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  • PALS Cardiac Arrest Algorithm 2018

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    Che Sulaeman
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    This document discusses disproportionate fetal head-pelvis, which occurs when the fetal head does not fit through the pelvis during birth due to mismatch in size. It provides measurements of normal pelvis inlet, midlet and outlet dimensions. Factors influencing fetal head size like position and station are also described. The prevalence of disproportionate fetal head-pelvis in Indonesia is 3.8% and options for diagnosis and management are discussed, including pelvimetry, trial of labor and cesarean section.

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    This document discusses disproportionate fetal head-pelvis, which occurs when the fetal head does not fit through the pelvis during birth due to mismatch in size. It provides measurements of normal pelvis inlet, midlet and outlet dimensions. Factors influencing fetal head size like position and station are also described. The prevalence of disproportionate fetal head-pelvis in Indonesia is 3.8% and options for diagnosis and management are discussed, including pelvimetry, trial of labor and cesarean section.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    23 views17 pages

    PALS Cardiac Arrest Algorithm 2018

    Uploaded by

    Che Sulaeman
    This document discusses disproportionate fetal head-pelvis, which occurs when the fetal head does not fit through the pelvis during birth due to mismatch in size. It provides measurements of normal pelvis inlet, midlet and outlet dimensions. Factors influencing fetal head size like position and station are also described. The prevalence of disproportionate fetal head-pelvis in Indonesia is 3.8% and options for diagnosis and management are discussed, including pelvimetry, trial of labor and cesarean section.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 17

    Disproporsi Kepala Panggul

    Aldi Andika Nugratama 1740312201


    dr. Hudila Rifa Karmia, Sp.OG
    Panggul

    Sakrum Koksigis

    2 tulang
    inominata
    Inlet

    KA 11.5 KD 12.5
    cm cm

    KV=KD-
    1.5 cm
    Midlet
    Outlet
    Tipe Panggul (Caldwell-Moloy)
    Kepala Janin
    Suboksipitobregmatikus
    (terkecil): 32 cm

    Oksipitofrontalis
    (terbesar): 34.5 cm
    Kondisi Janin

    Ukuran Letak Presentasi

    Postur Posisi Station


    CPD

    • Ketidaksesuaian antar kepala janin


    dan panggul ibu, sehingga janin
    tidak dapat keluar melalui vagina
    Kapasitas Panggul
    Inlet

    • Tingkat I : CV = 9-10 cm = borderline


    • Tingkat II : CV = 9-8 cm = relatif
    • Tingkat III : CV = 6-8 cm = ekstrim
    • Tingkat IV : CV = 6 cm = mutlak (absolut)

    Midlet

    • Distansia interspinarum < 10 cm

    Outlet

    • Distansia intertuberosum < 8 cm


    Dimensi Janin

    Ukuran besar

    Malposisi
    Prevalensi
    Indonesia: 3,8%

    Asia Tenggara: 6,3%

    Dunia: 8% kematian ibu


    Pelvimetri
    klinis
    Trial of
    Diagnosis
    Labour
    Pelvimetric
    imaging
    Tatalaksana

    Trial of
    SC
    labour
    TERIMAKASIH

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