LAPORAN TUTORIAL BLOK 2.

3 MODULE 3
TUTOR : Dr. Edison, MPH

OLEH : Anggota kelompok 14 B Bagus Sedayu Eka Putri Dewi Oktavia Larissa Ardelia Putri Nisha Anggia Yosantara Putra Akbara Pradana Reza Aditama Radjasa Gunasellan Letchumanan

FAKULTAS KEDOKTERAN UNIVERSITAS ANDALAS TAHUN 2011

MODULE 2: PREGNANCY pathological SCENARIO 2: PREGNANCY IS DIFFICULT Ny.Zulaika ? . Zulaika.Zulaika 2 months of pregnancy had experienced bleeding a little but since then no bleeding ever again. and no history of hypertension outside of pregnancy. 42 years old. has 3 children and is currently 8 months pregnant. edema pretibia () and urinary protein 2. living in junction West Pasaman. from the examination. At the time control to clinic blood pressure was found Ny.Zulaika 160/110 mmHg. so doctors clinic. Then the doctor put an IV in the form regimen of MgSO4. FHR 140x/menit regular. CTG and laboratories. Mother Zulaikapun room pathological pregnancies treated in hospitals West Pasaman. Then the doctor gave explaination in the mother that this time she suffered from preeclampsia weight with the possibility of impaired fetal growth and should be done treatment and investigation of ultrasound. In hospitals. Ny. physician specialists Obsgyn make history again and note that on Ny. so that immediately refer to the hospitals. the doctor also put a urinary catheter and give antihypertensive drugs. how do you explain what happens in pregnancy Ny. Doctors found a high physical fundus 2 fingers above the center.Zulaika suspect had pre eclampsia.doctor This clinic is understood that preeclampsia is one cause of death Mother primary in West Sumatra.

pathology.regular with age 8 months pregnancy? 14. 2. proteinuria. What other disorders that can occur in the mother during pregnancy? . complications. whether the relationship bleeding 2 months of pregnancy with pre eclampsia in ny. Proteinuria: the presence of protein in urine with range 0-5 3. due to pre eclampsia? 9. What is the relationship of age with her pregnancy? 2. CTG and labor? 15. What ties the results of two fingers above the center. zulaika preeclampsia with no bleed again? 13. Edema pretibia: state of the leg to swell in pregnancy due to accumulation of fluid in the leg. what is the relationship ny. what are the benefits of urine catheter and antihypertensive drugs? 6. why pre-eclampsia one cause of death brag? 8. DJJ 140 / minute: normal 140 but no variability Identification of problems 1.symptoms of pre eclampsia? 4. Regimens: treatment patterns daitur strictly designed to achieve specific goals 5. whether the symptoms . why pre-eclampsia can cause growth disorders in the fetus? 12. What antihypertensive drugs administered yan doctor? 7. how preeclampsia can occur.zulaika? 10. DJJ 14O times per minute. why ny. Pre eclampsia: hypertension arising after the age of 20 weeks gestation with proteinuria 4. zulaika could be pre eclampsia but no history of hypertension outside ofpregnancy? 11. Ultrasound examination of why it needs to do. whether the association of edema. Severe pre eclampsia: pre-eclampsia with the systole and diastole greater than 160greater than 110 6. with pre eclampsia? 3.Terminology 1. why do doctors give intravenous regimen of MgSO4? 5.

Kidney failure 4.. a beta blocker > labetalol.Blood pressure greater than 160/110 per minute . risk factors over 35 years primigravida: first-time mother.Increased heart rate .. isradipin) 7.12.anticonvulsants .. primiparas: first-time mom extreme age kidney disease obesity 2. nifedipine 50-10 mg orally.Preventing seizures . air and food pathways is reduced. caused by fatty foods. preeclampsia -> high blood pressure -> decreased blood flow in spiral arteries -> hypoxia plasma volume decreases causing hypovolemia and decreased renal blood flow. catheter is used because the patient must lie in state. blood flow.Analysis of the problem 1.> 35 years 11. there wasbleeding 10.Impaired vision .Severe headache . failed berinvasi.Generalized edema .Inhibitor of uterine contractions -regulate blood pressure . antihypertensive drugs used to lowerblood pressure 6. lack of placental blood flow. Other risk factors are extreme age <20 years. vasoconstriction of the endometrium is not firmly attached to the trophoblast.the damaged endothelial endothelin release that is vasokontriktor. and oily.. labetalol.. this leads to endothelial damage. 3. eventually there was proteinuria.Lowered levels of acetyl choline 5.calcium channel blockers (nimodipin. this willlead to increased membrane permeability. so this increases the risk factor of hypertension 8. symptoms: . causing stunted growth ininfants . sodium nitroprusside. resulting in plateletaggregation 9. there was vasoconstriction. MgSO4 function: .

mean 32 weeks. the baby is likely to grow is hampered. diabetes.13. which means 28 weeks.Hypothyroidism: mental retardation . gestational: only during pregnancy Gestational pros: grow larger thyroid disorders .Hyperthyroidism: miscarriage . urine tests CTG: heart rate. because the size of the baby was smaller than it should be based on her pregnancy. while emeriksaan obtained from two fingersabove the center. gestational age is 8 months. for laboratory examination. whether normal or not normal 15. 14. there is no variability..

Gender. pathological and pharmacological management of pregnancy 7. hypertension in pregnancy 5. MDG1 although associated with poverty and hunger. impaired fetal growth 4. Disease. MMR and IMR and the factors that cause 2. Managerial 3. Other Diseases COMPLICATIONS -Bleeding -eclampsia -infectionPertus -Complications of Miscarriage Referring Late Late Up Too Late Adequate Relief dies MDGs Millennium DevelopmentGoals (MDG's) or the Millennium Development Goals is an attempt to fulfill the fundamental rights of human needs through a shared commitmentamong the 189 UN member states to implement the 8 (eight) development goals 1. Achieve universal primary education 3. Nutrition. Eradicate poverty and hunger. reference to high-risk pathological pregnancies 8. drugs. Culture 2. bleeding in pregnancy 3. complications of pregnancy 6. 2. Geography. Pregnant women: 4 Too.Learning Objectives students are able to explain: 1. Economics. Personnel. facilities. preventive and promotive Maternal mortality and infant mortality The risk of maternal & child deaths occur most widely in the period of birth Determinants of Maternal Mortality: 1. butthe most decisive indicator is the prevalence of undernourishment and malnutrition. Promote gender equality and empowerment female 4.Pendidikan. Reducing child mortality .

malaria and illness other infectious 7.5. Environmental sustainability 8. . Combating the spread of HIV / AIDS. Build a global partnership in development.increase maternal health 6.