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TUJUAN INSTRUKSIONAL UMUM

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Setelah mengikuti kuliah : ------- Mampu :


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Mengetahui dan memahami perbedaan janin dan neonatus
Mengetahui dan memahami perawatan neonatus normal Mengetahui dan memahami tanda – tanda bahaya / Kegawatan perinatal pada neonatus

• Mengetahui dan memahami pengelolaan awal Kegawatan Perinatal

TUJUAN INSTRUKSIONAL KHUSUS

MAMPU MENGETAHUI DAN MEMAHAMI

KEGAWATAN PERINATAL DAN TATA CARA
MERUJUK KE UNIT PERAWATAN NEONATAL

YANG LEBIH TINGGI

Pediatrics Obstetrics Perinatology .

1 month after birth Neonatal period : Birth--------.1 month after birth .Perinatal period : Statistic usage: 28 weeks ------.1 week after birth Science and Service usage : conception ----.

Fetus * Fetal circulation * O2 depend to Utero placental circulation * Nutrition depend on maternal status Neonates * Neonatal circulation * O2 – own produce by breathing * Feed ---.Breast feeding * .

Birth Fetus Neonate Resuscitation Adaptation .

Normal Newborn • Gestational age > 37 weeks • Birth weight : 2500 – 4000 gr • Crying at birth ( Apgar Score >7) • No severe Congenital Malformation Regardless to the type of delivery .

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3. 5. 4.NEONATAL ESSENTIAL CARE 1. 2. CLEAN & SAFE DELIVERY TEMPERATURE STABILITY INISIATE SPONTANEOUS RESPIRATION EARLY BREAST FEEDING INFECTION PREVENTION & IMMUNIZATION .

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small gauze pads • A clean plastic envelope/cloth to keep the kit in .Content of clean delivery kit ( At home ) • Soap for washing hands • 2 to 3 sterilized cord ties • A new clean blade/boiled home instrument to cut cord • Clean sun dried cloth sheet.

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skin color ** Asphyxia *** Not Asphyxia resuscitate Apgar Score Newborn care .respiratory effort.Assessing/Evaluate the baby : At birth : . heart rate.

APGAR SCORE Symptom/Sign Pulse Respiratory effort Muscle tone 0 none 0 1 < 100/mnt grunting 2 >100/mnt Crying Floppy Partial flexion Full flexion. active Sensitive to stimulation Color No response Grimace Crying Pale Blue Pink .

Severe Asphyxia .5 – 10 minutes • Divided : .Mild. Moderate.APGAR SCORE • • • • • Just for Assesment Not for starting resuscitation For determine prognosis 5 variables comprehensively Observed consecutively : 1.

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DAOM = Depressor angular oris muscle .

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povidone iodine .breast milk (colustrum ) .alcohol 70 % .Another option : .

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Tetracycline 1 % oinment ---for prophylaxis .5 % .Erythromycine 0.

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Prefer to Refer: I D A I Guideline for Immunization .

. Pallor PERINATAL DISTRESS AFTER BIRTH .