tag:blogger.com,1999:blog-72613427269114692622024-03-13T11:22:31.103-07:00Ilmu KebidananChiloed Midwifeludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-7261342726911469262.post-62201508370612712692018-05-20T22:55:00.001-07:002018-05-20T22:55:04.960-07:00HAP (Haemorargie Ante Partum)<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://www.blogger.com/null" name="_GoBack"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">BAB I<o:p></o:p></span></b></a></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">PENDAHULUAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1. 1<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">Latar
Belakang<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif";">Menurut Federasi
Obstetri Ginekologi Internasional, kehamilan adalah fertilisasi atau penyatuan
dari spermatozoa dan ovum yang dilanjutkan dengan nidasi atau implantasi
(Prawirohardjo, 2010). Apabila kehamilan ini direncanakan, akan memberi rasa
kebahagiaan dan penuh harapan.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Mortalitas dan
morbiditas pada wanita hamil dan bersalin adalah masalah besar di negara
berkembang.Menurut definisi WHO, kematian ibu adalah kematian seorang wanita
hamil atau selama 40 hari sesudah kehamilan oleh sebab apapun terlepas dari
tuanya kehamilan dan tindakkan yang dilakukan untuk mengakhiri kehamilan.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Menurut Survei
Demografi Kesehatan Indonesia (SDKI) tahun<span style="mso-spacerun: yes;">
</span>2007 angka kematian ibu adalah 228 per 100.000 kelahiran hidup, dan pada
tahun 2012 AKI di Indonesia melonjak menjadi 359 per 100.000 kelahiran hidup .
Sedangkan AKI di DKI Jakarta sebesar 93 per 100.000 kelahiran hidup (BKKBN,
2013).<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Menurut laporan WHO
(2008), kematian ini dapat disebabkan oleh 25% perdarahan, 20% penyebab tidak
langsung, 15% infeksi, 13% aborsi yang tidak aman, 12% eklampsi, 8% penyulit
persalinan, dan 7% penyebab lainnya.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Perdarahan pada
kehamilan harus selalu dianggap sebagai suatu kelainan yang
berbahaya.Perdarahan pada kehamilan muda disebut keguguran atau abortus,
sedangkan pada kehamilan tua disebut perdarahan antepartum atau hemorrhagic
antepartum.Hemorrhagic antepartum biasanya perdarahan jalan lahir setelah
kehamilan usia 28 minggu (Alamsyah, 2012). <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Hemorrhagic antepartum
yang berbahaya umumnya bersumber pada kelainan plasenta, yaitu plasenta previa
dan solusio plasenta (Manuaba, 2004).Sedangkan perdarahan yang tidak bersumber
pada kelianan plasenta umumnya kelainan serviks, biasanya tidak terlalu
berbahaya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1. 2<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">Tujuan<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1. 2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Mengetahui
batasan hemorrhagic antepartum pada kehamilan.<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Mengetahui
dan memahami hemorrhagic antepartum yang bersumber pada kelainan plasenta.<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">BAB II<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">PEMBAHASAN<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif";">Hemorrhagic antepartum adalah perdarahan yang
terjadi pada trimester III atau usia kehamilan diatas 28 minggu atau berat
janin diatas 1000 gram (Manuaba, 1995).<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Salah
satu penyebabnya adalah solusio plasenta dan plasenta previa.Oleh sebab itu,
perlulah keadaan ini diantisaipasi seawal-awalnya selagi perdarahan belum
sampai ke tahap yang membahayakan ibu dan janinnya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">SOLUSIO
PLASENTA<o:p></o:p></span></b></div>
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</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Definisi<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif";">Solusio
plasenta adalah terlepasnya plasenta sebelum waktunya dengan implantasi normal
pada kehamilan trimester ketiga.Terlepasnya plasenta sebelum waktunya ini
menyebabkan akumulasi darah antara plasenta dan dinding rahim yang dapat
menimbulkan gangguan/penyulit terhadap ibu maupun janin (Manuaba, 2010).<o:p></o:p></span></div>
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</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Klasifikasi</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Plasenta dapat terlepas hanya pada pinggirnya saja
(rupture sinus marginalis), dapat pula terlepas lebih luas (solusia plasenta
parsialis), atau bisa seluruh permukaan maternal plasenta terlepas(solusio
plasenta totalis). Perdarahan yang terjadi dalam banyak kejadian akan merembes
antara plasenta dan miometrium untuk seterusnya menyelinap dibawah selaput
ketuban dan akhirnya memperoleh jalan ke kanalis servikalis dan keluar melalui
vagina. Tetapi ada kalanya perdarahan tersebut tidak keluar melalui vagina, hal
itu terjadi karena bagian plasenta sekitar perdarahan masih melekat pada
dinding rahim, selaput ketuban masih melekat pada dinding rahim, atau perdarahan
masuk<span style="mso-spacerun: yes;"> </span>kedalam kantong ketuban setelah
selaput ketuban pecah ataupun bagian terbawah janin umumnya kepala, menempel
erat pada segmen bawah rahim.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Dalam hal klinis solusio plasenta dibagi kedalam berat
ringannya gambaran klinik sesuai luasnya permukaan plasenta yang terlepas<span style="mso-spacerun: yes;"> </span>yaitu :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Solusio
Plasenta Ringan<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Luas
plasenta yang terlepas tidak sampai 25 %, atau ada yang menyebutkan kurang dari
1/6 bagian<span style="mso-spacerun: yes;"> </span>ada juga yang menyebutkan
kurang dari ¼ luasnya.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Jumlah
darah yang keluar biasanya kurang dari 250 ml. tumpahan darah yang keluar
terlihat seperti darah haid baervariasi dari sedikit sampai seperti menstruasi
yang banyak.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Gejala-gejala perdarahan sukar dibedakan dari plasenta
previa kecuali warna darahnya yang kehitaman. Komplikasi terhadap ibu dan janin
belum ada, ada sumber yang menyebutkan persalinan dapat berjalan dengan lancar
pervaginam.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Solusio
Plasenta sedang<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Luas plasenta yang terlepas telah melebihi 25%, tetapi
belum mencapai separuhnya (50%).<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Jumlah darah yang keluar lebih banyak dari 250 ml tetapi
belum mencapai 1.000 ml. umumnya tumpahan darah terjadi keluar dan kedalam
bersama-sama.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Gejala-gejala
dan tanda-tanda sudah jelas seperti rasa nyeri pada perut yang terus menerus,
denyut jantung janin menjadi cepat, hipotensi, dan takikardia.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Solusio
Plasenta Berat<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Luas
plasenta yang terlepas sudah melebihi 5 %. Jumlah darah yang keluar telah
mencapai 1000 ml atau lebih. Tumpahan darah bisa terjadi keluar dan kedalam
bersama-sama. <o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Gejala-gejala dan tanda-tanda klinik jelas, keaadaan umum
penderita buruk disertai syok, dan hampir semua janinnya telah meninggal.
Komplikasi koagulopati dan gagal ginjal yang ditandai pada oliguri biasanya
telah ada.</span><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 72.0pt; margin-right: .85pt; margin-top: 0cm; mso-add-space: auto; tab-stops: 44.25pt; text-indent: -36.55pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Untuk memudahkan dalam pehaman berikut disajikan dalam
tabel gambaran klinik dari solusio plasenta<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableMediumGrid1Accent5" style="border-collapse: collapse; border: none; mso-border-alt: solid #78C0D4 1.0pt; mso-border-themecolor: accent5; mso-border-themetint: 191; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 26.45pt; mso-yfti-firstrow: yes; mso-yfti-irow: -1;">
<td style="background: #D2EAF1; border: solid #78C0D4 1.0pt; height: 26.45pt; mso-background-themecolor: accent5; mso-background-themetint: 63; mso-border-themecolor: accent5; mso-border-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-yfti-cnfc: 5; text-align: center; text-indent: -18.0pt;">
<b><span style="font-family: "Times New Roman","serif";">Solusio Plasenta Ringan<o:p></o:p></span></b></div>
</td>
<td style="background: #D2EAF1; border-left: none; border: solid #78C0D4 1.0pt; height: 26.45pt; mso-background-themecolor: accent5; mso-background-themetint: 63; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-themecolor: accent5; mso-border-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-yfti-cnfc: 1; text-align: center; text-indent: -18.0pt;">
<b><span style="font-family: "Times New Roman","serif";">Solusio Plasenta Sedang<o:p></o:p></span></b></div>
</td>
<td style="background: #D2EAF1; border-left: none; border: solid #78C0D4 1.0pt; height: 26.45pt; mso-background-themecolor: accent5; mso-background-themetint: 63; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-themecolor: accent5; mso-border-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-yfti-cnfc: 1; text-align: center; text-indent: -18.0pt;">
<b><span style="font-family: "Times New Roman","serif";">Solusio Plasenta Berat<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 0;">
<td style="background: #A5D5E2; border-top: none; border: solid #78C0D4 1.0pt; mso-background-themecolor: accent5; mso-background-themetint: 127; mso-border-themecolor: accent5; mso-border-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="left" class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-yfti-cnfc: 68; text-align: left; text-indent: 0cm;">
<b><span style="font-family: "Times New Roman","serif";">lebih 30% penderita solusio plasenta ringan tidak
atau sedikit sekali melahirkan gejala<o:p></o:p></span></b></div>
</td>
<td style="background: #A5D5E2; border-bottom: solid #78C0D4 1.0pt; border-left: none; border-right: solid #78C0D4 1.0pt; border-top: none; mso-background-themecolor: accent5; mso-background-themetint: 127; mso-border-bottom-themecolor: accent5; mso-border-bottom-themetint: 191; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-right-themecolor: accent5; mso-border-right-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="left" class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-yfti-cnfc: 64; text-align: left; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif";">Gejala-gejala dan tanda-tanda sudah jelas<o:p></o:p></span></div>
</td>
<td style="background: #A5D5E2; border-bottom: solid #78C0D4 1.0pt; border-left: none; border-right: solid #78C0D4 1.0pt; border-top: none; mso-background-themecolor: accent5; mso-background-themetint: 127; mso-border-bottom-themecolor: accent5; mso-border-bottom-themetint: 191; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-right-themecolor: accent5; mso-border-right-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="left" class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-yfti-cnfc: 64; text-align: left; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif";">Gejala-gejala dan tanda-tanda sudah sangat jelas<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="background: #D2EAF1; border-top: none; border: solid #78C0D4 1.0pt; mso-background-themecolor: accent5; mso-background-themetint: 63; mso-border-themecolor: accent5; mso-border-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="left" class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-yfti-cnfc: 4; text-align: left; text-indent: 0cm;">
<b><span style="font-family: "Times New Roman","serif";">Rasa nyeri pada perut masih ringan<o:p></o:p></span></b></div>
</td>
<td style="background: #D2EAF1; border-bottom: solid #78C0D4 1.0pt; border-left: none; border-right: solid #78C0D4 1.0pt; border-top: none; mso-background-themecolor: accent5; mso-background-themetint: 63; mso-border-bottom-themecolor: accent5; mso-border-bottom-themetint: 191; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-right-themecolor: accent5; mso-border-right-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="left" class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: left; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif";">rasa
nyeri pada perut yang terus-menerus<o:p></o:p></span></div>
</td>
<td style="background: #D2EAF1; border-bottom: solid #78C0D4 1.0pt; border-left: none; border-right: solid #78C0D4 1.0pt; border-top: none; mso-background-themecolor: accent5; mso-background-themetint: 63; mso-border-bottom-themecolor: accent5; mso-border-bottom-themetint: 191; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-right-themecolor: accent5; mso-border-right-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="left" class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: left; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif";">Perut
sangat nyeri dan tegang serta keras seperti papan<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="background: #A5D5E2; border-top: none; border: solid #78C0D4 1.0pt; mso-background-themecolor: accent5; mso-background-themetint: 127; mso-border-themecolor: accent5; mso-border-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="left" class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-yfti-cnfc: 68; text-align: left; text-indent: 0cm;">
<b><span style="font-family: "Times New Roman","serif";">darah yang keluar masih sedikit.<o:p></o:p></span></b></div>
</td>
<td style="background: #A5D5E2; border-bottom: solid #78C0D4 1.0pt; border-left: none; border-right: solid #78C0D4 1.0pt; border-top: none; mso-background-themecolor: accent5; mso-background-themetint: 127; mso-border-bottom-themecolor: accent5; mso-border-bottom-themetint: 191; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-right-themecolor: accent5; mso-border-right-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="left" class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-yfti-cnfc: 64; text-align: left; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif";">perdarahan yang tampak keluar lebih banyak,<o:p></o:p></span></div>
</td>
<td style="background: #A5D5E2; border-bottom: solid #78C0D4 1.0pt; border-left: none; border-right: solid #78C0D4 1.0pt; border-top: none; mso-background-themecolor: accent5; mso-background-themetint: 127; mso-border-bottom-themecolor: accent5; mso-border-bottom-themetint: 191; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-right-themecolor: accent5; mso-border-right-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="left" class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-yfti-cnfc: 64; text-align: left; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif";">perdarahan yang tampak keluar semakin banyak, dan berwarna
hitam. <o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="background: #D2EAF1; border-top: none; border: solid #78C0D4 1.0pt; mso-background-themecolor: accent5; mso-background-themetint: 63; mso-border-themecolor: accent5; mso-border-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="left" class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-yfti-cnfc: 4; text-align: left; text-indent: 0cm;">
<b><span style="font-family: "Times New Roman","serif";">Tanda-tanda vital dan keadaan umum ibu ataupun
janin masih baik<o:p></o:p></span></b></div>
</td>
<td style="background: #D2EAF1; border-bottom: solid #78C0D4 1.0pt; border-left: none; border-right: solid #78C0D4 1.0pt; border-top: none; mso-background-themecolor: accent5; mso-background-themetint: 63; mso-border-bottom-themecolor: accent5; mso-border-bottom-themetint: 191; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-right-themecolor: accent5; mso-border-right-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="left" class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: left; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif";">Keadaan
umum ibu mulai menurun, takikardi, hipotensi, kulit dingin dan keringatan,
oliguria mulai ada<o:p></o:p></span></div>
</td>
<td style="background: #D2EAF1; border-bottom: solid #78C0D4 1.0pt; border-left: none; border-right: solid #78C0D4 1.0pt; border-top: none; mso-background-themecolor: accent5; mso-background-themetint: 63; mso-border-bottom-themecolor: accent5; mso-border-bottom-themetint: 191; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-right-themecolor: accent5; mso-border-right-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="left" class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: left; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif";">keadaan
umum ibu dan janin buruk<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="background: #A5D5E2; border-top: none; border: solid #78C0D4 1.0pt; mso-background-themecolor: accent5; mso-background-themetint: 127; mso-border-themecolor: accent5; mso-border-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-yfti-cnfc: 68; text-align: justify; text-indent: 0cm;">
<b><span style="font-family: "Times New Roman","serif";">Auskultasi
Denyut jantung janin masih bisa terdengar dan masih dalam keadaan normal<o:p></o:p></span></b></div>
</td>
<td style="background: #A5D5E2; border-bottom: solid #78C0D4 1.0pt; border-left: none; border-right: solid #78C0D4 1.0pt; border-top: none; mso-background-themecolor: accent5; mso-background-themetint: 127; mso-border-bottom-themecolor: accent5; mso-border-bottom-themetint: 191; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-right-themecolor: accent5; mso-border-right-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-yfti-cnfc: 64; text-align: justify; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif";">Auskultasi
denyut jantung janin biasanya telah menunjukan gawat janin,<o:p></o:p></span></div>
</td>
<td style="background: #A5D5E2; border-bottom: solid #78C0D4 1.0pt; border-left: none; border-right: solid #78C0D4 1.0pt; border-top: none; mso-background-themecolor: accent5; mso-background-themetint: 127; mso-border-bottom-themecolor: accent5; mso-border-bottom-themetint: 191; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-right-themecolor: accent5; mso-border-right-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-yfti-cnfc: 64; text-align: justify; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif";">auskultasi
denyut jantung janin sudah tidak terdengar lagi akibat gangguan anatomic dan
fungsi dari plasenta<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="background: #D2EAF1; border-top: none; border: solid #78C0D4 1.0pt; mso-background-themecolor: accent5; mso-background-themetint: 63; mso-border-themecolor: accent5; mso-border-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-yfti-cnfc: 4; text-align: justify; text-indent: 0cm;">
<b><span style="font-family: "Times New Roman","serif";">pada
palpasi sedikit terasa nyeri local pada tempat terbentuknya hematom dan perut
sedikit tegang tetapi bagian-bagian janin masih dapat dikenal.<o:p></o:p></span></b></div>
</td>
<td style="background: #D2EAF1; border-bottom: solid #78C0D4 1.0pt; border-left: none; border-right: solid #78C0D4 1.0pt; border-top: none; mso-background-themecolor: accent5; mso-background-themetint: 63; mso-border-bottom-themecolor: accent5; mso-border-bottom-themetint: 191; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-right-themecolor: accent5; mso-border-right-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif";">Pada
pemantauan kadaan janin dengan kardiotokografi bisa jadi sudah ada deselerasi
lambat. Rasa nyeri dan tegang perut jelas, sehingga palpasi bagian – bagian
anak sukar<o:p></o:p></span></div>
</td>
<td style="background: #D2EAF1; border-bottom: solid #78C0D4 1.0pt; border-left: none; border-right: solid #78C0D4 1.0pt; border-top: none; mso-background-themecolor: accent5; mso-background-themetint: 63; mso-border-bottom-themecolor: accent5; mso-border-bottom-themetint: 191; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-right-themecolor: accent5; mso-border-right-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif";">Pada
palpasi bagian-bagian janin tidak mungkin lagi dilakukan.karena Perut sangat
nyeri dan tegang serta keras seperti papan disertai perdarahan hitam.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: 0cm;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6; mso-yfti-lastrow: yes;">
<td style="background: #A5D5E2; border-top: none; border: solid #78C0D4 1.0pt; mso-background-themecolor: accent5; mso-background-themetint: 127; mso-border-themecolor: accent5; mso-border-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-yfti-cnfc: 68; text-align: justify; text-indent: 0cm;">
<b><span style="font-family: "Times New Roman","serif";">Kadar
fibrinogen dalam darah dalam batas normal yaitu 350 mg %.<o:p></o:p></span></b></div>
</td>
<td style="background: #A5D5E2; border-bottom: solid #78C0D4 1.0pt; border-left: none; border-right: solid #78C0D4 1.0pt; border-top: none; mso-background-themecolor: accent5; mso-background-themetint: 127; mso-border-bottom-themecolor: accent5; mso-border-bottom-themetint: 191; mso-border-left-alt: solid #78C0D4 1.0pt; mso-border-left-themecolor: accent5; mso-border-left-themetint: 191; mso-border-right-themecolor: accent5; mso-border-right-themetint: 191; mso-border-top-alt: solid #78C0D4 1.0pt; mso-border-top-themecolor: accent5; mso-border-top-themetint: 191; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.9pt;" valign="top" width="181">
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-yfti-cnfc: 64; text-align: justify; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif";">Kadar
fibrinogen<span style="mso-spacerun: yes;"> </span>berkurang antara 150-250
mg/100 ml,<o:p></o:p></span></div>
</td>
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<span style="font-family: "Times New Roman","serif";">Kadar
fibrinogen darah rendah yaitu kurang dari 150 mg % dan telah ada
trombositopenia<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
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<br /></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Penatalaksanaan<o:p></o:p></span></b></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Semua pasien yang tersangka menderita solusio plasenta
harus dirawat inap dirumah sakit yang berfasilitas cukup. Ketika masuk segera
lakukan :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Pemeriksaan
darah secara lengkap termasuk pemeriksaan Hb, dan golongan darah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">gambaran
pembekuan darah dengan memeriksa waktu pembekuan, waktu protombin, waktu
tromboplastin parsial, kadar fibrinogen dan kadar hancuran fibrinogen dalam
plasma. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Pemeriksaan
USG terutama untuk membedakan dengan plasenta previa dan memastikan janin masih
hidup.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Manakala diagnosis belum pasti dan janin hidup tanpa
tanda-tanda gawat janin, observasi yang ketat dengan kesiagaan dan fasilitas
yang bisa segera diaktifan untuk intervensi sewaktu-waktu muncul kegawat
daruratan.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Persalinan mungkin pervaginam mungkin juga harus
perabdominal bergantung banyaknya perdarahan, telah ada tanda-tanda persalinan
spontan atau belum, dan tanda-tanda gawat janin.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Penatalaksanaan
spesifik terhadap komplikasi dari solusio plasenta adalah sebagai berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Atasi
Syok<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Infus
larutan NS/RL untuk restorasi cairan, berikan 500 ml dalam 15 menit pertama dan
2 L dalam 2 jam pertama.(sesuai tatalaksana syok)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Berikan
transfuse darah segar untuk memperbaiki faktor pembekuan akibat koagulopati.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Tatalaksana
oliguria atau nekrosis tubuler akut<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Tindakan restorasi cairan,
dapat memperbaiki hemodinamika dan mempertahankan fungsi ekskresi system
urinaria. Tetapi apabila syok terjadi secara cepat dan telah berlansung lama
(sebelum dirawat), umumnya akan terjadi gangguan fungsi ginjal yang ditandai dengan
oliguria (produksi urin <30 ml/jam). Pada kondisi yang lebih berat dapat
terjadi anuria yang mengarah pada nekrosis tubulus renalis. Setelah estorasi
cairan, lakukan tindakan untuk mengatasi gangguan tersebut dengan cara :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Furosemida
40 mg dalam 1 l kristaloid dengan 40-60 tetesan permenit<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Bila
belum berhasil, gunakan manitol 500 ml dengan 40 tetesan permenit. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Atasi
hipofibrinogen<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Restorasi
cairan/ darah sesegera mungkin dapat menghindarkan terjadinya koagulopati.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Lakukan
uji beku darah (bedside coagulation test) untuk menilai fungsi pembekuan darah
(penilaian tak langsung kadar ambang fibrinogen). Caranya adalah sebagai
berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Ambil
darah vena 2 ml, masukan dalam tabung kemudian diobservasi, <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">genggam
bagian tabung yang berisi darah,<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">setelah
4 menit, miringkan tabung untuk melihat lapisan koagulasi di permukaan, <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">lakukan
hal yang sama setiap menit<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">bila
bagian permukaan tidak membeku dalam waktu 7 menit, maka diperkirakan titer
fibrinogen dianggap dibawah nilai normal (kritis),<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">bila
terjadi pembekuan tipis yang mudah robek bila tabung dimiringkan, keadaan ini
juga menunjukan kadar fibrinogen dibawah ambang normal.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Bila
darah segar tidak dapat segera diberikan,<span style="mso-spacerun: yes;">
</span>berikan plasma beku segar (15 ml/ kgBB)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Bila
plasma beku segar tidak tersedia, berikan kriopresipitat fibrinogen.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Pemberian
fibrinogen, dapat memperberat terjadinya koagulasi diseminata intravaskuler
yang berlanjut dengan pengendapan fibrin, pembendungan mikrosirkulasi didalam
organ-organ vital, seperti ginjal, glandula adrenalis, hipofisis dan otak.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Bila
perdarahan masih berlang<span style="mso-spacerun: yes;"> </span>(koagulopati)
dan trombosit dibawah 20.000 berikan konsentrasi trombosit.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Atasi
Anemia<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Darah
segar merupakn bahan terpilih untuk mengatasi anemia karena disamping
mengandung butir-butir darah merah, jjuga mengandung unsur pembekuan darah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Bila
restorasi cairan telah tercapai dengan baik tetapi pasien masih dalam kondisi
anemia berat, berikan packed cell.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Tindakan
Obstetrik<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Persalinan diharapkan dapat terjadi dalam 3 jam, umumnya
dapat pervaginam.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Seksio
Sesaria<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Seksio
sesaria dilakukan apabila :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Janin hidup dan pembukaan belum lengkap,<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Janin hidup, gawat janin, tetapi persalinan pervaginam
tidak dapat dilaksanakan dengan segera.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Janin mati tetapi kondisi serviks tidak memungkinkan
persalinan pervaginam dapat berlangsung dalam waktu yang singkat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Persiapan
untuk seksio sesaria, cukup dilakukan penanggulangan awal (stabilisasi dan
tatalaksana komplikasi) dan segera lahirkan bayi karena operasi merupakan
satu-satunya cara efektif untuk menghentikan perdarahan <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Hematoma
miometrium tidak mengganggu kontraksi uterus.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Observasi
ketat kemungkinan perdarahan ulangan (koagulopati)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Partus
pervaginam.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Pertus
pervaginam dilakukan apabila :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Janin hidup, gawat janin pembukaan lengkap dan bagian
terendah janin di dasar panggul, <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Janin telah meninggal dan pembukaan serviks lebih dari
dua<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Pada
kasus pertama, amniotomi (bila ketuban belum pecah) kemudian percepat kala II
dengan ekstraksi forceps (atau vakum)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Untuk
kasus kedua, lakukan amniotomi (bila ketuban belum pecah) kemudian akselerasi
dengan 5 unit oksitosin dalam dextrose 5 % atau RL, tetesan diatur sesuai
dengan kondisi kontraksi uterus<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Setelah
persalinan, gangguan pembekuan darah akan membaik dalam waktu 24 jam, kecuali
bila jumlah trombosit sangat rendah (perbaikan baru terjadi dalam 24 jam
kemudian).<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">PLASENTA
PREVIA<o:p></o:p></span></b></div>
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<br /></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Definisi<o:p></o:p></span></b></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Plasenta previa adalah plasenta yang berimplantasi pada
segmen bawah rahim demikian rupa sehingga menutupi seluruh atau sebagian dari
ostium uteri internum . (<i style="mso-bidi-font-style: normal;">Prawirohardjo.
2009</i>) <o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Klasifikasi<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Plasenta
previa totalis atau komplit adalah plasenta yang menutupi seluruh ostium uteri
internum.</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Bila </span><a href="http://www.lusa.web.id/plasenta/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">plasenta</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> menutupi seluruh </span><a href="http://www.lusa.web.id/tag/jalan-lahir/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">jalan lahir</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> pada tempat </span><a href="http://www.lusa.web.id/tag/implantasi/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">implantasi</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, jelas tidak
mungkin </span><a href="http://www.lusa.web.id/tag/bayi/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">bayi</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dilahirkan <i>in order to vaginam</i> (</span><a href="http://www.lusa.web.id/tag/normal/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">normal</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">/spontan/biasa), karena risiko </span><a href="http://www.lusa.web.id/tag/perdarahan/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">perdarahan</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> sangat hebat.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Plasenta
previa parsialis adalah plasenta yang menutupi sebagian ostium uteri internum.</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Bila hanya
sebagian/separuh </span><a href="http://www.lusa.web.id/plasenta/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">plasenta</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> yang menutupi </span><a href="http://www.lusa.web.id/tag/jalan-lahir/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">jalan lahir</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. Pada tempat </span><a href="http://www.lusa.web.id/tag/implantasi/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">implantasi</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> inipun risiko </span><a href="http://www.lusa.web.id/tag/perdarahan/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">perdarahan</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> masih besar dan biasanya tetap tidak dilahirkan melalui pervaginam.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Plasenta
previa marginalis adalah plasenta yang tepinya berada dipinggir ostium uteri
internum.</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Bila hanya bagian tepi </span><a href="http://www.lusa.web.id/plasenta/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">plasenta</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> yang menutupi </span><a href="http://www.lusa.web.id/tag/jalan-lahir/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">jalan lahir</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> bisa dilahirkan pervaginam tetapi risiko </span><a href="http://www.lusa.web.id/tag/perdarahan/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">perdarahan</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> tetap besar.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Plasenta
letak rendah adalah plasenta yang berimplantasi pada segmen bawah rahim
demikian rupa sehingga tepi bawahnya berada pada jarak kurang lebih 2 cm dari
ostium uteri internum. Jarak yang lebih dari 2 cm dianggap plasenta letak
normal</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. Bila hanya bagian tepi </span><a href="http://www.lusa.web.id/plasenta/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">plasenta</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> yang menutupi </span><a href="http://www.lusa.web.id/tag/jalan-lahir/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">jalan lahir</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> bisa dilahirkan pervaginam tetapi risiko </span><a href="http://www.lusa.web.id/tag/perdarahan/"><span lang="IN" style="color: windowtext; font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">perdarahan</span></a><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> tetap besar.<o:p></o:p></span></div>
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<o:lock v:ext="edit" aspectratio="f"/>
</v:shape><![endif]--><!--[if !vml]--><img alt="http://www.bidankita.com/images/stories/previa.jpg" border="0" height="245" src="file:///C:/Temp/msohtmlclip1/01/clip_image004.gif" v:shapes="Picture_x0020_6" width="491" /><!--[endif]--></span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo14; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Penatalaksanaan<o:p></o:p></span></b></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level2 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Penanganan
(Ekspektatif) Pasif <o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 72.0pt; margin-right: -7.1pt; margin-top: 0cm; mso-add-space: auto;">
<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Tujuan
ekspektatif ialah supaya janin tidak terlahir prematur, penderita dirawat tanpa
melakukan pemeriksaan dalam melalui kanalis servisis. Upaya diagnosis dilakukan
secara non invasif. Pemantauan klinis dilakukan secara ketat dan baik.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 72.0pt; margin-right: -7.1pt; margin-top: 0cm; mso-add-space: auto;">
<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Syarat-syarat
terapi ekspektatif:<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level5 lfo18; tab-stops: list 180.0pt 184.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">kehamilan
preterm dengan perdarahan sedikit yang kemudian berhenti<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level5 lfo18; tab-stops: list 180.0pt 184.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">belum
ada tanda-tanda in partu<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level5 lfo18; tab-stops: list 180.0pt 184.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">keadaan
umum ibu cukup baik- (kadar hemoglobin dalam batas normal)<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level5 lfo18; tab-stops: list 180.0pt 184.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>janin masih hidup<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 90.0pt; margin-right: -7.1pt; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 72.0pt; margin-right: -7.1pt; margin-top: 0cm; mso-add-space: auto;">
<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Ketentuan
terapi ekspektatif:<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Lakukan
pemeriksaan USG untuk mengetahui implantasi plasenta, usia kehamilan, letak dan
presentasi janin</span><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">.</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Berikan
tokolitik bila ada kontraksi <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">Berikan
pematangan paru janin selama 2 hari</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Bila
setelah usia di atas 34 minggu, plasenta masih berada di sekitar ostium uteri
internum, maka dugaan plasenta previa menjadi jelas, sehingga perlu dilakukan
observasi dan konseling untuk menghadapi kemungkinan keadaan gawat darurat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Bila
perdarahan berhenti dan waktu mencapai 37 minggu masih lama, pasien dapat
dipulangkan untuk rawat jalan (kecuali apabila rumah pasien di luar kota dan
jarak untuk mencapai rumah sakit lebih dari 2 jam)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Terapi
aktif (tindakan segera)<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Wanita hamil di
atas 2</span><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> minggu dengan perdarahan pervaginam yang aktif dan banyak, harus segera
ditatalaksana secara aktif tanpa memandang maturitas janin. Cara menyelesaikan
persalinan dengan plasenta previa<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seksio Cesarea<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persalinan
dengan secsio cesaria dilakukan atas indikasi semua plasenta totallis, janin
hidup atau meninggal, semua plasenta lateralis posterior, karena perdarhan yang
sulit dikontrol dan banyak,pada primigravida dengan plasenta previa lateralis,
juga dengan perdarahan yang banyak, dan cenderung berulang , juga dengan
panggul sempit dan letak lintang. Prinsip utama dalam melakukan seksio sesarea
adalah untuk menyelamatkan ibu, sehingga walaupun janin meninggal atau tak
punya harapan untuk hidup, tindakan ini tetap dilakukan.</span><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan seksio sesarea :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melahirkan janin
dengan segera sehingga uterus dapat segera berkontraksi dan menghentikan
perdarahan. Tempat implantasi plasenta previa terdapat banyak vaskularisasi
sehingga serviks uteri dan segmen bawah rahim menjadi tipis dan mudah robek.
Selain itu, bekas tempat implantasi plasenta sering menjadi sumber perdarahan
karena adanya vaskularisasi dan susunan serabut otot dengan korpus uteri<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menghindarkan
kemungkinan terjadinya robekan pada serviks uteri, jika janin dilahirkan
pervaginam <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persiapan darah
pengganti untuk stabilisasi dan pemulihan kondisi ibu dan perawatan lanjut
pascabedah termasuk pemantauan perdarahan, infeksi, dan keseimbangan cairan
masuk-keluar</span><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melahirkan
Pervaginam<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Faktor yang
menentukan sikap atau tindakan persalinan mana yang akan dipilih, tergantung :
jenis plasenta previa, perdarahan banyak atau sedikit tetapi berulang-ulang,
keadaan umum ibu hamil, keadaan janin : hidup, gawat,dan meninggal, pembukaan
jalan lahir, paritas, fasilitas penolong dan RS.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perdarahan akan
berhenti jika ada penekanan pada plasenta.Penekanan tersebut dapat dilakukan
dengan cara-cara sebagai berikut:</span><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1) </span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Amniotomi dan akselerasi</span><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Umumnya
dilakukan pada plasenta previa lateris/marginalis dengan pembukaan > 3 cm
dengan presentasi kepala. Dengan memecah ketuban, plasenta akan mengikuti
segmen bawah rahim dan ditekan oleh kepala janin. Jika kontraksi uterus belum
ada atau masih lemah, akselerasi dengan infus oksitosin. Adapun keuntungan dari
dilakukannya amniotomi adalah agar bagian terbawah janin yang berfungsi sebagai
tampon, akan menekan plasenta yang berdarah, dan perdarahan yang akan berkurang
atau berhenti. Partus akan berlangsung lebih cepat, bagian plasenta yang
berdarah dapat bebas mengikuti cingcin, gerakan dan regangan segmen bawah
rahim, sehingga tidak ada lagi plasenta yang lepas. Namun apabila. Namun
apabila amniotomi tidak berhasil menghentikan perdarahan, maka dilakukan Versi
Braxton Hicks dan traksi dengan Cunam Willet</span><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Versi Braxton
Hicks</span><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan melakukan versi Baxton
Hicks ialah mengadakan tamponade plasenta dengan bokong (dan kaki) janin. Versi
Braxton Hicks tidak dilakukan pada janin yang masih hidup</span><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Traksi dengan
Cunam Willet</span><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kulit kepala
janin dijepit dengan Cunam Willet, kemudian beri beban secukupnya sampai
perdarahan berhenti. Tindakan ini kurang efektif untuk menekan plasenta dan
seringkali menyebabkan pendarahan pada kulit kepala. Tindakan ini biasanya
dikerjakan pada janin yang telah meninggal dan perdarahan tidak aktif.</span><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Namun, cara
cunam willet dan versi braxton-hicks ini sud</span><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">h ditinggalkan dalam dunia
kebidanan modern, akan tetapi kedua cara ini masih mempunyai tempat tertentu
seperti dalam keadaan darurat sebagai pertolongan pertama untuk mengatasi
perdarahan banyak, atau apabila SC tidak mungkin dilakukan di RS yang
fasilitasnya terbatas<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">BAB III<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">TINJAUAN KASUS<o:p></o:p></span></b></div>
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<br /></div>
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<span lang="EN-AU" style="color: #4e2800; font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-AU;">ASUHAN KEBIDANAN PADA IBU HAMIL Ny. N UMUR 28 TAHUN
G2P1A0 UMUR KEHAMILAN 35 MINGGU DENGAN HAP EC PPT DI RUANG BERSALIN RSU
PADEMANGAN<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-AU" style="color: #4e2800; font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-AU;">NO. RM<span style="mso-tab-count: 1;"> </span>: 03.61.67<o:p></o:p></span></div>
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<span lang="EN-AU" style="color: #4e2800; font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-AU;">RUANG<span style="mso-tab-count: 1;"> </span>: BERSALIN<o:p></o:p></span></div>
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<span lang="EN-AU" style="color: #4e2800; font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-AU;">Tgl Masuk<span style="mso-tab-count: 1;"> </span>: 12 APRIL
2011 Pukul
: 14.10 WIB<o:p></o:p></span></div>
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<span lang="EN-AU" style="color: #4e2800; font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-AU;">Tgl Keluar <span style="mso-tab-count: 1;"> </span>:
15 Maret 2011 <o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">SUBJEKTIF<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">1. Identitas Pasien<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif";">Nama<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>:
Ny. N<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Umur<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>:
27 thn<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Agama<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>:
Islam<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Pendidikan<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>:
SMA<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Pekerjaan<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>:
IRT<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Alamat<span style="mso-tab-count: 2;"> </span>: -<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Status
Pernikahan<span style="mso-tab-count: 1;"> </span>: ini pernikahan pertama<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">2. Keluhan<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif";">Pasien
datang ke IGD RSU Pademangan dengan keluhan keluar darah banyak dari kemaluan
sejak jam 13.30 WIB, tidak ada mules, tanggal 7 April 2017 pernah USG di RSU
Pademangan dan hasilnya Plasenta Previa Totalis (PPT).<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">3. Riwayat Penyakit<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif";">(kelainan
jantung, kelainan paru, kelainan ginjal, kelainan hati, kencing manis,
hipertensi, alergi) disangkal, tapi pasien pernah operasi kantung empedu tahun
2013.<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">4. Riwayat Persalinan yang Lalu<o:p></o:p></span></b></div>
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<b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">Tahun lahir</span></b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;"><o:p></o:p></span></div>
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<b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">Jenis kelamin</span></b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;"><o:p></o:p></span></div>
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<b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">BB/PB</span></b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;"><o:p></o:p></span></div>
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<b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">Tempat</span></b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;"><o:p></o:p></span></div>
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<b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">Penolong</span></b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;"><o:p></o:p></span></div>
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<b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">Jenis persalinan</span></b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;"><o:p></o:p></span></div>
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<b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">Keadaan sekarang</span></b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;"><o:p></o:p></span></div>
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<b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">Lama menyusui</span></b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;"><o:p></o:p></span></div>
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<b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">Cara kontrasepsi</span></b><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;"><o:p></o:p></span></div>
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<span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">2011<o:p></o:p></span></div>
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<span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">P<o:p></o:p></span></div>
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<span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">2400gr<o:p></o:p></span></div>
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<span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">/49cm<o:p></o:p></span></div>
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<span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">RSBK<o:p></o:p></span></div>
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<span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">Bidan<o:p></o:p></span></div>
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<span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">Spontan <o:p></o:p></span></div>
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<span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">Sehat <o:p></o:p></span></div>
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<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 5.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">2 bln<o:p></o:p></span></div>
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<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 56.2pt;" valign="top" width="75">
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 5.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">Spiral<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">5. Riwayat Kehamilan Sekarang<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 14.2pt;">
<span style="font-family: "Times New Roman","serif";">Riwayat
haid : teratur<span style="mso-tab-count: 4;"> </span>Siklus
: 28 hari<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 14.2pt;">
<span style="font-family: "Times New Roman","serif";">Hari
Pertama Haid Terakhir : 12 – 08 – 16<span style="mso-tab-count: 1;"> </span>Taksiran
Partus : 19 – 05 – 17<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 14.2pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">OBJEKTIF<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt;">
<span style="font-family: "Times New Roman","serif";">Ku
: baik<span style="mso-tab-count: 6;"> </span>Kes
: CM<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt;">
<span style="font-family: "Times New Roman","serif";">TD
:100 mmhg<span style="mso-tab-count: 1;"> </span>N : 84 x/m<span style="mso-tab-count: 1;"> </span>Rr : 22 x/m<span style="mso-tab-count: 1;"> </span>S : 36,7° C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif";">Kepala<span style="mso-tab-count: 2;"> </span>: Normal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif";">Mata<span style="mso-tab-count: 2;"> </span>: Normal ( konjugtiva anemia -,
sklera ikterik - )<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif";">Hidung<span style="mso-tab-count: 1;"> </span>: Normal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif";">Mulut<span style="mso-tab-count: 2;"> </span>: Normal, gigi tidak berlubang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif";">Telinga<span style="mso-tab-count: 1;"> </span>: Normal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif";">Leher<span style="mso-tab-count: 2;"> </span>: Normal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif";">Dada<span style="mso-tab-count: 2;"> </span>: Normal, payudara membesar dan
simetris<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif";">Abdomen
<span style="mso-tab-count: 1;"> </span>: TFU 34cm, DJJ 146 x/m, His –<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif";">Ekstremitas<span style="mso-tab-count: 1;"> </span>: Normal, tidak ada edema<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif";">Genitalia<span style="mso-tab-count: 1;"> </span>: tampak stosel di depan vulva<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.5pt; text-indent: -120.5pt;">
<span style="font-family: "Times New Roman","serif";">Pemeriksaan Inspekulo
:tampak OUE tertutup, perdarahan tidak aktif, stosel + di liang vagina<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif";">Pemeriksaan
Penunjang : CTG, Cek DR & UL ( Hasil Terlampir)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">ANALISA<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif";">G2P1A0
H. 35 minggu dengan HAP ec PPT<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">PENATALAKSANAAN<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif";">1.
Memberitahu hasil pemeriksaan kepada pasien dan keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif";">2.
Konsultasi dr. Grace, SpOG advise :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo27; text-indent: -10.95pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Rawat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo27; text-indent: -10.95pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">IVFD
RL 20 tpm (pasang infus jam 14.50)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo27; text-indent: -10.95pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Injeksi
Dexamethasone 2 x 6 mg selama 2 hari (pemberian pertama jam 15.15)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo27; text-indent: -10.95pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Nifedipine
tablet 10 mg / 20 menit (4x) (pemberian I 14.45, II 15.05, III 15.25, IV 15.45)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo27; text-indent: -10.95pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Adalat
Oros 1 x 30 mg setelah 12 jampemberian Nifedipine yang terakhir<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo27; text-indent: -10.95pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Kaltrofen
Supp ekstra (jam 15.30)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo27; text-indent: -10.95pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Observasi
setiap 30 menit sampai tidak ada his, setelah itu observasi per jam TTV, DJJ,
His<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">12 April 2017, jam
16.00<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt;">
<span style="font-family: "Times New Roman","serif";">S
: pasien di pindahkan ke RB<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">O
: ku/ baik,<span style="mso-tab-count: 1;"> </span>kes/ CM,<span style="mso-tab-count: 1;"> </span>TD 110/80 mmhg,<span style="mso-tab-count: 1;"> </span>N 82 x/m,<span style="mso-tab-count: 1;"> </span>Rr 20
x/m,<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif";">S 36,5°
C,<span style="mso-tab-count: 2;"> </span>DJJ 153 x/m,<span style="mso-tab-count: 2;"> </span>his 3x10’20’’,<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif";">Perdarahan
pervagina sudah tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">A
: G2P1A0 H. 35 minggu dengan HAP ec PPT<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">P : - Memberitahukan hasil
pemeriksaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 21.3pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Bedrest<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Th/ lanjutkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">19.00<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif";">S : Tak ada keluhan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">O
: ku/ baik,<span style="mso-tab-count: 1;"> </span>kes/ CM,<span style="mso-tab-count: 1;"> </span>TD 110/80 mmhg,<span style="mso-tab-count: 1;"> </span>N 84 x/m,<span style="mso-tab-count: 1;"> </span>Rr 20
x/m,<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif";">S 36,6°
C,<span style="mso-tab-count: 2;"> </span>DJJ 154 x/m,<span style="mso-tab-count: 2;"> </span>his -,<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif";">Perdarahan
pervagina sudah tidak ada, terpasang infus RL 20 tpm<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">A
: G2P1A0 H. 35 minggu dengan HAP ec PPT<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">P : - Memberitahukan hasil
pemeriksaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 21.3pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Bedrest<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Th/ lanjutkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">13 April 2017, jam
03.15<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif";">Injeksi dexamethasone 6 mg/ i.v
bolus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">03.45<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif";">Th/ Oral Adalat Oros 1 tablet<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">06.00<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif";">S : Sakit pinggang<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">O
: ku/ baik,<span style="mso-tab-count: 1;"> </span>kes/ CM,<span style="mso-tab-count: 1;"> </span>TD 110/90 mmhg,<span style="mso-tab-count: 1;"> </span>N 85 x/m,<span style="mso-tab-count: 1;"> </span>Rr 21
x/m,<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif";">S 36,5°
C,<span style="mso-tab-count: 2;"> </span>DJJ 159 x/m,<span style="mso-tab-count: 2;"> </span>his -,<span style="mso-tab-count: 2;"> </span>BAK/BAB +/-<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif";">Perdarahan
pervagina sudah tidak ada, terpasang infus RL 20 tpm<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">A
: G2P1A0 H. 35 minggu dengan HAP ec PPT<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">P : - Memberitahukan hasil
pemeriksaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 21.3pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Bedrest<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 21.3pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Personal hygiene<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 21.3pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Gizi seimbang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Th/ lanjutkan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-top: 12.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 12.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">08.30<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-top: 12.0pt;">
<span style="font-family: "Times New Roman","serif";">dr.
Grace, SpOG visite advise : - observasi kontraksi, DJJ per 3 jam<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 163.05pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -10.95pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Th/
lanjut<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-top: 12.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">09.30<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt;">
<span style="font-family: "Times New Roman","serif";">Ganti
cairan RL 20 tpm<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">12.00<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif";">S
: -<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">O
: ku/ baik,<span style="mso-tab-count: 1;"> </span>kes/ CM,<span style="mso-tab-count: 1;"> </span>TD 110/80 mmhg,<span style="mso-tab-count: 1;"> </span>N 81 x/m,<span style="mso-tab-count: 1;"> </span>Rr 21
x/m,<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif";">S 36,7°
C,<span style="mso-tab-count: 2;"> </span>DJJ 135 x/m,<span style="mso-tab-count: 2;"> </span>his -,<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif";">Perdarahan
pervagina sudah tidak ada, terpasang infus RL 20 tpm<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">A
: G2P1A0 H. 35 minggu dengan HAP ec PPT bebas kontraksi<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">P : - Memberitahukan hasil
pemeriksaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 21.3pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Bedrest<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Th/ lanjutkan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-top: 12.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">15.15<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif";">Injeksi dexamethasone 6 mg /i.v
bolus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">19.00<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif";">S :-<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">O
: ku/ baik,<span style="mso-tab-count: 1;"> </span>kes/ CM,<span style="mso-tab-count: 1;"> </span>TD 120/80 mmhg,<span style="mso-tab-count: 1;"> </span>N 82 x/m,<span style="mso-tab-count: 1;"> </span>Rr 20
x/m,<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif";">S 36,5°
C,<span style="mso-tab-count: 2;"> </span>DJJ 142 x/m,<span style="mso-tab-count: 2;"> </span>his -,<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif";">Perdarahan
pervagina sudah tidak ada, terpasang infus RL 20 tpm<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">A
: G2P1A0 H. 35 minggu dengan HAP ec PPT bebas kontraksi<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">P : - Memberitahukan hasil
pemeriksaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 21.3pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Th/ lanjutkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Jika besok tidak ada perdarahan
boleh pulang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">23.00<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif";">Ganti cairan RL 20 tpm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">14 April 2017, jam
03.15<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif";">Injeksi dexamethasone 6 mg /i.v
bolus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">06.00<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 12.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif";">S : Tak ada keluhan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">O
: ku/ baik,<span style="mso-tab-count: 1;"> </span>kes/ CM,<span style="mso-tab-count: 1;"> </span>TD 110/70 mmhg,<span style="mso-tab-count: 1;"> </span>N 82 x/m,<span style="mso-tab-count: 1;"> </span>Rr 20
x/m,<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif";">S 36,5°
C,<span style="mso-tab-count: 2;"> </span>DJJ 147 x/m,<span style="mso-tab-count: 2;"> </span>his -,<span style="mso-tab-count: 2;"> </span>BAK/BAB +/+<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif";">Perdarahan
pervagina sudah tidak ada, terpasang infus RL 20 tpm<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">A
: G2P1A0 H. 35 minggu dengan HAP ec PPT bebas kontraksi<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif";">P : - Memberitahukan hasil
pemeriksaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 21.3pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Th/oral Adalat Oros 1 tablet<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 21.3pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Rencana pulang<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">08.00<o:p></o:p></span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif";">dr.
William (dr. jaga) visite<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 14.2pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Pasien
boleh pulang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 14.2pt; mso-add-space: auto; mso-list: l15 level1 lfo28; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Kontrol
kehamilan di Puskesmas, bila ada keluhan/masalah datang ke RS<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">09.00<o:p></o:p></span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif";">Pasien
di USG dr. Grace, SpOG, kesimpulan G2P1A0 H. 35-36 minggu dengan plasenta letak
rendah<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">10.50 <o:p></o:p></span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif";">Pasien
pulang dengan keadaan sehat, th/oral yang di bawa pulang Adalat Oros 1x30mg,
anjuran kontrol +<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">BAB IV<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">PENUTUP<o:p></o:p></span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">1. Kesimpulan<o:p></o:p></span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif";">Hemorrhagic
antepartum adalah perdarahan yang terjadi pada trimester III atau usia
kehamilan diatas 28 minggu atau berat janin diatas 1000 gram (Manuaba, 1995).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif";">Salah
satu penyebabnya adalah solusio plasenta dan plasenta previa.Oleh sebab itu,
perlulah keadaan ini diantisaipasi seawal-awalnya selagi perdarahan belum
sampai ke tahap yang membahayakan ibu dan janinnya. Pada kasus Ny. N ini pasien
sudah pernah USG dan hasilnya Plasenta Previa Totalis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Plasenta previa adalah plasenta yang berimplantasi pada
segmen bawah rahim demikian rupa sehingga menutupi seluruh atau sebagian dari
ostium uteri internum</span><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">, maka sebagian besar keluhan yang dialami pasien
dengan plasenta previa yaitu perdarahan dalam kehamilan, hal ini sesuai dengan
yang dialami Ny. N yaitu mengalami perdarahan dalam kehamilan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Penanganansupaya janin tidak terlahir prematur</span><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">
pada pasien plasenta previa</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">, </span><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">yaitu pasien</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;"> dirawat tanpa melakukan
pemeriksaan dalam </span><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">tetapi dengan inspekulo</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">. </span><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">Pasien
dib</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">erikan tokolitik bila ada kontraksi</span><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">,
pasien diberikan pematangan paru janin selama 2 hari, b</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">ila
perdarahan berhenti dan </span><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">usia kehamilan belum mencapai 37 minggu maka</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">
pasien dapat dipulangkan untuk rawat jalan</span><span lang="EN-AU" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-AU;">.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">2.
Saran <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";"><span style="mso-tab-count: 1;"> </span>Bagi
penulis, agar penulis lebih memahami akan tugas yang telah di selesaikan
sehingga mampu menambah pengetahuan dan bagi hadirin juga untuk menambah
wawasan atau pengetahuan.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<br /></div>
ludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.com0tag:blogger.com,1999:blog-7261342726911469262.post-40515057981882051682018-05-19T20:41:00.000-07:002018-05-19T20:41:25.334-07:00Apa itu Trichomonas vaginalis dan Gonore<br />
<div align="center" class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 24.0pt; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trichomonas vaginalis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
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</w:wrap></o:lock></v:imagedata></v:shape><b><i><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trichomonas
vaginalis</span></i></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> tergolong
kelas parabasaliafilum metamonada. protozoa bersel tunggal parasit yang paling
sering ditularkan selama hubungan seksual pria / wanita, atau vulva wanita /
perempuan untuk vulva (eksterior daerah vagina) kontak. Padahal wanita dapat
memperoleh <b>trikomoniasis</b>dari laki-laki atau perempuan, pria biasanya
kontrak infeksi hanya dari perempuan. Penderita trikomoniasis memiliki
kesempatan besar terserang HIV.<o:p></o:p></span></div>
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<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 13.5pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala-gejala trikomoniasis
meliputi:<o:p></o:p></span></b></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l5 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berbusa
vagina kuning / hijau dengan bau yang kuat<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l5 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketidaknyamanan
selama hubungan seksual dan buang air kecil<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l5 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Iritasi
dan gatal daerah alat kelamin perempuan<o:p></o:p></span></li>
</ul>
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<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengobatan</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">metronidazol
(biasanya efektif dalam membersihkan infeksi, meskipun mungkin memakan
waktu beberapa minggu sebelum gejala yang jelas)<o:p></o:p></span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pencegahan</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l8 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hindari
kontak langsung dengan penderita trikomoniasis terutama kontak sexual.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l8 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Periksakan
kesehatan alat genital anda jika anda menemukan cairan berwarna
kuning/hijau dengan bau yang khas di celana dalam anda.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l8 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jaga
kebersihan pakaian dalam anda.<o:p></o:p></span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
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<div align="center" class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Arial Rounded MT Bold","sans-serif"; font-size: 26.0pt;">Gonore</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<v:imagedata o:title="" src="file:///C:\Temp\msohtmlclip1\01\clip_image002.png">
<o:lock aspectratio="f" v:ext="edit">
<w:wrap anchorx="margin" anchory="margin" type="square">
</w:wrap></o:lock></v:imagedata></v:shape><span lang="IN"><span style="mso-spacerun: yes;"> </span>Gonore (GO)
adalah penyakit Menular Seksual yang paling sering terjdi dan paling mudah
terjadi. Penyakit menular seksual (PMS) adalah penyakit yang ditularkan secara
langsung dari seseorang ke orang lain melalui kontak seks. Namun penyakit
gonore ini dapat juga ditularkan melalui ciuman atau kontak badan yang dekat.
Kuman<span style="mso-spacerun: yes;"> </span>patogen tertentu yang mudah
menular dapat ditularkan melalui makanan, transfusi darah, alat suntik yang
digunakan untuk obat bius.</span></div>
<div class="MsoNormal" style="text-align: justify; text-indent: 21.3pt;">
<span lang="IN">Penyakit
menular seksual juga disebut penyakit venereal merupakan penyakit yang paling
sering ditemukan di seluruh dunia. Pengobatan penyakit ini efektif dan
penyembuhan cepat sekali. Namun, beberapa kuman yang lebih tua telah menjadi
kebal terhadap obat-obatan dan telah menyebar ke seluruh dunia dengan adanya
banyak perjalanan yang dilakukan orang-orang melalui transportasi udara.</span></div>
<div class="MsoNormal" style="text-align: justify; text-indent: 21.3pt;">
<span lang="IN">Pengendalian
penyakit menular seksual ini adalah dengan meningkatkan keamanan kontak seks
dengan menggunakan upaya pencegahan.<span style="mso-spacerun: yes;">
</span>Salah satu di antara PMS ini adalah penyakit gonore yang disebabkan oleh
bakteri Neisseria gonorrhoeae yang menginfeksi selaput lendir saluran
kencing,<span style="mso-spacerun: yes;"> </span>leher rahim, dubur dan
tenggorokan atau selaput lendir<span style="mso-spacerun: yes;"> </span>Gonore
adalah PMS yang paling sering ditemukan dan paling mudah ditegakkan
diagnosisnya. Nama awam penyakit kelamin ini adalah “kencing nanah”. Masa
inkubasi 3-5 hari.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gonore adalah penyakit menular seksual yang disebabkan
oleh <i>Neisseria gonorrhoeae</i> yang menginfeksi lapisan dalam <i>uretra</i>,
leher rahim, <i>rektum</i> dan tenggorokan atau bagian putih mata (<i>konjungtiva</i>).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gonore bisa menyebar melalui aliran darah ke bagian
tubuh lainnya, terutama kulit dan persendian. Pada wanita, gonore bisa naik ke
saluran kelamin dan menginfeksi selaput di dalam panggul sehingga timbul nyeri
panggul dan gangguan reproduksi.<o:p></o:p></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l0 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt left 155.95pt 177.2pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kuman <span style="mso-tab-count: 1;"> </span>:
<span style="mso-tab-count: 1;"> </span>Neisseria gonorrhoea<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l0 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt left 155.95pt 177.2pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perantara <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>manusia<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l0 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt left 155.95pt 177.2pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tempat kuman keluar <span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>penis, vagina,
anus, mulut<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l0 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt left 155.95pt 177.2pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cara penularan <span style="mso-tab-count: 1;"> </span>:
<span style="mso-tab-count: 1;"> </span>kontak seksua langsung<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l0 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt left 155.95pt 177.2pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tempat kuman masuk <span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>penis, vagina,
anus, mulut<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l0 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt left 155.95pt 177.2pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Yang bisa terkena <span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>orang yang
berhubungan seks tak aman<a href="https://www.blogger.com/null" name="_GoBack"></a><o:p></o:p></span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TANDA DAN GEJALA</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada pria</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala awal biasanya timbul dalam waktu 2-7 hari
setelah terinfeksi.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejalanya berawal sebagai rasa tidak enak pada
uretra, yang beberapa jam kemudian diikuti oleh nyeri ketika berkemih dan
keluarnya nanah dari <i>penis</i>.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penderita pria biasanya mengeluhkan sakit pada
waktu kencing. Dari mulut saluran kencing keluar nanah kental berwarna
kuning hijau. Setelah beberapa hari keluarnya nanah hanya pada pagi hari,
sedikit dan encer serta rasa nyeri berkurang. Bila penyakit ini tidak
diobati dapat timbul komplikasi berupa peradangan pada alat kelamin.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penderita sering berkemih dan merasakan desakan
untuk berkemih, yang semakin memburuk ketika penyakit ini menyebar ke
uretra bagian atas.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lubang penis tampak merah dan membengkak.<o:p></o:p></span></li>
</ul>
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<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">KOMPLIKASI</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bartolinitis</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, yaitu
membengkaknya kelenjar Bartholin sehingga penderita sukar jalan karena
nyeri.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Komplikasi dapat ke atas menyebabkan kemandulan,
bila ke rongga perut menyebabkan radang di perut dan usus.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selain itu baik pada wanita atau pria dapat
terjadi infeksi sistemik (seluruh tubuh) ke sendi, jantung, selaput otak
dan lain-lain.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada ibu hamil, bila tidak diobati, saat
melahirkan mata bayi dapat terinfeksi, bila tidak cepat ditangani dapat
menyebabkan kebutaan<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi kadang menyebar melalui aliran darah ke 1
atau beberapa sendi, dimana sendi menjadi bengkak dan sangat nyeri,
sehingga pergerakannya menjadi terbatas.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Infeksi melalui aliran darah juga bisa
menyebabkan timbulnya bintik-bintik merah berisi nanah di kulit, demam,
rasa tidak enak badan atau nyeri di beberapa sendi yang berpindah dari
satu sendi ke sendi lainnya (<i>sindroma artritis-dermatitis</i>).<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bisa terjadi infeksi jantung (<i>endokarditis</i>).
Infeksi pembungkus hati (<i>perihepatitis</i>) bisa menyebabkan nyeri yang
menyerupai kelainan kandung empedu.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Komplikasi yang terjadi bisa diatasi dan jarang
berakibat fatal, tetapi masa penyembuhan untuk artritis atau endokarditis
berlangsung lambat.<o:p></o:p></span></li>
</ul>
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<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bartolinitis </span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi pada kelenjar bartolin atau bartolinitis
juga dapat menimbulkan pembengkakan pada alat kelamin luar wanita.
Biasanya, pembengkakan disertai dengan rasa nyeri hebat bahkan sampai tak
bisa berjalan. Juga dapat disertai demam, seiring pembengkakan pada
kelamin yang memerah.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bartolinitis disebabkan oleh infeksi kuman pada
kelenjar bartolin yang terletak di bagian dalam vagina agak keluar. Kuman
yang menyebabkan infeksi pada bartolin ini bisa bermacam-macam, termasul
gonore. Kuman lain adalah chlamydia, dan sebagainya.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi ini kemudian menyumbat mulut kelenjar
tempat diproduksinya cairan pelumas vagina. Akibat penyumbatan ini, lama
kelamaan cairan memenuhi kantong kelenjar sehingga disebut sebagai kista
(kantong berisi cairan). “Kuman dalam vagina bisa menginfeksi salah satu
kelenjar bartolin hingga tersumbat dan membengkak. Jika tak ada infeksi, tak
akan menimbulkan keluhan.”<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengatasinya, pemberian antibiotik untuk
mengurangi radang dan pembengkakan. Jika terus berlanjut, diperlukan
tindakan operatif untuk mengangkat kelenjar yang membengkak. Tak
perlu khawatir vagina akan kering setelah pengangkatan, karena pada
dasarnya yang diangkat hanya salah satu penghasil pelumas.<o:p></o:p></span></li>
</ul>
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<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DIAGNOSA</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l2 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Arial Unicode MS","sans-serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-language: IN;">Diagnosis ditegakkan
berdasarkan hasil pemeriksaan mikroskopik terhadap nanah, dimana ditemukan
bakteri penyebab gonore.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l2 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Arial Unicode MS","sans-serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-language: IN;">Jika pada pemeriksaan
mikroskopik tidak ditemukan bakteri, maka dilakukan pembiakan di
laboratorium.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l2 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-family: "Arial Unicode MS","sans-serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-language: IN;">Jika diduga terjadi
infeksi tenggorokan atau rektum, diambil contoh dari daerah ini dan dibuat
biakan.<o:p></o:p></span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PENGOBATAN<o:p></o:p></span></b></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;">Gonore biasanya diobati dengan suntikan
tunggal seftriakson <i>intramuskuler</i> (melalui otot) atau dengan
pemberian antibiotik <i>per-oral</i> (melalui mulut) selama 1 minggu
(biasanya diberikan doksisiklin).<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;">Cefixime (Suprax) </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27dosing_d26e1021%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Dosing</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27interactions_d26e1021%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Interactions</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> Contraindications </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27precautions_d26e1021%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Precautions</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> Dewasa 400 mg PO once for uncomplicated genitourinary or
rectal infection Anak <45 kg: 8 mg/kg PO once; not to exceed 400
mg >45 kg: Administer as in adults Coadministration of
aminoglycosides increase nephrotoxicity; probenecid may increase effects
of cefixime<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;">Ceftriaxone (Rocephin) </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27dosing_d26e1054%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Dosing</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27interactions_d26e1054%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Interactions</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27contraindications_d26e1054%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Contraindications</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27precautions_d26e1054%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Precautions</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> Dewasa 125-250 mg IM once; 125 mg if uncomplicated
genitourinary, rectal, or pharyngeal infection; 250 mg for PID 1 g IV/IM
q24h for DGI 1-2 g IV q12h for gonococcal meningitis or endocarditis 1 g
IM once for gonococcal conjunctivitis; consider single saline lavage as
well Anak 25-50 mg/kg IV/IM as single dose for conjunctival infection
(maximum 125 mg) 25-50 mg/kg/d IV/IM for 7 d for scalp abscess, sepsis, arthritis
25-50 mg/kg/d IV/IM for 10-14 d for suspected or known meningitis 125 mg
IM once for children <45 kg with uncomplicated urethritis, cervicitis,
pharyngitis, or rectal infection >45 kg: Administer as in adults<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;">Spectinomycin (Trobicin) Dewasa 2 g IM once
Pediatric 40 mg/kg IM once </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27dosing_d26e1087%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Dosing</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27interactions_d26e1087%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Interactions</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27contraindications_d26e1087%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Contraindications</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27precautions_d26e1087%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Precautions</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"><o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;">Silver nitrate </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27dosing_d26e1106%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Dosing</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27interactions_d26e1106%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Interactions</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27contraindications_d26e1106%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Contraindications</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27precautions_d26e1106%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Precautions</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> Dewasa Not used for this indication Anak 2 gtt OU into
conjunctival sac once immediately after birth (no later than 1 h after
delivery)<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;">Erythromycin (Erygel) </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27dosing_d26e1123%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Dosing</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27interactions_d26e1123%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Interactions</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27contraindications_d26e1123%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Contraindications</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> </span><span lang="IN"><a href="http://childrenhivaids.wordpress.com/2009/08/09/gonore-go-atau-kencing-nanah-penyakit-menular-seksual/showtabs%28%27precautions_d26e1123%27%29;"><span style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri; text-decoration: none; text-underline: none;">Precautions</span></a></span><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;"> Dewasa Not used for this indication Anak0.5-inch (1.25
cm) ribbon OU into conjunctival sac once immediately after birth (no later
than 1 h after delivery)<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Calibri;">Jika gonore telah menyebar melalui aliran
darah, biasanya penderita dirawat di rumah sakit dan mendapatkan antibiotik
<i>intravena</i> (melalui pembuluh darah, infus).<o:p></o:p></span></li>
</ul>
<br />ludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.com0tag:blogger.com,1999:blog-7261342726911469262.post-60982387713611213542018-04-11T05:45:00.001-07:002018-04-11T05:47:38.625-07:00Resep MPASI Menu TunggalBuat yang masih bingung bagaimana aturan dalam membuat MPASI yang baik, silahkan <a href="http://intanludse.blogspot.co.id/2018/04/mpasi-untuk-usia-6-bulan-pertama.html" target="_blank">cek disini</a><br />
<br />
Berikut contoh resep menu tunggal yang saya dapat, dari sahabat saya Mama Mila, tengkyu mah, sudah mao berbagi ^,^<br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://1.bp.blogspot.com/-9sihn751tTg/Ws38oy3hgPI/AAAAAAAAHwc/93DfYv2qM34ZIQO_QC-4BbLPE0-WF81ewCLcBGAs/s1600/IMG-20180411-WA0045.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1280" data-original-width="950" height="320" src="https://1.bp.blogspot.com/-9sihn751tTg/Ws38oy3hgPI/AAAAAAAAHwc/93DfYv2qM34ZIQO_QC-4BbLPE0-WF81ewCLcBGAs/s320/IMG-20180411-WA0045.jpg" width="237" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">menu tunggal 1</td></tr>
</tbody></table>
Cara membuat :<br />
1. Haluskan alpukat, ambil secukupnya saja<br />
2. Tambahkan ASI secukupnya, jangan terlalu cair<br />
3. Campur menggunakan sendok saja hingga merata<br />
4. Siap untuk disantap, jangan lupa berdoa dahulu ya ^_^<br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://4.bp.blogspot.com/-8RTi9zHr6z4/Ws38iXBORdI/AAAAAAAAHws/3kCz7eVCsToC1xn1L8pcPq56vEKmTLogACEwYBhgL/s1600/IMG-20180411-WA0046.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1280" data-original-width="950" height="320" src="https://4.bp.blogspot.com/-8RTi9zHr6z4/Ws38iXBORdI/AAAAAAAAHws/3kCz7eVCsToC1xn1L8pcPq56vEKmTLogACEwYBhgL/s320/IMG-20180411-WA0046.jpg" width="237" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">menu tunggal 2</td></tr>
</tbody></table>
Cara Membuat :<br />
<div>
1. Cuci dulu buah pirnya ya</div>
<div>
2. Potong menjadi 2, ambil 1/2nya saja</div>
<div>
3. Kukus kurang lebih 10 menit, ini supaya pir tdk berubah warna</div>
<div>
4. Bisa diparut atau di saring menggunakan saringan kawat (jangan di blander ya, kenapa? <a href="http://intanludse.blogspot.co.id/2018/04/mpasi-untuk-usia-6-bulan-pertama.html" target="_blank">baca disini</a>)</div>
<div>
5. Sekiranya sudah halus, siap untuk diberikan ke baby</div>
<div>
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://1.bp.blogspot.com/-IhdBM30EoMc/Ws4A4ZXl94I/AAAAAAAAHxA/TceD5s0i-5oSu9zyJN8bC9t1G7hFnBt9QCLcBGAs/s1600/IMG-20180411-WA0058.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1280" data-original-width="950" height="320" src="https://1.bp.blogspot.com/-IhdBM30EoMc/Ws4A4ZXl94I/AAAAAAAAHxA/TceD5s0i-5oSu9zyJN8bC9t1G7hFnBt9QCLcBGAs/s320/IMG-20180411-WA0058.jpg" width="237" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">menu mpasi 3</td></tr>
</tbody></table>
Cara membuat :<br />
<div>
1. Ambil beras yang sudah dicuci, tunggu kering</div>
<div>
2. Tumbuk hingga halus, seperti tepung</div>
<div>
3. Beri ASI secukupnya, ingat jangan terlalu encer</div>
<div>
4. Bubur siap disantap</div>
<div>
<br /></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://1.bp.blogspot.com/-SKu8IRWKYrM/Ws38sCxS1yI/AAAAAAAAHww/Z3ZPDsEe-YANh2-ACgEuQS2wZ__qDVvDgCEwYBhgL/s1600/IMG-20180411-WA0048.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1280" data-original-width="950" height="320" src="https://1.bp.blogspot.com/-SKu8IRWKYrM/Ws38sCxS1yI/AAAAAAAAHww/Z3ZPDsEe-YANh2-ACgEuQS2wZ__qDVvDgCEwYBhgL/s320/IMG-20180411-WA0048.jpg" width="237" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">menu mpasi 4</td></tr>
</tbody></table>
Cara membuat :<br />
<div>
untuk menu ini sangat gampang ya </div>
<div>
1. Ambil buah pepaya secukupnya</div>
<div>
2. Haluskan, menggunakan saringan</div>
<div>
3. Siap disantap</div>
<div>
<br /></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://4.bp.blogspot.com/-ZGGSJ_PvgIk/Ws382CdTN7I/AAAAAAAAHw4/nurT92OpurouuWhNB2jQDIpSqi-JmtaTwCEwYBhgL/s1600/IMG-20180411-WA0078.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1280" data-original-width="950" height="320" src="https://4.bp.blogspot.com/-ZGGSJ_PvgIk/Ws382CdTN7I/AAAAAAAAHw4/nurT92OpurouuWhNB2jQDIpSqi-JmtaTwCEwYBhgL/s320/IMG-20180411-WA0078.jpg" width="237" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">menu mpasi 5</td></tr>
</tbody></table>
Cara membuat :<br />
<div>
1. Kukus jagung manisnya hingga matang</div>
<div>
2. Pritilin jagungnya dari ponggolnya</div>
<div>
3. Tumbuk hingga halus</div>
<div>
4. Saring bila kurang halus</div>
<div>
5. Siap disantap</div>
<div>
<br /></div>
<div>
INGAT !!!</div>
<div>
Setelah memberikan makanan, evaluasi ya..</div>
<div>
Evaluasi :</div>
<div>
1. Habis tidak</div>
<div>
2. Bagaimana pencernaannya, BAB frekuensi dan konsistensi</div>
<div>
3. Alergi atau tidak</div>
<div>
<br /></div>
<div>
Menu diatas bisa dibuat selang seling untuk pagi dan sore ya, jangan terpaku pada caption di foto. Bila ingin resep lebih silahkan tinggalkan komentar dibawah. Sesibuk-sibuknya bunda, sempatkanlah membuat makanan yang sehat untuk si buah hati, agar tumbuh dengan optimal.</div>
<div>
<br /></div>
<div>
Selamat membuat MPASI, senoga bermanfaat ^,^</div>
<div>
<div>
<div>
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<div>
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<div>
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<div class="separator" style="clear: both; text-align: center;">
</div>
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<div class="separator" style="clear: both; text-align: center;">
</div>
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<br /></div>
</div>
</div>
</div>
</div>
ludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.com1tag:blogger.com,1999:blog-7261342726911469262.post-34128618772235649602018-04-11T04:41:00.000-07:002018-04-11T04:41:01.328-07:00KONTRASEPSI DARURAT<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 12.0pt; mso-layout-grid-align: none; text-align: center; text-autospace: none; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-top: 12.0pt; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontrasepsi
Darurat adalah kontrasepsi yang dapat mencegah kehamilan bila digunakan
setelahhubungan seksual. Atau sering juga disebut "Kontrasepsi Pasca
senggama" atau "Morning after pills" atau "Morning
aftertreatment". Pada awalnya istilah "Kontrasepsi darurat"
digunakan untuk menepis anggapanbahwa obat tersebut harus segera
dipakai/digunakan setelah melakukan hubungan seksual atau harus menungguhingga
keesokan harinya, dan bila tidak, berarti sudah terlambat sehingga pasangan
tersebut tidak dapat berbuat apa-apa lagi.Sebutan kontrasepsi darurat digunakan
untuk menekankan bahwa jenis kontrasepsi ini digunakan pada keadaan dan masa
yangtidak boleh ditunda, juga mengisyaratkan bahwa cara KB ini lebih baik
daripada tidak memakai metode KB sama sekali.Tetapi sebenarnya cara ini tetap
kurang efektif dibandingkan dengan cara KB lain yang sudah ada.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontrasepsi darurat cukup efektif
mencegah kehamilan, dengan tingkat efektivitas 75-89%. Tingkat efektivitas itu
dapat tercapai jika kontrasepsi darurat diberikan pada waktu yang tepat, yaitu
dalam3 hari sesudah hubungan seksual.Untuk itu sangat dianjurkan bagi calon
klien untuk mendatangi petugas kesehatan sesegera<span style="mso-spacerun: yes;"> </span>mungkin.Seperti obat kontrasepsi lainnya, kontrasepsi
darurat juga dapat memberikan efek samping namun ringan, mengingat
penggunaannya tidak jangka panjang. Pemberian kontrasepsi darurat dilakukan
oleh petugas kesehatan terlatih dengan pertimbangan. Jika menyangkut kasus
perkosaan, perlu melibatkan pihak di luar sektor kesehatan seperti petugas
hukum, psikolog maupun tokoh agama.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontrasepsi ini dipertimbangkan bagi :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l6 level1 lfo1; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesalahan dalam
pemakaian kontrasepsi<b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l6 level1 lfo1; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kasus perkosaaan<b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l6 level1 lfo1; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak menggunakan
kontrasepsi<b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat Kondar :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l4 level1 lfo2; text-autospace: none; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencegah kehamilan yang
tidak diinginkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l4 level1 lfo2; text-autospace: none; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mendukung hak perempuan
untuk mengatur reproduksinya sendiri<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mendukung kesehatan
reproduksi perempuan :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberi
waktu pemulihan yang sempurna bagi organ reproduksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l10 level1 lfo3; text-autospace: none; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Frekuensi
kehamilan dapat diatur sesuai kondisii kesehatan fisik dan psikososial<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l10 level1 lfo3; text-autospace: none; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Risiko
aborsi dapat di hindarkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l4 level1 lfo2; text-autospace: none; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bukan sebagai pil
penggugur kandungan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l4 level1 lfo2; text-autospace: none; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Efek samping ringan dan
berlangsung singkat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l4 level1 lfo2; text-autospace: none; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak ada pengaruh
buruk dikemudian hari pada sistem organ reproduksi dan organ tubuh lainnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mendukung
pelayanan Kontrasepsi Darurat, telah dilakukan upaya, antara lain:<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo4; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Advokasi
yang strategis di tiap tingkatadministrasi untuk mendukungpelaksanaan pelayanan
Kontrasepsi Darurat. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo4; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian
komunikasi, informasi, danedukasi, serta konseling melalui tenagakesehatan dan
kader terlatih bagisemuaWanita Usia Subur (WUS),Pasangan Usia Subur (PUS), dan
calonpengantin (catin).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo4; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian
informasi melalui mediaterpilih.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo4; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerjasama
dengan jejaring Pencegahandan Penanganan Kekerasan TerhadapPerempuan (PP-KtP),
khususnya dalamkasus-kasus perkosaan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Indikasi Kontrasepsi Darurat<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Indikasi
Kontrasepsi darurat adalah untuk mencegah kehamilan yang tidak dikehendaki
akibat :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l1 level1 lfo5; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesalahan
dalam pemakaian kontrasepsi, seperti :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l7 level1 lfo6; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kondom
bocor, lepas atau salah penggunaannya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diafragma
pecah atau robek atau dilepas terlalu cepat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kegagalan
senggama terputus<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Salah
hitung masa subur<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alat
kontrasepsi dalam rahim (Spiral/IUD) ekspulsi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lupa
minum pil KB lebih dari 2 hari berturut-turut<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terlambat
lebih dari 1 minggu untuk suntik KB 1 bulanan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terlambat
lebih dari 2 minggu untuk suntik KB 3 bulanan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Wanita
korban perkosaan kurang dari 72 jam.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak
menggunakan kontrasepsi, baik karena alasan medis maupun belumbersedia, tetapi
ingin mencegah kehamilan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Wanita
yang tidak sedang memakai kontrasepsi apapun, karena tugassuaminya yang sering
bepergian dalam jangka waktu lama.<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="IN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beberapa alasan diperlukannya Kontrasepsi Darurat, yaitu :<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="IN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan
yang Tidak Diinginkan (KTD) banyak berakhir dengan abortus.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aborsi,
baik aman maupun tidak aman berdampak pada peningkatan Angka Kematian Ibu (AKI).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontrasepsi
darurat merupakan salah satu cara untuk mencegah KTD.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontrasepsi
darurat lebih baik daripada tidak menggunakan metode KB sama sekali, tetapi
tetap kurang efektif dibandingkan dengan cara KB yang sudah ada.<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian kondar dapat
menggunakan dua metode yaitu:<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mekanik<o:p></o:p></span></b></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Satu-satunya Kondar mekanik adalah
IUD yang mengandung tembaga (misalnya: CuT 380A). Jika dipasang dalam waktu
"kurang dari 7 hari" setelah senggama, cara ini mampu mencegah
kehamilan dan selanjutnya dapat dipakai terus untuk mencegah kehamilan hingga
10 tahun lamanya, atau sesuai waktu yang dikehendakinya.<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
kerja :<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencegah fertilisasi
(pertemuan sel sperma dan sel telur) .<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencegah tertanamnya
hasil pembuahan pada endometrium (selaput dinding rahim).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kegagalan : < 0,1%.<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontra
indikasi : <o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hamil atau diduga
hamil.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Infeksi Menular Seksual
(IMS).<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
pemberiannya</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> yaitu 1 kali pemasangan dalam waktu
< 7 hari pasca senggama.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Medik<o:p></o:p></span></b></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Paling sedikit
ada lima cara pemberian Kondar yang telah diteliti secara luas. Masing masing
bersifat hormonal dan saat iniditerapkan secara oral. Sekalipun pemberian pervaginal
dalam tahap penelitian, namun kepustakaan yang telahdipublikasikan masih
terbatas pada pemberian per oral.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lima cara
tersebut adalah : <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pil
KB Kombinasi (mis: Microgynon), <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pil
Progestin (mis : Postinor-2), <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l9 level1 lfo11; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pil
Estrogen (mis:Premarin), <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l9 level1 lfo11; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mifepristone
(mis : RU-486), <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l9 level1 lfo11; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Danazol
(mis : Danocrine).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-autospace: none; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara kerja :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo12; text-autospace: none; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merubah
endometrium sehingga tidak memungkinkan implantasi hasilpembuahan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo12; text-autospace: none; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencegah
ovulasi / menunda ovulasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo12; text-autospace: none; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengganggu
pergerakan saluran telur (tuba fallopi).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
pemberian :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l13 level3 lfo13; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pil
kombinasi : <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2x4
tablet dalam waktu 3 hari pasca senggama, (dosis pertama1x4 tablet diulang 1x4
tablet 12 jam kemudian setelah dosis pertama).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l13 level3 lfo13; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pil
Progestin : <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2x1
tablet dalam waktu 3 hari pasca senggama, (dosis pertama1 tablet, diulang 1
tablet kedua 12 jam sesudah tablet pertama).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l13 level3 lfo13; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pil
Estrogen : <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2x10
mg dalam waktu 3 hari pasca senggama selama 5 hari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l13 level3 lfo13; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mifepristone
: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1x600
mg dalam waktu 3 hari pasca senggama.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l13 level3 lfo13; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pil
Danazol : <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2x4
tablet dalam waktu 3 hari pasca senggama, (dosis pertama1x4 tablet diulang 1x4
tablet 12 jam kemudian setelah dosisPertama).<span style="color: white; mso-bidi-font-style: italic;">ora<o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -.55pt;">
<span lang="IN" style="color: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">t</span><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek samping dari kondar terbagi atas :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 67.65pt; mso-add-space: auto; mso-list: l3 level1 lfo14; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mual<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 67.65pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluhan ini
pada umumnya hanya terjadi dalam 24 jam pertama setelah pemakaian.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 67.65pt; mso-add-space: auto; mso-list: l3 level1 lfo14; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Muntah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 67.65pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila muntah
terjadi < 2 jam setelah pemberian maka pil KB tersebut harus di ulangi lagi.
Untuk kasus seperti ini, sebaiknya di berikan obat anti muntah 1 jam sebelum
pemberian ulang kondar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 67.65pt; mso-add-space: auto; mso-list: l3 level1 lfo14; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perdarahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 67.65pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beberapa
pemakaian kondar akan mengalami perdarahan bercak setelah memakai kondar. Hamper
sebagian besar pemakai akan mendapat menstruasi sesuai atau lebih cepat dari
waktunya. Bila terjadi keterlambatan lebih 7 hari haid semestinya, maka harus
di pikirkan kemungkinan terjadinya kehamilan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 67.65pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek samping
lain yang mungkin terjadi seperti nyeri payudara, sakit kepala, pusing, sakkit
perut, capek dan jadwal haid yang berubah. ( Depkes RI, 2004) <o:p></o:p></span></div>
<br />ludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.com0tag:blogger.com,1999:blog-7261342726911469262.post-65267578755346817362018-04-11T04:20:00.000-07:002018-04-11T04:20:44.436-07:00MPASI Untuk Usia 6 Bulan Pertama<div style="text-align: justify;">
Untuk ibu-ibu yang baru memiliki baby, sering kali dipusingkan dengan membuat MPASI untuk si kecil. Tak jarang mereka justru memilih untuk beli diluar, yang bahkan kita tidak tau bagaimana proses pembuatannya. Jadi saran saya, bila ibu-ibu ingin gizi anak tercukupi dan sesuai dengan usianya, maka buatlah sendiri MPASInya.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
MPASI diperuntukan untuk anak usia 6 bulan keatas, untuk usia 0 - 6 bulan berikanlah ASI saja. Saat usia 6 bulan pertama, berikan MPASI dengan menu tunggal. Menu tunggal adalah makanan yang hanya berisi 1 bahan makanan saja yang mengandung karbohidrat, bisa berupa buah, sayur atau nasi pure. Pemberian menu tunggal ini, diberikan 2 kali sehari, kemudian evaluasi bagaimana pencernaan si anak terharap makanan yang diberikan (lihat bagaimana pola BABnya, konsitensinya apakah padat atau encer) atau adakah alergi terhadap makanan tersebut.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Usahakan, saat membuat MPASI untuk anak jangan menggunakan blander karena ini akan merubah tekstur menjadi sangat lembut, sedangkan anak perlu rangsangan untuk mengunyah. Gunakanlah parutan untuk bahan-bahan yang agak keras, jangan lupa untuk di kukus terlebih dahulu kira-kira 10 menit. Bisa juga menggunakan saringan kawat untuk bahan-bahan yang sudah lembek.</div>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://4.bp.blogspot.com/-Hhcv0LRszYg/Ws3u4L_qGyI/AAAAAAAAHwE/J77ixfvvQyo2zeaR3_d4Q3fFzlt3zNG5gCLcBGAs/s1600/food%2Bmaker.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="350" data-original-width="350" height="320" src="https://4.bp.blogspot.com/-Hhcv0LRszYg/Ws3u4L_qGyI/AAAAAAAAHwE/J77ixfvvQyo2zeaR3_d4Q3fFzlt3zNG5gCLcBGAs/s320/food%2Bmaker.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">by google alat membuat MPASI</td></tr>
</tbody></table>
<br />ludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.com0tag:blogger.com,1999:blog-7261342726911469262.post-76352863147165397342018-04-08T08:41:00.004-07:002018-04-08T08:41:50.556-07:00Contoh Percakapan Konseling TM I<h3 class="post-title entry-title" itemprop="name" style="background-color: white; color: #222222; font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; font-size: 22px; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal; margin: 0.75em 0px 0px; position: relative;">
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Di pagi hari ibu putri dan pak wanto keluar rumah menuju ke puskesmas terdekat.<br /><br />Bu Putri : pagi bu bidan..<br />Bidan : eh bu putri, pak wanto, selamat pagi pak wanto bu putri (berjalan mendekati bu putri dan pak wanto)<br /> mari silahkan masuk..<br />Bu Putri : maksih bu, (masuk dan disusul pak wanto)<br />Pak Wanto : ayo bu (menuyusul bu putri)<br />Bidan : Bu, pak boleh saya tutup pintunya? supaya tak terganggu?<br />Bu Putri & Pak Wnto : silahkan bu...<br />Bidan : iya ( menutup pintu)(berjalan menuju meja bidan, dan duduk)<br /> ada perlu apa ini bu?<br />Bu Putri : kali ini saya ingin periksa kehamilan saya bu bidan, ya kan pak?<br />Pak Wanto : iya bu (mengangguk)<br />Bidan : baiklah sambil kita bicara nanti, bapak & ibu silahkan bertanya bila kurang jelas dan jangan sungkan untuk bercerita, karena cerita bapak & ibu akan terjaga kerahasiannya.<br />Pak Wanto : maksud bu bidan, dengan terjaga kerahasiannya, apa tha bu?<br />Bidan : maksud saya tidak akan bicara pada siapa pun, sudah menjadi hak bapak & ibu mendapatkan konseling yang terjaga kerahasiaan nya.<br />Pak Wanto : oo.. gitu<br />Bidan : baiklah nah, sekarang mari kita membahas informasi yang benar dan bekerjasama untuk memecahkan masalah yang ibu hadapi, apa yang bisa saya bantu bu ?<br />Bu Putri : aa.... begitu akhir-akhir ini saya sering mual dan muntah saya jadi malas untuk makan karena melihat makanan saja rasa nya sudah mual bu bidan.<br />Bidan : o.. begitu mual dan muntah pada usia kehamilan muda sering terjadi bu Putri. kalau ibu merasa mual saat memakan nasi , minggu ini di coba memakan selain nasi dulu ya bu ? jangan sampai ibu tidak makan karena membahayakan kandungan ibu!<br />Bu Putri : iya ibu bidan , saya juga takut kalau nanti bayi saya kekurangan gizi. Tapi, bu bidan apa benar kalau saya ngidam dan suami saya tidak bisa memberikan yang saya mau, nanti saat bayi saya lahir, dia bisa ngences gitu ya bu bidan?<br />Bidan : begini bu putri, sebenarnya ngidam itu bukan keinginan dari bayi, itu hanya keinginan ibu semata. nah kenapa bayi bisa ngences? itu karena saat hamil, ibu itu percaya bahwa ngidam adalah keinginan bayi. jadi, bila ngidam itu tidak bida terlaksanakan ibu terus memikirkannya dan itu akan berpengaruh pada janin.<br />Pak Wanto : jadi, kalo saya tidak bisa memberikan yang istri saya ngidamkan tidak berbahaya ya bu bidan?<br />Bidan : saya senang Pak wanto bertanya, bapak tidak perlu kwatir selama bu putri yakin bahwa itu bukan keinginan dari bayi dan jangan terlalu dipikirkan.<br />Bu Putri : iya bu bidan, lalu makanan apa yang harus saya konsumsi agar bayi saya sehat?<br />Bidan ; aaa... Bu putri harus banyak makan sayur-sayuran hijau, seperti bayam, buah-buahan, kurangi makanan setengah matang, dan lebih baik hindari makanan yang mengandung bahan pengawet dan mecin,karena dapat membayakan kandungan ibu.<br />Bu Putri : wa...bu bidan sepertinya menarik sekali yah, saya jadi lebih tau tentang kehamilan saya<br />Bidan : baiklah kalau begitu saya akan periksa tekanan darah ibu dulu (memeriksa TD) ee...apa ibu punya darah tinggi?<br />Bu Putri : alhamdulillah bu saya tidak punya darah tinggi<br />Bidan : bagaimana dengan yang lainnya? misalnya kencing manis, dan sakit kuning?<br />Bu putri ; wah...alhamdulillah bu saya tidak pernah mengalaminya (selesai diperiksa)<br />Bidan : baguslah kalau begitu (duduk kembali) hasil TD ibu juga bagus.<br />Bu Putri : alhamdulillah..<br /><br /><br />*semoga bermanfaat... ^^ </div>
ludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.com0tag:blogger.com,1999:blog-7261342726911469262.post-3585021125730778682018-03-20T23:38:00.001-07:002018-03-21T04:53:00.593-07:00KB Spiral (IUD) untuk WanitaHallo bu ibuk dan calon ibu juga seluruh wanita Indonesia. Saya ingin share sedikit tentang Kb Spiral yang sedang digalakan pemerintah kita. Sebelumnya, kita kenalan dulu yuk dengan spiralnya.<br />
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<b>Siapa sih Spiral?</b></div>
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Sudah banyak yang tahu, tapi tidak mengenal siapa spiral (<i>sedih -_-</i>). Jadi sister, Spiral itu adalah metode KB dengan memasukkan sebuah alat di dalam rahim (<i>eittt jangan serem dulu yah ^^</i>) dan ternyata metode ini sudah banyak dipakai dimasa lalu loh, bahkan ada yang menyebutkan bahwa para pedagang Arab, saat melakukan perjalanan jauh dalam berdagang, mereka memasukkan batu-batu ke dalam rahim untanya.</div>
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<b>Nah itu tadi sejarahnya si spiral, terus kaya gimana ya bentuk Spiral?</b></div>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://2.bp.blogspot.com/-TiLJhs8KkY4/WrHk2WAA1hI/AAAAAAAAHeo/H2v6_LY93IYGRnVsdw8XMCqVJ92jufCSQCLcBGAs/s1600/SPIRAL.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="400" data-original-width="800" height="160" src="https://2.bp.blogspot.com/-TiLJhs8KkY4/WrHk2WAA1hI/AAAAAAAAHeo/H2v6_LY93IYGRnVsdw8XMCqVJ92jufCSQCLcBGAs/s320/SPIRAL.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">by google</td></tr>
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Bisa diliat yah sister gambar diatas itu macam-macam spiral. Tapi, untuk sekarang yang banyak dipakai adalah yang IUD Copper T . Spiral ini berbentuk huruf T yang diselubungi oleh kawat halus yang terbuat dari tembaga (Cu). Cara kerjanya yaitu dengan menghambat sperma untuk bertemu sel telur.<br />
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<b>Terus Gimana ya Pemasangannya?</b></div>
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Ini nih yang sering jadi kendala KB Spiral, biasanya banyak yang takut dalam pemasangannya, karena banyaknya berita yang simpang siur tentang Spiral. Jadi, pemasangannya ada 2 metode ya sister. </div>
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1. Pasca Plasenta</div>
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2. Saat Haid</div>
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<b> Pasca Plasenta</b></div>
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Sister...untuk metode ini dikhususkan hanya untuk sister-sister yang habis melahirkan ya ^^ . Jadi, Spiralnya akan dipasang setelah plasenta lahir atau sister kenal dengan istilah ari-ari. Setelah bayi dilahirkan, ada si ari-ari yang perlu dilahirkan juga. Nah setelah ari-ari ini lahir, rahim sister akan dipastikan bersih dahulu oleh dokter atau bidan, barulah setelah dipastikan bersih, spiral akan langsung dipasang menggunakan tangan di letakkan tepat di dalam rahim. Ini bisa juga loh untuk sister yang bersalin dengan operasi caesar. Kurang lebih sama prosesnya ya. Saya akan kasih gambaran rahim sister biar lebih jelasnya.</div>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://1.bp.blogspot.com/-h5X63nZImC4/WrHq7CX5ooI/AAAAAAAAHe4/ellRwwpsn40Ny6ubgsP_1Y9qMRm9RW1xgCLcBGAs/s1600/akdr.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="360" data-original-width="634" height="181" src="https://1.bp.blogspot.com/-h5X63nZImC4/WrHq7CX5ooI/AAAAAAAAHe4/ellRwwpsn40Ny6ubgsP_1Y9qMRm9RW1xgCLcBGAs/s320/akdr.png" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">by google<br />
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Gambar diatas adalah rahim ya sister, bisa dilihat kalau Spiral dipasangkan tepat di rahim. Banyak sekali yang bilang ke saya <i>"nanti spiralnya jalan ke usus ngak?" "ah takut, tetangga saya spiralnya bolong ke perut". </i>Saya jelasin sedikit ya sister, Spiral tidak punya kaki dan kalau dipasang tepat dirahim, tentu amat sangat tidak mungkin dia lari ke usus, karena salurannya beda loh sister. Usus dan Perut itu bukan di rahim ya. Kalaupun sister tidak cucok (a<i>da beberapa wanita yang memang tidak cocok memakai KB tertentu</i>) memakai si Spiral, dia akan keluar lewat satu-satunya jalan keluar yaitu vagina. Coba liat gambarnya lagi biar jelas ya.<br />
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<b> Saat Haid</b></div>
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Pemasangan spiral pasca plasenta tentu berbeda dengan pemasangan spiral saat haid. Tetapi sama-sama diletakkan didalam rahim ya sister, bedanya adalah di prosesnya. Kenapa sih kalau pasang Spiral bukan setelah bersalin saat haid? ini untuk mengurangi rasa kurang nyaman yang diakibatkan saat membuka vagina dan mulut rahim. Saat haid mulut rahim akan melunak, sehingga rasa kurang nyamanpun akan berkurang. Eh ada satu teman saya yang pasang tidak saat haid, dan menurutnya rasanya hanya pegal dan sedikit linu saja loh (<i>tapi, harus test pack dulu ya untuk memastikan sedang tidak hamil</i>). Mungkin untuk sister yang cari aman, sebaiknya saat haid saja. Saya akan jelaskan melalui gambar saja ya.</div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://3.bp.blogspot.com/-C-rubzn-j2U/WrHvRB8659I/AAAAAAAAHfE/m24or43PYXArZ_JZYtRS2S37GdaioSUUwCLcBGAs/s1600/pasang%2B1.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="233" data-original-width="300" src="https://3.bp.blogspot.com/-C-rubzn-j2U/WrHvRB8659I/AAAAAAAAHfE/m24or43PYXArZ_JZYtRS2S37GdaioSUUwCLcBGAs/s1600/pasang%2B1.png" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">gambar 1, by google</td></tr>
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<tr><td style="text-align: center;"><a href="https://3.bp.blogspot.com/-00IK_dpzZko/WrHv5VvqJKI/AAAAAAAAHfM/RKYovsaLcWYneyQmVja__IQNwvO5Vu-ZQCLcBGAs/s1600/pasang%2B2.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="214" data-original-width="320" src="https://3.bp.blogspot.com/-00IK_dpzZko/WrHv5VvqJKI/AAAAAAAAHfM/RKYovsaLcWYneyQmVja__IQNwvO5Vu-ZQCLcBGAs/s1600/pasang%2B2.JPG" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">gambar 2, by google</td></tr>
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1. Vagina sister akan dibuka menggunakan alat, seperti gambar 1, untuk melihat mulut rahim sister.<br />
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2. Rahim sister akan diukur dulu, untuk mengetahui kedalamannya (<i>saya tidak punya gambarnya)</i></div>
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3. Kemudian ukuran yang didapat, akan dipaskan di Spiralnya seperti gambar 2</div>
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4. Lalu spiral di masukkan dan dilepaskan tepat di rahim sister. Selesai deh.</div>
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Ngak ribet dan cepet banget loh prosesnya. Ini saya jabarkan agar membuat sister tidak takut lagi untuk dipasang.</div>
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<b>Oh ya, dari tadi ngomongin bagusnya terus, jeleknya apa nih?</b></div>
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Tanpa saya share jeleknya spiral, di luaran spiral sudah banyak yang bully (<i>kasian ya</i>) padahal belum tentu info yang didengar bener loh. Yuk simak biar makin tahu.</div>
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<li>Perubahan siklus haid (biasanya timbul di 3 bulan pertama, dan akan berkurang atau hilang setelah bulan ke 3).</li>
<li>Haid lebih banyak dan lebih lama (banyak bukan berarti darahnya seember ya^^).</li>
<li>Tidak mencegah Infeksi Menular Seksual dan HIV.</li>
<li>Tidak baik digunakan untuk wanita yang mempunyai penyakit Menular Seksual.</li>
<li>Tidak untuk perempuan dengan penyakit radang panggul.</li>
<li>Memerlukan pengontrolan benang spiral (terlebih untuk yang baru pasang)</li>
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itu tadi kejelekan dari spiral ya sister, <b>terus apa ajah nih bagusnya?</b> secara pemerintah mendukung banget KB spiral.</div>
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<li>Spiral langsung efektif setelah pemasangan</li>
<li>Merupakan metode jangkan panjang (maksimal 8 - 10 tahun)</li>
<li>Sangat praktis, karena tidak perlu mengingat-ingat</li>
<li>Tidak mengganggu hubungan seksual (<i>ini banyak dikeluhkan, katanya sakit saat hubungan, sister perlu diketahui, bahwa penis akan masuk hanya di vagina tidak sampai rahim, kan spiralnya di rahim bukan di vagina, oke</i>)</li>
<li>Tidak mempengaruhi ASI</li>
<li>Baik untuk ibu dengan darah tinggi</li>
<li>Baik dengan ibu HbSAg (+)</li>
<li>Tidak ada interaksi dengan obat-obatan</li>
<li>Efektifitas tinggi, hanya 1 yang hamil dari 100 wanita dengan spiral</li>
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Gimana nih sister udah lebih tahu kan tentang spiral? jangan ragu lagi ya untuk pakai spiral, karena ini sangat dianjurkan untuk wanita, mengingat manfaatnya yang banyak. Kalau ada pertanyaan dan request tentang kehamilan, kb, persalinan boleh tinggalkan di kolom komentar ya, saya usahakan untuk menjawab ya sister. Terimakasih</div>
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ludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.com0tag:blogger.com,1999:blog-7261342726911469262.post-10688048116364217002017-09-04T19:40:00.000-07:002017-09-19T22:22:14.491-07:00makalah menstruasi<b><br /></b>
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<b>Pengertian </b><br />
Menstruasi adalah perdarahan periodik dari uterus yang dimulai sekitar 14 hari setelah ovulasi secara berkala akibat terlepasnya lapisan endometrium uterus (Bobak, 2004). Pada wanita siklus
menstruasi rata-rata terjadi sekitar 28 hari, walaupun hal ini berlaku umum, tetapi tidak semua wanita memiliki siklus menstruasi yang sama, kadang-kadang siklus terjadi setiap 21 hari hingga 30 hari. Biasanya, menstruasi rata-rata terjadi 5 hari, kadang-kadang menstruasi juga dapat terjadi sekitar 2 hari sampai 7 hari.<br />
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Umumnya darah yang hilang akibat menstruasi adalah 10mL hingga 80mL per hari tetapi biasanya dengan rata-rata 35mL per harinya.Biasanya pada saat menstruasi wanita memakai pembalut untuk menampung darah yang keluar saat beraktivitas terutama saat tidur agar bokong dan celana tidak basah dan tetap nyaman. Pembalut harus diganti minimal dua kali sehari untuk mencegah agar tidak terjadi infeksi pada vagina atau gangguan-gangguan lainnya. Gunakanlah pembalut yang anti-bakteri dan mempunyai siklus udara yang lancar.<br />
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<b>Fisiologis Siklus Menstruasi </b><br />
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Fungsi menstruasi normal merupakan hasil interaksi antara hipotalamus, hipofisis, dan ovarium dengan perubahan-perubahan terkait pada jaringan sasaran pada saluran reproduksi normal, ovarium memainkan peranan penting dalam proses ini, karena tampaknya bertanggung jawab dalam pengaturan perubahan-perubahan siklik maupun lama siklus menstruasi (Bobak, 2004).<br />
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Ovarium menghasilkan hormon steroid, terutama estrogen dan progesteron. Beberapa estrogen yang berbeda dihasilkan oleh folikel ovarium, yang mengandung ovum yang sedang berkembang dan oleh sel-sel yang mengelilinginya. Estrogen ovarium yang paling berpengaruh adalah estradiol.<br />
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Estrogen bertanggung jawab terhadap perkembangan dan pemeliharaan organ-organ reproduktif wanita dan karakteristik seksual sekunder yang berkaitan dengan wanita dewasa. Estrogen memainkan peranan penting dalam perkembangan payudara dan dalam perubahan siklus bulanan dalam uterus. Progesteron juga penting dalam mengatur perubahan yang terjadi dalam uterus selama siklus menstruasi. Progesteron merupakan hormon yang paling penting untuk menyiapkan endometrium yang merupakan membran mukosa yang melapisi uterus untuk implantasi ovum yang telah dibuahi.<br />
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Jika terjadi kehamilan sekresi progesteron berperan penting terhadap plasenta dan untuk mempertahankan kehamilan yang normal. Sedangkan endrogen juga dihasilkan oleh ovarium, tetapi hanya dalam jumlah kecil. Hormon endrogen terlibat dalam perkembangan dini folikel dan juga mempengaruhi libido wanita (Suzannec, 2001).<br />
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Menstruasi disertai ovulasi terjadi selang beberapa bulan sampai 2-3 tahun setelah menarche yang berlangsung sekitar umur 17-18 tahun. Dengan memperhatikan komponen yang mengatur menstruasi dapat dikemungkakan bahwa setiap penyimpangan system akan terjadi penyimpangan pada patrum umun menstruasi. Pada umumnya menstruasi akan berlangsung setiap 28 hari selama ±7 hari. Lama perdarahannya sekitas 3-5 hari dengan jumlah darah yang hilang sekitar 30-40 cc. Puncak pendarahannya hari ke-2 atau 3 hal ini dapat dilihat dari jumlah pemakaian pembalut sekitar 2-3 buah. Diikuti fase proliferasi sekitar 6-8 hari (Manuaba dkk, 2006).<br />
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<b>Bagian-bagian Siklus Menstruasi </b><br />
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Menurut Bobak (2004), ada beberapa rangkaian dari siklus menstruasi, yaitu:<br />
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<b>Siklus Endomentrium </b><br />
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Siklus endometrium menurut Bobak (2004), terdiri dari empat fase, yaitu :<br />
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a. Fase menstruasi
Pada fase ini, endometrium terlepas dari dinding uterus dengan disertai pendarahan dan lapisan yang masih utuh hanya stratum basale. Rata-rata fase ini berlangsung selama lima hari (rentang 3-6 hari). Pada awal fase menstruasi kadar estrogen, progesteron, LH (Lutenizing Hormon) menurun atau pada kadar terendahnya selama siklus dan kadar FSH (Folikel Stimulating Hormon) baru mulai meningkat.<br />
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b. Fase proliferasi
Fase proliferasi merupakan periode pertumbuhan cepat yang berlangsung sejak sekitar hari ke-5 sampai hari ke-14 dari siklus haid, misalnya hari ke-10 siklus 24 hari, hari ke-15 siklus 28 hari, hari ke-18 siklus 32 hari. Permukaan endometrium secara lengkap kembali normal sekitar empat hari atau menjelang perdarahan berhenti. Dalam fase ini endometrium tumbuh menjadi setebal ± 3,5 mm atau sekitar 8-10 kali lipat dari semula, yang akan berakhir saat ovulasi. Fase proliferasi tergantung pada stimulasi estrogen yang berasal dari folikel ovarium.<br />
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c. Fase sekresi/luteal
Fase sekresi berlangsung sejak hari ovulasi sampai sekitar tiga hari sebelum periode menstruasi berikutnya. Pada akhir fase sekresi, endometrium sekretorius yang matang dengan sempurna mencapai ketebalan seperti beludru yang tebal dan halus. Endometrium menjadi kaya dengan darah dan sekresi kelenjar.<br />
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d. Fase iskemi/premenstrual
Implantasi atau nidasi ovum yang dibuahi terjadi sekitar 7 sampai 10 hari setelah ovulasi. Apabila tidak terjadi pembuahan dan implantasi, korpus luteum yang mensekresi estrogen dan progesteron menyusut. Seiring penyusutan kadar estrogen dan progesteron yang cepat, arteri spiral menjadi spasme, sehingga suplai darah ke endometrium fungsional terhenti dan terjadi nekrosis. Lapisan fungsional terpisah dari lapisan basal dan perdarahan menstruasi dimulai.<br />
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<b>Siklus Ovulasi </b><br />
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Ovulasi merupakan peningkatan kadar estrogen yang menghambat pengeluaran FSH, kemudian hipofise mengeluarkan LH (lutenizing hormon). Peningkatan kadar LH merangsang pelepasan oosit sekunder dari folikel. Folikel primer primitif berisi oosit yang tidak matur (sel primordial). Sebelum ovulasi, satu sampai 30 folikel mulai matur didalam ovarium dibawah pengaruh FSH dan estrogen. Lonjakan LH sebelum terjadi ovulasi mempengaruhi folikel yang terpilih. Di dalam folikel yang terpilih, oosit matur dan terjadi ovulasi, folikel yang kosong memulai berformasi menjadi korpus luteum. Korpus luteum mencapai puncak aktivitas fungsional 8 hari setelah ovulasi, dan mensekresi baik hormon estrogen maupun progesteron. Apabila tidak terjadi implantasi, korpus luteum berkurang dan kadar hormon menurun. Sehingga lapisan fungsional endometrium tidak dapat bertahan dan akhirnya luruh.<br />
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<b>Siklus Hipofisis-hipotalamus</b><br />
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Menjelang akhir siklus menstruasi yang normal, kadar estrogen dan progesteron darah menurun. Kadar hormon ovarium yang rendah dalam darah ini menstimulasi hipotalamus untuk mensekresi gonadotropin realising hormone (Gn-RH). Sebaliknya, Gn-RH menstimulasi sekresi folikel stimulating hormone (FSH). FSH menstimulasi perkembangan folikel de graaf ovarium dan produksi estrogennya. Kadar estrogen mulai menurun dan Gn-RH hipotalamus memicu hipofisis anterior untuk mengeluarkan lutenizing hormone (LH). LH mencapai puncak pada sekitar hari ke-13 atau ke-14 dari siklus 28 hari. Apabila tidak terjadi fertilisasi dan implantasi ovum pada masa ini, korpus luteum menyusut, oleh karena itu kadar estrogen dan progesteron menurun, maka terjadi menstruasi.<br />
<br />
<b>Faktor-faktor yang Berperan dalam Siklus Menstruasi</b><br />
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Menurut Praworohardjo (1999), ada beberapa faktor yang memegang peranan dalam siklus menstruasi antara lain:
·<br />
<br />
<b>Faktor enzim</b><br />
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Dalam fase proliferasi estrogen mempengaruhi tersimpannya enzim-enzim hidrolitik dalam endometrium, serta merangsang pembentukan glikogen dan asam-asam mukopolisakarida. Zat-zat yang terakhir ini ikut berperan dalam pembangunan endometrium, khususnya dengan pembentukan stroma di bagian bawahnya. Pada pertengahan fase luteal sintesis mukopolisakarida terhenti, yang berakibat mempertinggi permeabilitas pembuluh-pembuluh darah yang sudah berkembang sejak permulaan fase proliferasi. Dengan demikian lebih banyak zat-zat makanan mengalir ke stroma endometrium sebagai persiapan untuk implantasi ovum apabila terjadi kehamilan. Jika kehamilan tidak terjadi, maka dengan menurunnya kadar progesterone, enzim-enzim hidrolitik dilepaskan, karena itu timbul gangguan dalam metabolisme endometrium yang mengakibatkan regresi endomentrium dan perdarahan.
·<br />
<br />
<b>Faktor vaskuler</b><br />
<br />
Mulai fase proliferasi terjadi pembentukan sistem vaskularisasi dalam lapisan fungsional endometrium. Pada pertumbuhan endometrium ikut tumbuh pula arteri-arteri, vena-vena. Dengan regresi endometrium timbul statis dalam vena serta saluran-saluran yang menghubungkannya dengan arteri, dan akhirnya terjadi nekrosis dan perdarahan dengan pembentukan hematom baik dari arteri maupun dari vena.
·<br />
<br />
<b>Faktor prostaglandin </b><br />
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Endometrium mengandung banyak prostaglandin E2 dan F2. dengan desintegrasi endometrium, prostaglandin terlepas dan menyebabkan berkontraksinya miometrium sebagai suatu faktor untuk membatasi perdarahan pada haid.
ludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.com0tag:blogger.com,1999:blog-7261342726911469262.post-62013307139985584352015-08-17T17:26:00.001-07:002017-09-19T23:01:23.171-07:00LAPORAN KASUS ASUHAN KEBIDANAN KOMPREHENSIF<div align="center" class="MsoNormal" style="text-align: center;">
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<b><span style="font-family: "times new roman" , "serif"; font-size: 16.0pt; line-height: 115%;">LAPORAN
KASUS<o:p></o:p></span></b></div>
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<b><span style="font-family: "times new roman" , "serif"; font-size: 16.0pt; line-height: 115%;">ASUHAN
KEBIDANAN KOMPREHENSIF<o:p></o:p></span></b></div>
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<b><span style="font-family: "times new roman" , "serif"; font-size: 16.0pt; line-height: 115%;">PADA
NY. R G<sub>2</sub>P<sub>1</sub>A<sub>0</sub> DI PUSKESMAS KECAMATAN SENEN<o:p></o:p></span></b></div>
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<b><span style="font-family: "times new roman" , "serif"; font-size: 16.0pt; line-height: 115%;">TANGGAL
24 MARET S. D 31 MEI 2014<o:p></o:p></span></b></div>
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<span style="font-family: "times new roman" , "serif"; line-height: 115%;">Disusun
Sebagai Syarat Untuk Mengikuti Ujian Akhir Semester Enam<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; line-height: 115%;">Program
Studi Diploma III Kebidanan<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; line-height: 115%;">Oleh : Ludse Intan Solehah<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; line-height: 115%;">NPM : 34711138<o:p></o:p></span></div>
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<b><span style="font-family: "times new roman" , "serif"; font-size: 16.0pt; line-height: 115%;">UNIVERSITAS
GUNADARMA<o:p></o:p></span></b></div>
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<b><span style="font-family: "times new roman" , "serif"; font-size: 16.0pt; line-height: 115%;">PROGRAM
STUDI DIPLOMA III KEBIDANAN<o:p></o:p></span></b></div>
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<b><span style="font-family: "times new roman" , "serif"; font-size: 16.0pt; line-height: 115%;">JAKARTA</span></b><span style="font-family: "times new roman" , "serif"; font-size: 16.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 16.0pt; line-height: 115%;">2014<o:p></o:p></span><br />
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<b><span style="font-size: 14.0pt; line-height: 200%;">KATA PENGANTAR<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif";">Puji
syukur kehadirat Allah SWT atas berkat dan rahmatnya penulis dapat
menyelesaikan tugas akhir yang berjudul
“Asuhan Kebidanan Komprehensif pada Ny. R Di Puskesmas Kecamatan Senen
2014”. Penulisan ini bertujuan untuk memenuhi salah satu persyaratan untuk
memperoleh gelar Ahli Madya Kebidanan.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Dalam
penulisan ini, penulis banyak mendapat bimbingan dan dorongan dari berbagai
pihak. Oleh karena itu, izinkan penulis mengucapkan terimakasih yang sebesar –
besarnya kepada yang terhormat :<o:p></o:p></span></div>
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<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Prof. DR. E. S. Margianti, SE., MM, selaku Rektor
Universitas Gunadarma.</div>
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<!--[if !supportLists]-->2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Prof. DR. dr. Johan Harlan, SSi., MSc, selaku
penanggung jawab Program Studi Diploma III Kebidanan Universitas Gunadarma.</div>
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</span><!--[endif]-->Retno Ekawaty, SST, selaku Ketua Program Studi Diploma
III Kebidanan Universitas Gunadarma dan selaku pembimbing I, terimakasih karena
telah banyak membantu dan memberikann dorongan sehingga penulis dapat
menyelesaikan penulisan ini.</div>
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</span><!--[endif]-->Rini Damayanti, SST, selaku pembimbing II, terimakasih
atas saran dan nasihat yang membangun sehingga penulis dapat menyelesaikan
tepat pada waktunya.</div>
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<!--[if !supportLists]-->5.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Seluruh Staf Dosen Program Studi Diploma III Kebidanan
Universitas Gunadarma.</div>
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<!--[if !supportLists]-->6.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Orang tua saya Ibu Tasliyah yang sudah memberikan
semangat dan dukungannya, sehingga penulis dapat menyelesaikan tugas akhir ini.</div>
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<!--[if !supportLists]-->7.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Teman – teman senasib dan seperjuangan Diploma III
Kebidanan Universitas Gunadarma Angkatan VIII.</div>
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</span><!--[endif]-->Seluruh keluarga besar Puskesmas Kecamatan Senen.</div>
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<!--[if !supportLists]-->9.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Ibu “R” yang telah bersedia menjadi pasien komprehensif
saya.</div>
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<span style="font-family: "Times New Roman","serif";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; mso-ansi-language: SV;">Jakarta,
</span><span style="font-family: "Times New Roman","serif";">Juni 2014<o:p></o:p></span></div>
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<span lang="SV" style="font-family: "Times New Roman","serif"; mso-ansi-language: SV;"> Penuli</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">s</span><span lang="IN"><o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">DAFTAR ISI<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif";">LEMBAR PERSETUJUAN.......................................................................................... i<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">LEMBAR PENGESAHAN........................................................................................... ii<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">KATA PENGANTAR................................................................................................... iii<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">DAFTAR ISI ................................................................................................................. v<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">DAFTAR TABEL ......................................................................................................... vii<o:p></o:p></span></div>
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DAFTAR
GAMBAR .................................................................................................... viii</div>
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<span style="font-family: "Times New Roman","serif";">BAB I PENDAHULUAN<o:p></o:p></span></div>
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BAB
II TINJAUAN PUSTAKA</div>
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</span><!--[endif]-->Masa Nifas.................................................... 61</div>
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<!--[if !supportLists]-->2. 1. 3. 4<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Bayi Baru Lahir............................................ 72</div>
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<!--[if !supportLists]-->2. 2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Pendokumentasian Kebidanan...................................................... 86</div>
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<!--[if !supportLists]-->2. 2. 1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Pengertian........................................................................ 86</div>
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<!--[if !supportLists]-->2. 2. 2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tujuan.............................................................................. 87
</div>
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<!--[if !supportLists]-->2.3<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Model Dokumentasi...................................................................... 89</div>
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BAB
III LAPORAN KASUS </div>
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<!--[if !supportLists]-->3.1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tahap Antenatal............................................................................. 96</div>
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<!--[if !supportLists]-->3.2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tahap Intranatal............................................................................. 109</div>
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<!--[if !supportLists]-->3.3<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tahap Nifas.................................................................................... 115</div>
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<!--[if !supportLists]-->3.4<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tahap Bayi Baru Lahir................................................................... 120</div>
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BAB
IV PEMBAHASAN </div>
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<!--[if !supportLists]-->4.1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Antenatal....................................................................................... 129</div>
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<!--[if !supportLists]-->4.2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Intranatal........................................................................................ 130</div>
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<!--[if !supportLists]-->4.3<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Nifas.............................................................................................. 133</div>
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<!--[if !supportLists]-->4.4<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Bayi Baru Lahir............................................................................. 134</div>
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BAB
V SIMPULAN DAN SARAN </div>
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<!--[if !supportLists]-->5.1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Kesimpulan.................................................................................... 136</div>
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<!--[if !supportLists]-->5.2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Saran.............................................................................................. 137</div>
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DAFTAR
PUSTAKA ................................................................................................... ix</div>
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LAMPIRAN</div>
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<b><span style="font-family: "Times New Roman","serif";">DAFTAR
TABEL<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif";">Tabel
1</span></b><span style="font-family: "Times New Roman","serif";"> Kujungan
Antenatal Care...................................................................... 15<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Tabel
2</span></b><span style="font-family: "Times New Roman","serif";"> Imunisasi TT
0, 5 cc............................................................................... 17<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Tabel
3</span></b><span style="font-family: "Times New Roman","serif";"> Tinggi Fundus
Uteri Menurut Spiegelberg............................................ 22<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Tabel
4</span></b><span style="font-family: "Times New Roman","serif";"> Rekomendasi
Kenaikan Total BB Ibu Hamil <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";"> BB
Ibu Sebelum Hamil......................................................................... 32<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Tabel
5</span></b><span style="font-family: "Times New Roman","serif";"> Penurunan
Kepala Janin Menurut Sistem Perlimaan ............................. 39<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Tabel
6</span></b><span style="font-family: "Times New Roman","serif";"> Kunjungan Masa
Nifas ......................................................................... 63<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Tabel
7</span></b><span style="font-family: "Times New Roman","serif";"> Involusi Uteri
pada Masa Nifas ............................................................ 65<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Tabel
8</span></b><span style="font-family: "Times New Roman","serif";"> Nilai APGAR ........................................................................................ 75<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Tabel
9</span></b><span style="font-family: "Times New Roman","serif";"> Waktu
Pemeriksaan Bayi Baru Lahir..................................................... 79<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Tabel
10</span></b><span style="font-family: "Times New Roman","serif";"> Pemeriksaan
Fisik pada Bayi Baru Lahir ............................................ 79<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">DAFTAR
GAMBAR<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif";">Gambar
1</span></b><span style="font-family: "Times New Roman","serif";"> Tinggi Fundus
Uteri berdasarkan tuanya kehamilan............................................. 22<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Gambar
2</span></b><span style="font-family: "Times New Roman","serif";"> Mekanisme Persalinan............................................................................................ 43<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Gambar
3</span></b><span style="font-family: "Times New Roman","serif";"> Cara Melakukan
Amniotomi ................................................................................. 46<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Gambar
4</span></b><span style="font-family: "Times New Roman","serif";"> Pelepasan
Plasenta Secara Schultze....................................................................... 48<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Gambar
5</span></b><span style="font-family: "Times New Roman","serif";"> Pelepasan
Plasenta Secara Duncan ....................................................................... 48<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Gambar
6</span></b><span style="font-family: "Times New Roman","serif";"> Proses Laktasi
....................................................................................................... 66<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Gambar
7</span></b><span style="font-family: "Times New Roman","serif";"> Mekanisme Kehilangan
Panas Secara Konduksi................................................... 84<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Gambar
8</span></b><span style="font-family: "Times New Roman","serif";"> Mekanisme Kehilangan
Panas Secara Koveksi ..................................................... 84<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Gambar
9</span></b><span style="font-family: "Times New Roman","serif";"> Mekanisme Kehilangan
Panas Secara Radiasi....................................................... 85<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">Gambar
10</span></b><span style="font-family: "Times New Roman","serif";"> Mekanisme
Kehilangan Panas Secara Konduksi ................................................ 85<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";"> <o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif";">BAB
I<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif";">PENDAHULUAN</span></b><span style="font-family: "Times New Roman","serif";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b>1. 1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Latar Belakang<o:p></o:p></b></div>
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Menurut Federasi
Obstetri Ginekologi Internasional, kehamilan adalah fertilisasi atau penyatuan
dari spermatozoa dan ovum yang dilanjutkan dengan nidasi atau implantasi
(Prawirohardjo, 2010). Apabila kehamilan ini direncanakan, akan memberi rasa
kebahagiaan dan penuh harapan. Sedangkan Persalinan adalah suatu proses pengeluaran
hasil konsepsi yaitu janin dan plasenta, dengan usia kehamilan cukup bulan dan
dapat hidup ke dunia luar, dari rahim melalui jalan lahir atau dengan jalan
lain (Sofian; 2011, Kuswanti dan Melina; 2014).</div>
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Mortalitas dan
morbiditas pada wanita hamil dan bersalin adalah masalah besar di negara
berkembang. Di Negara miskin, sekitar 25-50% kematian wanita subur berkaitan
dengan kehamilan. Kematian saat melahirkan biasanya menjadi faktor utama
mortalitas wanita muda pada masa puncak produktivitasnya.</div>
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Menurut definisi
WHO, kematian ibu adalah kematian seorang wanita hamil atau selama 40 hari
sesudah kehamilan oleh sebab apapun terlepas dari tuanya kehamilan dan
tindakkan yang dilakukan untuk mengakhiri kehamilan.</div>
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Angka kematian Ibu
(AKI) adalah jumlah kematian ibu yang diakibatkan oleh proses reproduksi pada
saat hamil, melahirkan dan masa nifas per 100.000 kelahiran hidup. AKI menurut
Survei Demografi Kesehatan Indonesia (SDKI) tahun 2007 adalah 228 per 100.000 kelahiran hidup,
dan pada tahun 2012 AKI di Indonesia melonjak menjadi 359 per 100.000 kelahiran
hidup . Sedangkan AKI di DKI Jakarta sebesar 93 per 100.000 kelahiran hidup
(BKKBN, 2013). <span lang="IN"><o:p></o:p></span></div>
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<span lang="IN">Berdasarkan data yang diperoleh dari </span>Survei
Demografi dan Kesehatan Indonesia (SDKI) 2007, AKI di Indonesia sebesar 228 per
100.000 kelahiran hidup, lebih tinggi dibandingkan dengan negara-negara di Asia
lain seperti Thailand 44 per 100.000 kelahiran hidup, Malaysia 39 per 100.000
kelahiran hidup dan 6 per 100.000 kelahiran hidup di Singapura. <span lang="IN"><o:p></o:p></span></div>
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Angka Kematian Bayi
(AKB) pada tahun 2007 adalah 34 per 1000 kelahiran hidup dan pada tahun 2012
AKB menjadi 32 per 1000 kelahiran hidup. Penelitian menunjukkan bahwa lebih
dari 50% kematian bayi dalam periode neonatal terjadi pada bulan-bulan pertama.
Salah satu cara yang diharapkan dapat menurunkan angka kesakitan dan kematian
neonatus adalah dengan pengenalan sedini mungkin bayi-bayi dengan resiko tinggi
(BKKBN, 2012).<span lang="IN"><o:p></o:p></span></div>
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Penyebab langsung
kematian ibu sebesar 90% terjadi pada persalinan dan segera setelah persalinan.
Penyebabnya adalah perdarahan (28%),
eklampsi (24%), infeksi (11%). Penyebab tidak langsung kematian ibu antara lain
anemi pada kehamilan (40%). Sedangkan berdasarkan laporan rutin pada tahun
2007, penyebab langsung kematian ibu adalah perdarahan (39%), eklampsi (20%),
infeksi (7%), dan lainnya (33%).</div>
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<i>Making Pregnancy Safer</i> bertujuan untuk
menekan angka kematian ibu dan bayi dengan melakukan asuhan kebidanan secara
komprehensif, yang dilakukan dengan cara memantau keadaan ibu pada masa
kehamilan, persalinan, nifas dan bayi baru lahir guna mendeteksi secara dini
adanya kelainan – kelainan yang mungkin dapat terjadi. Oleh karena itu, untuk
dapat mewujudkan hal tersebut dibutuhkan perhatian dan dukungan serta kesadaran
yang tidak hanya dari pemerintah saja, akan tetapi dari semua pihak yang ingin
bersama – sama menyelamatkan ibu dan calon generasi penerus bangsa bahwa
kehamilan, persalinan, nifas serta BBL adalah saat – saat yang perlu
mendapatkan perhatian dan penanganan yang tepat. </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
Berdasarkan uraian
diatas penulis tertarik untuk menerapkan ilmu yang didapat dari pendidikan
dalam memberikan Asuhan Kebidanan secara komprehensif pada Ny. R dalam
menghadapi kehamilan, bersalin, bayi baru lahir dan nifas di Puskesmas
Kecamatan Senen Jakarta Pusat.<span lang="IN"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l206 level1 lfo25; text-indent: -24.55pt;">
<!--[if !supportLists]--><b>1. 2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Tujuan <o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l152 level1 lfo28; text-indent: -35.45pt;">
<!--[if !supportLists]--><b>1.1.1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Tujuan Umum<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify;">
Mampu melaksanakan asuhan kebidanan
secara komprehensif pada Ny. R <!--[if gte msEquation 12]><m:oMath><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>G</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>3</m:r></span></i></m:sub></m:sSub><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>P</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>2</m:r></span></i></m:sub></m:sSub><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>A</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>0</m:r></span></i></m:sub></m:sSub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>
</m:r></span></i></m:oMath><![endif]--><!--[if !msEquation]--><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -3.0pt; position: relative; top: 3.0pt;"><!--[if gte vml 1]><v:shapetype
id="_x0000_t75" coordsize="21600,21600" o:spt="75" o:preferrelative="t"
path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f">
<v:stroke joinstyle="miter"/>
<v:formulas>
<v:f eqn="if lineDrawn pixelLineWidth 0"/>
<v:f eqn="sum @0 1 0"/>
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<v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"/>
<o:lock v:ext="edit" aspectratio="t"/>
</v:shapetype><v:shape id="_x0000_i1025" type="#_x0000_t75" style='width:39.75pt;
height:14.25pt'>
<v:imagedata src="file:///C:\Temp\msohtmlclip1\01\clip_image001.png" o:title=""
chromakey="white"/>
</v:shape><![endif]--><!--[if !vml]--><img height="19" src="file:///C:/Temp/msohtmlclip1/01/clip_image002.gif" v:shapes="_x0000_i1025" width="53" /><!--[endif]--></span><!--[endif]-->di
Puskesmas Kecamatan Senen Jakarta Pusat. Serta melakukan pendokumentasian dalam
bentuk SOAP.<span lang="IN"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l184 level1 lfo29; text-indent: -35.45pt;">
<!--[if !supportLists]--><b>1.2.2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Tujuan
Khusus<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l119 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]-->a.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Mampu melaksanakan pengkajian dan pengumpulan data pada
Ny. R <!--[if gte msEquation 12]><m:oMath><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>G</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>3</m:r></span></i></m:sub></m:sSub><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>P</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>2</m:r></span></i></m:sub></m:sSub><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>A</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>0</m:r></span></i></m:sub></m:sSub></m:oMath><![endif]--><!--[if !msEquation]--><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -3.0pt; position: relative; top: 3.0pt;"><!--[if gte vml 1]><v:shape
id="_x0000_i1025" type="#_x0000_t75" style='width:37.5pt;height:14.25pt'>
<v:imagedata src="file:///C:\Temp\msohtmlclip1\01\clip_image003.png" o:title=""
chromakey="white"/>
</v:shape><![endif]--><!--[if !vml]--><img height="19" src="file:///C:/Temp/msohtmlclip1/01/clip_image004.gif" v:shapes="_x0000_i1025" width="50" /><!--[endif]--></span><!--[endif]--> secara komprehensif di Puskesmas Kecamatan
Senen Jakarta Pusat.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l119 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]-->b.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Mampu menginterprestasikan data, menegakkan diagnosa dan
menegakkan masalah pada Ny. R <!--[if gte msEquation 12]><m:oMath><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>G</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>3</m:r></span></i></m:sub></m:sSub><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>P</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>2</m:r></span></i></m:sub></m:sSub><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>A</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>0</m:r></span></i></m:sub></m:sSub></m:oMath><![endif]--><!--[if !msEquation]--><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -3.0pt; position: relative; top: 3.0pt;"><!--[if gte vml 1]><v:shape
id="_x0000_i1025" type="#_x0000_t75" style='width:37.5pt;height:14.25pt'>
<v:imagedata src="file:///C:\Temp\msohtmlclip1\01\clip_image003.png" o:title=""
chromakey="white"/>
</v:shape><![endif]--><!--[if !vml]--><img height="19" src="file:///C:/Temp/msohtmlclip1/01/clip_image004.gif" v:shapes="_x0000_i1025" width="50" /><!--[endif]--></span><!--[endif]--> secara komprehensif di Puskesmas Kecamatan
Senen Jakarta Pusat.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l119 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]-->c.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Mampu menentukan masalah potensial yang mungkin terjadi pada Ny. R <!--[if gte msEquation 12]><m:oMath><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>G</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>3</m:r></span></i></m:sub></m:sSub><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>P</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>2</m:r></span></i></m:sub></m:sSub><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>A</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>0</m:r></span></i></m:sub></m:sSub></m:oMath><![endif]--><!--[if !msEquation]--><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -3.0pt; position: relative; top: 3.0pt;"><!--[if gte vml 1]><v:shape
id="_x0000_i1025" type="#_x0000_t75" style='width:37.5pt;height:14.25pt'>
<v:imagedata src="file:///C:\Temp\msohtmlclip1\01\clip_image003.png" o:title=""
chromakey="white"/>
</v:shape><![endif]--><!--[if !vml]--><img height="19" src="file:///C:/Temp/msohtmlclip1/01/clip_image004.gif" v:shapes="_x0000_i1025" width="50" /><!--[endif]--></span><!--[endif]--> secara komprehensif di Puskesmas Kecamatan
Senen Jakarta Pusat.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l119 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]-->d.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Mampu menentukan kebutuhan segera dengan melakukan
tindakan mandiri, kolaborasi atau konsultasi pada Ny. R <!--[if gte msEquation 12]><m:oMath><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>G</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>3</m:r></span></i></m:sub></m:sSub><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>P</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>2</m:r></span></i></m:sub></m:sSub><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>A</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>0</m:r></span></i></m:sub></m:sSub></m:oMath><![endif]--><!--[if !msEquation]--><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -3.0pt; position: relative; top: 3.0pt;"><!--[if gte vml 1]><v:shape
id="_x0000_i1025" type="#_x0000_t75" style='width:37.5pt;height:14.25pt'>
<v:imagedata src="file:///C:\Temp\msohtmlclip1\01\clip_image003.png" o:title=""
chromakey="white"/>
</v:shape><![endif]--><!--[if !vml]--><img height="19" src="file:///C:/Temp/msohtmlclip1/01/clip_image004.gif" v:shapes="_x0000_i1025" width="50" /><!--[endif]--></span><!--[endif]--> secara komprehensif di Puskesmas Kecamatan
Senen Jakarta Pusat.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l119 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]-->e.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Mampu merencanakan tindakan sesuai dengan masalah yang
didapat.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l119 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]-->f.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Mampu menentukan pelaksanakan asuhan kebidanan pada pada
Ny. R <!--[if gte msEquation 12]><m:oMath><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>G</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>3</m:r></span></i></m:sub></m:sSub><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>P</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>2</m:r></span></i></m:sub></m:sSub><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>A</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>0</m:r></span></i></m:sub></m:sSub></m:oMath><![endif]--><!--[if !msEquation]--><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -3.0pt; position: relative; top: 3.0pt;"><!--[if gte vml 1]><v:shape
id="_x0000_i1025" type="#_x0000_t75" style='width:37.5pt;height:14.25pt'>
<v:imagedata src="file:///C:\Temp\msohtmlclip1\01\clip_image003.png" o:title=""
chromakey="white"/>
</v:shape><![endif]--><!--[if !vml]--><img height="19" src="file:///C:/Temp/msohtmlclip1/01/clip_image004.gif" v:shapes="_x0000_i1025" width="50" /><!--[endif]--></span><!--[endif]-->secara
komprehensif di Puskesmas Kecamatan Senen Jakarta Pusat.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l119 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]-->g.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Mampu mengevaluasi asuhan kebidanan pada Ny. R <!--[if gte msEquation 12]><m:oMath><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>G</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>3</m:r></span></i></m:sub></m:sSub><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>P</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>2</m:r></span></i></m:sub></m:sSub><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>A</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>0</m:r></span></i></m:sub></m:sSub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>
</m:r></span></i></m:oMath><![endif]--><!--[if !msEquation]--><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -3.0pt; position: relative; top: 3.0pt;"><!--[if gte vml 1]><v:shape
id="_x0000_i1025" type="#_x0000_t75" style='width:39.75pt;height:14.25pt'>
<v:imagedata src="file:///C:\Temp\msohtmlclip1\01\clip_image001.png" o:title=""
chromakey="white"/>
</v:shape><![endif]--><!--[if !vml]--><img height="19" src="file:///C:/Temp/msohtmlclip1/01/clip_image002.gif" v:shapes="_x0000_i1025" width="53" /><!--[endif]--></span><!--[endif]-->secara
komprehensif di Puskesmas Kecamatan Senen Jakarta Pusat.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l119 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]-->h.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Mampu mendokumentasikan semua tindakan yang telah
dilakukan.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l24 level1 lfo26; text-indent: -24.55pt;">
<!--[if !supportLists]--><b>1. 3<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Ruang Lingkup<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
Asuhan komprehensif
ini dilaksanakan pada tanggal 24 Maret sampai dengan 31 Mei 2014 di Puskesmas
Kecamatan Senen, Jakarta Pusat. Asuhan kebidanan komprehensif ini meliputi
asuhan kebidanan pada ibu hamil dengan empat kali kunjungan, bersalin, hingga
kunjungan nifas dengan dua kali kunjungan dan bayi baru lahir dengan dua kali
kunjungan.<span lang="IN"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l73 level1 lfo27; text-indent: -24.55pt;">
<!--[if !supportLists]--><b>1. 4<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Sistematika Penulisan<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; text-indent: 1.0cm;">
Sistematika penulisan laporan studi
kasus “ Asuhan Kebidanan Komprehensif pada Ny. R di Puskesmas Kecamatan Senen,
Jakarta Pusat 2014”.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto;">
LEMBAR PERSETUJUAN</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto;">
LEMBAR PENGESAHAN</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto;">
KATA PENGANTAR</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto;">
DAFTAR TABEL</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto;">
DAFTAR GAMBAR</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto;">
DAFTAR ISI</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; tab-stops: 99.25pt;">
BAB I PENDAHULUAN</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l165 level1 lfo31; text-indent: -1.0cm;">
<!--[if !supportLists]-->1. 1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Latar Belakang</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l40 level1 lfo32; text-indent: -1.0cm;">
<!--[if !supportLists]-->1. 2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tujuan </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l67 level1 lfo33; text-indent: -1.0cm;">
<!--[if !supportLists]-->1. 3<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Ruang Lingkup</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l66 level1 lfo34; text-indent: -1.0cm;">
<!--[if !supportLists]-->1. 4<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Sistematika Penulisan</div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.55pt; tab-stops: 99.25pt;">
<span style="font-family: "Times New Roman","serif";">BAB II TINJAUAN PUSTAKA<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l84 level1 lfo24; text-indent: -1.0cm;">
<!--[if !supportLists]-->2. 1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Asuhan Kebidanan Komprehensif dan Berkisinambungan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.05pt; mso-add-space: auto; mso-list: l152 level1 lfo28; text-indent: -35.45pt;">
<!--[if !supportLists]-->2.1.1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Pengertian</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.05pt; mso-add-space: auto; mso-list: l6 level1 lfo35; text-indent: -35.45pt;">
<!--[if !supportLists]-->2.1.2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tujuan Asuhan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.05pt; mso-add-space: auto; mso-list: l38 level1 lfo36; text-indent: -35.45pt;">
<!--[if !supportLists]-->2.1.3<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Lingkup Asuhan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 7.0cm; mso-add-space: auto; mso-list: l30 level1 lfo37; text-indent: -35.4pt;">
<!--[if !supportLists]-->2.1.3.1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Antenatal Care</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 7.0cm; mso-add-space: auto; mso-list: l1 level1 lfo38; text-indent: -35.4pt;">
<!--[if !supportLists]-->2.1.3.2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Intranatal / Persalinan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 7.0cm; mso-add-space: auto; mso-list: l233 level1 lfo39; text-indent: -35.4pt;">
<!--[if !supportLists]-->2.1.3.3<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Masa Nifas</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 7.0cm; mso-add-space: auto; mso-list: l169 level1 lfo40; text-indent: -35.4pt;">
<!--[if !supportLists]-->2.1.3.4<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Bayi Baru Lahir</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l40 level1 lfo32; text-indent: -1.0cm;">
<!--[if !supportLists]-->2. 2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Pendokumentasian Kebidanan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.05pt; mso-add-space: auto; mso-list: l194 level1 lfo41; text-indent: -35.45pt;">
<!--[if !supportLists]-->2.2.1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Pengertian </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.05pt; mso-add-space: auto; mso-list: l194 level1 lfo41; text-indent: -35.45pt;">
<!--[if !supportLists]-->3.2.1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tujuan </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l211 level1 lfo42; text-indent: -1.0cm;">
<!--[if !supportLists]-->2.3<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Model Pendokumentasian</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; tab-stops: 99.25pt;">
BAB III LAPORAN KASUS</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l3 level1 lfo43; text-indent: -1.0cm;">
<!--[if !supportLists]-->3.1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tahap Antenatal</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l71 level1 lfo44; text-indent: -1.0cm;">
<!--[if !supportLists]-->3.2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tahap Intranatal</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l150 level1 lfo45; text-indent: -1.0cm;">
<!--[if !supportLists]-->3.3<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tahap Bayi Baru Lahir</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l202 level1 lfo46; text-indent: -1.0cm;">
<!--[if !supportLists]-->3.4<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tahap Nifas</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; tab-stops: 99.25pt;">
BAB IV PEMBAHASAN</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l3 level1 lfo43; text-indent: -1.0cm;">
<!--[if !supportLists]-->4.1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Antenatal</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l220 level1 lfo47; text-indent: -1.0cm;">
<!--[if !supportLists]-->4.2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Intranatal </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l7 level1 lfo48; text-indent: -1.0cm;">
<!--[if !supportLists]-->4.3<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Nifas </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l98 level1 lfo49; text-indent: -1.0cm;">
<!--[if !supportLists]-->4.4<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Bayi Baru Lahir</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; tab-stops: 99.25pt;">
BAB V KESIMPULAN
DAN SARAN</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l3 level1 lfo43; text-indent: -1.0cm;">
<!--[if !supportLists]-->5.1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Kesimpulan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l227 level1 lfo50; text-indent: -1.0cm;">
<!--[if !supportLists]-->5.2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Saran </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto;">
DAFTAR PUSTAKA</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto;">
LAMPIRAN</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 99.25pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%;">
<b><span style="font-family: "Times New Roman","serif";">BAB II<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 200%;">
<b><span style="font-family: "Times New Roman","serif";">TINJAUAN PUSTAKA<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l77 level1 lfo51; text-align: justify; text-indent: -24.55pt;">
<!--[if !supportLists]--><b>2. 1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Asuhan Kebidanan Komprehensif dan
Berkesinambungan<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l136 level1 lfo52; text-align: justify; text-indent: -42.5pt;">
<!--[if !supportLists]--><b>2. 1. 1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Pengertian <o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 3.0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
Asuhan kebidanan
adalah implantasi fungsi serta kegiatan yang menjadi tanggung jawab seorang
bidan dalam membertikan pelayanan pada klien yang memiliki kebutuhan atau
masalah dalam bidang kesehatan ibu pada saat hamil, bersalin, nifas dan bayi
baru lahir (IBI, 2008).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 3.0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
Asuhan kebidanan
secara komprehensif yaitu suatu proses tindakan yang dilakukan seorang bidan
sesuai dengan wewenang dalam lingkup prakteknya berdasarkan ilmu dan kiat
kebidanan dengan memperhatikan aspek – aspek sosial, budaya, psikologi,
spiritual, fisik, etika, kode etik, serta hubungan interpersonal dan hal dalam
mengambil keputusan dengan prinsip kemitraan
dengan wanita dan mengutamakan keamanan ibu, janin dan penolong serta
kepuasan ibu serta keluarganya (IBI, 2008).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 3.0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
Asuhan kebidanan
yang berkesinambungan merupakan asuhan yang diberikan oleh seorang bidan kepada
klien dari dinyatakan hamil, kemudian pada masa kehamilan, persalinan, nifas
dan bayi baru lahir dengan mengutamakan kenyamanan ibu dan bayinya serta
melibatkan keluarganya (IBI, 2008).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l97 level1 lfo53; text-align: justify; text-indent: -42.5pt;">
<!--[if !supportLists]--><b>2. 1. 2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Tujuan
Asuhan<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 124.35pt; mso-add-space: auto; mso-list: l237 level1 lfo201; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><span lang="IN">Menyiapkan
seoptimal mungkin fisik dan mental ibu dan anak selama dalam kehamilan,
persalinan dan nifas</span>.</div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Memantau kemajuan
kehamilan untuk memastikan kesehatan ibu dan tumbuh kembang bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 124.35pt; mso-list: l237 level1 lfo201; tab-stops: 99.25pt 120.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Meningkatkan dan
mempertahankan fisik, mental dan sosial ibu dan bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 124.35pt; mso-list: l237 level1 lfo201; tab-stops: 99.25pt 120.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Mempersiapkan persalinan
cukup bulan, melahirkan dengan selamat, ibu maupun bayinya dengan trauma
seminimal mungkin.<o:p></o:p></span></div>
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<!--[if !supportLists]-->5.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><span lang="IN">Mempersiapkan
ibu agar masa nifas berjalan normal dan mengaplikasikan ASI eksklusif.</span></div>
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<br /></div>
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<!--[if !supportLists]--><b>2. 1. 3<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Lingkup
Asuhan <o:p></o:p></b></div>
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Mampu melaksanakan
asuhan kebidanan pada ibu hamil, bersalin, nifas dan bayi baru lahir secara
komprehensif sehingga ibu dan bayi yang dilahirkan selamat dan sehat.</div>
<div class="MsoNormal">
<br /></div>
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<!--[if !supportLists]--><b>2. 1. 3. 1<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Antenatal
Care<o:p></o:p></b></div>
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<!--[if !supportLists]--><b>A.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Definisi <o:p></o:p></b></div>
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<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Antenatal
Care adalah pengawasan sebelum anak lahir, terutama ditujukan pada janin
(Sofian, 2011). Menurut Federasi Obstetri Ginekologi Internasional, kehamilan
adalah fertilisasi atau penyatuan dari spermatozoa dan ovum yang dilanjutkan
dengan nidasi atau implantasi (Prawirohardjo, 2010).<b><o:p></o:p></b></span></div>
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Proses kehamilan
adalah mata rantai yang berkesinambungan dan terdiri dari ovulasi pelepasan
ovum, terjadi migrasi spermatozoa dan ovum, terjadi konsepsi dan pertumbuhan
zigot, terjadi nidasi (implantasi) pada uterus, pembentukan plasenta, tumbuh
kembang hasil konsepsi sampai aterm.</div>
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<!--[if !supportLists]--><b>B.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Tujuan Antenatal Care<o:p></o:p></b></div>
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Tujuan utama ANC
adalah menurunkan atau mencegah kesakitan, serta kematian maternal dan
perinatal. Adapun tujuan khususnya adalah sebagai berikut :</div>
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<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Memonitor kemajuan kehamilan guna memastikan kesehatan
ibu dan perkembangan bayi yang normal.</div>
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<!--[if !supportLists]-->2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Mengenali secara dini penyimpangan dari normal dan
memberikan penatalaksanaan yang diperlukan.</div>
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<!--[if !supportLists]-->3.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Membina hubungan saling percaya antara ibu dan bidan
dalam rangka mempersiapkan ibu beserta keluarga secara fisik, emosional, serta
logis untuk menghadapi kelahiran dan kemungkinan adanya komplikasi.</div>
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<!--[if !supportLists]-->4.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Memberikan nasihat-nasihat tentang cara hidup
sehari-hari dan keluarga berencana, kehamilan, persalinan, nifas dan laktasi.</div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 184.3pt; mso-list: l173 level1 lfo121; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Mempersiapkan persalinan cukup bulan, melahirkan dengan
selamat, ibu maupun bayinya dengan trauma seminimal mungkin.<o:p></o:p></span></div>
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<!--[if !supportLists]-->6.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><span lang="IN">Mempersiapkan
ibu agar masa nifas berjalan normal dan mengaplikasikan ASI eksklusif</span>.</div>
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<br /></div>
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<!--[if !supportLists]--><b>C.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Prinsip Pokok Antenal Care<o:p></o:p></b></div>
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Prinsip yang seharusnya
dilakukan oleh bidan selama melakukan asuhan kehamilan adalah sebagai berikut :</div>
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<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Kehamilan dan kelahiran adalah proses yang normal,
alami dan sehat. </div>
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Sebagai bidan, kita
meyakini bahwa model asuhan kehamilan yang membantu serta melindungi proses
kehamilan dan kelahiran normal adalah yang paling sesuai bagi sebagian besar
wanita. Tidak perlu melakukan intervensi yang tidak didukung oleh bukti ilmiah
(evidence based practice).</div>
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<!--[if !supportLists]-->2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Pemberdayaan </div>
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Ibu adalah pelaku
utama dalam asuhan kehamilan. Oleh karena itu, bidan harus memberdayakan ibu
dan keluarga dengan meningkatkan pengetahuan dan pengalaman mereka melalui
pendidikan kesehatan agar dapat merawat dan menolong diri sendiri pada kondisi
tertentu. Hindarkan sikap negative dan banyak mengkritik.</div>
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<!--[if !supportLists]-->3.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Otonomi </div>
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Pengambilan kepututsan
adalah ibu dan keluarga. Untuk dapat mengambil suatu keputusan mereka
memerlukan informasi. Bidan harus memberikan informasi yang akurat tentang
resiko dan manfaat dari semua prosedur, obat-obatan, maupun tes/pemeriksaan
sebelum mereka memutuskan untuk menyetujuinya. Bidan juga harus membantu ibu
dalam membuat suatu keputusan tentang apa yang terbaik bagi ibu dan bayinya
berdasarkan system nilai dan kepercayaan ibu/keluarga. </div>
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<!--[if !supportLists]-->4.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tidak membahayakan </div>
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Intervensi harus
dilaksanakan atas dasar indikasi yang spesifik, bukan sebagai rutinitas tes-tes
rutin, obat, atau prosedur lain padakehamilan yang dapat membahayakan ibu
maupun janin. Bidan yang terampil harus mengetahui kapan ia harus melakukan
sesuatu dan intervensi yang dilakukannya haruslah aman berdasarkan bukti
ilmiah.</div>
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<br /></div>
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<!--[if !supportLists]-->5.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tanggung jawab</div>
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Asuhan kehamilan yang
diberikan bidan harus selalu didasari ilmu, analisis, dan pertimbangan yang
matang. Akibat yang timbul dari tindakan yang dilakukan menjadi tanggungan
bidan. Pelayanan yang diberikan harus berdasarkan kebutuhan ibu dan janin,
bukan atas kebutuhan bidan. Asuhan yang berkualitas, berfokus pada klien dan
saying ibu, serta berdasarkan bukti ilmiah terkini menjadi tanggung jawab semua
professional bidan.</div>
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<!--[if !supportLists]--><b>D.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Hak – hak Ibu dalam Antenatal Care<o:p></o:p></b></div>
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Hak-hak ibu
ketika menerima layanan asuhan kehamilan (Saifuddin, 2002), yaitu :</div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Mendapatkan
keterangan mengenai kondisi
kesehatannya. Informasi harus diberikan langsung kepada klien (dan
keluarganya).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Mendiskusikan
keprihatinannya, kondisinya, harapannya
terhadap sistem pelayanan, dalam
lingkungan yang dapat ia percaya. Proses
ini berlangsung secara pribadi dan didasari rasa saling percaya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Mengetahui
sebelumnya jenis prosedur yang akan
dilakukan terhadapnya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="IT" style="font-family: "Times New Roman","serif"; mso-ansi-language: IT; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Mendapatkan pelayanan secara pribadi / dihormati
privasinya dalam setiap pelaksanaan prosedur. </span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Menerima
layanan senyaman mungkin.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 184.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo123; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Corbel","sans-serif"; mso-bidi-font-family: Corbel; mso-fareast-font-family: Corbel;">6.<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Menyatakan
pandangan dan pilihannya mengenai pelayanan yang diterimanya</span><span style="font-family: "Corbel","sans-serif"; mso-bidi-font-family: Tahoma;">.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: 163.05pt; mso-add-space: auto; mso-list: l108 level1 lfo120; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><b>E.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Standar Antenatal Care<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 5.0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Sebagai
professional, bidan dalam melaksanakan praktiknya harus sesuai dengan standar
pelayanan kebidanan yang berlaku. Standar mencerminkan norma, pengetahuan, dan
tingkat kinerja yang telah disepakati oleh profesi. Penerapan standar pelayanan
akan sekaligus melindungi masyarakat karena penialaian terhadap proses dan
hasil pelayanan dapat dilakukan atas dasar yang terjadi bila pelayanan yang
diberikan tidak memeuhi standar dan terbukti membahayakan. Terdapat enam
standar dalam standar pelayanan asuhan antenatal. Standar tersebut merupakan
bagian dari lingkup pelayanan kebidanan (Dewi dan Sunarsih, 2011).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; mso-outline-level: 1; text-align: justify;">
<b>Standar 1 Identifikasi ibu hamil<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
Bidan melakukan kunjungan
rumah dan berinteraksi dengan masyarakat secara berkala untuk memberikan
penyuluhan dan memotivasi ibu, suami, dan anggota keluarganya agar mendorong
ibu untuk memeriksakan kehamilannya sejak dini secara teratur (Dewi dan
Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; mso-outline-level: 1; text-align: justify;">
<b>Standar 2 Pemeriksaan dan pemantauan
antenatal<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
Bidan memberikan
sedikitnya 4 kali pelayanan antenatal. Pemeriksaan meliputi anamnesis serta
pemantauan ibu dan janin dengan seksama untuk menilai apakah perkembangan
berlangsung normal. Bidan juga harus mengenal kehamilan resiko tinggi,
khususnya anemia, kurang gizi, hipertensi, PMS/ infeksi HIV, memberikan
pelayanan imunisasi, nasihat, dan penyuluhan kesehatan, serta tugas terkait
lainnya yang diberikan oleh puskesmas. Mereka harus mencatat data yang tepat
pada setiap kunjungan. Bila ditemukan kelainan, mereka harus mampu mengambil
tindakan yang diperlukan dan merujuknya untuk tindakan selanjutnya (Dewi dan
Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; mso-outline-level: 1; text-align: justify;">
<b>Standar 3 Palpasi abdominal<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
Bidan melakukan
pemerikasaan abdominal secara seksama dan melakukan palpasi untuk memperkirakan
usia kehanmilan bila umur kehamilan bertambah, memeriksa posisi, bagian
terendah janin, dan masukna kepala janin ke dalam rongga panggul untuk mencari
kelainan, serta melakukan rujukan tepat waktu (Dewi dan Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; mso-outline-level: 1; text-align: justify;">
<b>Standar 4 Pengelolaan anemia pada kehamilan<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
Bidan melakukan
tindakan pencegahan, penemuan, penanganan danatau rujukan semua kasus anemia
pada kehamilan sesuai dengan ketentuan yang berlaku (Dewi dan Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; mso-outline-level: 1; text-align: justify;">
<b>Standar 5 Pengelolaan dini hipertensi pada
kehamilan<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
Bidan menemukan
secara dini setiap kenaikan tekanan darah pada kehamilan mengenali tanda dan
gejala preeklamsia lainnya, mengambil tindakan yang tepat, dan merujuknya (Dewi
dan Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; mso-outline-level: 1; text-align: justify;">
<b>Standar 6 Persiapan persalinan<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
Bidan memberikan
saran yang tepat kepada ibu hamil, suami, dan keluarganya pada trimester ketiga
untuk memastikan bahwa persiapan persalinan bersih dan aman, serta suasana yang
menyenangkan akan direncanakan dengan baik, disamping persiapan transportasi
dan biaya untuk merujuk, bila tiba-tiba terjadi keadaan gawat darurat. Oleh
karena itu, bidan sebaiknya melakukan kunjungan rumah (Dewi dan Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.05pt; mso-add-space: auto; mso-list: l108 level1 lfo120; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><b>F.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Evidence Based dalam Praktik Kehamilan<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
Praktik yang berdasarkan
bukti penelitian adalah penggunaan secara sistematis, ilmiah, dan eksplisit
dari bukti terbaik mutakhir dalam membuat keputusan tentang asuhan bagi pasien
secara individual (Dewi dan Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 5.0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
Hasil penelitian atau
evidence based yang menjadi dasar standar pelayanan dalam praktik kehamilan
adalah sebagai berikut :</div>
<div align="center" class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal">
<b><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Tabel 1<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal">
<b><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Kujungan ANC<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 25.5pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 597px;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 64.15pt;" width="86">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Kunjungan<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 107.6pt;" width="143">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Waktu<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 276.2pt;" width="368">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Alasan<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 64.15pt;" width="86">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">TM I<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 107.6pt;" width="143">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Sebelum
14 minggu<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 276.2pt;" valign="top" width="368">
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l80 level1 lfo129; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Mendeteksi masalah yang dapat ditangani
sebelum membahayakan jiwa.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l80 level1 lfo129; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Mencegah masalah, misalnya : tetanus
neonatorum, anemia, kebiasaan tradisional yang berbahaya.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l80 level1 lfo129; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Membangun hubungan salinh percaya.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l80 level1 lfo129; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Memulai persiapan kelahiran dan kesiapan
menghadapi komplikasi.</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l80 level1 lfo129; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Mendorong perilaku sehat (nutrisi, kebersihan,
olahraga, istirahat, seks, dn sebagainya)</div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 64.15pt;" width="86">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">TM II<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 107.6pt;" width="143">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">14 –
28 minggu<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 276.2pt;" valign="top" width="368">
<div class="MsoListParagraph" style="line-height: 200%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l101 level1 lfo130; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Sama dengan trimester I ditambah kewaspadaan
khusus terhadap hipertensi kehamilan (deteksi gejala preeklamsia, pantau TD,
evaluasi edema, proteinuria.</div>
</td>
</tr>
<tr>
<td rowspan="2" style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 64.15pt;" width="86">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">TM III<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 107.6pt;" width="143">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">28 –
36 minggu<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 276.2pt;" valign="top" width="368">
<div class="MsoListParagraph" style="line-height: 200%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l101 level1 lfo130; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Sama, ditambah : deteksi kehamilan ganda</div>
</td>
</tr>
<tr>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 107.6pt;" width="143">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Setelah
36 minggu<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 276.2pt;" valign="top" width="368">
<div class="MsoListParagraph" style="line-height: 200%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l101 level1 lfo130; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Sama, ditambah deteksi kelainan letak atau
kondisi yang memerlukan persalinan di RS.</div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 101.25pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 4.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"> <b>Pelayanan atau standar asuhan minimal
termasuk “14 T”<o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify; text-indent: 7.1pt;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Menurut Depkes RI (2002), pelayanan antenatal
dalam penerapan operasionalnya dikenal dengan standar minimal “14T” yang
terdiri dari:</span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"><o:p></o:p></span></div>
<div class="MsoBodyText2" style="margin-left: 126.0pt; mso-list: l121 level1 lfo210; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><b>T</b>imbang berat badan</div>
<div class="MsoBodyText2" style="margin-left: 126.0pt; mso-list: l121 level1 lfo210; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Ukur <b>T</b>ekanan
darah</div>
<div class="MsoBodyText2" style="margin-left: 126.0pt; mso-list: l121 level1 lfo210; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->3.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Ukur <b><span lang="IN">T</span></b>inggi fundus uteri</div>
<div class="MsoBodyText2" style="margin-left: 126.0pt; mso-list: l121 level1 lfo210; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->4.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Pemberian <b><span lang="IN">T</span></b>ablet Fe sebanyak 90 tablet
selama kehamilan</div>
<div class="MsoBodyText2" style="margin-left: 126.0pt; mso-list: l121 level1 lfo210; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->5.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Pemberian imunisasi <b>T</b><span lang="IN">etanus </span>T<span lang="IN">oksoid</span></div>
<div class="MsoBodyText2" style="margin-left: 126.0pt; mso-list: l121 level1 lfo210; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->6.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><b><span lang="IN">T</span></b><span lang="IN">est</span> Hb</div>
<div class="MsoBodyText2" style="margin-left: 126.0pt; mso-list: l121 level1 lfo210; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->7.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><b><span lang="IN">T</span></b><span lang="IN">est</span> VDRL</div>
<div class="MsoBodyText2" style="margin-left: 126.0pt; mso-list: l121 level1 lfo210; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN">8.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><b><span lang="IN">T</span></b><span lang="IN">eknik p</span>erawatan
payudara<span lang="IN"><o:p></o:p></span></div>
<div class="MsoBodyText2" style="margin-left: 126.0pt; mso-list: l121 level1 lfo210; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->9.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><b><span lang="IN">T</span></b><span lang="IN">eknik s</span>enam ibu hamil</div>
<div class="MsoBodyText2" style="margin-left: 126.0pt; mso-list: l121 level1 lfo210; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->10.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span><!--[endif]--><b>T</b>emu wicara dalam rangka persiapan
rujukan</div>
<div class="MsoBodyText2" style="margin-left: 126.0pt; mso-list: l121 level1 lfo210; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->11.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span><!--[endif]--><b><span lang="IN">T</span></b><span lang="IN">est</span> urine<span lang="IN"> reduksi</span> atas indikasi</div>
<div class="MsoBodyText2" style="margin-left: 126.0pt; mso-list: l121 level1 lfo210; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->12.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span><!--[endif]--><b><span lang="IN">T</span></b><span lang="IN">est </span>protein
urine atas indikasi</div>
<div class="MsoBodyText2" style="margin-left: 126.0pt; mso-list: l121 level1 lfo210; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->13.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span><!--[endif]-->Pemberian
<b><span lang="IN">T</span></b>erapi kapsul yodium untuk daerah endemis gondok</div>
<div class="MsoBodyText2" style="margin-left: 126.0pt; mso-list: l121 level1 lfo210; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->14.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span><!--[endif]-->Pemberian
<b><span lang="IN">T</span></b>erapi anti malaria untuk daerah endemis malaria<span lang="IN">.</span></div>
<div class="MsoNormal" style="line-height: 200%; mso-outline-level: 1; text-align: justify; text-indent: 4.0cm;">
<b><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pemberian suplemen mikronutrien.<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Tablet yang
mengandung FeS</span><!--[if gte msEquation 12]><m:oMath><m:sSub><m:sSubPr><span
style='font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-style:italic;mso-bidi-font-style:
normal'><m:ctrlPr></m:ctrlPr></span></m:sSubPr><m:e><i style='mso-bidi-font-style:
normal'><span style='font-family:"Cambria Math","serif"'><m:r>O</m:r></span></i></m:e><m:sub><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>4</m:r></span></i></m:sub></m:sSub></m:oMath><![endif]--><!--[if !msEquation]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;"><!--[if gte vml 1]><v:shape
id="_x0000_i1025" type="#_x0000_t75" style='width:12.75pt;height:16.5pt'>
<v:imagedata src="file:///C:\Temp\msohtmlclip1\01\clip_image005.png" o:title=""
chromakey="white"/>
</v:shape><![endif]--><!--[if !vml]--><img height="22" src="file:///C:/Temp/msohtmlclip1/01/clip_image006.gif" v:shapes="_x0000_i1025" width="17" /><!--[endif]--></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"> 320 mg
(zat besi 60mg) dan asam folat 500 µg sebanyak 1 tablet/ hari segera setelah
rasa mual hilang. Pemberian selama 90 hari (3 bulan). Ibu harus dinasihati agar
tidak meminumnya bersama teh/kopi agar tidak mengganggu penyerapannya </span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">(Dewi dan Sunarsih, 2011)</span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 7.0cm;">
<b><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Tabel 2.2<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal">
<b><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Imunisasi
TT 0,5 cc.<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 24.75pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.85pt;" valign="top" width="81">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Imunisasi<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 160.55pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Interval<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Lama Perlindungan<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.85pt;" valign="top" width="108">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Perlindungan<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.85pt;" valign="top" width="81">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">TT 1<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 160.55pt;" valign="top" width="214">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pada
kunjungan ANC pertama<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">-<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.85pt;" valign="top" width="108">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">-<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.85pt;" valign="top" width="81">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">TT 2<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 160.55pt;" valign="top" width="214">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">4
minggu setelah TT 1<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.5pt;" valign="top" width="161">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">3
tahun<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.85pt;" valign="top" width="108">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">80%<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.85pt;" valign="top" width="81">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">TT 3<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 160.55pt;" valign="top" width="214">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">6
bulan setelah TT 2<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.5pt;" valign="top" width="161">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">5
tahun<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.85pt;" valign="top" width="108">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">95%<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.85pt;" valign="top" width="81">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">TT 4<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 160.55pt;" valign="top" width="214">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">1
tahun setelah TT 3<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.5pt;" valign="top" width="161">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">10 tahun<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.85pt;" valign="top" width="108">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">99%<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.85pt;" valign="top" width="81">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">TT 5<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 160.55pt;" valign="top" width="214">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">1
tahun setelah TT 4<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.5pt;" valign="top" width="161">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">25tahun/seumur
hidup<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 80.85pt;" valign="top" width="108">
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">99%<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 106.9pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.05pt; mso-add-space: auto; mso-list: l14 level1 lfo211; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><b>G.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Mendiagnosis Kehamilan<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.05pt; mso-add-space: auto; text-align: justify;">
Tanda dan Gejala Kehamilan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 184.3pt; mso-add-space: auto; mso-list: l23 level1 lfo124; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tanda pasti kehamilan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l64 level1 lfo125; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->a.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Gerakan janin yang dapat dilihat/ dirasa/ diraba, juga
bagian – bagian janin.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l64 level1 lfo125; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->b.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Denyut jantung janin.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 8.0cm; mso-add-space: auto; mso-list: l230 level1 lfo126; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Didengar dengan stetoskop monoral Laennec.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 8.0cm; mso-add-space: auto; mso-list: l230 level1 lfo126; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Dicatat dan didengar alat Doppler.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 8.0cm; mso-add-space: auto; mso-list: l230 level1 lfo126; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Dicatat dengan feto Elektrikardiogram.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 8.0cm; mso-add-space: auto; mso-list: l230 level1 lfo126; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Dilihat pada Ultrasonografi (USG).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l64 level1 lfo125; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->c.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Terlihat tulang – tulang janin dalam foto rongten.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 184.3pt; mso-add-space: auto; mso-list: l23 level1 lfo124; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tanda – tanda tidak pasti kehamilan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l19 level1 lfo127; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->a.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Amenore</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; text-align: justify;">
Wanita harus mengetahui tanggal
pertama haid terakhir (HPHT) supaya dapat ditaksir umur kehamilan dan taksiran
tanggal persalinan (TP) yang dihitung dengan menggunakan rumus dari Naegele
yaitu TP (HPHT + 7) dan (bulan HT + 3). </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l19 level1 lfo127; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->b.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Mual dan muntah (nausea and vomiting)</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; text-align: justify;">
Biasanya terjadi bulan – bulan
pertama kehamilan hingga akhir triwulan pertama. Oleh karena sering terjadi
pada pagi hari, maka disebut <i>morning
sickness</i>. Bila mual dan mntah terlalu sering disebut <i>hiperemesis</i>.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l19 level1 lfo127; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->c.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Mengidam </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; text-align: justify;">
Ibu hamil sering meminta
makanan/minuman tertentu terutama pada bulan – bulan triwulan pertama dan tidak
tahan suatu bau-bauan.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l19 level1 lfo127; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->d.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Pingsan </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l19 level1 lfo127; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->e.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tidak nafsu makan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l19 level1 lfo127; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->f.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Payudara </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l19 level1 lfo127; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->g.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Miksi </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l19 level1 lfo127; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->h.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Konstipasi/obstipasi</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l19 level1 lfo127; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->i.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Pigmentasi kulit (Dewi dan Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 184.3pt; mso-add-space: auto; mso-list: l23 level1 lfo124; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->3.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tanda – tanda kemungkinan hamil</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l18 level1 lfo128; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->a.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Perut membesar</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l18 level1 lfo128; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->b.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Uterus membesar, terjadi perubahan dalam bentuk besar
dan konsistensi dari rahim.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l18 level1 lfo128; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->c.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tanda hegar </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; text-align: justify;">
Ditemukan pada kehamilan 6-12 minggu,
yaitu adanya uterus segmen bawah rahim yang lebih lunak dari bagian yang lain.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l18 level1 lfo128; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->d.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tanda Chadwick</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; text-align: justify;">
Adanya perubahan warna pada serviks
dan vagina menjadi kebiru-biruan.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l18 level1 lfo128; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->e.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tanda piscaseck </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; text-align: justify;">
Yaitu adanya tempat yang kosong pada
rongga uterus karena embrio biasanya terletak disebelah atas, dengan bimanual
akan terasa benjolan yang asimetris.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l18 level1 lfo128; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->f.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Kontraksi – kontraksi kecil pada uterus bila dirangsang
(Braxton Hicks)</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l18 level1 lfo128; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->g.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Teraba ballottement</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; mso-list: l18 level1 lfo128; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]-->h.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Reaksi kehamilan positif (Dewi dan Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 205.55pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l187 level1 lfo212; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><b>H.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Pemeriksaan Ibu Hamil<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
Pemeriksaan fisik
pada ibu hamil, perlu dilakukan untuk mendeteksi secara dini komplikasi yang
terjadi pada kehamilan agar selanjutnya dapat dilakukan tindakan yang sesuai.
Pemeriksaan pada ibu hamil ini meliputi :</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l133 level1 lfo131; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><b>1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Anamnesis<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; text-align: justify;">
Anamnesis adalah tindakan untuk mendeteksi
komplikas-komplikasi dan menyiapkan kelahiran dengan mempelajari keadaan
kehamilan dan kelahiran terdahulu, serta kesehatan umum dan kondisi sosial
ekonomi (Dewi dan Sunarsih, 2011). Dalam melakukan anamnesis diperlukan cara
berkkomunikasi yang baik agar dapat menggali informasi sebanyak-banyaknya pada
klien. Anamnesis pada ibu hamil meliputi :</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 134.7pt; mso-add-space: auto; mso-list: l101 level1 lfo130; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Anamnesis identitas suami dan istri ; nama, umur,
suku, agama, pekerjaan, alamat dan no tlp.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 134.7pt; mso-add-space: auto; mso-list: l101 level1 lfo130; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Anamnesis umum ;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 170.7pt; mso-add-space: auto; mso-list: l176 level1 lfo132; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tentang keluhan-keluhan, pola makan, tidur, miksi,
defekasi, pernikahan dan sebagainya.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 170.7pt; mso-add-space: auto; mso-list: l176 level1 lfo132; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tentang haid, kapan mendapat hari pertama haid terakhir
(HPHT). Bila hari pertama haid terakhir diketahui, maka dapt diketahui taksiran
persalinan dengan memakai rumus Naegele yaitu hari +7, bulan -3, dan tahun +1</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 170.7pt; mso-add-space: auto; mso-list: l176 level1 lfo132; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tentang riwayat kehamilan, persalinan dan nifas yang
lalu (Dewi dan Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l133 level1 lfo131; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><b>2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Pemeriksaan Fisik<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
Tujuan dari
pemeriksaan fisik adalah untuk mendeteksi komplikasi-komplikasi pada kehamilan.
Pemeriksaan fisik selama kunjungan antenatal harus dilakukan secara nyata agar
dapat menurunkan angka kematian ibu dan neonatus (Dewi dan Sunarsih, 2011). </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
Pemeriksaan fisik
secara menyeluruh ini meliputi tekanan darah, nadi, suhu, dan lain-lain. Pada
pemeriksaan fisik dapat dilakukan dengan cara inspeksi, palpasi, auskultasi dan
perkusi. (Sarwono Prawirohardjo, 2010).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
Pada inspeksi
misalnya pada pemerikssaan mata normalnya ditemukan konjuntiva tidak anemis, sklera
tidak iketrik dan pembesaran abdomen. Palpasi dilakukan untuk menentukan tinggi
fundus uteri, tinggi fundus uteri dapat diukur dengan pita ukuran sentimeter
dengan jarak antara fundus uteri dengan tepi atas simpisis, besar dan
konsistensi rahim, bagian-bagian janin, letak punggung janin, gerakan janin,
kontraksi uterus, braxton hiks, dan his (Dewi dan Sunarsih, 2011). </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
Palapasi <b>Leopold</b> dilakukan dengan sistematika
berikut ini </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
Leopold I</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.6pt; mso-add-space: auto; mso-list: l95 level1 lfo133; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Pemeriksaan kearah ibu hamil</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.6pt; mso-add-space: auto; mso-list: l95 level1 lfo133; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Menentukan tinggi fundus uteri dan bagian janin yang
terdapat dalam fundus.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.6pt; mso-add-space: auto; mso-list: l95 level1 lfo133; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Konsistensi uterus</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; text-align: justify;">
Leopold II</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.6pt; mso-add-space: auto; mso-list: l219 level1 lfo134; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Menentukan batas samping rahim kanan-kiri</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.6pt; mso-add-space: auto; mso-list: l219 level1 lfo134; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Menentukan letak punggung janin</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.6pt; mso-add-space: auto; mso-list: l219 level1 lfo134; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Pada letak lintang, tentukan letak kepala janin</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; text-align: justify;">
Leopold III</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.6pt; mso-add-space: auto; mso-list: l208 level1 lfo135; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Menentukan bagian terbawah janin</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 163.6pt; mso-add-space: auto; mso-list: l208 level1 lfo135; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Menentukan apakah bagian terbawah tersebut sudah masuk
ke pintu atas panggul atau masih dapat digerakkan.</div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Leopold IV<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 163.6pt; mso-add-space: auto; mso-list: l49 level1 lfo136; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Pemeriksa menghadap kearah kaki ibu hamil</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.6pt; mso-add-space: auto; mso-list: l49 level1 lfo136; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Dapat juga untuk menentukan apa bagian terbawah janin
dan berapa jauh sudah masuk pintu atas panggul (Sofian, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-indent: 70.9pt;">
<b>Tabel 3<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-indent: -7.1pt;">
<b>Tinggi Fundus Uteri
Menurut Spigelberg <o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-indent: 1.0cm;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: -29.25pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 15.35pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 15.35pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.8pt;" width="169">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: center;">
<b>Usia Kehamilan<o:p></o:p></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 15.35pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" width="180">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<!--[if gte vml 1]><v:shape
id="Picture_x0020_0" o:spid="_x0000_s1027" type="#_x0000_t75" alt="tfu.jpg"
style='position:absolute;left:0;text-align:left;margin-left:149.35pt;
margin-top:.75pt;width:168pt;height:219.75pt;z-index:1;visibility:visible;
mso-wrap-style:square;mso-wrap-distance-left:9pt;mso-wrap-distance-top:0;
mso-wrap-distance-right:9pt;mso-wrap-distance-bottom:0;
mso-position-horizontal:absolute;mso-position-horizontal-relative:margin;
mso-position-vertical:absolute;mso-position-vertical-relative:margin'>
<v:imagedata src="file:///C:\Temp\msohtmlclip1\01\clip_image007.jpg"
o:title="tfu"/>
<w:wrap anchorx="margin" anchory="margin"/>
</v:shape><![endif]--><!--[if !vml]--><span style="height: 293px; left: 0px; margin-left: 199px; margin-top: 1px; mso-ignore: vglayout; position: absolute; width: 224px; z-index: 1;"><img alt="tfu.jpg" height="293" src="file:///C:/Temp/msohtmlclip1/01/clip_image008.jpg" v:shapes="Picture_x0020_0" width="224" /></span><!--[endif]--><b>Tinggi Fundus Uteri<o:p></o:p></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.8pt;" valign="top" width="169">
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
22 – 28 minggu</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
24 – 25 cm </div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.8pt;" valign="top" width="169">
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
28 minggu</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
26, 7 cm</div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.8pt;" valign="top" width="169">
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
30 minggu</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
29, 5 – 30 cm</div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.8pt;" valign="top" width="169">
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
32 minggu</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
29, 5 – 30 cm</div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.8pt;" valign="top" width="169">
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
34 minggu</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
31 cm</div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.8pt;" valign="top" width="169">
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
36 minggu</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
32 cm</div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.8pt;" valign="top" width="169">
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
38 minggu</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
33 cm</div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.8pt;" valign="top" width="169">
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
40 minggu</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="57" style="background: white; vertical-align: top;" width="228"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 2;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div class="shape" style="padding: 3.6pt 7.2pt 3.6pt 7.2pt;" v:shape="_x0000_s1026">
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 115%;">Gambar
1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 115%;">Tinggi
Fundus Uteri berdasarkan Tuanya kehamilan<o:p></o:p></span></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<!--[if gte vml 1]><v:shapetype id="_x0000_t202"
coordsize="21600,21600" o:spt="202" path="m,l,21600r21600,l21600,xe">
<v:stroke joinstyle="miter"/>
<v:path gradientshapeok="t" o:connecttype="rect"/>
</v:shapetype><v:shape id="_x0000_s1026" type="#_x0000_t202" style='position:absolute;
left:0;text-align:left;margin-left:157.45pt;margin-top:-.55pt;width:168pt;
height:39.75pt;z-index:2;mso-position-horizontal-relative:text;
mso-position-vertical-relative:text' stroked="f">
<v:textbox style='mso-next-textbox:#_x0000_s1026'/>
</v:shape><![endif]--><!--[if !vml]--><span style="mso-ignore: vglayout; position: relative; z-index: 2;"><span style="height: 57px; left: 0px; left: 210px; position: absolute; top: -1px; width: 228px;">
</span></span><!--[endif]-->37, 7 cm</div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
Pada auskultasi
digunakan Doppler atau Laennec untuk mendengarkan denyut jantung janin,
ditempelkan di daerah punggung janin.
Batas frekuensi denyut jantung janin normal adalah 120-160<!--[if gte msEquation 12]><m:oMath><m:f><m:fPr><m:type
m:val="skw"/><span style='font-family:"Cambria Math","serif";mso-ascii-font-family:
"Cambria Math";mso-hansi-font-family:"Cambria Math";font-style:italic;
mso-bidi-font-style:normal'><m:ctrlPr></m:ctrlPr></span></m:fPr><m:num><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>x</m:r></span></i></m:num><m:den><i
style='mso-bidi-font-style:normal'><span style='font-family:"Cambria Math","serif"'><m:r>m</m:r></span></i></m:den></m:f></m:oMath><![endif]--><!--[if !msEquation]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-text-raise: -3.0pt; position: relative; top: 3.0pt;"><!--[if gte vml 1]><v:shape
id="_x0000_i1025" type="#_x0000_t75" style='width:21.75pt;height:14.25pt'>
<v:imagedata src="file:///C:\Temp\msohtmlclip1\01\clip_image009.png" o:title=""
chromakey="white"/>
</v:shape><![endif]--><!--[if !vml]--><img height="19" src="file:///C:/Temp/msohtmlclip1/01/clip_image010.gif" v:shapes="_x0000_i1025" width="29" /><!--[endif]--></span><!--[endif]-->.
Takikardi menunjukan adanya reaksi kompensasi terhadap beban/ stress pada janin
(<i>fetal stress</i>), sementara brakikardi
menunjukan adanya kegagalan kompensasi beban/stress pada janin (<i>fetal distress</i>/gawat janin) (Dewi
dan Sunarsih, 2011).<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
Cara
menghitung DJJ :<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.6pt; mso-add-space: auto; mso-list: l145 level1 lfo137; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->DJJ
dihitung seluruh selama satu menit penuh<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.6pt; mso-add-space: auto; mso-list: l145 level1 lfo137; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Dihitung 3x 5 detik secara berurutan,
yaitu pada 5 detik pertama, ketiga dan kelima, kemudian dijumlah dan dikalikan
4 untuk memperoleh frekuensi satu menit (Sofian, 2011).<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 163.6pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l133 level1 lfo131; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><b>3.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Tes Laboratorium<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
Tes laboratorium
merupakan hal penting untuk menilai adanya masalah pada ibu hamil. Jika masalah
dapat tertangani, maka akan mencegah kematian dan kesakitan pada ibu dan anak.
Tes laboratorium yang diperlukan adalah sebagai berikut : haemoglobin, protein
urine, glukosa urine, VDRL/RPL, rhesus, golongan darah dan HIV (Dewi dan Sunarsih, 2011).<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l187 level1 lfo212; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><b>I.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Tanda Bahaya
Kehamilan<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
Pada umumnya
80-90% kehamilan akan berlangsung normal dan hanya 10-12% kehamilan yang
disertai dengan penyulit atau berkembang menjadi kehamilan patologis. Bebrapa
tanda bahaya pada kehamilan yaitu:</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; mso-outline-level: 1; text-align: justify;">
<b>Perdarahan Per Vaginam</b>. </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
Perdarahan per
vaginam dalam kehamilan jarang yang normal/fisiologis. Pada masa awal sekali
kehamilan, ibu mungkin akan mengalami perdarahan sedikit/spotting disekitar
waktu pertama terlambat haidnya. Perdarahan ini adalah perdarahan implantasi
dan hal tersebut normal terjadi. Pada waktu yang lain dalam kehamilan perdarahan
ringan mungkin pertanda dari serviks yang rapuh. Perdarahan semacam ini mungkin
normal atau mungkin suatu tanda infeksi yang tidak membahayakan nyawa ibu hamil
dan janinnya (Dewi dan Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; mso-outline-level: 1; text-align: justify;">
<b>Sakit Kepala yang Hebat</b>. </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
Sakit kepala yang
hebat dapat terjadi selama kehamilan dan sering kali merupakan ketidaknyamanan
yang normal dalam kehamilan. Sakit kepala yang menunjukkan suatu masalah yang
serius adalah sebagai berikut :</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 8.0pt; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l122 level1 lfo138; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Sakit kepala hebat</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 8.0pt; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l122 level1 lfo138; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]-->2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Sakit kepala yang menetap</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 8.0pt; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l122 level1 lfo138; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]-->3.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Tidak hilang dengan istirahat</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify;">
Terkadang dengan sakit kepala yang
hebat tersebut, ibu mungkin menemukan bahwa penglihatannya menjadi kabur atau
berbayang. Sakit kepala yang hebat dalam kehamilan adalah gejala dari
preeklamsia. Hal ini desebabkan terjainya edema pada otak dan meningkatnya
resistensi otak yang mempengaruhi system saraf pusat yang dapat menimbulkan
kelainan serebral (nyeri kepala, kejang) dan gangguan penglihatan (Dewi dan
Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; mso-outline-level: 1; text-align: justify;">
<b>Masalah Penglihatan/Pandangan Kabur. <o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
Penglihatan ibu
dapat berubah dalam kehamilan. Perubahan ringan adalah normal. Masalah visual
yang mengindentifikasikan keadaan yang mengancam jiwa adalah perubahan visual
mendadak, misalnya penglihatan kabur atau berbayang dan berkunang-kunang (Dewi
dan Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify;">
<b>Bengkak
pada Muka dan Tangan.</b> </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
Edema ialah
penimbunan cairan secara umum dan berlebihan dalam jaringan tubuh dan biasanya
dapat diketahui dari kenakan berat badan serta pembengkakan kaki, jari tangan,
dan muka. Bengkak dapat menunjukkan adanya masalah serius apabila ditandai
dengan tanda – tanda berikut ini :</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 8.0pt; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l104 level1 lfo139; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Jika muncul pada muka dan tangan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 8.0pt; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l104 level1 lfo139; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]-->2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Bengkak tidak hilang setelah beristirahat</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: 8.0pt; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l104 level1 lfo139; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]-->3.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Bengkak disertai dengan keluhan fisik lainnya, seperti
: sakit kepala yang hebat, pandangan mata kabur, dan lain-lain. Hal ini dapat
merupakan pertanda anemia, gagal jantung atau preeklamsia (Dewi dan Sunarsih,
2011).</div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 92.15pt; mso-outline-level: 1; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Nyeri Perut yang Hebat</span></b><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 92.15pt; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Nyeri
abdomen yang tidak berhubungan dengan persalinan normal adalah tidak normal.
Nyeri abdomen yang mungkin menunjukkan maslah yang mengancam keselamatan jiwa
adalah hebat, menetap, dan tidak hilang setelah beristirahat. Hal ini bisa
berarti apendistis, kehamilan ektopik, abortus, penyakit radang panggul,
persalinan preterm, atau infeksi lainnya </span><span style="font-family: "Times New Roman","serif";">(Dewi
dan Sunarsih, 2011)</span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 92.15pt; mso-outline-level: 1; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Gerakan Janin Berkurang.</span> <o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 92.15pt; tab-stops: 106.35pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif";">Gerakan
janin adalah suatu hal yang biasa terjadi pada kehamilan yaitu pada usia
kehamilan 20-24 minggu. Gerakan janin ini dipengaruhi oleh berbagai hal yaitu
umur kehamilan, transport glukosa, stimulus pada suara, kebiasaan janin, ibu
yang merokok, dan penggunaan obat-obatan pada ibu hamil. Janin harus bergerak
minimal tiga kali dalam tiga jam. Gerakan janin ini akan lebih terasa jika ibu
berbaring atau beristirahat, serta jika ibu makan dan minum dengan baik (Dewi
dan Sunarsih, 2011).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 92.15pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif";">Ibu
hamil perlu waspada pada jumlan gerakan janin, jika terjadi penuruunan gerakan
janin, ibu hamil perlu melaporkan pada petugas kesehatan. Untuk menilai gerakan
janin, dapat dilakukan dengan menggunakn metode perhitungan gerakan janin oleh <b>Cadiff Count to ten </b>dibawah ini :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l234 level1 lfo140; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Perhitungan sekali dalam sehari</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l234 level1 lfo140; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Buat standar perhitungan pada waktu yang sama,
contoh : tiap jam 8 pagi atau pada saat janin biasanya bergerak aktif.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l234 level1 lfo140; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Catat beralama yang diperlukan untuk mencapai 10
gerakan.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l234 level1 lfo140; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Harus ada minimal 10 gerakan dalam 10 jam.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l234 level1 lfo140; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Jika kurang dari 10 gerakan dalam 10 jam atau
jika terjadi peningkatan waktu untuk mencapai 10 gerakan atau tidak ada gerakan
selama 10 jam, maka perlu dilakukan Non Stress Test (NST) (Sofian, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l187 level1 lfo212; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><b>J.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Ketidaknyamanan
Umum Pada Kehamilan<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
Kehamilan
merupakn sesuatu proses yang lamiah dari seorang wanita. Namun, selama
kunjungan antenatal mungkin ibu hamil akan mengeluh bahwa ia mengalami
ketidaknyamanan. Sebagian besar dari keluhan ini adalah hal yang norml. Sebagai
seorang bidan, penting untuk dapat membedakan antara ketidaknyamanan normal
dengan tanda bahaya (Dewi dan Sunarsih, 2011). </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
Ketidaknyaman
yang terjadi pada kehamilan adalah sebagai berikut :</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l59 level1 lfo141; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Sakit Kepala</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; text-align: justify;">
Penyebab :</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l171 level1 lfo142; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;">−<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Kontraksi, ketegangan otot dan keletihan.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l171 level1 lfo142; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;">−<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Pengaruh hormon, tegangan mata sekunder terhadap
perubahan okuler, kongesti hidung, dinamika cairan saraf yang berubah dan
alkalosis pernafasan ringan.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
Cara pencegahan :</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l160 level1 lfo143; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Memasase leher dan otot bahu</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l160 level1 lfo143; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Penggunaan bungkusan hanagat atau es ke leher</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l160 level1 lfo143; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Istirahat </div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Tanda bahaya :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo144; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Bila bertambah parah atau terus berlanjut</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo144; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Jika diikuti tekanan darah tinggi dan
proteinuria (preeklamsia).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l59 level1 lfo141; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]-->2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Rasa mual dan muntah (morning sickness)</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; text-align: justify;">
Penyebab yang persis tidak diketahui,
kemungkinan disebabkan hal-hal sebagai berikut :</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l100 level1 lfo145; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;">−<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Tingkat HCG dan esterogen / progesteron yang
meningkat</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l100 level1 lfo145; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;">−<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Relaksasi otot-otot halus</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l100 level1 lfo145; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;">−<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Keletihan</div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Cara pencegahan :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l201 level1 lfo146; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Hindari bau atau faktor penyebabnya</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l201 level1 lfo146; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Makan biskuit kering atau roti bakar sebelum
bangkit dari tempat tidur di pagi hari.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l201 level1 lfo146; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Makan sedikit tapi sering</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l201 level1 lfo146; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Istirahat </div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Tanda bahaya :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pertambahan berat badan yang
tidak memadai atau kehilangan berat badan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo147; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Tanda-tanda kurang gizi</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo147; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Hiperemesis gravidarum</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo147; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Perubahan dalam status gizi, dehidrasi, ketosis
dan asetonuria.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l59 level1 lfo141; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]-->3.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Frekuensi kemih meningkat</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l156 level1 lfo148; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;">−<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Tekanan uterus atas kandungan kemih</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l156 level1 lfo148; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Calibri","sans-serif"; mso-fareast-font-family: Calibri;">−<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Nokturia akibat sodium yang meningkat dengan
kehilangan air yang wajib dan bersamaan.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
Cara mencegah :</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l78 level1 lfo149; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Menjelaskan mengenai penyebabnya</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l78 level1 lfo149; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Kosongkan kandung kemih saat terasa dorongan
untuk berkemih</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l78 level1 lfo149; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Perbanyak minum pada siang hari</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l78 level1 lfo149; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Kurangi minum mendekati waktu tidur pada malam
hari untuk mencegah nokturia.<o:p></o:p></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l23 level1 lfo124; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN">4.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="IN">Nyeri
Pinggan</span>g<span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 127.6pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri;">Nyeri punggung sebagian besar karena perubahan sikap
badan, karena letak berat badan pindah ke depan yang disebabkan perut yang
semakin membesar. Cara mengatasinya yaitu hindari menggunakan sepatu yang berhak tinggi, hangatkan dan
gosok daerah pinggang dan istirahat.</span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l23 level1 lfo124; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN">5.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]-->Sulit Tidur <span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 127.6pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri;">Penyebab sulit Tidur pada Trimester tiga bukan perubahan
hormonal,melainkan perubahan fisik tepatnya bobot tubuh ibu yang bertambah
sekitar 10 kg atau lebih.cara mengatasinya dengan teknik relaksasi yaitu mandi
air hangat,minum-minuman hangat sebelum tidur.</span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 127.6pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l23 level1 lfo124; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN">6.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]-->Kaki Bengkak<span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 127.6pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri;">Hal ini timbul akibat gangguan sirkulasi vena dan
peningkatan vena pada ekstremitas bagian bawah disebabkan oleh tekanan uterus
yang membesar pada vena-vena panggul pada saat wanita tersebut duduk atau
berdiri dan pada vena cava inferior pada saat berada pada posisi
terlentang.edema akibat kaki menggantung secara umum terlihat pada area
pergelangan ketat,elevasi kaki secara teratur setiap hari,posisi tidur miring
kiri,penggunaan penyokong atau korset maternal pada abdomen yang dapat
melonggarkan tekanan pada vena panggul.</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-list: l23 level1 lfo124; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN">7.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]-->Kram dan Kesemutan<span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 127.6pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri;">Penyebab kram kaki diperkirakan oleh gangguaan asupan
kalsium yang tidak adekuat atau ketidakseimbangan rasio kalsium dan fosfor
dalam tubuh.salah satu dunggan lainnya akibat uterus yang membesar yang member
tekanan balik pada pembuluh darah panggul,sehingga mengganggu sirkulasi.cara
mengatasi masalah tersebut adalah dengan meluruskan kaki yang kram dan menekan
tumitnya (dorsofleksi),menganjurkan diet mengandung kalsium dan fosfor,dan
menggunakan penghangat otot.</span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 86.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l187 level1 lfo212; text-indent: -18.0pt;">
<!--[if !supportLists]--><b>K.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Perubahan Psikologis Pada Ibu Hamil<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 106.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<b>Trimester I <o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 106.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 20.7pt;">
Segera setelah konsepsi, kadar hormone
progesterone dan estrogen dalam kehamilan akan meningkat. Hal ini akan
menyebabkan timbulnya mual dan muntah pada pagi hari, lemah, lelah dan
membesarnya payudara. Ibu merasa tidak sehat dan sering kali membenci
kehamilannya. Banyak ibu yang merasakan kekecewaan, penolakan, kecemasan dan
kesedihan (Dewi dan Sunarsih, 2011). </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 106.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 20.7pt;">
Pada trimester pertama, seorang ibu akan
selalu mencari tanda-tanda untuk lebih menyakinkan bahwa dirinya memang hamil.
Hasrat untuk melakukan hubungan seksual pada wanita trimester pertama ini berbeda. Walaupun beberapa wanita
mengalami gairah seksual yang lebih tinggi, kebanyakan mereka mengalami
penurunan libido selama periode ini (Dewi dan Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 106.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -.55pt;">
<b>Trimester
II<o:p></o:p></b></div>
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Trimester kedua biasanya adalah saat ibu
merasa sehat. Tubuh ibu sudah terbiasa dengan kadar hormone yang lebih tinggi
dan rasa tidak nyaman karena hamil sudah berkurang. Perut ibu belum terlalu
besar sehingga belum dirasakan sebagai beaban. Pada trimester ini ibu mulai
merasakan gerakan bayinya sendiri (Dewi dan Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 106.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -.55pt;">
<b>Trimester
III <o:p></o:p></b></div>
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Trimester ketiga sering kali disebut periode
menunggu dan waspada sebab pada saat itu ibu merasa tidak sabar menunggu
kelahiran bayinya. Gerakan bayi dan membesarnya perut merupakan dua hal yang
mengingatkan ibu akan bayinya. Seringkali ibu merasa khawatir dan takut apabila
bayi yang dilahirkannya tidak normal (Dewi dan Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 106.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 20.7pt;">
Rasa tidak nyaman akibat kehamilan timbul kembali pada trimester
ketiga dan banyak ibu yang merasa dirinya aneh dan jelek. Pada trimester inilah
ibu memerlukan keterangan dan dukungan dari suami, keluarga, dan bidan (Dewi
dan Sunarsih, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 106.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 20.7pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 86.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l187 level1 lfo212; text-indent: -18.0pt;">
<!--[if !supportLists]--><b>L.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Kebutuhan Ibu Hamil Trimester I, II dan III<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 106.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<b>Aktivitas Fisik<o:p></o:p></b></div>
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Dapat seperti biasa, istirahat minilamal 15 menit setiap 2
jam. Jika duduk atau berbaring dianjurkan kaki agak ditinggikan. Jika tingkat
aktivitas berat, dianjurkan untuk dikurangi. Istirahat harus cukup. Jika ada
gangguan atau keluhan yang dapat membahayakan, misalnya perdarahan per vaginam,
maka aktivitas fisik harus dihentikan .</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 106.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b>Mobilisasi <o:p></o:p></b></div>
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Pada ibu hamil tidak dianjurkan untuk terlalu lama duduk
(imobilisasi) karena akan membuat vena statis (vena stagnasi) sehingga
menyebabkan kaki bengkak. Prosesnya adalah darah yang terkumpul di kaki
akhirnya membeku di pembuluh darah vena sehingga mengakibatkan bengkak. </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 106.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b>Senggama atau Koitus<o:p></o:p></b></div>
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Hubungan seksual dapat dilakukan seperti biasa kecuali jika
terjadi perdarahan atau keluar cairan dari kemaluan, maka harus dihentikan.
Jika ada riwayat abortus sebelumnya, koitus ditunda sampai usia kehamilan di
atas 16 minggu, dimana diharapkan plasenta sudah terbentuk, dengan implantasi
dan fungsi yang baik.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 106.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b>Peningkatan Berat
badan Selama Hamil<o:p></o:p></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 10pt 2cm;">
<b><span style="font-size: 10.0pt;">Tabel 4<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 10pt 2cm;">
<b><span style="font-size: 10.0pt;">Rekomendasi Kenaikan Total Berat Badan Ibu Hamil
Berdasarkan Berat Badan Ibu Sebelum Hamil<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 10pt 2cm;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 61.5pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 558px;">
<tbody>
<tr style="height: 22.4pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 22.4pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" width="274">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<b><span style="font-size: 10.0pt; line-height: 200%;">Berat Badan Sebelum Hamil (BB / TB</span></b><!--[if gte msEquation 12]><m:oMath><m:sSup><m:sSupPr><span
style='font-size:10.0pt;mso-ansi-font-size:10.0pt;mso-bidi-font-size:10.0pt;
font-family:"Cambria Math","serif";mso-ascii-font-family:"Cambria Math";
mso-hansi-font-family:"Cambria Math";font-weight:bold;mso-bidi-font-weight:
normal;font-style:italic;mso-bidi-font-style:normal'><m:ctrlPr></m:ctrlPr></span></m:sSupPr><m:e><b
style='mso-bidi-font-weight:normal'><i style='mso-bidi-font-style:normal'><span
style='font-size:10.0pt;line-height:200%;font-family:"Cambria Math","serif"'><m:r><m:rPr><m:scr
m:val="roman"/><m:sty m:val="bi"/></m:rPr>(</m:r><m:r><m:rPr><m:scr
m:val="roman"/><m:sty m:val="bi"/></m:rPr>m</m:r><m:r><m:rPr><m:scr
m:val="roman"/><m:sty m:val="bi"/></m:rPr>)</m:r></span></i></b></m:e><m:sup><b
style='mso-bidi-font-weight:normal'><i style='mso-bidi-font-style:normal'><span
style='font-size:10.0pt;line-height:200%;font-family:"Cambria Math","serif"'><m:r><m:rPr><m:scr
m:val="roman"/><m:sty m:val="bi"/></m:rPr>2</m:r></span></i></b></m:sup></m:sSup></m:oMath><![endif]--><!--[if !msEquation]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-text-raise: -2.5pt; position: relative; top: 2.5pt;"><!--[if gte vml 1]><v:shape
id="_x0000_i1025" type="#_x0000_t75" style='width:22.5pt;height:12pt'>
<v:imagedata src="file:///C:\Temp\msohtmlclip1\01\clip_image011.png"
o:title="" chromakey="white"/>
</v:shape><![endif]--><!--[if !vml]--><img height="16" src="file:///C:/Temp/msohtmlclip1/01/clip_image012.gif" v:shapes="_x0000_i1025" width="30" /><!--[endif]--></span><!--[endif]--><b><span style="font-size: 10.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">)</span></b><b><span style="font-size: 10.0pt; line-height: 200%;"><o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 22.4pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" width="104">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<b><span style="font-size: 10.0pt; line-height: 200%;">BMI<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 22.4pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.7pt;" valign="top" width="180">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<b><span style="font-size: 10.0pt; line-height: 200%;">Kenaikan yang dianjurkan<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" width="274">
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-size: 10.0pt; line-height: 200%;">Berat badan kurang <i>(under weigh)</i><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" width="104">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-size: 10.0pt; line-height: 200%;"><19,8<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.7pt;" valign="top" width="180">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-size: 10.0pt; line-height: 200%;">12,5 – 18<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" width="274">
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-size: 10.0pt; line-height: 200%;">Berat badan normal <i>(normal weight)</i><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" width="104">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-size: 10.0pt; line-height: 200%;">19, 8 – 26, 0<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.7pt;" valign="top" width="180">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-size: 10.0pt; line-height: 200%;">11, 5 – 16<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" width="274">
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-size: 10.0pt; line-height: 200%;">Berat badan berlebih <i>(over weight)</i><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" width="104">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-size: 10.0pt; line-height: 200%;">26,0 – 29, 0<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.7pt;" valign="top" width="180">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-size: 10.0pt; line-height: 200%;">7 – 11, 5<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" width="274">
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-size: 10.0pt; line-height: 200%;">Obesitas<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" width="104">
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: 10.0pt; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 200%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">>29,0<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.7pt;" valign="bottom" width="180">
<div align="center" class="MsoListParagraph" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-size: 10.0pt; line-height: 200%;"><6,8<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin: 0cm 0cm 10pt 106.9pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 106.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l128 level1 lfo56; text-align: justify; text-indent: -38.7pt;">
<!--[if !supportLists]--><b>2. 1. 3. 2<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Intranatal /
Persalinan<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l139 level1 lfo66; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><b>A.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Pengertian <o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify;">
Persalinan adalah suatu proses
pengeluaran hasil konsepsi yaitu janin dan plasenta, dengan usia kehamilan
cukup bulan dan dapat hidup ke dunia luar, dari rahim melalui jalan lahir atau
dengan jalan lain (Sofian, 2011; Kuswanti dan Melina, 2014).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l139 level1 lfo66; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><b>B.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Sebab – Sebab Mulainya Persalinan<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify;">
Sebab – sebab mulainya persalinan
belum diketahui dengan jelas, teori – teori yang ada saat ini antara lain
faktor – faktor hormonal, struktur rahim, sirkulasi rahim, pengaruh tekanan
pada saraf dan nutrisi ( Sofian, 2011 ).</div>
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<br /></div>
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<!--[if !supportLists]-->a.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Teori penurunan hormon</div>
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Satu sampai dua minggu sebelum
persalinan terjadi penurunan kadar esterogen dan progesteron, progesteron
berfungsi merelaksasi otot – otot rahim, sedangkan esterogen meningkatkan
kerentanan otot – otot rahim. Selama kehamilan terjadi keseimbangan antara
kadar esterogen dan progesteron, tetapi pada akhir kehamilan terjadi penurunan
kadar progesteron sehingga timbullah his (Sofian, 2011; Kuswanti dan Melina,
2014). </div>
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<!--[if !supportLists]-->b.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Teori plasenta menjadi tua</div>
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Akibat penuaan plasenta akan
menyebabkan turunnya kadar esterogen dan progesteron yang mengakibatkan
ketegangan pada pembuluh darah, hal ini akan menimbulkan kontraksi rahim
(Sofian, 2011; Kuswanti dan Melina, 2014).</div>
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<!--[if !supportLists]-->c.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Teori distensi rahim</div>
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Rahim yang menjadi besar dan meregang
akan menyebabkan iskemia otot – otot rahim sehingga menganggu sirkulasi
uteroplasenta dan timbullah kontraksi untuk mengeluarkan isinya (Sofian, 2011;
Kuswanti dan Melina, 2014).</div>
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<!--[if !supportLists]-->d.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Teori iritasi mekanik</div>
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Di belakang serviks terdapat ganglion
servikalis (pleksus Frakenhauser), bila ganglion ini ditekan oleh kepala janin
maka akan timbul kontraksi uterus (Sofian, 2011; Kuswanti dan Melina, 2014). </div>
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<!--[if !supportLists]-->e.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Induksi Persalinan </div>
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Persalinann dapat pula ditimbulkan
dengan :</div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Gagang laminaria, yaitu beberapa laminaria
dimasukkan dalam kanalis servikalis dengan tujuan merangsang pleksus
frankenhauser.</div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Amniotomi, yaitu pemecahan ketuban</div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Tetesan oksitosin, yaitu pemberian oksitosin
melalui tetesan infus.</div>
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<!--[if !supportLists]--><b>C.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Tujuan Asuhan Persalinan<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 92.15pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Tujuan </span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">utama </span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">asuhan persalinan adalah </span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">menjaga kelangsungan hidup dan memberikan
derajat kesehatan yang tinggi bagi ibu dan bayinya, melalui upaya yang
terintregasi dan lengkap tetapi dengan intervensi yang seminimal mungkin agar
prinsip keamanan dan kualitas pelayanan dapat terjaga pada tingkat yang
diinginkan (optimal). (</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">APN</span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">, 2008</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">).</span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"> Adapun tujuan khususnya antara lain :<o:p></o:p></span></div>
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<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Memberikan dukungan baik secara fisik maupun emosional
kepada ibu dan keluarga selama persalinan dan kelahiran.</div>
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<!--[if !supportLists]-->2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Melakukan pengkajian, membuat diagnosis, mencegah,
menangani komplikasi – komplikasi dengan cara pemantauan ketat dan deteksi dini
selama persalinan dan kelahiran.</div>
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<!--[if !supportLists]-->3.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Melakukan rujukan pada kasus – kasus yang tidak bias
ditangani sendiri untuk mendapatkan asuhan spesialis jika perlu.</div>
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<!--[if !supportLists]-->4.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Memberikan asuhan yang adekuat pada ibu, sesuai dengan
intervensi minimal tahap persalinannya.</div>
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<!--[if !supportLists]-->5.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Memperkecil resiko infeksi dengan melaksanakan
pencegahan infeksi yang aman.</div>
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<!--[if !supportLists]-->6.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Memberikan asuhan yang tepat untuk bayi segera setelah
lahir.</div>
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<!--[if !supportLists]-->7.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Membantu ibu dengan pemberian ASI dini.</div>
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<br /></div>
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<!--[if !supportLists]--><b>D.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Tanda – Tanda Persalinan<o:p></o:p></b></div>
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Sebelumnya terjadi persalinan, pada
beberapa minggu akhir di kehamilan, biasanya pada wanita akan mengalami
beberapa tanda – tanda sebagai berikut:</div>
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<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Kepala turun memasuki pintu atas panggul.</div>
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<!--[if !supportLists]-->2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Perut terlihat lebih melebar, dan fundus uteri turun.</div>
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<!--[if !supportLists]-->3.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Perasaan sering atau susah buang air kecil yang
dikarenakan kandung kemih tertekan oleh bagian terbawah janin.</div>
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<!--[if !supportLists]-->4.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Perasaan sakit pada perut dan pinggang karena adanya
kontraksi – kontraksi lemah dari uterus, biasanya ini disebut juga dengan false
labor pains.</div>
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Serviks menjadi lembek, kemudian
mulai mendatar dan sekresinyapun bertambah dengan bercampur darah (<i>bloody
show</i>) (Kuswanti dan Melina, 2014). Menurut Prawirohardjo (2010),
pengeluaran lendir darah berasal dari kanalis servikalis karena serviks mulai
membuka dan mendatar dari pembuluh-pembuluh kapiler yang berada disekitar
kanalis servikalis pecah akibat pergeseran-pergeseran ketika serviks membuka.</div>
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Sedangkan tanda – tanda dari
persalinan itu sendiri adalah:</div>
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<!--[if !supportLists]-->a)<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->His semakin kuat, sering dan teratur.</div>
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<!--[if !supportLists]-->b)<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Keluar lendir bercampur darah yang semakin banyak
karena adanya robekan – robekan kecil pada serviks.</div>
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<!--[if !supportLists]-->c)<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Kadang – kadang ketuban pecah dengan sendirinya.</div>
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<!--[if !supportLists]-->d)<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Pada pemeriksaan dalam didapati serviks mendatar dan
adanya pembukaan ( Kuswanti dan Melina, 2014). </div>
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<br /></div>
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<!--[if !supportLists]--><b>E.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Faktor – faktor yang Mempengaruhi
Persalinan<o:p></o:p></b></div>
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Terdapat tiga faktor utama yang
menentukan prognosis persallinan, dan ketiga faktor ini harus diperhatikan pada
setiap persalinan. Faktor – faktor tersebut adalah jalan lahir (<i>passage</i>), janin dan plasenta (<i>passanger</i>), kekuatan (<i>power</i>) dan ada dua faktor lain yang tak
kalah pentingnya terhadap keberhasilan asuhan persalinan yaitu faktor
psikologis dan penolong (Sumarah, Widyastuti, dan Wiyati, 2008).</div>
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<!--[if !supportLists]--><b>1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Passage (Jalan Lahir)<o:p></o:p></b></div>
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Jalan lahir terdiri atas bagian keras
tulang-tulang panggul (rangka panggul) dan bagian lunak (otot-otot,
jaringan-jaringan, dan ligamen-ligamen) (Sofian, 2011).</div>
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<b>Bagian keras panggul <o:p></o:p></b></div>
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Bagian keras panggul ini dibentuk
oleh empat buah tulang yaitu :</div>
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<!--[if !supportLists]-->a.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->2 tulang pangkal paha (<i>os coxae</i>) terdiri dari tulang usus (<i>os</i> <i>ilium</i>), tulang duduk (<i>os ichium</i>) dan tulang kemaluan (<i>os</i> <i>pubis</i>).</div>
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<!--[if !supportLists]-->b.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->1 tulang kelangkang (<i>os sacrum</i>).</div>
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<!--[if !supportLists]-->c.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->1 tulang tungging (<i>os
cocygis</i>) (Sumarah, Widyastuti, dan Wiyati: 2008).</div>
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<br /></div>
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<b>Pintu Panggul<o:p></o:p></b></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pintu atas panggul (<i>inlet</i>) dibatasi oleh linea inomminata</span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"> (linea terminalis). </span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 198.0pt; mso-list: l51 level1 lfo74; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pintu tengah panggul (<i>midlet</i>) dibatasi oleh spina ischiadica</span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">.</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 198.0pt; mso-list: l51 level1 lfo74; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pintu bawah panggul (<i>outlet</i>) dibatasi oleh symphisis dan
arkus pubis</span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">.</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 198.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-list: l51 level1 lfo74; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Ruang
panggul yang sebenarnya (kavitas pelvis – <i>pelvic
cavity</i>) berada antara <i>inlet</i> dan <i>outlet </i>(</span><span style="font-family: "Times New Roman","serif";">Sofian, 2011)</span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">.</span><span lang="IN" style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 128.15pt; mso-add-space: auto; mso-outline-level: 1; text-align: justify;">
<b>Bagian lunak panggul<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 128.15pt; mso-add-space: auto; text-align: justify;">
Jalan lahir lunak yang berperan pada
persalinan adalah segmen bawah rahim, serviks uteri, dan vagina. Disamping itu,
otot – otot, jaringan ikat dan ligament yang menyokong alat – alat urogenital
juga sangat berperan pada persalinan (Sofian, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 128.15pt; mso-add-space: auto; text-align: justify; text-indent: 13.6pt;">
Dasar panggul (<i>pelvic floor</i>) terdiri dari :</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 177.75pt; mso-add-space: auto; mso-list: l29 level1 lfo75; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->a.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Diafragma pelvis, terdiri dari musculus levator ani,
musculus pubo coccygeus, musculus illio coccygeus, dan musculus ischio
coccygeus.</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 177.75pt; mso-add-space: auto; mso-list: l29 level1 lfo75; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->b.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Diafragma urogenital, terdiri dari fascia perinea dan otot
– otot superficial.</div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 159.75pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 128.15pt; mso-add-space: auto; mso-list: l179 level1 lfo72; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b>2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Passanger (Janin dan Plasenta)<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 128.15pt; mso-add-space: auto; text-align: justify;">
<i>Passanger</i>
atau janin bergerak di sepanjang jalan lahir merupakan akibat dari interaksi
beberapa faktor, yakni ukuran kepala janin, presentasi, letak, sikap dan posisi
janin. Karena plasenta juga harus melewati jalan lahir, maka dianggap juga
sebagai bagian dari <i>passanger</i> yang
menyertai janin (Sumarah, Widyastuti, dan Wiyati, 2008).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 128.15pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 128.15pt; mso-add-space: auto; mso-list: l179 level1 lfo72; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b>3.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Power (Kekuatan)<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 128.15pt; mso-add-space: auto; text-align: justify;">
Kekuatan yang mendorong janindalam
persalinan adalah his, kontraksi otot – otot perut, kontraksi diafragma dan
aksi ligamen.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 164.15pt; mso-add-space: auto; mso-list: l54 level1 lfo76; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->a.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><span lang="IN">His
(kontraksi </span>uterus<span lang="IN">)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 164.15pt; mso-add-space: auto; text-align: justify;">
Merupakan kontraksi dan relaksasi
otot uterus yang begerak dari fundus ke korpus sampai dengan ke serviks secaara
tidak sadar.<span lang="IN"> (Asuhan Kebidanan II,
2009)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 164.15pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 164.15pt; mso-add-space: auto; mso-list: l54 level1 lfo76; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->b.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><span lang="IN">Kekuatan
mengedan Ibu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 164.15pt; mso-add-space: auto; text-align: justify;">
<span lang="IN">Tenaga mengejan hanya dapat berhasil, kala I pembukaan sudah lengkap dan
paling efektif sewaktu kontraksi rahim/ uterus. Disamping itu,
kekuatan-kekuatan tahanan mungkin ditimbulkan oleh otot-otot dasar panggul dan
aksi ligament. (Asuhan Kebidanan II, 2009)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 164.15pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.9pt; mso-add-space: auto; mso-list: l139 level1 lfo66; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b>F.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Penurunan Kepala Janin <o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 106.9pt; mso-add-space: auto; text-align: justify; text-indent: 20.7pt;">
Kepala janin mulai
memasuki pintu atas panggul pada primigravida saat usia kehamilan 36 minggu.
Apabila pada usia kehamilan 36 minggu kepala janin belum masuk pintu atas
panggul, hal ini perlu dicurigai adanya panggul sempit, janin besar ≥ 4000
gram, tidak proporsionalnya antara kepala janin dengan panggul ibu dan adanya
lilitan tali pusat. Sedangkan pada multigravida kepala janin masuk pintu atas
panggul pada saat dimulainya inpartu atau jauh sebelumnya (Manuaba, 2007).</div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 12pt 2cm;">
<b><span style="font-size: 9.0pt;">Table 5<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 12pt 2cm;">
<b><span style="font-size: 9.0pt;">Penurunan Kepala Janin Menurut Sistem Perlimaan</span><o:p></o:p></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 63.75pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.55pt;" width="130">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">Periksa Luar</span></b><b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" width="132">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">Periksa Dalam</span></b><b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" width="227">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">Keterangan</span></b><b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.55pt;" width="130">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">5/5<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" width="132"></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" width="227">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">Kepala diatas PAP,
mudah digerakkan<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.55pt;" width="130">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">4/5<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" width="132">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">H I-II<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" width="227">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">Sulit digerakkan,
bagian terbesar kepala belum masuk panggul<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.55pt;" width="130">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">3/5<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" width="132">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">H II-III<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" width="227">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">Bagian terbesar
kepala belum masuk panggul<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.55pt;" width="130">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">2/5<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" width="132">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">H III +<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" width="227">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">Bagian terbesar
kepala sudah masuk panggul<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.55pt;" width="130">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">1/5<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" width="132">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">H III-IV<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" width="227">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">Kepala di dasar
panggul<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.55pt;" width="130">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">0/5<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" width="132">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">H IV<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" width="227">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">Di perineum<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 106.9pt; mso-add-space: auto; mso-list: l139 level1 lfo66; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b>G.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Tahapan Persalinan<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 128.15pt; mso-add-space: auto; text-align: justify;">
Persalinan dibagi menjadi empat
tahap. Pada kala I serviks membuka 0 sampai 10cm, kala II disebut juga dengan
kala pengeluaran, kala III atau disebut juga dengan kala uri, dan kala IV
dimulai dari lahirnya plasenta sampai 2 jam (Sumarah, Widyastuti, dan Wiyati,
2008).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 128.15pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 128.15pt; mso-add-space: auto; mso-outline-level: 1; text-align: justify;">
<b>Kala I (Kala Pembukaan)<o:p></o:p></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 128.15pt; mso-add-space: auto; text-align: justify;">
Inpartu ditandai dengan keluarnya
lendir bercampur darah karena serviks mulai membuka (dilatasi) dan mendatar (<i>effacement</i>). Darah berasal dari pecahnya
pembuluh darah kapiler di sekitar kanalis servikalis akibat pergeseran ketika
serviks mendatar dan membuka (Sofian, 2011).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 128.15pt; mso-add-space: auto; text-align: justify;">
Kala I dibagi menjadi 2 fase, yaitu :</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 6.0cm; mso-add-space: auto; mso-list: l58 level1 lfo77; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Fase laten, berlansung selama 7-8 jam. Pembukaan
terjadi sangat lambat sampai mencapai ukuran 3 cm.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 6.0cm; mso-add-space: auto; mso-list: l58 level1 lfo77; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]-->2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Fase aktif, berlangsung selama 6 jam, dan dibagi
menjadi 3 subfase, yaitu :</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 206.1pt; mso-add-space: auto; mso-list: l52 level1 lfo78; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->a)<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Fase akselerasi</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 206.1pt; mso-add-space: auto; text-align: justify;">
Berlangsung 2 jam dari pembukaan 3 cm
menjadi 4 cm.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 206.1pt; mso-add-space: auto; mso-list: l52 level1 lfo78; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->b)<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Fase dilatasi maksimal</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 206.1pt; mso-add-space: auto; text-align: justify;">
Pembukaan berlangsung cepat dari
pembukaan 4 cm menjadi 9 cm selama 2 jam.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 206.1pt; mso-add-space: auto; mso-list: l52 level1 lfo78; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->c)<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Fase deselerasi</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 206.1pt; mso-add-space: auto; text-align: justify;">
Berlangsung lambat dari pembukaan 9
cm menjadi 10 cm selama 2 jam.</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 155.95pt; mso-add-space: auto; text-align: justify;">
Pada primigravida kala I berlangsung
kira-kira 13-14 jam dan pada multigravida kira-kira berlangsung selama 7-8 jam
(Sofian, 2011).</div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: 127.6pt; mso-add-space: auto; mso-outline-level: 1; text-align: justify;">
<b>Kala II (Kala Pengeluaran Janin)<o:p></o:p></b></div>
<span style="font-family: "times new roman" , "serif"; font-size: 16.0pt; line-height: 115%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Pada
kala ini dimulai dari pembukaan lengkap sampai lahirnya janin. Pada kala II his
menjadi lebih kuat, cepat, dan lebih lama, kira-kira 2-3 menit sekali. Pada
primigravida kala II berlangsung selama 1,5 jam dan pada multigravida
berlangsung sela</span></span></div>
ludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.com0tag:blogger.com,1999:blog-7261342726911469262.post-30569784600308052032013-05-31T18:36:00.001-07:002017-09-19T22:32:56.761-07:00PELAYANAN KESEHATAN WANITA SELAMA DAUR KEHIDUPANNYA, KEBIDANAN KOMUNITAS <br />
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Dalam pertumbuhan dan perkembangannya, manusia mengalami berbagai perubahan, baik dalam pertumbuhan fisik maupun perkembangan kejiwaan dan kehidupan sosial. Proses pertumbuhan ini terjadi secara bertahap mulai dari konsepsi, bayi, anak-anak, remaja, dewasa, <br />
sampai usia lanjut. Proses pertumbuhan ini disebut proses tumbuh kembang, selama proses tumbuh kembang tersebut berlangsung, perlu dilakukan pemantauan terhadap kesehatan wanita karena wanita memiliki kebutuhan khusus dibanding pada pria, seperti pada wanita mengalami menstruasi, kehamilan, persalinan serta menopause, oleh sebab itu wanita perlu pemeliharaan secara intensif sepanjang daur kehidupannya.
<b> </b><br />
<br />
<br />
<b>PERUBAHAN FISIK</b><br />
<br />
1. <i>Tahap konsepsi</i>, yang menjadi prioritas pada masa ini adalah tumbuh kembang janin dalam rahim.<br />
a. Faktor Janin<br />
• Faktor kromosom dapat menimbulkan kelainan kongenital dan penyakit turunan.<br />
• Air ketuban memberi kesempatan janin untuk bertumbuh dan berkembang dengan seimbang.<br />
b. Faktor Plasenta<br />
• Apabila plasenta tumbuh dan berkembang kurang optimal akan menyebabkan kelahiran prematur, BBLR, keguguran atau meninggalnya janin dalam rahim.<br />
c. Faktor Ibu<br />
• Keadaan psikis ibu pada masa kehamilan juga akan berpengaruh dalam keadaan psikis janin di dalam rahim.<br />
<br />
2. <i>Tahap bayi dan anak.</i> Pertumbuhan dan perkembangan anak dipengaruhi oleh :<br />
? Pemberian makanan dan gizi seimbang<br />
? Imunisasi<br />
? Pendidikan<br />
<br />
3. <i>Tahap remaja</i>, pada tahap remaja terjadi perubahan fisik dan psikis. Ada tiga ciri-ciri perubahan fisik pada remaja yaitu :<br />
a. Pada remaja pertumbuhan akan berjalan dengan cepat, remaja tersebut akan menjadi tinggi dan kurus, kemudian kesan kurus tersebut akan menghilang seiring pertumbuhan jaringan otot dan jaringan lemak, sehingga remaja tersebut akan menjadi gemuk dan pada sebagian remaja akan timbul jerawat ( karena aktivitas kelenjar lemak yang meningkat ).<br />
b. Pertumbuhan dan perkembangan kelenjar hormon seksual. Pada wanita terdapat dua jenis hormon, yaitu esterogen dan progesteron, sehingga pada remaja wanita akan mengalami beberapa perubahan, seperti mulai mendapat haid, pembesaran buah dada, pinggul melebar, dan tumbuhnya rambut disekitar alat kelamin serta ketiak.<br />
c. Meningkatnya fungsi organ tubuh pada masa remaja akan menghasilkan energi, sehingga pada masa remaja akan tampak penuh semangat dan tidak kenal lelah.<br />
<br />
4. <i>Tahap usia subur</i>. Pada masa usia subur, terjadi perubahan fisik, seperti perubahan warna kulit, perubahan payudara, pembesaran rahim dan mulut rahim. Pada tahap ini, apabila seorang wanita melakukan hubungan seksual, maka akan terjadi kehamilan, dan pada masa usia subur diperlukan pemantauan terhadap perawatan antenatal, jarak kelahiran, deteksi dini kanker payudara dan kanker leher rahim, serta pemantauan terhadap infeksi seksual menular (IMS).<br />
<br />
5. <i>Tahap usia lanjut</i>. Perubahan fisik yang terjadi pada usia lanjut, yaitu :<br />
a. Perubahan pada kulit.
Lemak dibawah kulit akan berkurang, sehingga kulit menjadi kendor, tumbuh bintik hitam, fungsi pada kelenjar kulit berkurang sehingga kulit menjadi kering dan keriput.<br />
b. Perubahan metabolisme tubuh.<br />
c. Perubahan metabolisme genetalia. Liang senggama manjadi kering, sehingga mudah terjadi infeksi.<br />
d. Perubahan pada tulang. Terjadi pengapuran pada tulang, sehingga tulang mudah patah, terutama pada bagian sendi paha.<br />
<br />
<b>OSTEOPOROSIS</b>
Gejala osteoporosis yaitu nyeri berkepanjangan, dan tulang mudah patah. Osteoporosis adalah pengurangan masa tulang sehingga resiko patah tulang meningkat akibat resiko tulang dan kemudian mengganggu pembentukan tulang.
Beberapa Klasifikasi osteoporosis tulang meliputi :<br />
1. Osteoporis primer, penyebabnya belum diketahui dengan jelas karena terjadi pada peristiwa menopause.
2. Osteoporosis sekunder, penyebabnya adalah gizi buruk, penyakit sumsum tulang, penyakit paru kronik, dan lain-lain.<br />
<br />
Faktor resikonya meliputi, jenis kelamin, riwayat keluarga, usia, ras, ukuran tubuh, peminum alkohol, pecandu kopi, kurang terpapar matahari, penggunaan pil KB, diet kurang protein, tinggi protein, atau kurang kalsium. Penatalaksanaanya dengan pemberian TSH, latihan fisik atau olahraga, dan pemberian suplemen kalsium.<br />
<br />
<b>OSTEATRITIS</b>
Osteatritis adalah penyakit sendi degeneratif non-inflamasi yang ditandai dengan degenerasi tulang rawan sendi, hipertrofi tulang pada tepiannya. Gambaran klinisnya ditemukan banyak terjadi di ujung jari atau ibu jari, leher, tulang belakang, lutut dan panggul. Gejala utama meliputi, kaku dan nyeri pada sendi yang terkena. Nyeri terutama dirasakan jika bergerak. Faktor risikonya meliputi usia > 65 tahun. Penatalaksanaanya meliputi, pembedahan, pengobatan, penyesuaian psikososial dan lingkungan.<br />
<br />
<b>KANKER OVARIUM</b>
Kanker ovarium adalah kanker yang berkembang dari sel-sel yan menunjang ovarium, termasuk sel epitel permukaan, sel germinal dan sel setroma. Sel-sel yang kanker yag bermestasis dari organ lain menuju ovarium. Gejalanya adalah kelainan gastrointestinal (sulit defekasi), hilang atau menurunnya berat badan tanpa sebab yang jelas, ketidaknyamanan pada panggul atau sakit perut, pembengkakan di perut atau daerah panggul, lelah berlebihan, perdarahan pasca menopause abnormal, dan sakit saat melakukan hubungan seksual. Faktor resikonya meliputi riwayat penderita kanker payudara, kanker ovarium, kanker endometrium, kanker prostat atau kanker kolon pada keluarga.<br />
<br />
<b>KANKER LEHER RAHIM</b>
Kanker leher rahim atau kanker serviks terjadi jika sel-sel serviks menjadi abnormal dan membelah secara tidak terkendali. Etiologinya meliputi virus human papilloma dan sel mukosa serviks yang teracuni nikotin dan sperma. Gejalanya meliputi perdarahan post menopause, perut bagian bawah terasa berat, vagina terasa kering, nafsu makan berkurang, berat badan turun, lelah, nyeri panggul, punggung, tungkai, dan keluar veses dari vagina.
Faktor resikonya meliputi merokok, hubungan seks pertama padausia dini, berganti-ganti pasangan seks, infeksi herpes dan klamidia menahun, gangguan dalam kekebalan, serta pemakaian pil KB lebih dari 5 tahun. Diagnosis ditegakkan melalui Pap smear, kolonoskopi, biopsi, servikrografi, dan pemeriksaan visual. Untuk mengetahui dan mendeteksi dini adanya kelainan pada organ reproduksi wanita, dilakukan pemeriksaan.<br />
<br />
Skrinning kanker leher rahim :<br />
a. Uji pap. Pemeriksaan uji pap (Pap Smear) adalah pengamatan sel-sel yang dieksfoliasi dari genelatia wanita. Tujuan pemeriksaan uji pap adalah untuk deteksi dini dan diagnosis kanker serviks, serta agar dapaet mengetahui perubahan perkembangan sel leher rahim, sampai mengarah pada pertumbuhan sel kanker sejak dini. Wanita yang dapat melakukan uji pap bila usianya sudah di atas 20 tahun yang telah menikah atau sudah melakukan senggama. Bila pemerikasaan tahunan tiga kali berturut-turut hasilnya normal, maka pemeriksaan selanjutnya dapat dilakukan setiap 3 tahun.<br />
b. Inspeksi Visual dengan Asam Asetat (IVA). IVA merupakan metode untuk mendeteksi dini kanker servik menggunakan asam asetat 3-5% dan tergolong sederhana serta memiliki keakuratan 90%.<br />
c. Kolposkopi. Jika semua hasil tes pada metode sebelumnya adanya infeksi atau kejanggalan, prosedur kolposkopi akan dilakukan dengan menggunakan alat yang dilengkapi dengan lensa pembesar untuk mengamati bagian yang terinfeksi.<br />
<br />
<b>KANKER PAYUDARA</b>
Adalah tumor ganas yang menyerang jaringan payudara. Panyakit ini merupakan penyakit yang paling ditakuti oleh kaum wanita, meskipun pria bisa juga terkena kanker payudara, walaupun masih sangat jarang terjadi. Skrinning untuk kanker payudara yaitu dengan melakukan sadari.Sadari adalah cara sederhana untuk menemukan tumor payudara sendini mungkin.<br />
<br />
Risiko wanita terjadi kanker payudara adalah :<br />
1. Anggota keluarga pertama (ibu atau kakak/adik) pernah menderita kanker payudara.<br />
2. Mempunyai riwayat pernah kanker payudara.<br />
3. Nullipara (wanita belum memiliki anak).<br />
4. Primigravida usia melebihi 30 tahun pada kehamilan pertama.<br />
5. Menarche pada usia dini atau menopause terlambat.<br />
6. Riwayat gangguan haid.<br />
7. Nutrisi lemak yang berlebih.<br />
8. Merokok.<br />
<br />
Tanda-tanda perubahan payudara yang perlu diwaspadai :<br />
1. Perubahan besar dan kesimetrisan payudara.<br />
2. Perubahan warna kulit payudara (lebih kemerahan, lebih mengkilap)<br />
3. Ada lesi pada payudara<br />
4. Perubahan bentuk puting dan keluarnya cairan bening dari puting.<br />
5. Pada perabaan, ada bagian payudara yang terasa lebih hangat daripada daerah sekitarnya.<br />
<br />
<b>DETEKSI DINI</b><br />
<br />
Deteksi dini pada ibu hamil, yaitu :<br />
1. Dengan deteksi dini ibu hamil yang berisiko, dapat menurunkan angka kematian ibu.<br />
2. Kehamilan merupakan hal yang fisiologis, tetapi perlu perawatan dini yang khusus agar ibu dan janin sehat.
3. Bentuk-bentuk komplikasi yang terjadi dalam kehamilan.
Kadar hemoglobin ibu hamil yang kurang dari 11gr%, tekanan darah ibu diatas 130/90 mmHg, terdapat oedema di wajah, pre eklamsi dan eklamsia, perdarahhan pervaginam, KPD, letak lintang pada umur kehamilan lebih dari 32 minggu, sungsang pada primigravida, sepsis, premature, gemeli, janin besar, penyakit kronis pada ibu, riwayat obstetric buruk.
Bayi dan balita
Pada masa bayi dan balita deteksi dini dapat dilakukan dengan menggunakan DDST ( Denver Development Sreening Test ).<br />
<br />
Pubertas<br />
<br />
1. Gangguan pada masa pubertas seringkali diakibatkan oleh pola hidup remaja, dengan pola hidup yang sehat, akan didapatkan tubuh yang sehat jasmani dan rohani.<br />
2. Gangguan menstruasi yang dialami remaja putri, dapat menjadi indikasi adanya gangguan pada organ reproduksi wanita.<br />
3. Bidan dapat melakukan penyuluhan, bimbingan pada remaja putri dalam konteks kesehatan reproduksi.<br />
<br />
Klimakterium, menopause, dan senium<br />
<br />
1. Gangguan yang sering dialami pada masa ini adalah oesteoporosis atau pengeroposan tulang, hipertensi dan lain-lan.<br />
2. Untuk melakukan deteksi dini pada masa ini, salah satu program pemerintah yakni posyandu lansia merupakan solusinya. Pada masa ini seorang wanita secara reproduksi sudah tidak dapat berperan, namun bukan berarti bebas dari resiko gangguan reproduksi. Salah satu penyakit kanker serviks atau mulut rahim biasanya terjadi pada masa ini. Pap smear merupakan salah satu cara untuk mendeteksi adanya kanker mulut rahim.<br />
<br />
<div style="text-align: center;">
<b>DAFTAR PUSTAKA </b></div>
<br />
Karwaati, Pujiati D, Mujiwati S, 2011, <i>Asuhan Kebidanan V Kebidanan Komunitas</i>, TIM, Jakarta.
Purwoastuti E, 2008, <i>Kanker Payudara</i>, Kanisius, Yogyakarta.
Syafrudin & Hamidah, 2009, <i>Kebidanan Komunitas</i>, EGC, Jakarta.
Widyastuti Y, Rahmawati A, Purnamaningrum YE, 2009, <i>Kesehatan Reproduksi</i>, Fitramaya, Yogyakarta.
ludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.com0tag:blogger.com,1999:blog-7261342726911469262.post-857645355065437012013-05-28T22:08:00.000-07:002017-09-19T22:35:20.415-07:00IMUNISASI<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -.25in;">
<b><span style="color: #333333; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><br /></span></b>
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<!--[if !supportLists]--><b><span style="color: #333333; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">A.<span style="font-family: "times new roman"; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="color: #333333; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pelayanan Pemberian
Imunisasi<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 20.7pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Menurut
Kepmenkes No. 1611/MENKES/SK/XI/2005 Bentuk – bentuk penyelenggaraan</span><br />
<a name='more'></a><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"> imunisasi
sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0in; mso-add-space: auto; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Imunisasi Rutin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0in; mso-add-space: auto; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Imunisasi Tambahan</span><br />
<br />
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0in; mso-add-space: auto; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Imunisasi dalam penanggulangan KLB
(kejadian Luar Biasa)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0in; mso-add-space: auto; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kegiatan imunisasi tertentu terhadap
PD3I dalam situasi khusus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 27.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Pelayanan Imunisasi adalah sebagai pedoman
kerja petugas imunisasi dalam memberikan imunisasi pada bayi. Petugas imunisasi
dalam mempersiapkan alat/sarana, vaksin serta kesiapan petugas dalampemberian
imunisasi kepada bayi.</span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: .75in;">
<b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Uraian Umum<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Persiapan alat :</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">spuit
lengkap,alat sterilisator,kapas air hangat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.5pt; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Persiapan vaksin : </span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">v</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">aksin yang sesuai dengan takaran
dimasukkan dalam</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">termos
es (vaksin carier)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Persiapan sasaran :pemberitahuan kepada
orang tua bayi (sasaran) tempat penyuntikan dan efek sampingnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.5pt; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pemberian imunisasi : pengambilan vaksin
sesuai dengan dosisnya desinfeksi pada tempat yang disuntik.pemberian imunisasi
sesuai dengan jenis vaksin<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pemberian obat antipiretik untuk
imunisasi DPT dan jelaskan cara pemakainnya seta dosis obatnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.5pt; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Memberikan informasi pada orang tua bayi
tentang jadwal imunisasi berikutnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.5pt; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pencatatan/pelaporan : Imunisasi yang
diberikan dicatat dalam buku catatan imunisasi dan di buku KIA/KMS<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Langkah
–langkah kegiatan<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Petugas imunisasi menerima kunjungan
bayi sasaran imunisasi yang telah membawa buku KIA/KMS diruang imunisasi
setelah mendaftar di loket pendaftaran.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.25in; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Petugas memeriksa status imunisasi dalam
buku KIA/KMS dan menentukan jenis
imunisasi yang diberikan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Petugas menanyakan keadaan bayi kepada
orang tuanya(keadaan bayi yang memungkinkan untuk imunisasi atau bila tidak
akan dirujuk keruang pengobatan).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.25in; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Menyiapakan alat(menyeterilkan alat
suntik dan kapas air hangat).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.25in; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Petugas menyiapkan vaksin(vaksin
dimasukkan dalam termos es).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.25in; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Petugas menyiapkan sasaran(memberitahu
kepada orant tua bayi tentang tempat penyuntikan).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.25in; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Petugas memberikan imunisasi (memasukkan
vaksin kedalam alat suntik,desinfeksi tempat suntikan dengan kapas air hangat
,memberikan suntikan vaksin,meneteskan vaksin sesuai jadwal imunisasi yang
diberikan).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.25in; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Petugas melakukan KIE efek samping pasca
imunisasi kepada orang tua bayi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Petugas memberikan obat antipiretik
untuk imunisasi DPT dijelaskan cara dan dosis pemberian.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.25in; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Petugas memberitahu kepada orang tua
bayi mengenai jadwal imunisasi berikutnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 1.25in; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Petugas mencatat semua hasil imunisasi
ke dalam buku KIA/KMS dan buku cacatan
imunisasi serta rekapitulasi setiap akhir bulannya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">B.<span style="font-family: "times new roman"; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Sejarah
Imunisasi di Indonesia<o:p></o:p></span></b></div>
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<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Sejarah Imunisasi di
Indonesia telah dimulai sejak abad ke-19 yang dilaksanakan untuk pemberantasan
penyakit cacar. Program Imunisasi di Indonesia memiliki sejarah panjang dan
telah mencapai banyak keberhasilan selama empat dekade terakhir.<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Imunisasi</span><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;"> berasal
dari kata imun yang
berasal dari bahasa latin, immunitas yang
berarti pembebasan atau kekebalan. Imunisasi adalah
salah satu upaya tindakan medis yang paling efektif dan efisien. Imunisasi
merupakan teknologi yang sangat berhasil di dunia kedokteran oleh Katz (1999)
dikatakan imunisasi adalah sumbangan ilmu pengetahuan yang terbaik yang pernah
diberikan para ilmuwan di dunia ini.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: -99.0pt; text-indent: .25in; vertical-align: baseline;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Sejarah Imunisasi di Indonesia<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: .25in; vertical-align: baseline;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: white; border-collapse: collapse; border: none; margin-left: 24.0pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184; width: 623px;">
<tbody>
<tr style="height: 27.5pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: transparent; border: solid windowtext 1.0pt; height: 27.5pt; mso-border-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 49.5pt;" valign="bottom" width="66"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Tahun
1956<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-left: none; border: solid windowtext 1.0pt; height: 27.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 417.75pt;" valign="bottom" width="557"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Pelaksanaan
kegiatan imunisasi untuk penyakit cacar<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 28.85pt; mso-yfti-irow: 1;">
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 28.85pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 49.5pt;" valign="bottom" width="66"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Tahun
1956<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 28.85pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 417.75pt;" valign="bottom" width="557"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Indonesia
berhasil dinyatakan bebas penyakit cacar oleh WHO (Badan Kesehatan Dunia)<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 27.5pt; mso-yfti-irow: 2;">
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 27.5pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 49.5pt;" valign="bottom" width="66"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Tahun
1956<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 27.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 417.75pt;" valign="bottom" width="557"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Penyelenggaraan
program imunisasi BCG<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 25.25pt; mso-yfti-irow: 3;">
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 25.25pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 49.5pt;" valign="bottom" width="66"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Tahun
1973<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 25.25pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 417.75pt;" valign="bottom" width="557"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Pelaksanaan
kegiatan imunisasi untuk penyakit cacar<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 27.5pt; mso-yfti-irow: 4;">
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 27.5pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 49.5pt;" valign="bottom" width="66"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Tahun
1974<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 27.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 417.75pt;" valign="bottom" width="557"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Program
imunisasi vaksin TT kepada ibu hamil<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 25.25pt; mso-yfti-irow: 5;">
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 25.25pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 49.5pt;" valign="bottom" width="66"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Tahun
1976<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 25.25pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 417.75pt;" valign="bottom" width="557"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Mulai
dikembangkan imunisasi DPT pada beberapa kecamatan di pulau Bangka<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 23.05pt; mso-yfti-irow: 6;">
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 23.05pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 49.5pt;" valign="bottom" width="66"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Tahun
1977<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 23.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 417.75pt;" valign="bottom" width="557"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Penetapan
fase persiapan Pengembangan Program Imunisasi (PPI)<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 29.75pt; mso-yfti-irow: 7;">
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 29.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 49.5pt;" valign="bottom" width="66"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Tahun
1980<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 29.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 417.75pt;" valign="bottom" width="557"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Program
imunisasi secara rutin terus dikembangkan dengan memberikan beberapa antigen,
yaitu BCG, DPT, Polio dan Campak.<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 32.05pt; mso-yfti-irow: 8;">
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 32.05pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 49.5pt;" valign="bottom" width="66"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Tahun
1992<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 32.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 417.75pt;" valign="bottom" width="557"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Program
imunisasi Hepatitis B mulai diperkenalkan kepada beberapa kabupaten di
beberapa propinsi<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 32.05pt; mso-yfti-irow: 9;">
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 32.05pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 49.5pt;" valign="bottom" width="66"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Tahun
1995<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 32.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 417.75pt;" valign="bottom" width="557"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Penyelenggaraan
Pekan Imunisasi Nasional (PIN) I<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 21.9pt; mso-yfti-irow: 10;">
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 21.9pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 49.5pt;" valign="bottom" width="66"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Tahun
1996<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 21.9pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 417.75pt;" valign="bottom" width="557"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Penyelenggaraan
Pekan Imunisasi Nasional (PIN) II<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 32.05pt; mso-yfti-irow: 11; mso-yfti-lastrow: yes;">
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 32.05pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 49.5pt;" valign="bottom" width="66"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Tahun
1997<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 32.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 3.0pt 6.0pt 3.0pt 6.0pt; width: 417.75pt;" valign="bottom" width="557"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Penyelenggaraan Pekan Imunisasi Nasional
(PIN) III<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 7.5pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 7.5pt; margin-left: .25in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in; vertical-align: baseline;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Pada tahun 1974, cakupan
imunisasi di Indonesia baru mencapai 5% sehingga pemerintah pada tahun 1977 menyelenggarakan
PPI atau Expanded Program on
Immunization(EPI). Program PPI merupakan program pemerintah dalam
bidang imunisasi guna mencapai komitmen internasional dalam rangka percepatan
pencapaian Universal Child Immunization (UCI) pada akhir tahun 1982.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 7.5pt; margin-left: .25in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in; vertical-align: baseline;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Cakupan imunisasi terus
meningkat dari tahun ke tahun. Sehingga setiap tahun minimal 3 juta anak dapat
terhindar dari kematian dan sekitar 750.000 anak terhindar dari kecacatan.
Keberhasilan pemerintah dalam mecapai UCI secara nasional dapat dicapai pada
tahun 1990 dengan cakupan imunisasi mencapai 90%.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 7.5pt; margin-left: .25in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: 22.5pt; vertical-align: baseline;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Program imunisasi melalui
PPI ini memiliki tujuan akhir (ultimate goal) sesuai dengan komitmen
internasional melalui Global Programme for Vaccines and Immunization(GPVI), yaitu :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: -153.0pt; text-align: justify; text-indent: -13.5pt; vertical-align: baseline;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Eradikasi Polio (ERAPO)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: -153.0pt; text-align: justify; text-indent: -13.5pt; vertical-align: baseline;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Eliminasi Tetanus Maternal dan Neonatal
(Maternal and Neonatal Tetanus Elimination/MNTE)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: -153.0pt; text-align: justify; text-indent: -13.5pt; vertical-align: baseline;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Reduksi Campak (RECAM)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: -153.0pt; text-align: justify; text-indent: -13.5pt; vertical-align: baseline;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Peningkatan mutu pelayanan imunisasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: -153.0pt; text-align: justify; text-indent: -13.5pt; vertical-align: baseline;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Penetapan standar pemberian suntikan yang
aman (safe injection practices)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l10 level1 lfo3; tab-stops: -153.0pt; text-align: justify; text-indent: -13.5pt; vertical-align: baseline;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Keamanan pengelolaan limbah tajam (safe waste
disposal management)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .25in; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Vaksin menerobos dunia modern pertama kali
pada tahun<span class="apple-converted-space"> </span>1796, ketika Edward
Jenner, seorang dokter dari Inggris, meneliti seorang pekerja harian yang
terkena penyakit cacar, dengan diimunisasi dengan cacar sapi ringan. Dia
mengambil beberapa cairan dari luka penderita cacar sapi dan menggoreskan di
permukaan lengan anak berusia 8 tahun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: .25in; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span style="color: #111111; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Selanjutnya
tahun 1886 Salmon dan Smith di Amerika Serikat telah memperkenalkan macam
vaksin inaktif dengan menggunakan bakteri vibrio cholera yang dimatikan dengan
pemanasan.</span><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: .25in; text-align: justify; text-indent: 22.5pt;">
<span style="color: #111111; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Terobosan baru lainnya
datang pada akhir abad 19, ketika Louis Pasteur seorang ahli kimia dari
Perancis, mengembangkan tehnik kimia untuk mengisolasi virus dan melemahkannya,
yang efeknya dapat dipakai sebagai vaksin.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: .25in; text-align: justify; text-indent: 22.5pt;">
<span style="color: #111111; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pada perubahan jaman,
peneliti lainnya telah mengembangkan vaksin yang tidak aktif untuk melawan
Tipus, wabah Rabies dan Kolera. Pada pertengahan tahun 1920, vaksin telah
dikembangkan untuk melawan Dipteri (penyakit yang sering menyebabakan kematian
pada anak-anak) dan Pertusis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: .25in; text-align: justify; text-indent: 22.5pt;">
<span style="color: #111111; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Dua tim ahli dipimpin oleh
Jonas Salk and Albert Sabin mengembangkan vaksin Polio. Vaksin untuk mencegah
Polio, Pada tahun 1961, Sabin telah mengembangkan vaksin oral yang bekerja
secara aktif (hidup) berupa virus yang telah dilemahkan, untuk menggantikan
imunisasi dengan suntik jenis Salk di Amerika Serikat. Pada tahun 1960, vaksin
digunakan secara rutin dan tidak menyebabkan kontroversi pada masyarakat dan
paramedis, dan vaksin virus aktif (hidup) telah dikembangkan untuk Campak
(1963), Rubella/ campak Jerman (1966) dan penyakit Gondong (1968).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: .25in; text-align: justify; text-indent: 22.5pt;">
<span style="color: #111111; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pemerintah Amerika Serikat
menarik vaksin DPT dari pasaran pada tahun 1996 dan merekomendasikan dokter
menutup vaksin jenis DTP. Hanya 6-7 persen dari vaksin pertusis di Amerika
Serikat masih mengandung DPT. Tetapi itu telah digunakan secara luas di
masyarakat dunia ketiga (negara berkembang). Sejak tahun 1994, program
vaksinasi telah dijalankan dalam pemerintahan untuk anak-anak miskin secara
cuma-cuma.</span><span lang="IN" style="color: #111111; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">C.<span style="font-family: "times new roman"; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Teknik Penyimpanan Vaksin</span></b><b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<br /></div>
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<span style="background-color: white; font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Vaksin adalah suatu produk biologis yang terbuat
dari kuman, komponen kuman, atau racun kuman yang telah dilemahkan atau
dimatikan yang berguna untuk merangsang timbulnya kekebalan tubuh seseorang.
Bila vaksin diberikan kepada seseorang, akan menimbulkan kekebalan spesifik
secara aktif terhadap penyakit tertentu. Suhu yang baik untuk semua jenis
vaksin adalah 2 ºC s/d 8 ºC.</span><span lang="IN" style="background-color: white; font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.5pt; mso-add-space: auto; mso-list: l12 level1 lfo10; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="color: #333333; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Penyimpanan Vaksin</span><span style="background: white; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 58.5pt; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Cold Room: suhu 2 <sup>o</sup>C
s/d 8 <sup>o</sup>C untuk vaksin BCG, Campak, DPT, TT, dan lain-lain. Suhu
-20 <sup>o</sup>C untuk vaksin Polio<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 58.5pt; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pemantauan Suhu secara berkala<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 58.5pt; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pengaturan Stok (Inventory Control)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 58.5pt; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Diterapkan aturan system
First In First Out (FIFO System), Expire Date, dan VVM System<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 58.5pt; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Sebagai control pengeluaran
digunakan formulir Batch Delivery Record<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 58.5pt; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pengeluaran barang berdasarkan
permintaan pengiriman dan Kapasitas gudang penerima.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.5pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.5pt; mso-add-space: auto; mso-list: l8 level1 lfo9; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Mencegah Pembekuan Vaksin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 63.0pt; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto; mso-list: l0 level1 lfo7; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Lemari Es
dengan Buka Atas</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 1.0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto; mso-list: l5 level1 lfo8; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Selalu letakkan vaksin yang peka
pembekuan (DTP, TT, DT, Hep B, DTP-HB jauh dari evaporator.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 1.0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto; mso-list: l5 level1 lfo8; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Beri jarak 1- 2 cm antar kotak
vaksin untuk sirkulasi udara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 1.0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto; mso-list: l5 level1 lfo8; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Letakkan termometer dan Freeze-Tag
di antara kotak vaksin yangpeka pembekuan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 63.0pt; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto; mso-list: l0 level1 lfo7; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">b.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Lemari Es
Rumah Tangga (Tidak direkomendasikan)</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 1.0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Selalu letakkan vaksin yang peka
pembekuan (DTP, TT, DT, Hep B,DTP-HB) jauh dari evaporator.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 1.0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Jangan letakkan vaksin di pintu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 1.0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Beri jarak 1-2 cm antar kotak vaksin
untuk sirkulasi udara.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 1.0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Letakkan termometer dan freeze tag
diantara kotak vaksin yang peka pembekuan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 1.0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Selalu letakkan botol berisi air
(cool pack) di bagian bawah lemari es.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l8 level1 lfo9; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Hal – hal Yang Perlu Diperhatikan Dalam Penanganan
Vaksin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Vaksin
tidak boleh dikeluarkan dari refrigerator/freezer kecuali untuk pemakaian atau
pengiriman.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pintu
refrigerator jangan terlalu sering dibuka (WHO menganjurkan maksimum 4 x
sehari).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Vaksin
harus disimpan di refrigerator /freezer segera setelah diterima.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Setiap
personil/staf yang bertanggung jawab terhadap penanganan vaksin harus
mengetahui cara penyimpanan yang benar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Refrigerator/freezer
hanya dipergunakan untuk penyimpanan vaksin saja.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Proses
defrost harus dilakukan jika terjadi penumpukan es lebih dari 1 cm, dan selama
proses pendefrosan vaksin harus disimpan pada vaccine carrier box dan dimonitor
suhunya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Harus
ditunjuk seorang personil dan cadangan untuk bertanggung jawab terhadap
penanganan vaksin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Setiap
penyimpanan vaksin harus mempunyai alat pengukur suhu yang disertifikasi dan
dikalibrasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Seluruh
pengukur suhu tersebut harus tersambung pada sistem alarm.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Suhu
harus dicatat 3x sehari untuk memastikan suhu yang sesuai dengan persyaratan
dan setiap personil yang menangani vaksin harus mengetahui batas rendah &
tinggi suhu yang diisyaratkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Setiap
personil tersebut harus mendapatkan training tentang pentingnya penanganan
& transportasi vaksin yang baik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Penyimpanan
vaksin harus memungkinkan aliran sirkulasi udara yang baik untuk setiap produk<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Diluent
harus disimpan pada suhu kamar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;">·<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Seluruh
vaksin jerap harus disimpan di tempat yang terhindar dari suhu beku dan kontak
langsung dengan es.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.5pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">D.<span style="font-family: "times new roman"; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kegunaan Imunisasi Secara Global<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 31.5pt;">
<span style="background: white; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Imunisasi dilakukan dengan
memberikan vaksin yang bisa disuntikkan ataupun diteteskan pada mulut bayi.
Vaksin ini berfungsi untuk menghasilkan antibodi atau zat yang berguna untuk<span class="apple-converted-space"> </span><b>daya tahan tubuh</b>.
Vaksin ini bisa membuat dan menjaga<span class="apple-converted-space"> </span><i>perkembangan
bayi </i>supaya tetap sehat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 31.5pt;">
<span style="background: white; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kegunaan Imunisasi yaitu :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 94.5pt; mso-add-space: auto; mso-list: l9 level1 lfo5; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="background: white; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">untuk mencegah terjadinya suatu penyakit tertentu pada bayi
dan selama masa perkembangan bayi hingga dewasa.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 94.5pt; mso-add-space: auto; mso-list: l9 level1 lfo5; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span class="apple-converted-space"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;">
</span></span></span><!--[endif]--><span style="background: white; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">dapat meningkatkan
daya tahan tubuh bayi sehingga bisa melawan virus atau bakteri penyebab suatu
penyakit.<span class="apple-converted-space"> </span></span><span class="apple-converted-space"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 94.5pt; mso-add-space: auto; mso-list: l9 level1 lfo5; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="background: white; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">membantu mencegah penularan penyakit terutama ke saudara
kandung dan teman-teman di sekitarnya.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 94.5pt; mso-add-space: auto; mso-list: l9 level1 lfo5; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="background: white; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">dapat mencegah terjadinya cacat dan kematian yang bisa
terjadi karena suatu penyakit tertentu.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: .5in; text-align: justify; text-indent: 27.0pt;">
<span style="background: white; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Manfaat imunisasi memang tidak
menjamin 100% dimana bayi masih punya peluang untuk bisa terkena penyakit
tersebut. Namun dari hasil penelitian, kemungkinannya sangatlah kecil yakni
hanya sekitar 5 hingga 15 persen saja. Manfaat imunisasi akan sangat dirasakan
hasilnya terutama ketika ada wabah penyakit. Anak yang telah diimunisasi jarang
sekali ada yang tertular. Tetapi anak yang tidak diimunisasi bisa mengalami
penyakit, cacat atau kematian.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 1.0in;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 20.0pt; line-height: 115%;">Daftar Pustaka<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 1.0in;">
<br /></div>
<div class="MsoNormal" style="margin-left: 21.3pt; text-indent: -21.3pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hidayat, A. Aziz Alimul. 2008. <i>Ilmu Kesehatan Anak
untuk Pendidikan Kebidanan</i>. Jakarta : Salemba Medika.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; text-indent: -21.3pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Gupte, S. 2004. <i>Panduan Perawatan Anak</i>. Jakarta:
Pustaka Populer Obor.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; text-indent: -21.3pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pillitteri, Adele. 2002. <i>Buku Saku Perawatan Kesehatan
Ibu dan Anak</i>. Jakarta: EGC.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 1.0in;">
<br /></div>
ludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.com0tag:blogger.com,1999:blog-7261342726911469262.post-65448151067661812112012-12-08T20:42:00.000-08:002017-09-19T22:42:40.083-07:00soal latihan UTS semester 3 ASKEB NIFAS<div class="MsoListParagraphCxSpFirst" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><br /></span></span>
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><br /></span></span>
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><br /></span></span>
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><br /></span></span>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-AlsL2ddLfsU/WcH_wnDMEMI/AAAAAAAAHTg/6aMxnG3gSkwKGx6XqmO_5KQ6JuDPYsaBwCLcBGAs/s1600/IMG04472-20120501-1007.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="768" data-original-width="1024" height="240" src="https://4.bp.blogspot.com/-AlsL2ddLfsU/WcH_wnDMEMI/AAAAAAAAHTg/6aMxnG3gSkwKGx6XqmO_5KQ6JuDPYsaBwCLcBGAs/s320/IMG04472-20120501-1007.jpg" width="320" /></a></div>
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><br /></span></span>
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><br /></span></span>
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="text-indent: -18pt;">Dibawah ini yang merupakan
pengertian dari masa nifas adalah...</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l5 level1 lfo2; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Kembalinya alat kandungan
seperti sebelum hamil</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l5 level1 lfo2; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Dimulai 2 jam setelah
plasenta lahir sampai 6 minggu<br />
<a name='more'></a></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l5 level1 lfo2; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>2 jam setelah bayi lahir</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l5 level1 lfo2; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Setelah IMD selesai</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Tujuan dari asuhan masa
nifas adalah..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo3; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mendeteksi adanya perdarahn
karena atonia uteri</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo3; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mempercepat involusi uteri</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo3; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Melakukan skrinning secara
komprehensif</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo3; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>A dan C benar</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Sebagai promotor antara
bayi dan ibunya, serta memberikan dukungan secara berkesinambungan. Pernyataan
tersebut merupakan pengertian dari..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 74.25pt; mso-add-space: auto; mso-list: l20 level1 lfo4; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Tujuan masa nifas</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 74.25pt; mso-add-space: auto; mso-list: l20 level1 lfo4; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Pengertian masa nifas</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 74.25pt; mso-add-space: auto; mso-list: l20 level1 lfo4; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Periode masa nifas</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 74.25pt; mso-add-space: auto; mso-list: l20 level1 lfo4; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Peran dan tanggung jawab
bidan</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Seorang ibu yang memiliki
komplikasi selama kehamilannya, memerlukan waktu 8 minggu untuk pulih secara
menyeluruh. Dalam periode masa nifas ini disebut...</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level1 lfo5; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Puerperium dini</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level1 lfo5; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Puerperium intermediete</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level1 lfo5; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Puerperium remote</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level1 lfo5; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Semua salah</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Pada tahapan apa seorang
bidan harus memastikan involusi uteri berjlan normal dan lokea tidak berbau...</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Periode late pospartum</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Periode early pospartum</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Periode immediete pospartum</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Hanya A saja yang benar</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Pernyataan mana yang paling
benar tentang involusi uteri..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo7; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Kembalinya alat kandungan
seperti kondisi semula</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo7; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Kembalinya alat kandungan
seperti sebelum hamil</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo7; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>A dan B benar</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo7; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>A dan B salah</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Berapa kali kunjungan
paling sedikit pada masa nifas..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l30 level1 lfo8; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>3 kali</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l30 level1 lfo8; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>4 kali</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l30 level1 lfo8; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>2 kali</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l30 level1 lfo8; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>1 kali</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Kunjungan masa nifas yang
memiliki tujuan yang sama yaitu pada saat kunjungan..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l25 level1 lfo9; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>1 dan 2</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l25 level1 lfo9; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>2 dan 3</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l25 level1 lfo9; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>3 dan 4</div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l25 level1 lfo9; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>2 dan 4</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Isu terbaru mengenai
perawatan masa nifas yaitu...</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l36 level1 lfo10; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Senam nifas, bounding
attachement, perawatan payudara</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l36 level1 lfo10; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mobilisasi dini, rooming
in, pemberian asi</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l36 level1 lfo10; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mobilisasi dini dan
perawatan payudara</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l36 level1 lfo10; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Roooming in, pemberian asi,
bounding attachment</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mengurangi bendungan lokea
dalam rahim dan memperlancar peredaran sekitar alat kelamin serta mempercepat
involusi uteri. Merupakan tujuan dari..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l34 level1 lfo11; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Pemberian ASI</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l34 level1 lfo11; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Rooming in</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l34 level1 lfo11; tab-stops: 3.0cm; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Senam hamil</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l34 level1 lfo11; tab-stops: 3.0cm; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Semua salah</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Hormon yang mempengaruhi
pertumbuhan payudara yaitu..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l37 level1 lfo12; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Esterogen dan progesteron</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l37 level1 lfo12; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Oksitosin dan prolaktin</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l37 level1 lfo12; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Prolaktin dan esterogen</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l37 level1 lfo12; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>FSH dan LH</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Dibawah ini manakah
pernyataan yang benar tentang<span style="mso-spacerun: yes;"> </span>payudara...</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l6 level1 lfo13; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Terletak dibawah otot dada
dan diatas kulit</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l6 level1 lfo13; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Kelenjar yang terletak
dibawah kulit dan diatas otot dada</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l6 level1 lfo13; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Beratnya ±200 grm, saat
hamil 600 grm, dan saat menyusui 800 grm</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l6 level1 lfo13; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>B dan C benar</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Hormon yang dapat
meningkatkan pertumbuhan duktus dan saluran penampung pda payudara adalah...</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l33 level1 lfo14; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Prolaktin</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l33 level1 lfo14; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Progesteron</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l33 level1 lfo14; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Esterogen</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l33 level1 lfo14; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>B dan C benar</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">14.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Dimanakah tepatnya letak
payudara..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l18 level1 lfo15; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Pada sternum dan meluas
setinggi kosta kedua dan keenam</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l18 level1 lfo15; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Pada kosta kedua dan keenam
dan meluas setinggi sternum</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l18 level1 lfo15; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Pada fasia superfesial
rongga dada dan disangga oleh ligamentum suspensorium</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l18 level1 lfo15; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>A dan C benar</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">15.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Bagaimana bentuk dari
payudara..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level1 lfo16; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Tonjolan ½ bola dan
mempunyai ekor dari jaringan ke ketiak</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level1 lfo16; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Tonjolan yang mempunyai
ekor ½ bola</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level1 lfo16; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>A dan B benar</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level1 lfo16; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>A dan B salah</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">16.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Cauda axillaris, areola dan
papilla merupakan srtuktur payudara secara..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l40 level1 lfo17; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>kasat mata</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l40 level1 lfo17; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>makroskopik </div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l40 level1 lfo17; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>mikroskopik </div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l40 level1 lfo17; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>subkutan</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">17.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Alveoli, duktus laktiferus,
ampula, dan lanjutan duktus laktiferus merupakan struktur payudara secara..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 74.25pt; mso-add-space: auto; mso-list: l2 level1 lfo18; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Kasat mata</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 74.25pt; mso-add-space: auto; mso-list: l2 level1 lfo18; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Makroskopik </div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 74.25pt; mso-add-space: auto; mso-list: l2 level1 lfo18; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mikroskopik </div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 74.25pt; mso-add-space: auto; mso-list: l2 level1 lfo18; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Subkutan </div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">18.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Alveoli terdiri atas..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo19; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>15-25 lobus</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo19; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>20-40 lobulus</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo19; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>10-100 alveoli</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo19; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Semua benar</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">19.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Proses integral dari daur
reproduksi dan mempunyai 2 pengertian yaitu produksi dan pengeluaran ASI. Ini
merupakan pengertian dari..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l4 level1 lfo20; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Masa nifas</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l4 level1 lfo20; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Laktasi</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l4 level1 lfo20; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Kehamilan</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l4 level1 lfo20; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Involusi </div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">20.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Pengaruh hormon terhadap pengeluaran
ASIdibedakan menjadi 3 yaitu..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l15 level1 lfo21; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mammopoesis, galaktogenesis,
dan galaktopoesis</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l15 level1 lfo21; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mammogenesis, galaktoesis,
dan galaktogenesis</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l15 level1 lfo21; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mammogenesis,
galaktogenesis dan galaktopoesis</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l15 level1 lfo21; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Semua salah</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">21.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Kegiatan bidan yg dilakukan
segera setelah bayi lahir dalam rangka membantu ibu menuyusui, merupakan
pengertian dari..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l13 level1 lfo22; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Laktasi</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l13 level1 lfo22; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Asuhan masa nifas</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l13 level1 lfo22; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Dukungan dalm pemberian ASI</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l13 level1 lfo22; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>A dan B benar</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">22.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Tujuan dalam memberikan
dukungan saat masa laktasi yaitu..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l39 level1 lfo23; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Memperbanyak ASI dan ibu
dapat menyusui sendiri</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l39 level1 lfo23; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Memperbanyak ASI dan bayi
cukup ASI</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l39 level1 lfo23; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Bayi mendapat cukup ASI dan
ibu dapat menyusui bayinya sendiri</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l39 level1 lfo23; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Bayi cukup ASI dan ibu
senang</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">23.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Bacalah pernyataan berikut
dengan teliti :</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l23 level1 lfo24; mso-text-indent-alt: -9.8pt; text-indent: -63.8pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Berikan ASI segera setelah
lahir</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l23 level1 lfo24; mso-text-indent-alt: -9.8pt; text-indent: -63.8pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>II.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Berikan kolostrum dan ASI
saja</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l23 level1 lfo24; mso-text-indent-alt: -9.8pt; text-indent: -63.8pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>III.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Memberikan ASI setiap 5 jam
sekali</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l23 level1 lfo24; mso-text-indent-alt: -9.8pt; text-indent: -63.8pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>IV.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mengjarkan perawatan
payudara</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 35.45pt; mso-add-space: auto;">
Dari penyataan diatas manakah yang merupakn dukungan yang diberikan bidan
saat laktasi..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 71.45pt; mso-add-space: auto; mso-list: l27 level1 lfo25; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>I,II, III</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 71.45pt; mso-add-space: auto; mso-list: l27 level1 lfo25; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>II,III, IV</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 71.45pt; mso-add-space: auto; mso-list: l27 level1 lfo25; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>I,III,IV</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 71.45pt; mso-add-space: auto; mso-list: l27 level1 lfo25; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>I,II, IV</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 71.45pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">24.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Sekresi dari kelenjar
mammae mulai dari hari pertama sampai keempat dari masa laktasi, disebut..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l31 level1 lfo26; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>ASI </div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l31 level1 lfo26; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Kolostrum </div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l31 level1 lfo26; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>ASI transisi</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l31 level1 lfo26; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>ASI mature</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">25.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>ASI yang disekresi dari
hari kesepuluh setelah komposisinya relatif konstan, pengertian dari..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l14 level1 lfo27; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>ASI</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l14 level1 lfo27; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Kolostrum</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l14 level1 lfo27; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>ASI transisi</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l14 level1 lfo27; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>ASI mature</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">26.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Peralihan dari kolostrum
menjadi ASI disebut ASI transisi yang berlangsung..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l19 level1 lfo28; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Dari hari keempat sampai
kesepuluh</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l19 level1 lfo28; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Minggu ketiga sampai minggu
keempat</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l19 level1 lfo28; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>A dan B benar</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l19 level1 lfo28; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>A dan B salah</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">27.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Asam amino yang terdapat
pada susu manusia dan tidak ada pada susu sapi yaitu..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l42 level1 lfo29; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Laktalbumin dan karsinogen</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l42 level1 lfo29; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Cystine dan taurin</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l42 level1 lfo29; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Laktalbumin dan cystine</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l42 level1 lfo29; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Karsinogen dan taurin</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">28.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Karbohidrat yang terdapat
pada ASI yaitu..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l24 level1 lfo30; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Laktalbumin </div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l24 level1 lfo30; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Karsinogen</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l24 level1 lfo30; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Laktosa</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l24 level1 lfo30; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Taurin </div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; tab-stops: 78.0pt; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">29.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Perbedaan dari lemak pada susu manusia dengan susu sapi adalah..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l38 level1 lfo31; tab-stops: 78.0pt; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Komposisi</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l38 level1 lfo31; tab-stops: 78.0pt; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Meningkatkan nafsu makan</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l38 level1 lfo31; tab-stops: 78.0pt; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mudah dicerna dan
dimanfaatkan tubuh bayi</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l38 level1 lfo31; tab-stops: 78.0pt; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Semua benar</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">30.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Berapa kadar Vitamin A pada
ASI..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l22 level1 lfo32; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>18 IU</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l22 level1 lfo32; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>280 IU</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l22 level1 lfo32; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>560 IU</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l22 level1 lfo32; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Semua salah</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">31.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Vitamin pada ASI yang
berfungsi untuk mencegah hemolytic dan melindungi paru-paru serta retina dari
oxida yaitu...</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l35 level1 lfo33; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Vitamin A</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l35 level1 lfo33; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Vitamin D</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l35 level1 lfo33; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Vitamin E</div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l35 level1 lfo33; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Vitamin K..</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">32.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Zat-zat kekebalan yang
terdapat pada ASI yaitu..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l21 level1 lfo34; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Immunoglobin </div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l21 level1 lfo34; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Laktosa</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l21 level1 lfo34; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Laktalbumin</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l21 level1 lfo34; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>karsinogen</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">33.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Manfaat ASI pada bayi
yaitu..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo35; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mudah, murah, dan praktis</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo35; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mengurangi resiko CA mamae</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo35; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Memilliki protein spesifik
spesies</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo35; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mencegah kehamilan</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">34.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Sedangkan manfaat ASI bagi
masyarakat yaitu..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l28 level1 lfo36; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mengurangi resiko CA mamae</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l28 level1 lfo36; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Memiliki protein spesifik
species</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l28 level1 lfo36; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Mencegah kehamilan</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l28 level1 lfo36; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Menghemat devisa negara </div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">35.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Posisi menyusui dengan
benar dan mulut bayi berada seluruh aerola, ini merupakan upaya untuk..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo37; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Memproduksi ASI </div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo37; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Memperbanyak ASI</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo37; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Menjaga ASI</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo37; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Bayi cukup ASI</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">36.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Bacalah pernytaan dibawah
ini dengann teliti untuk soal 36-37</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l29 level1 lfo38; mso-text-indent-alt: -9.8pt; text-indent: -63.8pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>BB bertambah setelah 2
minggu</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l29 level1 lfo38; mso-text-indent-alt: -9.8pt; text-indent: -63.8pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>II.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Terdengar suara
berdecap-decap saat bayi minum ASI</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l29 level1 lfo38; mso-text-indent-alt: -9.8pt; text-indent: -63.8pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>III.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Kulit bayi merona sehat dan
pipinya kencang</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l29 level1 lfo38; mso-text-indent-alt: -9.8pt; text-indent: -63.8pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>IV.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>BAB 2 kali sehari</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 35.45pt; mso-add-space: auto;">
Dari pernytaan diatas manakah yang merupakan tanda bayi cukup ASI.</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l17 level1 lfo39; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>I, II</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l17 level1 lfo39; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>II,IV</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l17 level1 lfo39; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>III, IV</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l17 level1 lfo39; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>II,III</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; tab-stops: 70.9pt; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">37.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Manakah yang merupakan tanda bayi kurang ASI..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l26 level1 lfo40; tab-stops: 70.9pt; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>I</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l26 level1 lfo40; tab-stops: 70.9pt; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>II</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l26 level1 lfo40; tab-stops: 70.9pt; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>III</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l26 level1 lfo40; tab-stops: 70.9pt; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>IV</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">38.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Pengertian dari ASI
eksklusif adalah..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l11 level1 lfo41; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Tidak memberi PRE-LACTEAL
FEEDING</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l11 level1 lfo41; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Memberi MP</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l11 level1 lfo41; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>B saja yang benar</div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l11 level1 lfo41; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>A dan B benar</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">39.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Berapa lama bayi sehat dapt
mengosongkan satu payudara..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l41 level1 lfo42; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>2-3 menit</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l41 level1 lfo42; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>4-5 menit</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l41 level1 lfo42; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>4-7 menit</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l41 level1 lfo42; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>5-7 menit</div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l32 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">40.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>Pada penyimpanan ASI yang
diperas dalam botol dan disimpan di lemari es dengan suhu 4 C, dapat tahan
selama..</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l12 level1 lfo43; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>6 jam</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l12 level1 lfo43; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>8 jam</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l12 level1 lfo43; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>24 jam</div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l12 level1 lfo43; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span>6 bulan</div>
ludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.com1tag:blogger.com,1999:blog-7261342726911469262.post-16219947305314496282012-10-24T03:39:00.001-07:002017-09-19T22:44:02.110-07:00Model dan Nilai dalam Promosi Kesehatan<br />
<div class="MsoNormal" style="text-align: justify;">
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></b>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-aAq4tS7JxkI/WcIAFCQq3dI/AAAAAAAAHTk/ocTSf3zVgP0p0qMQ9RZ8rFWxkmusdlltwCLcBGAs/s1600/DSCN1914.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://1.bp.blogspot.com/-aAq4tS7JxkI/WcIAFCQq3dI/AAAAAAAAHTk/ocTSf3zVgP0p0qMQ9RZ8rFWxkmusdlltwCLcBGAs/s320/DSCN1914.JPG" width="320" /></a></div>
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></b>
<br />
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></b>
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Transteoritical Model (TTM)<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Definisi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Model
Transteoritical (<i>Transteoritic Model</i>-TTM)
adalah suatu model yang di terapkan untuk menilai kesiapan seorang invidu untuk
bertindak atas perilaku sehat</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;"> y</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">ang
baru dan memberikan strategi atau mencoba menerangkan serta mengukur perilaku
kesehatan dengan tidak bergantung pada perangkap teori tertentu. Model ini juga
dikenal sebagai TTM atau dapat dikatakan model dominan peruabaha perilaku
kesehatan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;"><br /></span></div>
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<span lang="EN-US"></span></div>
<div class="MsoNormal" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">
<b><span lang="EN-US" style="font-size: 12pt; line-height: 115%;">Sejarah dan Inti Konstruksi Model <o:p></o:p></span></b></div>
<div class="MsoNormal" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">
<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">James
O. Prochaska, dkk. (1977) mengembangkan TTM berdasarkan analisi teori yang
berada dari psokoterapi. Model asli terdiri atas empat variable, yaitu
prasyarat untuk terapi, proses-proses perubahan, isi harus diubah, dan hubungan
terapeutik. Selanjutnya model ini disempurnakan oleh Prochaska, dkk.
Berdasarkan penelitian yang mereka publikasikan dalam <i>peer review </i>jurnal dan bukunya terdiri atas lima inti konstruksi,
yaitu tahapan perubahan, proses-proses perubahan, keseimbangan putusan,
keberhasilan diri, dan godaan/pencobaan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">1.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Tahapan
perubahan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">
<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Model
perubahan ini adalah sebuah proses yang melibatkan kemajuan melalui enam tahap.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%; margin-left: 54pt; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">a.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Prekontemplasi,
yaitu orang tidak berniat mengambil tindakan di masa mendatang (biasanya diukur
selama enam bulan berikutnya)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%; margin-left: 54pt; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">b.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Kontemplasi,
yaitu orang yang berniat untuk berubah dalam enam bulan mendatang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%; margin-left: 54pt; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">c.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Persiapan,
yaitu orang yang berniat mengambil tindakan dalam waktu dekat, biasanya diukur
sebagai bulan berikutnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%; margin-left: 54pt; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">d.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Aksi,
yaitu orang telah membuat modifikasi terbuka tertentu dalam gaya hidup mereka
dalam enam bulan terakhir.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%; margin-left: 54pt; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">e.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Pemeliharaan,
yaitu orang berupaya mencegah kekambuhan, tahap yang diperkirakan terakhir dari
enam bulan sampai sekitar lima tahun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%; margin-left: 54pt; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">f.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Pemutusan,
yaitu individu tidak memiliki godaan dan memiliki keberhasilan diri 100%, di
mana mereka yakin tidak akan kembali pada kebiasaan lama yang tidak sehat
mereka sebagai cara untuk mengatasi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">2.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Proses
perubahan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Proses
perubahan adalah kegiatan rahasia dan terbuka yang digunakan orang untuk maju
melalui beberapa tahap. Berikut ini adalah proses yang paling ditekankan pada
setiap transisi antara tahap perubahan.</span><span style="font-size: 12pt; line-height: 200%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">a.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Proses
kesadaran dan evaluasi lingkungan kembali, di antara prekontemplasi dan
kontemplasi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">b.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Evaluasi
diri kembali, di antara kontemplasi dan persiapan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">c.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Pembebasan
diri, di antara persiapan dan tindakan, sangat di tekankan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 200%;">d.</span><span lang="EN-US" style="font-size: 9px;"> </span><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 200%;">Antara
tindakan dan pemeliharaan, kontingensi manajemen membantu hubungan
counterconditionang, dan control stimulus ditekankan. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Orang
akan </span><span style="font-size: 12pt; line-height: 200%;">menerapkan </span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">proses kognitif,
afektif, dan evaluati</span><span style="font-size: 12pt; line-height: 200%;">f</span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">
saat melalui </span><span style="font-size: 12pt; line-height: 200%;">beberapa </span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">tahap
awal. Pada tahap pemeliharaan atau pemutusan hubungan, orang lebih mengandalkan
komitmen, pengondisian, kontingensi, kontrol lingkungan, dan dukungan.
Prochaska, dkk. Menyatakan bahwa penelitian mereka yang berkaitan dengan Model
Transteoritikal menunjukkan bahwa untuk mengubah perilaku intervensi harus
cocok untuk tahap masing-masing individu dalam proses perubahan.</span><span style="font-size: 12pt; line-height: 200%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">3.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Keseimbangan
putusan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Pada
tahap ini mencerminkan individu relative menimbang pro dan kontra dari
perubahan.</span><span style="font-size: 12pt; line-height: 200%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">4.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Keberhasilan
diri.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Pada
tahap ini orang percaya bahwa pada situasi khusus mereka dapat mengatasi
situasi risiko tinggi tanpa risiko kekambuhan untuk kebiasaan yang tidak sehat.</span><span style="font-size: 12pt; line-height: 200%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">5.<span style="font-family: "times new roman"; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Pencobaan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Pada
tahap ini mencerminkan intensitas mendesak untuk terlibat dalam kebiasaan
tertentu ketika di tengah-tengah situasi yang sulit.</span><span style="font-size: 12pt; line-height: 200%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Model
transteoritik sejalan dengan teori-teori rasional atau teori-teori pembuatan
keputusan dan teori ekonomi yang lain, terutama dalam mendasarkan diri pada
proses-proses kognitif untuk menjelaskan perubahan perilaku. Suatu perkembangan
menarik akhir-akhir ini dalam menggunakan model transteoritik adalah usaha
mencocokan pendekatan-pendekatan intervensi dengan tahap perubahan tertentu
seseorang audiens sasaran berada.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Model
transteoritik saat ini merupakan subyek dari berbagai upaya penelitian di
bidang kesehatan masyarakat, baik untuk pengendalian penyakit-penyakit kronik
maupun penyakit infeksi.Model ini menjelaskan kesiapan atau kerelaan individu
untuk berubah, yaitu merubah perilaku yang tidak sehat menjadi sehat dan dari
sehat menjadi lebih sehat lagi.</span><span style="font-size: 12pt; line-height: 200%;"><o:p></o:p></span></div>
<br />ludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.com0tag:blogger.com,1999:blog-7261342726911469262.post-36190577298061770462012-07-29T16:46:00.003-07:002017-09-19T22:51:54.507-07:00SOAL LATIHAN UAS KESPRO SMSTER 2<br />
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<b><span style="font-weight: normal;">1. ICPD </span></b>di Kairo, Mesir th 1994, menyepakati.. </h4>
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a. perubahan paradigma pengelolaan pendidika</h4>
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b. perubahan paradigma penduduk & pembangunan</h4>
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c. perubahan paradigma pengelolaan masalah penduduk</h4>
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d. perubahan paradigma pembangunan </h4>
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2. dibawah ini yang merupakan isi dari ICPD di Kairo adalah..</h4>
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a. perubahan paradigma pengelolaan masalah kependudukan & pembangunan menjadi pendekatan yang terfokus pada kespro & hak reproduksi </h4>
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b. perubahan paradigma kependudukan & pembangunan menjadi pendekatan pengendalian populasi & Kb</h4>
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c. perubahan paradigma</h4>
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d. kependudukan menjadi kespro</h4>
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3. konferensi sedunia tentang wanita, dilaksanakan di New York pd thun...</h4>
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a. 1995</h4>
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b. 1996</h4>
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c. 1999</h4>
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d. 2000</h4>
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4. seorang perempuanberhak menunda kehamilannya bila membahayakan jiwanya,termasuk dalam HAM...</h4>
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a. hak privasi</h4>
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b. hak merdeka</h4>
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c. hak hidup</h4>
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d. hak bebas</h4>
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5. dibawah ini yang termasuk hak u/ memiliki kemerdekaan dan keamanan adalah...</h4>
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a. tidak ada tugas khusus u/ perempuan / laki-laki</h4>
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b. semua pasien berhak menyimpan rahsia pada dokternya</h4>
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c. tiap orang memiliki hak yang merdeka</h4>
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d. tindakan operasi yang menyangkut kesehatan reproduksi dan seksual harus dilakukan o/ petugas yang berwenang</h4>
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6. dibawah ini yang termsuk hak u/ setara dan bebas dari segala diskriminasi adalah..</h4>
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a. tidak ada tugas khusus u/ perempuan / laki-laki</h4>
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b. semua pasien berhak menyimpan rahasia pd dokternya</h4>
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c. tiap orang tidak boleh di paksa u/ menikah dengannya</h4>
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d. remaj yang hamil berhak mendapatkan dukungan keluarga</h4>
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7. pengertian remaja dari kata " adolenscene " adalah...</h4>
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a. naka yang sudah dewasa</h4>
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b. tumbuh ke arah kematangan</h4>
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c. anak yang sudah tamat SMA</h4>
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d. anak yang sudah menikah</h4>
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8. menurut depkes ri yang disolongkan remaja adalah..</h4>
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a. 10 - 19 th</h4>
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b. 12 - 15 th</h4>
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c. 10 - 19 th & belum kawin</h4>
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d. 11 - 15 th</h4>
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9. remaja yang berumur 10 - 12 th disebut remaja...</h4>
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a. awal</h4>
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b. akhir</h4>
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c. tengah</h4>
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d. ABG</h4>
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10. pada usia berapa remaja mulai lebih selektif memilih teman sebaya..</h4>
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a. 10 - 12 th</h4>
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b. 11 - 13 th</h4>
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c. 13 - 15 th</h4>
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d. 16 - 19 th </h4>
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ludsehttp://www.blogger.com/profile/09461469673334031089noreply@blogger.com0