan pengkajian / pengumpulan data dari anamnesa
data objektif maka didapat diagnosa yaitu Neonatus Cukup Bulan Sesuai Masa
Kehamilan Usia 6 Hari, ibu mengatakan Hpht 08-04-2016 bayi lahir pada tanggal 12
januari 2017 pukul 04.20 jenis kelamin perempuan BB 3400 gram PB:52 cm.}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \
langnp1035 \langfe1033 \langfenp1033 Penatalaksanaan yang di lakukan yaitu
melakukan informed consent atas tindakan yang akan dilakukan, Meberitahukan hasil
pemeriksaan bahwa keadaan bayi baik yaitu BB: 3400 gram, PB: 52 cm, dan tidak ada
kelainan bawaan,Memastikan tali pusat bayi tidak terinfeksi dengan cara menilai
apakah daerah sekitar pusat apakah ada tanda-tanda kesakitan, warna kemerahan,
pembengkakan, dan adanya darah atau cairan yang keluar, ternyata tidak ada tanda-
tanda infeksi dan tali pusat sudah puput,}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \
qj \fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033
Memberitahu ibu cara perawatan bayi sehari-hari yaitu Memandikan bayi yaitu dengan
Menyiapkan peralatan mandi seperti sampo, sabun, handuk, dan air hangat idealnya
suhu air mandi bayi sampai usia 2 bulan adalah 400C setelah usia bayi lebih dari 2
bulan boleh di turunkan menjadi 270C cara mengukur suhu air dengan termometer
khusus atau dengan siku lengan,Menjemur bayi yaitu Menjemur bayi sangat sehat untuk
bayi karena kebutuhan tubuh akan vitamin D akan terpenuhi karena sinar matahari
akan menurunkan bilirubin (pigmen yang berwarna kuning) lakukan secara bertahap dan
tidak boleh lama-lama maksimal 5 sampai 15 menit lakukan antara jam 07.00 WIB
sampai jam 08.00 WIB tidak memakai baju tetapi hanya memakai celana dalam jangan
oleskan krim apapun untuk melindungi kulit bayi di khawatirkan bayi terkena
infeksi.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \li786 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1035 \langnp1035 \langfe1033 \langfenp1033 Menganjurkan ibu untuk memberikan
ASI eksklusif dan menganjurkan ibu untuk memberikan ASI sesering mungkin 2-3 jam
sekali sama seperti pada saat kunjungab BBL 6 jam}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \
plain \qj \fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \
langfenp1033 Menjelaskan secara singkat imunisasi BCG (Basil Calomelte Gverin) sama
seperti pada saat kunjungan BBL 6 jam. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \
qj \fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033
Memberitahukan ibu tentang tanda bahaya BBL sama seperti pada saat kunjungan BBL 6
jam. Memberitahukan ibu akan dilakukan kunjungan\uc1 \u160 ?rumah\uc1 \u160 ?2\
uc1 \u160 ?minggu\uc1 \u160 ?yang\uc1 \u160 ?akan}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 datang}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Melakukan}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \u160 ?}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
pendokumentasian}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 .}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \
fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \
plain \s33 \qj \fi-360 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin786 \rin0 \tql \tx786 \tql \tx1014 \itap0 \ls2 \
ilvl1 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f3 3.\tab }{\
b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 Neonatus Usia 2 Minggu (Tanggal }{\b1 \fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 26 Januari}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 201}{\b1 \fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 7}{\
b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 Pu}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 kul 10.00 }{\b1 \fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 WIB)}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \li786
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 Bayi Ny R lahir
pada tanggal 12 Januari 2017 pukul 04.20 WIB jenis kelamin perempuan berat badan
3400 dan panjang badan 52 cm.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \
li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 dilakukan
pemeriksaan pada bayi baru lahir Ny. R umur 2 minggu. Penulis memperoleh data
subyektif yaitu ibu mengatakan bayinya masih minum ASI.}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1035
\langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \li786 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786
\rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 Didapatkan data objektif
yaitu pemeriksaan umum : keadaan umum baik, tanda-tanda vital : Suhu 36,50C melalui
axila, Pernapasan 30 x/menit teratur, HR 130 x/menit teratur, BB saat lahir 3400
gram, BB sekarang 3500 gram, PB saat lahir 52 cm, PB sekarang 55 cm. Melakukan
pemeriksaan antropometri lingkar kepala 34 cm, lingkar dada 35 cm, lingkar lengan
atas 10 cm reflek moro positif,reflek sucking positif,reflex grapshing
positif,reflek tonic neck positif.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch
\f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \
li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 Berdasarkan
pengkajian / pengumpulan data dari anamnesa dan data objektif maka didapat diagnosa
yaitu Neonatus Cukup Bulan Sesuai Masa Kehamilan Usia 2 Minggu. }{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \
langnp1035 \langfe1033 \langfenp1033 Penatalaksanaan yang di lakukan yaitu
melakukan informed consent atas tindakan yang akan dilakukan, Meberitahukan hasil
pemeriksaan bahwa keadaan bayi baik yaitu BB: 3500 gram, PB: 55 cm, dan tidak ada
kelainan bawaan, Memastikan tali pusat bayi tidak terinfeksi dengan cara menilai
apakah daerah sekitar pusat apakah ada tanda-tanda kesakitan, warna kemerahan,
pembengkakan, dan adanya darah atau cairan yang keluar, ternyata tidak ada tanda-
tanda infeksi dan tali pusat sudah puput.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \
qj \fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033
Memberitahu ibu untuk menjaga kehangatan bayinya. Dengan cara: selimuti bayi dengan
selimut atau kain bersih dan kering, pakaikan bayi baju, popok dan bedong bayi
dengan kain lalu pakaikan topi. Menganjurkan ibu untuk memeluk bayinya karena
pelukan ibu pada tubuh bayi dapat menjaga kehangatan tubuh bayi.}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \
langnp1035 \langfe1033 \langfenp1033 Memberitahu ibu cara perawatan bayi sehari-
hari sama seperti kunjungan BBL 6 hari.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \
qj \fi632 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033
Menganjurkan ibu untuk memberikan ASI eksklusif dan menganjurkan ibu untuk
memberikan ASI sesering mungkin 2-3 jam sekali sama seperti kunjungan BBl 6 hari.}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \li786 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1035 \langnp1035 \langfe1033 \langfenp1033 Menjelaskan secara singkat imunisasi
BCG (Basil Calomelte Gverin) sama seperti kunjungan BBL 6 hari,Memberitahukan ibu
tanda bahaya BBL sama seperti pada saat kunjungan BBL 6 hari, Memberitahukan ibu
akan dilakukan kunjungan rumah 6 minggu yang akan datang,Melakukan
pendokumentasian.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \
langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi-
360 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin786 \rin0 \tql \tx786 \tql \tx1014 \itap0 \ls2 \ilvl1 \fs22 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\listtext \pard \plain \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f3 4.\tab }{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Bayi Usia 6 Minggu ( Tanggal 01 Maret 2017 Pukul 10.00 WIB)}{\b1 \fs24
\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi556 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \
langnp1035 \langfe1033 \langfenp1033 Bayi Ny R }{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 lahir pada
tanggal 12 Januari 2017 pukul 04.20 WIB jenis kelamin perempuan berat badan 3400
dan panjang badan 52 cm.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li786
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Didapatkan data
objektif yaitu keadaan umum baik, tanda-tanda vital : Suhu 36,5 0C melalui axila,
Pernapasan 30 x/menit teratur, HR 130 x/menit teratur, BB saat lahir 3400 gram, BB
sekarang 4300 gram, PB saat lahir 52 cm, PB sekarang 56 cm, lingkar kepala 34 cn,
lingkar dada 36 cm, lingkar lengan atas 11 cm.}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \
plain \qj \fi556 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 Berdasarkan pengkajian / pengumpulan data dari anamnesa maka didapat
diagnosa yaitu Neonatus Cukup Bulan Sesuai Masa Kehamilan Usia 6 minggu.}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi556 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \itap0 \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 Penatalaksanaan yang di lakukan yaitu
melakukan informed consent atas tindakan yang akan dilakukan, Meberitahukan hasil
pemeriksaan bahwa keadaan bayi baik yaitu BB: 4300 gram, PB: 56 cm, dan tidak ada
kelainan bawaan.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li786 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786
\rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Memastikan}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \
langfenp1033 tali pusat bayi tidak terinfeksi dengan cara menilai apakah daerah
sekitar pusat apakah ada tanda-tanda kesakitan, warna kemerahan, pembengkakan, dan
adanya darah atau cairan yang keluar, ternyata tidak ada tanda-tanda infeksi dan
tali pusat sudah puput.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \li852
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin852 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033
\langfenp1033 Memberitahu ibu untuk menjaga kehangatan bayinya sama seperti pada
saat kunjungan BBl 2 minggu.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \li852
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin852 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 Memberitahu ibu
cara perawatan bayi sehari-hari sama seperti pada saat kunjungan BBL 2 minggu. }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \li852 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin852 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1035 \langnp1035 \langfe1033 \langfenp1033 Menganjurkan ibu untuk memberikan
ASI eksklusif dan menganjurkan ibu untuk memberikan ASI sesering mungkin 2-3 jam
sekali sama seperti pada saat kunjungan BBL 2 minggu.}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\
pard \plain \qj \fi632 \li852 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin852 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \
langfenp1033 Memberitahu ibu posisi menyusui yang benar yaitu sama seperti pada
saat kunjungan BBL 2 minggu. menJelaskan secara singkat imunisasi dasar lengkap
yaitu sama seperti pada saat kunjungan 2 minggu.}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \
plain \qj \fi632 \li852 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin852 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \
langfenp1033 Memberitahukan ibu tentang tanda bahaya BBL yaitu sama seperti pada
saat kunjungan BBl 2 minggu.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi632 \li852
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin852 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 Menganjurkan
ibu kunjungan jika ada indikasi.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi-
426 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin426 \rin0 \itap0 \ls2 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \
fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \f3 D.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2
\loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Masa Nifas}{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 \par }\pard \plain \s33 \qj \fi-360 \li786 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \itap0 \
ls8 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f3 1.\tab }{\
b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 Nifas 6 Jam ( Tanggal }{\b1 \fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 12Januari}{\b1
\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 201}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 7}{\b1 \fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033
Pukul }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 09}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 .}{\b1 \fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 10}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 WIB )}{\b1 \fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par
}\pard \plain \qj \fi556 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 Ny. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 R}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 usia }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 41}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 tahun, suku/kebangsaan }{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 jawa}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 /indonesia, agama islam, pendidikan SMA/SLTA,
pekerjaan IRT, alamat rumah Dermaga Malang. Nama Ayah Tn. N usia 43 tahun,
suku/kebangsaan jawa/indonesia, agama islam, pendidikan SMA/SLTA, pekerjaan
wiraswasta, alamat Dermaga Malang. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \
fi556 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Dilakukan
pemeriksaan pada tanggal 12 Januari 2017, pada pukul 09.10 WIB. Riwayat persalinan
spontan, indikasi inpartu, tanggal 12 Januari 2017, pukul 04.20 WIB, jenis kelamin
anak yang dilahirkan perempuan, BB 3400 gram, PB 52 cm, keadaan umum BBL bugar,
proses persalinan ketuban pecah spontan, Lamanya kala I 5 jam, tidak ada penyulit,
lamanya kala II 50 menit, tidak ada penyulit, kala III 10 menit, tidak ada
penyulit. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720
\rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 plasenta lahir spontan,
ukuran tali pusat 50 cm, kala IV 2 jam, laserasi perineum ada Jumlah perdarahan
kala I 10 cc, kala II 100 cc, kala III 100 cc, kala IV 100 cc, total 310 cc.
Penyulit komplikasi tidak ada tekanan darah tinggi, tidak ada kejang, tidak ada
infeksi. Tidak ada tindakan pengobatan pada masa persalinan. Buang air kecil sudah,
buang air besar belum. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Pemeriksaan
umum keadaan umum baik, keadaan emosional stabil, kesadaran composmentis. Tanda-
tanda vital yaitu Tekanan Darah 110/80 mmHg, Nadi 81 x/menit, respirasi 21 x/menit,
Suhu 36,50C.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720
\rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Pemeriksaan khusus kepala
distribusi merata, warna hitam, hygiene bersih. Muka tidak pucat, tidak odema. Mata
kelopak mata tidak odema, conjungtiva merah muda, sklera tidak kuning. Hidung
septum ditengah, tidak ada polip. Telinga simetris kiri dan kanan, tidak ada
serumen. Mulut warna bibir kemerahan, lidah bersih. Gigi tidak ada caries, bersih.
}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033
\langfenp1033 Leher tidak ada pembengkakan kelenjar tyroid, tidak ada tumor, tidak
ada pembengkakan kelenjar getah bening. Dada dan axila jantung dan paru-paru
normal, mamae pembesaran ada, simetris kiri dan kanan, tidak ada benjolan, puting
susu menonjol, areola susu hiperpigmentasi, kolostrum ada. Axila tidak ada
pembengkakan kelenjar axila, tidak nyeri. Posisi tulang belakang normal, tidak
nyeri. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720
\rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Abdomen tidak ada
pembesaran, linea nigra, tidak ada striae, tidak ada jaringan parut/post operasi.
Uterus tinggi fundus uterus 2 jari di bawah pusat, kontraksi uterus baik.
Anogenital pengeluaran lochea rubra, warna merah, konsistensi cair, jumlah \uc1 \
u177 ?50 cc, perineum utuh, kandung kemih kosong, tidak ada haemoroid. Ekstremitas
bawah tidak ada varises, tidak ada odema, simetris kiri dan kanan. Reflek patella
kiri dan kanan positif. Tidak dilakukan data penunjang. }{\fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\
pard \plain \qj \fi708 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 Maka di dapat diagnosa P3A0 Post Partum 6 Jam. Tidak ditemukan
diagnosa potensial/masalah potensial. Tidak ada tindakan mandiri, tidak ada
tindakan kolaborasi, tindakan rujuk tidak dilakukan.}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\
pard \plain \qj \fi556 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 Penatalaksaan yang diberikan yaitu melakukan informed consent atas
tindakan yang akan dilakukan,Memberitahukan hasil pemeriksaan bahwa keadaan ibu
baik TD: 110/80 MmHg, N:81x/menit, R:21x/menit, S:36,50C, kontaksi baik, TFU 2 jari
dibawah pusat, perdarahan 50 cc,memastikan involusi uterus berjalan dengan baik
dengan memeriksa ada atau tidak bengkak pada payudara, kontraksi, TFU, kandung
kemih , lochea yang keluar, serta tanda infeksi yaitu demam tinggi,Menganjurkan ibu
untuk mobilisasi dini seperti miring kanan atau kiri, duduk, dan
berjalan,Menganjurkan ibu untuk istirahat yang cukup seperti tidur siang 2 jam dan
malam hari 8 jam agar ibu tidak kelelahan,Memberitahu ibu menjaga personal hygiene
seperti mengganti pakaian dalam minimal 3x sehari dan apabila terasa lembab,
menggunakan celana bahan katun dan membersihkan daerah kewanitaan terlebih dahulu
dari daerah depan ke belakang, keringkan vagina dengan menggunakan tissu jika sudah
buang air,Menganjurkan ibu untuk mengkonsumsi makanan yang bergizi untuk memenuhi
kebutuhan nutrisi ibu seperti nasi, telur, daging, ikan, sayur, buah, susu 3x
sehari tanpa ada makanan yang di pantang,Memberitahukan ibu untuk tidak menahan BAK
dan BAB, karena akan terjadinya bendungan air seni, akibatnya membuat gangguan pada
kontraksi rahim, sehingga pengeluaran cairan vagina tidak lancar,Memberitahukan ibu
tentang pentingnya ASI eksklusif yaitu memberikan ASI pada bayi selama 6 bulan
tanpa memberikan makanan tambahan apapun karena ASI mempunyai banyak manfaat di
bandingkan dengan yang lainnya ASI memiliki beberapa keunggulan yaitu :mengandung
semua gizi dalam jumlah yang cukup untuk memenuhi gizi selama 3-6 bulan pertama,
tidak memberatkan fungsi saluran pencernaan dan ginjal, mengandung beberapa zat
antibodi sehingga mencegah terjadinya infeksi, tersedia setiap waktu pada suhu yang
ideal, dan dalam keadaan segar, serta bebas dari kuman. ASI juga meningkatkan
kecerdasan dan menyusui adalah jalinan kasih sayang antara ibu dengan bayi yaitu
Manfaat bagi bayi : Membantu memulai kehidupannya dengan baik, kolostrum susu
pertama yang berwarna kekuningan yang mengandung antibodi yang kuat untuk mencegah
infeksi dan membuat bayi menjadi kuat, Manfaat untuk ibu : ASI membantu memulihkan
diri dari proses persalinannya pemberian ASI selama beberapa hari pertama membuat
rahim berkontraksi dengan cepat dan mencegah terjadinya perdarahan (hisapan pada
puting susu merangsang di keluarkannya hormon oksitosin yang alami) ibu yang
menyusui yang haidnya belum muncul kembali akan kecil kemungkinan untuk hamil
(kadar prolaktin yang tinggi akan menekan hormon FSH dan ovulasi),Memberitahu ibu
teknik menyusui yang benar yaitu : mengatur posisi bayi menghadap ke payudara ibu:
Keluarkan sedikit ASI dari puting susu kemudian oleskan pada puting susu dan
aerolaIbu berada di posisi yang rileks dan nyamandan Memberitahu ibu cara memegang
bayinya:Kepala dan badan bayi berada pada satu garis maka bayi menghadap payudara,
sedangkan hidung ke arah puting, ibu harus memegang bayinya berdekatan dengan
ibu,Payudara di pegang dengan menggunakan ibu jari di atas sedangkan jari yang lain
menopang bagian bawah payudara, serta gunakanlah ibu jari untuk membentuk puting
susu sedemikian rupa sehingga mudah masuknya ke mulut bayi,Berikan rangsangan pada
bayi sehingga bayi membuka mulutnya dengan cara: menyentuhkan bibir bayi ke puting
susu atau dengan menyentuh sisi mulut bayi,Tunggu sampai mulut bayi terbuka cukup
lebar,Setelah mulut bayi terbuka cukup lebar gerakan mulut bayi segera ke payudara
ibu dan bukan sebaliknya, ibu atau payudara ibu yang di gerakan ke mulut
bayi,Arahkan bibir bawah bayi di bawah puting susu sehingga dagu bayi menyentuh
payudara,Perhatikan bayi dengan penuh kasih sayang, Ciri-ciri bayi menyusui dengan
benar,Bayi nampak tenang, badan bayi menempel pada perut ibu, dagu bayi menempel
pada payudara, mulut bayi terbuka lebar, bibir bawah bayi juga terbuka lebar,
aerola yang kelihatan bagian atas dari pada di bagian bawah mulut bayi, bayi ketika
menghisap ASI cukup dalam, menghisap dengan lembut, dan tidak ada bunyi puting susu
tidak terasa nyeri kepala dan badan bayi berada pada garis lurus dan kepala bayi
tidak dalam posisi tengadah,Sendawakan bayi setelah menyusu yaitu dengan meletakan
bayi pada bahu ibu atau ditelungkupkan sampai bersendawa,Melakukan rawat gabung ibu
dengan bayinya,Memberikan terapi obat oral yaitu vit.A 200.000 IU cara pemberian
vit.A sebanyak 2 kali yaitu 1 kapsul di berikan setelah melahirkan kemudian 1
kapsul lagi setelah 24 jam dari pemberian pertama, manfaatnya untuk kesehatan mata,
kulit, dan kelenjar,Amoxcilin : dosis 500 mg di minum 3 kali sehari, antibiotik ini
harus di habiskan karena mencegah munculnya kembali infeksi,Asam mefenamat : dosis
500 mg di minum 3 kali sehari, salah satu jenis obat pereda nyeri, sistem kerjanya
menghambat pembengkakan dan pereda nyeri, kontra indikasinya yaitu luka lambung,
gangguan hati, ginjal, ibu hamil, ibu menyusui, anak di bawah umur 14 tahun,Fe :
tablet tambah darah yang dapat mencegah terjadinya anemia, di berikan pada ibu
dengan dosis 60 mg di minum 1x1 pada malam hari menjelang tidur dengan air putih,
tidak boleh dengan teh, susu, kopi, sirup karena dapat menghambat cara kerja obat.
Efek sampingnya akan terasa mual,nyeri lambung, muntah dan kotoran atau tinja
berwarna kehitaman pada saat buang air besar menjadi keras, olah karena itu ibu di
anjurkan untuk mengkonsumsis buah-buahan berserat tinggi seperti pepaya, mangga,
jeruk. Tablet Fe ini berfungsi untuk membentuk sel-sel darah merah dan mencegah
anemia,Memberitahukan ibu tanda bahaya nifas yaitu: Perdarahan pervaginam: setelah
melahirkan ibu akan mengeluarkan darah dan cairan (lochea) dari jalan lahir ibu
pada awalnya cairan berwarna merah, dan lama kelamaan menjadi putih (seperti
keputihan) hal ini terjadi karena rahim ibu sedang mengalami pengecilan ke ukuran
semula, beberapa tanda perdarahan pada saat ibu berada dalam masa nifas yaitu
meningkatnya perdarahan melalui jalan lahir yang tidak hilang setelah beristirahat
atau menyusui, penggantian pembalut lebih dari 1 pembalut per jam, perubahan warna
lochea, nyeri tekan pada perut bagian bawah dan teraba lembek, tidak terjadi
penyusutan ukuran rahim,Demam tinggi : demam tinggi yang terjadi pada ibu dapat
memastikan bahwa ibu telah mengalami infeksi masa nifas. Gejala umum infeksi dapat
di lihat dari suhu, pembengkakan, denyut nadi cepat, jantung berdebar-debar, dan di
sertai nyeri perut bagian bawah yang hebat, peningkatan suhu yang di sebut dengan
demam pada masa nifas adalah > 380C selama 2 hari dalam 10 hari setelah
melahirkan, demam tinggi juga dapat mengindikasikan adanya infeksi pada berbagai
bagian lain, selain infeksi pada rahim, bisa di akibatkan dari perinium, vulva
(kemaluan) vagina (saluran rahim) dan pada leher rahim,Payudara merah, panas, dan
terasa sakit: biasanya terjadi karena payudara yang tidak di susukan dengan benar,
pemakaian bra yang terlau ketat, ibu yang mengalami kekurangan gizi, ibu yang
kekurangan istirahat, dan pada ibu dengan anemia. Ibu akan memproduksi ASI 3 hari
setelah melahirkan. Sehingga ketidak seimbangan ASI yang di produksi dengan ASI
yang di keluarkan menyebabkan ASI pada payudara ibu menumpuk dan payudara menjadi
keras, sakit sampai merasa demam, hal ini yang di sebut dengan bendungan ASI. Dan
jika tidak segera di atasi, ibu akan mengalami yang lebih buruk yaitu mastitis,
mastitis adalah peradangan pada payudara, mastitis dapat terjadi
kapan saja sepanang ibu masih menyusui, tetapi paling sering terjadi antara hari
ke 10-28 hari setelah persalinan,Pembengkakan pada muka tangan dan kaki, jika ibu
mengalami ini periksa adanya varises periksa kemerahan pada betis, dan periksa
tulang kering, pergelangan kaki. Atau kaki mengalami odema (terdapat cairan
berlebih) gejala tersebut berhubungan dengan terjadinya preeklamsi postpartum
(tekanan darah tinggi yang di sertai adanya protein pada urin pada masa
nifas,Merasa sedih dan tidak mau merawat dirinya sendiri atau bayinya, penyebabnya
adalah kekecewaan emosional bercampur rasa takut yang di alami pada kebanyakan ibu
yang baru saja melahirkan, masa nyeri pada awal masa nifas, kelelahan akibat kurang
tidur, selama persalinan dan setelah persalinan kecemasan akan kemampuan ibu untuk
merawat bayinya setelah meninggalkan rumah sakit atau fasilitas kesehatan dan
ketakutan memiliki tubuh yang tidak menarik, jika gejala tersebut terjadi pada
waktu 1-3 hari setelah persalinan maka hal tersebut normal, namun jika berlanjut
berhari-hari atau 1 minggu lebih, ibu tidak mau merawat dirinya sendiri maka ibu di
khawatirkan mengalami depresi post partum. Jika ibu mengalami salah satu tanda di
atas maka ibu harus periksa ke tenaga kesehatan agar segera di tangani, sehingga
terhindar dari komplikasi yang lebih berat. Adapun pencegahannya adalah nutrisi dan
hidrasi yang cukup, istirahat yang cukup, kebersihan dan perawatan diri yang baik,
serta dukungan dari suami dan keluarga.Memberitahu ibu untuk kunjungan ulang 6 hari
kemudian atau bila ada keluhan,Melakukan pendokumetasian, Evaluasi yaitu :Ibu
mengerti penjelasan bidan,Pukul 10.10 WIB hasil yang di dapatkan yaitu ibu dalam
keadaan baik, TFU: 2 jari bawah pusat lochea: merah konsistensi cair jumlah 50
cc ,Ibu bersedia untuk kunjungan ulang,Tidak ada tanda-tanda infeksi dan nifas
normal.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720
\rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \
qj \fi-360 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin786 \rin0 \itap0 \ls8 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \
pard \plain \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \f3 2.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Nifas 6
Hari ( Tanggal }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 17 Januari }{\b1 \fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033
201}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 7}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Pukul 1}{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 0}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 .00 WIB )}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \
plain \qj \fi556 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 Kunjungan rumah pertama kali pada nifas hari ke-6, dilakuakan pada
tanggal 17 januari 2017 pada pukul 10.00 WIB, penulis memperoleh data subyektif
yaitu ibu mengatakan tidak ada keluhan, dari hasil pemeriksaan didapatkan data
objektif yaitu keadaan umum baik, keadaan emosional stabil, kesadaran composmentis.
Tanda-tanda vital yaitu Tekanan Darah 120/90 mmHg, Nadi 80 x/menit, respirasi 20
x/menit, Suhu 36,50C. Konjungtiva merah muda, sklera berwarna putih, pengeluaran
ASI lancar, kontraksi baik, TFU pertengahan simfisis-pusat, kandung kemih kosong,
lochea sanguilenta konsistensi cair \uc1 \u177 ? 3 cc, perineum luka jahitan
kering.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720
\rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Berdasarkan hasil
pemeriksaan maka didapat diagnosa P3A0 Post Partum 6 Hari.}{\fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par
}\pard \plain \qj \fi556 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 Penatalaksaan yang diberikan yaitu Melakukan informed
consent atas tindakan yang akan dilakukan,Memberitahukan hasil pemeriksaan bahwa
keadaan ibu baik TD: 120/90 MmHg,N:80x/menit, R:20x/menit, S:36,50C, kontaksi
baik, TFU pertengahan simpisis dan pusat,lochea coklat kemerahan luka hecting sudah
menjadi daging.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720
\rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Memeriksa kembali bahwa
involusi uterus berjalan dengan baik karena payudara sudah mengeluarkan ASI,
kontraksi uterus baik, TFU pertengahan simpisis dan pusat, kandung kemih kosong,
keadaan lochea coklat kemerahan, jumlah lochea 3 cc,}{\fs24 \rtlch \ltrch \dbch \
af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\
pard \plain \qj \fi556 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 Memberitahukan ibu penkes kebutuhan masa nifas yaitu meliptui
nutrisi,istirahat,mobilisasi,perawatan payudara, personal hygine perawatan luka
hecting dan tanda bahaya nifas yaitu sama seperti pada saat kunjungan nifas 6 jam.}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Memberitahukan ibu tentang
pentingnya ASI eksklusif }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1035 \langnp1035 \langfe1033 \langfenp1033 dan menganjurkan ibu untuk
memberikan ASI sesering mungkin 2-3 jam sekali }{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 yaitu sama
seperti pada saat kunjungan nifas 6 jam.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2
\loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \
fi556 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Memberitahkan
ibu teknik menyusui yang benar yaitu sama seperti pada saat kunjungan nifas 6 jam.}
{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Memberitahukan pada ibu bahwa akan
ada kunjungan rumah 2 minggu post partum oleh bidan pada tanggal 26-01-2017}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 ,Melakukan pendokumentasian, }{\b1 \fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \langfenp1033 \par
}\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\b1 \fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \langnp1035 \langfe1033 \
langfenp1033 \par }\pard \plain \s33 \qj \fi-360 \li786 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin786 \rin0 \itap0 \
ls8 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057
\langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \f3 3.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Nifas}{\b1 \fs24 \rtlch \ltrch \dbch
\af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 2 Minggu
( Tanggal 26 Januari}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang2057 \langnp2057 \langfe1033 \langfenp1033 201}{\b1 \fs24 \rtlch \ltrch \
dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 7
Pukul 11.00 WIB )}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Pada kunjungan
nifas minggu ke-2 dilakukan pada tanggal 26 januari 2017 didapatkan data subjektif
ibu mengatakan tidak ada keluhan.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \
fi556 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Didapatkan
data objektif yaitu keadaan umum baik, keadaan emosional stabil, kesadaran
composmentis. Tanda-tanda vital yaitu Tekanan Darah 110/80 mmHg, Nadi 80 x/menit,
respirasi 20 x/menit, Suhu 36,50C. Konjungtive berwarna merah muda, TFU tidak
teraba kandung kemih kosong, sudah tidak ada pengeluaran lochea, luka perineum
kering. }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Berdasarkan hasil pemeriksaan maka
didapat diagnosa P3A0 Post Partum 2 Minggu.}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \
plain \qj \fi708 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 Penatalaksaan yang diberikan adalah Melakukan informed consent atas
tindakan yang akan dilakukan,Memberitahukan hasil pemeriksaan bahwa keadaan ibu
baik TD: 110/80 MmHg, N:80x/menit, R:20x/menit, S:36,50C, kontaksi baik, TFU tidak
teraba, kandung kemih kosong, sudah tidak ada lochea, luka hecting sudah menjadi
daging,}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720
\rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Memeriksa kembali bahwa
involusi uterus berjalan dengan baik karena payudara sudah mengeluarkan ASI,
kontraksi uterus baik, TFU tidak teraba, kandung kemih kosong, sudah tidak ada
lochea, hecting sudah menjadi daging.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \
fi556 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Memberitahukan
ibu penkes tentang kebutuhan masa nifas meliputi
nutrisi,istirahat,mobilisasi,perawatan payudara,personal hygine, perwatan luka
hecting dan tanda bahaya masa nifas yaitu sama seperti pada saat kunjungan nifas 6
hari.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \fi708 \li720 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Memberitahukan ibu tentang
pentingnya ASI eksklusif }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang1035 \langnp1035 \langfe1033 \langfenp1033 dan menganjurkan ibu untuk
memberikan ASI sesering mungkin 2-3 jam sekali }{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 yaitu sama
seperti pada saat kunjungan nifas 6 hari.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \
qj \fi708 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch
\dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033
Memberitahu ibu teknik menyusui yang benar yaitu sama seperti pada saat kunjungan
nifas 6 hari.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720
\rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Memberikan KIE tentang
alat kontrasepsi:Kontrasepsi adalah suatu cara untuk mencegah terjadinya kehamilan
sebagai akibat pertemuan antara sel telur dengan sperma, macam-macam kontrasepsi
yang baik untuk\uc1 \u160 ?ibu\uc1 \u160 ?menyusui\uc1 \u160 ?yaitu\uc1 \u160 ?Kb\
uc1 \u160 ?Suntik\uc1 \u160 ?3bulan,\uc1 \u160 ?Kb\uc1 \u160 ?Pil,Implant,Iud Dan
Mal seperti }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \cf1 Metode Amenore Laktasi (MAL) adalah
kontrasepsi yang mengandalkan pemberian Air Susu Ibu (ASI) secara ekslusif, artinya
hanya diberikan ASI tanpa tambahan makanan atau minuman apa pun lainya}{\fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 Kb suntik 3 bulan: Cara kerjanya yaitu Mencegah ovulasi. Mengentalkan
lendir serviks sehingga menurunkan penetrasi sperma.Menjadikan selaput lendir rahim
tipis. Menghambat transportasi gamet oleh tuba, Keuntungannya yaitu Sangat
efektif, pencegahan kehamilan jangka panjang, Tidak memiliki pengaruh terhadap
ASI.Tidak mengandung estrogen sehingga tidak berdampak penyakit jantung dan
gangguan pembekuan darah. Kerugiannya yaitu sering ditemukan gangguan siklus haid
yang banyak atau memanjang perdarahan yang banyak atau sedikit, perdarahan tidak
teratur atau perdarahan bercak, tidak haid sama sekali dan klien sangat bergantung
pada tempat saran pelayanan, Kb pil : Cara kerjanya yaitu menekan sekresi
gonadotropin dan sintesis steroid seks di ovarium (tidak begitu kuat), endometrium
mengalami transformasi lebih awal sehingga implantasi lebih sulit, mengentalkan
lendir serviks sehingga menghambat penetrasi sperma, mengubah motilitas
tuba,Keuntungannya yaitu sangat efektif bila digunakan secara benar, tidak
mengganggu hubungan seksual, tidak mempengaruhi ASI, kesuburan cepat kembali,
nyaman dan mudah digunakandapat dihentikan setiap saat dan tidak mengandung
estrogen,Kerugiannya yaitu peningkatan atau penurunan berat badan, harus digunakan
setiap hari dan pada waktu yang sama, payudar tegang, mual, pusing, jerawat, hampir
30-60% mengalami gangguan haid,Kb implant : cara kerjanya yaitu lendir serviks
menjadi kental, mengganggu proses pembentukan endometrium sehingga sulit terjadi
implantasi, mengurangi transportasi sperma, menekan ovulasi, menghambat kemampuan
sperma untuk masuk ke tuba falopi, mempengaruhi fertilitas sebelum ovum mencapai
kavum uteri, memungkinkan untuk mencegah implantasi telur dalam uterus,
Keuntungannya yaitu daya guna tinggi, pengembalian tingkat kesuburan yang cepat
setelah pencabutan, tidak memerlukan pemeriksaan dalam, tidak mengganggu ASI dan
tidak mengganggu kegiatan senggama, Kerugiannya yaitu nyeri kepala, perasaan mual,
pusing, peningkatan atau penurunan berat badan, perubahaan perasaan atau gelisah.Kb
IUD : cara kerjanya yaitu menghambat sperma masuk ketuba falopi, dan mempengaruhi
fertilitas sebelum ovum mencapai kevum uteri, mencegah sperma dan ovum bertemu,
mengurangi sperma fertilisasi, mencegah implantasi telur dalam uterus,Keuntungannya
yaitu Efektifitasnya tinggi, efektif segera setalh pemasangan,metode jangka
panjang,sangat efektif tidak perlu mengingat ingat lagi,tidak mempengaruhi hubungan
seksual,tidak mengganggu hubungan seksual, tidak ada efek samping hormonal,tidak
mempengaruhi Asi dapat digunakan sampai menopouse,tidak ada interaksi obat
obatan,mencegah terjadinya kehamilan ektopik,Kerugiannya yaitu perubahan
siklus haid,haid lebih lama dan banyak,perdarahan,haid nya sakit, tidak mencegah
ims (HIV/AIDS) penyakit radang panggul,tidak boleh dipakai oleh wanita dengan
IMS.Memberitahukan ibu tanda bahaya nifas yaitu:Perdarahan pervaginam: setelah
melahirkan ibu akan mengeluarkan darah dan cairan (lochea) dari jalan lahir ibu
pada awalnya cairan berwarna merah, dan lama kelamaan menjadi putih (seperti
keputihan) hal ini terjadi karena rahim ibu sedang mengalami pengecilan ke ukuran
semula, beberapa tanda perdarahan pada saat ibu berada dalam masa nifas yaitu
meningkatnya perdarahan melalui jalan lahir yang tidak hilang setelah beristirahat
atau menyusui, penggantian pembalut lebih dari 1 pembalut per jam, perubahan warna
lochea, nyeri tekan pada perut bagian bawah dan teraba lembek, tidak terjadi
penyusutan ukuran rahim, Demam tinggi : demam tinggi yang terjadi pada ibu dapat
memastikan bahwa ibu telah mengalami infeksi masa nifas. Gejala umum infeksi dapat
di lihat dari suhu, pembengkakan, denyut nadi cepat, jantung berdebar-debar, dan di
sertai nyeri perut bagian bawah yang hebat, peningkatan suhu yang di sebut dengan
demam pada masa nifas adalah > 380C selama 2 hari dalam 10 hari setelah
melahirkan, demam tinggi juga dapat mengindikasikan adanya infeksi pada berbagai
bagian lain, selain infeksi pada rahim, bisa di akibatkan dari perinium, vulva
(kemaluan) vagina (saluran rahim) dan pada leher rahim,Payudara merah, panas, dan
terasa sakit: biasanya terjadi karena payudara yang tidak di susukan dengan benar,
pemakaian bra yang terlau ketat, ibu yang mengalami kekurangan gizi, ibu yang
kekurangan istirahat, dan pada ibu dengan anemia. Ibu akan memproduksi ASI 3 hari
setelah melahirkan. Sehingga ketidak seimbangan ASI yang di produksi dengan ASI
yang di keluarkan menyebabkan ASI pada payudara ibu menumpuk dan payudara menjadi
keras, sakit sampai merasa demam, hal ini yang di sebut dengan bendungan ASI. Dan
jika tidak segera di atasi, ibu akan mengalami yang lebih buruk yaitu mastitis,
mastitis adalah peradangan pada payudara, mastitis dapat terjadi kapan saja
sepanang ibu masih menyusui, tetapi paling sering terjadi antara hari ke 10-28 hari
setelah persalinan,Pembengkakan pada muka tangan dan kaki, jika ibu mengalami ini
periksa adanya varises periksa kemerahan pada betis, dan periksa tulang kering,
pergelangan kaki. Atau kaki mengalami odema (terdapat cairan berlebih) gejala
tersebut berhubungan dengan terjadinya preeklamsi postpartum (tekanan darah tinggi
yang di sertai adanya protein pada urin pada masa nifas,Merasa sedih dan tidak mau
merawat dirinya sendiri atau bayinya, penyebabnya adalah kekecewaan emosional
bercampur rasa takut yang di alami pada kebanyakan ibu yang baru saja melahirkan,
masa nyeri pada awal masa nifas, kelelahan akibat kurang tidur, selama persalinan
dan setelah persalinan kecemasan akan kemampuan ibu untuk merawat bayinya setelah
meninggalkan rumah sakit atau fasilitas kesehatan dan ketakutan memiliki tubuh yang
tidak menarik, jika gejala tersebut terjadi pada waktu 1-3 hari setelah persalinan
maka hal tersebut normal, namun jika berlanjut berhari-hari atau 1 minggu lebih,
ibu tidak mau merawat dirinya sendiri maka ibu di khawatirkan mengalami depresi
post partum. Jika ibu mengalami salah satu tanda di atas maka ibu harus periksa ke
tenaga kesehatan agar segera di tangani, sehingga terhindar dari komplikasi yang
lebih berat. Adapun pencegahannya adalah nutrisi dan hidrasi yang cukup, istirahat
yang cukup, kebersihan dan perawatan diri yang baik, serta dukungan dari suami dan
keluarga.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi708 \li720 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720
\rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Memberitahu pada ibu bahwa
akan da kunjungan rumah 6 minggu yang akan datang. Melakukan pendokumentasian, }{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \fi708 \li720 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \s33 \qj \fi-
360 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin786 \rin0 \itap0 \ls8 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \
fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \f3 4.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2
\loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Nifas 6 Minggu
( Tanggal }{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 01}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \
af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Maret 201}{\b1 \fs24
\rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 7}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 Pukul 1}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 0}{\b1 \fs24 \
rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 .00 WIB )}{\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Pada kunjungan
nifas ke-6 minggu dilakukan pada tanggal 01 maret 2017 pukul 10.00 WIB didapatkan
data subjektif ibu tidak ada keluhan, bayi tetap diberikan ASI.}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 Hasil dari data objektif yaitu keadaan umum
baik, keadaan emosional stabil, kesadaran composmentis. Tanda-tanda vital yaitu
Tekanan Darah 110/70 mmHg, nadi 80 x/menit, respirasi 20 x/menit, suhu 36,50C. TFU
sudah tidak teraba, kontraksi baik, kandung kemih kosong, pengeluaran lochea tidak
ada.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \
itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Berdasarkan pengkajian maka didapat
diagnosa P3A0 Post Partum 6 Minggu.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \
fi556 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3
\hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Penatalaksaan
yang diberikan yaitu Melakukan informed consent atas tindakan yang akan
dilakukan,Memberitahukan hasil pemeriksaan bahwa keadaan ibu baik TD: 110/80 MmHg,
N:80x/menit, R:20x/menit, S:36,50C, kontaksi baik, TFU tidak teraba, kandung kemih
kosong, sudah tidak ada lochea, luka hecting sudah menjadi daging.}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 Memeriksa kembali bahwa involusi uterus
berjalan dengan baik karena payudara sudah mengeluarkan ASI, kontraksi uterus baik,
TFU tidak teraba, kandung kemih kosong, sudah tidak ada lochea.}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 Memberitahukan ibu penkes tentang kebutuhn
pada masa nifas yaitu nutrisi,istirahat,mobilisasi,personal hygineperawatan
payudara,dan tanda bahaya nifas yaitu sama seperti pada saat kunjungan nifas 2
minggu.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720
\rin0 \itap0 \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 Memberitahukan ibu tentang pentingnya ASI
eksklusif }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1035 \
langnp1035 \langfe1033 \langfenp1033 dan menganjurkan ibu untuk memberikan ASI
sesering mungkin 2-3 jam sekali}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \
f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 yaitu sama seperti pada saat
kunjungan nifas 2 minggu.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin720 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Memberitahukan
ibu teknik menyusui yang benar yaitu sama seperti pada saat kunjungan nifas 2
minggu.}{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi556 \li720 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720
\rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Memastikan ibu sudah
memilih alat kontrasepsi, dan ibu sudah menggunakan alat kontrasepsi yaitu KB
suntik 3 bulan karena tidak mengganggu produksi ASI, Melakukan pendokumentasian.}{\
fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \li720 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22
\rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\b1 \fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 Evaluasi}{\fs24 \rtlch \ltrch \dbch \af3 \hich
\af2 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 :}{\fs24 \rtlch \
ltrch \dbch \af3 \hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi720 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \rtlch
\ltrch \dbch \af3 \hich \af2 \loch \af7 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 Pukul 10.00 WIB hasil yang di dapatkan yaitu
ibu dalam keadaan baik, TFUsudah tidak teraba, kontraksi baik, kandung kemih
kosong, tidak ada lochea,Ibu sudah menggunakan}{\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 alat
kontrasepsi yaitu kb suntik 3 bulan }{\fs24 \rtlch \ltrch \dbch \af3 \hich \af2 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \
li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin0 \rin0 \itap0 \fs22 \rtlch \ltrch \dbch \af3 \hich \af2 \loch \af7
\lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \rtlch \ltrch \dbch \af3 \
hich \af2 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }}